| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,325 |
1,293 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,270 |
2,222 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
48 |
48 |
$465.72 |
| 92551 |
|
58 |
58 |
$202.00 |
| 90686 |
|
19 |
19 |
$131.97 |
| 99490 |
Ccm add 20min |
40 |
40 |
$115.86 |
| 96127 |
|
32 |
31 |
$65.45 |
| 81002 |
|
1,144 |
1,137 |
$51.89 |
| 3008F |
|
420 |
410 |
$41.65 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
47 |
$35.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$28.56 |
| 36415 |
Collection of venous blood by venipuncture |
50 |
50 |
$7.50 |
| 3078F |
|
1,101 |
1,080 |
$0.00 |
| 1159F |
|
1,580 |
1,545 |
$0.00 |
| 1160F |
|
173 |
173 |
$0.00 |
| 96160 |
|
61 |
60 |
$0.00 |
| 1126F |
|
783 |
780 |
$0.00 |
| 3074F |
|
1,040 |
1,017 |
$0.00 |
| 1125F |
|
119 |
118 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
65 |
64 |
$0.00 |
| 99172 |
|
16 |
16 |
$0.00 |
| 1220F |
|
18 |
18 |
$0.00 |