| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,151 |
839 |
$25K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
944 |
496 |
$23K |
| 99443 |
|
17 |
13 |
$2K |
| 90682 |
|
36 |
31 |
$1K |
| 0124A |
|
19 |
15 |
$650.00 |
| 99335 |
|
66 |
64 |
$616.01 |
| 99397 |
|
20 |
13 |
$384.45 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
12 |
$281.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
30 |
$201.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
17 |
$175.68 |
| 99497 |
|
20 |
12 |
$42.83 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
31 |
26 |
$3.34 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
23 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
12 |
$0.00 |
| 1170F |
|
25 |
15 |
$0.00 |
| 1160F |
|
21 |
12 |
$0.00 |
| 1159F |
|
21 |
12 |
$0.00 |