| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
297 |
290 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
275 |
225 |
$2K |
| 99458 |
|
13 |
13 |
$151.27 |
| 99457 |
|
16 |
16 |
$121.24 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
668 |
578 |
$102.20 |
| 99490 |
Ccm add 20min |
13 |
13 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$0.00 |
| 99439 |
|
13 |
13 |
$0.00 |
| 93000 |
|
13 |
13 |
$0.00 |