| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99348 |
|
718 |
636 |
$21K |
| 99349 |
|
478 |
441 |
$20K |
| 99347 |
|
544 |
442 |
$8K |
| 99335 |
|
347 |
293 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$2K |
| 99336 |
|
218 |
169 |
$2K |
| 99337 |
|
29 |
29 |
$1K |
| 99326 |
|
33 |
28 |
$910.21 |
| 99345 |
Prolong home eval add 15m |
13 |
12 |
$820.84 |
| 99344 |
|
14 |
14 |
$714.28 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$705.82 |
| 99325 |
|
34 |
34 |
$561.99 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$420.42 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
13 |
$357.95 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
66 |
65 |
$0.00 |
| 99490 |
Ccm add 20min |
523 |
409 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
34 |
34 |
$0.00 |