| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,030 |
1,748 |
$75K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
11,661 |
7,049 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,421 |
1,192 |
$35K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
4,854 |
3,239 |
$34K |
| 99306 |
Prolong nursin fac eval 15m |
127 |
97 |
$913.91 |
| 90674 |
|
30 |
28 |
$725.28 |
| 99307 |
|
13 |
13 |
$355.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
27 |
$328.70 |
| 99318 |
|
43 |
33 |
$179.40 |
| 99305 |
|
31 |
24 |
$107.28 |
| 81003 |
|
91 |
83 |
$90.85 |
| 3044F |
|
120 |
105 |
$60.00 |
| 3078F |
|
18 |
16 |
$0.00 |
| 1090F |
|
253 |
220 |
$0.00 |
| 1159F |
|
34 |
32 |
$0.00 |
| 1160F |
|
34 |
32 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
31 |
31 |
$0.00 |
| 3008F |
|
46 |
43 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
238 |
209 |
$0.00 |
| 1101F |
|
74 |
64 |
$0.00 |
| 1111F |
|
74 |
64 |
$0.00 |
| 1123F |
|
214 |
182 |
$0.00 |
| 1170F |
|
242 |
210 |
$0.00 |
| 1126F |
|
55 |
49 |
$0.00 |