| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,643 |
5,759 |
$313K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
10,386 |
9,644 |
$166K |
| 99305 |
|
223 |
200 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
41 |
$3K |
| 99318 |
|
110 |
103 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
70 |
39 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
14 |
$1K |
| 99490 |
Ccm add 20min |
65 |
65 |
$791.14 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$769.99 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$400.00 |
| 90674 |
|
47 |
35 |
$250.59 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
14 |
$161.85 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
110 |
90 |
$0.01 |
| 3079F |
|
98 |
89 |
$0.00 |
| 3074F |
|
46 |
43 |
$0.00 |
| 3075F |
|
36 |
33 |
$0.00 |
| 99401 |
|
14 |
13 |
$0.00 |