| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,396 |
9,713 |
$398K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,075 |
1,011 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
339 |
316 |
$12K |
| 99205 |
Prolong outpt/office vis |
28 |
28 |
$3K |
| 90756 |
|
153 |
151 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
34 |
25 |
$965.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
79 |
$925.07 |
| 99454 |
|
28 |
27 |
$733.18 |
| 96127 |
|
407 |
389 |
$706.40 |
| 99457 |
|
28 |
27 |
$564.80 |
| 95923 |
|
13 |
13 |
$398.77 |
| 95921 |
|
13 |
13 |
$273.44 |
| 99458 |
|
15 |
13 |
$189.35 |
| 99406 |
|
17 |
17 |
$130.12 |
| 3008F |
|
130 |
130 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,097 |
2,590 |
$0.00 |
| 3078F |
|
43 |
40 |
$0.00 |