| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,747 |
1,582 |
$136K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,139 |
714 |
$82K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,173 |
716 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
93 |
82 |
$8K |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
16 |
$16.13 |
| 1123F |
|
47 |
46 |
$0.00 |
| 1101F |
|
26 |
26 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
32 |
31 |
$0.00 |
| 0518F |
|
26 |
26 |
$0.00 |