| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,608 |
2,315 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
302 |
154 |
$1K |
| 99490 |
Ccm add 20min |
97 |
97 |
$1K |
| 99215 |
Prolong outpt/office vis |
87 |
81 |
$529.91 |
| 99499 |
|
13 |
12 |
$444.67 |
| 99205 |
Prolong outpt/office vis |
102 |
102 |
$393.96 |
| 99307 |
|
170 |
96 |
$300.07 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
31 |
25 |
$263.87 |
| 90674 |
|
46 |
46 |
$133.15 |
| 99439 |
|
12 |
12 |
$119.16 |
| 93922 |
|
12 |
12 |
$104.42 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
52 |
$104.06 |
| 93000 |
|
22 |
21 |
$104.02 |
| 99497 |
|
47 |
47 |
$69.59 |
| 99406 |
|
44 |
44 |
$31.23 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45 |
44 |
$24.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
50 |
50 |
$16.50 |
| 3725F |
|
44 |
44 |
$0.00 |
| 1158F |
|
40 |
40 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
21 |
21 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
48 |
48 |
$0.00 |
| 90653 |
|
15 |
15 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
56 |
$0.00 |
| 1157F |
|
40 |
40 |
$0.00 |