| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
872 |
681 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
560 |
455 |
$16K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
4,449 |
2,810 |
$14K |
| 99310 |
Prolong nursin fac eval 15m |
1,423 |
1,079 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
75 |
65 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,439 |
350 |
$306.77 |
| 99222 |
Initial hospital care, per day, moderate complexity |
201 |
189 |
$179.60 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
28 |
28 |
$166.91 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
188 |
104 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$0.00 |
| 1170F |
|
88 |
82 |
$0.00 |
| G9910 |
Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period |
17 |
15 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
14 |
13 |
$0.00 |