| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
751 |
679 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,367 |
1,261 |
$15K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
335 |
207 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
117 |
109 |
$1K |
| 99442 |
|
43 |
39 |
$284.14 |
| 99497 |
|
29 |
29 |
$256.12 |
| 1160F |
|
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 1170F |
|
12 |
12 |
$0.00 |