| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,097 |
2,905 |
$343K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,631 |
2,301 |
$130K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
686 |
594 |
$52K |
| 99354 |
|
151 |
119 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
30 |
30 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
18 |
$2K |
| 99491 |
Ccm add 20min |
59 |
55 |
$2K |
| 90756 |
|
84 |
81 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
80 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
15 |
$990.68 |
| 99310 |
Prolong nursin fac eval 15m |
41 |
34 |
$652.39 |
| 99497 |
|
23 |
18 |
$613.83 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
42 |
36 |
$277.56 |
| 91301 |
|
15 |
14 |
$0.07 |