| Code | Description | Claims | Beneficiaries | Total Paid |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
339 |
323 |
$26K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
391 |
368 |
$19K |
| 99318 |
|
67 |
59 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
98 |
97 |
$909.12 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
22 |
22 |
$0.00 |
| 99497 |
|
38 |
31 |
$0.00 |