| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,661 |
2,443 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,873 |
3,015 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
358 |
180 |
$12K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
849 |
490 |
$8K |
| 99310 |
Prolong nursin fac eval 15m |
576 |
338 |
$6K |
| 99205 |
Prolong outpt/office vis |
53 |
40 |
$3K |
| 99347 |
|
56 |
52 |
$93.76 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
441 |
298 |
$0.00 |
| 90674 |
|
22 |
20 |
$0.00 |
| G2083 |
Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self-administration, includes 2 hours post-administration observation |
44 |
41 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
22 |
20 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
19 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
31 |
30 |
$0.00 |