| Code | Description | Claims | Beneficiaries | Total Paid |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
754 |
221 |
$15K |
| 99490 |
Ccm add 20min |
2,353 |
2,340 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
237 |
234 |
$8K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
309 |
169 |
$6K |
| 99307 |
|
437 |
163 |
$6K |
| 99454 |
|
1,116 |
1,103 |
$4K |
| 99457 |
|
1,054 |
1,053 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
267 |
206 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
63 |
$1K |
| 99453 |
|
68 |
68 |
$1K |
| 99443 |
|
111 |
89 |
$1K |
| 99215 |
Prolong outpt/office vis |
72 |
52 |
$393.62 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
25 |
$152.82 |
| 99491 |
Ccm add 20min |
51 |
50 |
$101.32 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
39 |
39 |
$0.00 |
| 99458 |
|
12 |
12 |
$0.00 |