| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,891 |
5,009 |
$276K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
8,088 |
6,103 |
$170K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,369 |
2,879 |
$115K |
| 99305 |
|
467 |
430 |
$19K |
| 99443 |
|
265 |
240 |
$15K |
| 99442 |
|
152 |
138 |
$7K |
| 99310 |
Prolong nursin fac eval 15m |
160 |
137 |
$4K |
| 0012A |
|
151 |
149 |
$4K |
| 0011A |
|
157 |
149 |
$4K |
| 0013A |
|
75 |
75 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
38 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
99 |
96 |
$2K |
| 90688 |
|
206 |
167 |
$2K |
| 99457 |
|
301 |
295 |
$2K |
| 99318 |
|
72 |
62 |
$1K |
| 99454 |
|
156 |
152 |
$972.21 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
35 |
$894.49 |
| 99458 |
|
325 |
254 |
$804.01 |
| 90686 |
|
49 |
47 |
$339.96 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
34 |
27 |
$270.98 |
| G0008 |
Administration of influenza virus vaccine |
73 |
58 |
$38.25 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
40 |
40 |
$10.20 |
| 1160F |
|
2,419 |
2,115 |
$0.00 |
| 3078F |
|
1,146 |
1,030 |
$0.00 |
| 3077F |
|
151 |
146 |
$0.00 |
| 99490 |
Ccm add 20min |
19 |
14 |
$0.00 |
| 1090F |
|
14 |
14 |
$0.00 |
| 3288F |
|
14 |
14 |
$0.00 |
| 1125F |
|
543 |
453 |
$0.00 |
| 3074F |
|
938 |
859 |
$0.00 |
| 3008F |
|
1,953 |
1,752 |
$0.00 |
| 1170F |
|
14 |
14 |
$0.00 |
| 1036F |
|
2,214 |
1,904 |
$0.00 |
| 3079F |
|
301 |
290 |
$0.00 |
| 91301 |
|
33 |
33 |
$0.00 |
| 3075F |
|
70 |
66 |
$0.00 |
| 1126F |
|
19 |
15 |
$0.00 |
| 1123F |
|
14 |
14 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
16 |
13 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |