| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,523 |
1,354 |
$163K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,437 |
627 |
$88K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
674 |
206 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47 |
40 |
$4K |
| 99349 |
|
41 |
25 |
$2K |
| 99305 |
|
14 |
12 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
105 |
100 |
$1K |
| 96127 |
|
149 |
142 |
$621.72 |
| 90756 |
|
16 |
16 |
$415.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
1,251 |
1,031 |
$0.00 |