| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
11,897 |
6,734 |
$213K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
16,023 |
8,369 |
$205K |
| 99306 |
Prolong nursin fac eval 15m |
222 |
141 |
$17K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
543 |
331 |
$9K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
197 |
138 |
$6K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
364 |
364 |
$6K |
| 99490 |
Ccm add 20min |
404 |
316 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
58 |
53 |
$2K |
| D0330 |
Panoramic radiographic image |
15 |
15 |
$940.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
12 |
$572.56 |
| 99335 |
|
12 |
12 |
$286.37 |
| 99305 |
|
17 |
13 |
$257.48 |
| 11721 |
|
64 |
64 |
$237.51 |
| 99497 |
|
16 |
13 |
$206.31 |
| 3008F |
|
1,264 |
615 |
$9.39 |
| 3074F |
|
963 |
500 |
$7.44 |
| 3078F |
|
257 |
116 |
$1.67 |
| 1159F |
|
140 |
114 |
$0.48 |
| 1160F |
|
67 |
61 |
$0.13 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
14 |
14 |
$0.00 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
266 |
110 |
$0.00 |