| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
358 |
267 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
323 |
264 |
$19K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
561 |
412 |
$10K |
| 99439 |
|
236 |
235 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
29 |
$1K |
| 99453 |
|
71 |
71 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
56 |
51 |
$938.35 |
| 99490 |
Ccm add 20min |
285 |
284 |
$671.94 |
| 99458 |
|
13 |
13 |
$643.84 |
| 99454 |
|
174 |
174 |
$592.16 |
| 99310 |
Prolong nursin fac eval 15m |
18 |
12 |
$546.10 |
| 99497 |
|
44 |
41 |
$477.31 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
23 |
23 |
$355.30 |
| 99457 |
|
18 |
18 |
$119.02 |
| 96127 |
|
12 |
12 |
$108.72 |