| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99442 |
|
4,294 |
3,704 |
$130K |
| 99348 |
|
1,094 |
723 |
$29K |
| 99349 |
|
654 |
612 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
325 |
325 |
$25K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,142 |
601 |
$21K |
| 99490 |
Ccm add 20min |
874 |
870 |
$9K |
| 99347 |
|
357 |
266 |
$5K |
| 99345 |
Prolong home eval add 15m |
30 |
30 |
$4K |
| 99350 |
Prolong home eval add 15m |
28 |
28 |
$3K |
| 99343 |
|
13 |
13 |
$659.81 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$605.93 |
| 99342 |
|
14 |
14 |
$598.86 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$478.10 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
35 |
31 |
$378.28 |
| 99497 |
|
12 |
12 |
$307.65 |
| 3078F |
|
469 |
436 |
$0.00 |
| 3077F |
|
170 |
166 |
$0.00 |
| 3074F |
|
350 |
337 |
$0.00 |
| 1126F |
|
713 |
664 |
$0.00 |
| 3079F |
|
112 |
111 |
$0.00 |
| 3075F |
|
30 |
30 |
$0.00 |