| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13,341 |
10,247 |
$370K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,072 |
3,886 |
$83K |
| 99336 |
|
990 |
872 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
555 |
498 |
$39K |
| 99310 |
Prolong nursin fac eval 15m |
372 |
296 |
$16K |
| 99397 |
|
158 |
131 |
$15K |
| 99306 |
Prolong nursin fac eval 15m |
261 |
206 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
157 |
115 |
$12K |
| 99215 |
Prolong outpt/office vis |
116 |
108 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
138 |
124 |
$8K |
| 99337 |
|
60 |
55 |
$6K |
| 99497 |
|
406 |
334 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109 |
95 |
$3K |
| 99318 |
|
132 |
122 |
$2K |
| 99387 |
|
18 |
17 |
$2K |
| 99386 |
|
25 |
18 |
$2K |
| 99354 |
|
37 |
28 |
$1K |
| 0004A |
|
38 |
36 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
61 |
$1K |
| 99307 |
|
84 |
73 |
$1K |
| 90682 |
|
22 |
20 |
$898.28 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
33 |
$622.94 |
| 99335 |
|
17 |
13 |
$430.55 |
| 90686 |
|
21 |
21 |
$349.98 |
| 99199 |
Unlisted special service, procedure or report |
376 |
301 |
$1.40 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
253 |
212 |
$0.00 |
| 99080 |
|
1,354 |
820 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
44 |
42 |
$0.00 |