| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,371 |
2,789 |
$162K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,042 |
1,931 |
$141K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
7,612 |
3,627 |
$94K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
4,302 |
2,548 |
$81K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,491 |
1,256 |
$47K |
| 99307 |
|
4,875 |
2,344 |
$30K |
| 99233 |
Prolong inpt eval add15 m |
1,067 |
261 |
$25K |
| 99306 |
Prolong nursin fac eval 15m |
307 |
286 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
181 |
168 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
766 |
253 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
57 |
57 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
290 |
262 |
$5K |
| 90674 |
|
109 |
109 |
$3K |
| 90756 |
|
67 |
67 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
150 |
150 |
$1K |
| 90661 |
|
12 |
12 |
$374.81 |
| 99496 |
|
28 |
24 |
$309.37 |
| 90656 |
|
17 |
17 |
$259.09 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
73 |
73 |
$228.03 |
| 99406 |
|
18 |
17 |
$152.39 |
| 1111F |
|
27 |
26 |
$0.00 |