| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,025 |
1,934 |
$18K |
| 99497 |
|
356 |
355 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,311 |
4,076 |
$16K |
| 99458 |
|
612 |
612 |
$11K |
| 99454 |
|
720 |
720 |
$10K |
| 99457 |
|
702 |
702 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
189 |
184 |
$1K |
| 90686 |
|
42 |
42 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
15 |
15 |
$371.25 |
| 99453 |
|
28 |
28 |
$218.02 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$205.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
140 |
135 |
$173.27 |
| 90662 |
|
13 |
13 |
$155.72 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$76.67 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
12 |
12 |
$22.74 |
| G0008 |
Administration of influenza virus vaccine |
101 |
101 |
$0.00 |