| Code | Description | Claims | Beneficiaries | Total Paid |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,382 |
1,372 |
$16K |
| 99335 |
|
114 |
111 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,340 |
1,304 |
$772.52 |
| 99497 |
|
396 |
396 |
$707.02 |
| 90658 |
|
31 |
31 |
$280.00 |
| 99347 |
|
40 |
40 |
$151.95 |
| 3008F |
|
1,385 |
1,360 |
$107.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
20 |
20 |
$80.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
193 |
188 |
$72.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
530 |
530 |
$17.50 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
257 |
256 |
$0.00 |
| 3075F |
|
13 |
13 |
$0.00 |
| 3074F |
|
302 |
299 |
$0.00 |
| 1036F |
|
253 |
252 |
$0.00 |
| 1101F |
|
66 |
66 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
12 |
12 |
$0.00 |
| 3017F |
|
13 |
13 |
$0.00 |
| 3079F |
|
24 |
24 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
55 |
52 |
$0.00 |
| 3078F |
|
267 |
266 |
$0.00 |
| 0518F |
|
228 |
227 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
238 |
238 |
$0.00 |
| 1158F |
|
40 |
40 |
$0.00 |
| 3015F |
|
12 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$0.00 |
| 99442 |
|
14 |
14 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
18 |
$0.00 |