| Code | Description | Claims | Beneficiaries | Total Paid |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
110 |
51 |
$953.52 |
| 99458 |
|
77 |
74 |
$668.17 |
| 99457 |
|
125 |
101 |
$590.11 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
77 |
52 |
$546.77 |
| 99490 |
Ccm add 20min |
96 |
80 |
$376.95 |
| 99454 |
|
41 |
39 |
$286.25 |
| 99306 |
Prolong nursin fac eval 15m |
19 |
14 |
$205.08 |
| 99439 |
|
54 |
38 |
$187.77 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
68 |
14 |
$117.30 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
19 |
14 |
$58.87 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
13 |
$23.50 |
| 99453 |
|
14 |
14 |
$7.48 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
37 |
13 |
$0.00 |