| Code | Description | Claims | Beneficiaries | Total Paid |
| 99310 |
Prolong nursin fac eval 15m |
4,557 |
2,435 |
$76K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
6,664 |
3,761 |
$74K |
| 99349 |
|
2,075 |
992 |
$30K |
| 96130 |
|
2,006 |
1,449 |
$21K |
| 99336 |
|
217 |
160 |
$5K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
227 |
215 |
$3K |
| 99439 |
|
233 |
227 |
$2K |
| 99350 |
Prolong home eval add 15m |
198 |
131 |
$2K |
| 99335 |
|
119 |
59 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56 |
28 |
$1K |
| 99490 |
Ccm add 20min |
414 |
384 |
$797.00 |
| 99496 |
|
51 |
47 |
$772.50 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
109 |
77 |
$755.13 |
| 99318 |
|
22 |
21 |
$534.30 |
| 99233 |
Prolong inpt eval add15 m |
41 |
15 |
$518.30 |
| 99344 |
|
15 |
12 |
$385.80 |
| 99442 |
|
27 |
19 |
$217.63 |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$178.98 |
| 99305 |
|
20 |
16 |
$107.75 |
| 99000 |
|
152 |
65 |
$4.12 |
| 99306 |
Prolong nursin fac eval 15m |
54 |
48 |
$0.00 |