| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,352 |
2,122 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
286 |
250 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
137 |
133 |
$669.44 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$466.00 |
| 90686 |
|
15 |
12 |
$324.46 |
| 3078F |
|
72 |
68 |
$0.00 |
| 3008F |
|
385 |
354 |
$0.00 |
| 3074F |
|
183 |
173 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |