| Code | Description | Claims | Beneficiaries | Total Paid |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
5,409 |
3,120 |
$24K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
91 |
16 |
$3K |
| 99497 |
|
180 |
156 |
$746.55 |
| 99306 |
Prolong nursin fac eval 15m |
54 |
48 |
$399.60 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
46 |
38 |
$0.00 |