| Code | Description | Claims | Beneficiaries | Total Paid |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,988 |
1,701 |
$19K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,341 |
428 |
$18K |
| 99307 |
|
2,377 |
2,054 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,113 |
1,773 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
164 |
130 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
331 |
288 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
75 |
67 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
73 |
13 |
$464.58 |
| 99490 |
Ccm add 20min |
132 |
131 |
$434.14 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
26 |
19 |
$380.31 |
| 87428 |
|
14 |
12 |
$213.12 |
| 0011A |
|
43 |
43 |
$15.92 |
| 3008F |
|
188 |
150 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
168 |
163 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
41 |
37 |
$0.00 |
| 0012A |
|
38 |
38 |
$0.00 |
| 3074F |
|
22 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
33 |
25 |
$0.00 |
| 82962 |
|
12 |
12 |
$0.00 |
| 3078F |
|
138 |
117 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
52 |
48 |
$0.00 |
| 90662 |
|
31 |
29 |
$0.00 |