| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99310 |
Prolong nursin fac eval 15m |
4,307 |
3,386 |
$117K |
| 99306 |
Prolong nursin fac eval 15m |
612 |
591 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,177 |
2,057 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
22 |
18 |
$694.72 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
536 |
516 |
$281.60 |
| 90688 |
|
15 |
15 |
$248.40 |
| 99307 |
|
29 |
29 |
$162.72 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
23 |
23 |
$136.10 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$101.87 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$75.03 |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$62.29 |
| 99408 |
|
328 |
328 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
21 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
40 |
40 |
$0.00 |
| 3351F |
|
164 |
164 |
$0.00 |