| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,313 |
1,280 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,448 |
1,402 |
$40K |
| 99310 |
Prolong nursin fac eval 15m |
1,354 |
1,090 |
$17K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
733 |
508 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
106 |
86 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
18 |
18 |
$1K |
| 90756 |
|
110 |
109 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
148 |
147 |
$938.05 |
| 3074F |
|
1,133 |
1,074 |
$690.00 |
| 3078F |
|
862 |
807 |
$620.00 |
| 3079F |
|
404 |
392 |
$195.00 |
| 3725F |
|
2,064 |
1,984 |
$70.00 |
| 1160F |
|
1,606 |
1,520 |
$0.00 |
| 1159F |
|
1,360 |
1,288 |
$0.00 |
| 90661 |
|
14 |
14 |
$0.00 |
| 1126F |
|
1,205 |
939 |
$0.00 |
| 1034F |
|
231 |
222 |
$0.00 |
| 1036F |
|
1,815 |
1,466 |
$0.00 |
| 3008F |
|
2,147 |
2,040 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,011 |
969 |
$0.00 |
| 1125F |
|
442 |
423 |
$0.00 |
| 3075F |
|
55 |
52 |
$0.00 |
| 90674 |
|
20 |
20 |
$0.00 |