| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
706 |
634 |
$389.07 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
204 |
204 |
$7.64 |
| 99310 |
Prolong nursin fac eval 15m |
2,361 |
1,487 |
$0.00 |
| 99334 |
|
871 |
858 |
$0.00 |
| 99347 |
|
27 |
25 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
95 |
66 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
9,082 |
6,268 |
$0.00 |
| 99318 |
|
18 |
15 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 99335 |
|
13 |
12 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
243 |
190 |
$0.00 |
| 99305 |
|
52 |
52 |
$0.00 |