| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,950 |
8,838 |
$384K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,879 |
4,958 |
$218K |
| 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 |
12,270 |
8,095 |
$137K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
212 |
204 |
$19K |
| 99215 |
Prolong outpt/office vis |
202 |
182 |
$11K |
| 99307 |
|
2,759 |
1,764 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
63 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
52 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,361 |
849 |
$1K |
| 99310 |
Prolong nursin fac eval 15m |
136 |
110 |
$581.34 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
30 |
28 |
$437.96 |
| 99358 |
Prolong nursin fac eval 15m |
46 |
42 |
$113.87 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
163 |
96 |
$78.56 |
| 1126F |
|
1,119 |
998 |
$53.73 |
| 3077F |
|
384 |
335 |
$0.00 |
| 3078F |
|
1,604 |
1,442 |
$0.00 |
| 1159F |
|
2,917 |
2,455 |
$0.00 |
| 1160F |
|
2,871 |
2,410 |
$0.00 |
| 99497 |
|
30 |
29 |
$0.00 |
| 99490 |
Ccm add 20min |
20 |
17 |
$0.00 |
| 3288F |
|
26 |
25 |
$0.00 |
| 1125F |
|
1,563 |
1,360 |
$0.00 |
| 3075F |
|
748 |
670 |
$0.00 |
| 3080F |
|
485 |
433 |
$0.00 |
| 3008F |
|
4,574 |
3,965 |
$0.00 |
| 3044F |
|
35 |
24 |
$0.00 |
| 4010F |
|
511 |
424 |
$0.00 |
| 3079F |
|
2,327 |
2,067 |
$0.00 |
| 3074F |
|
3,255 |
2,883 |
$0.00 |
| 96127 |
|
98 |
94 |
$0.00 |
| 1170F |
|
53 |
50 |
$0.00 |
| 1111F |
|
30 |
30 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
28 |
27 |
$0.00 |