| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,019 |
997 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,182 |
1,115 |
$19K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
336 |
301 |
$5K |
| 90688 |
|
135 |
134 |
$686.02 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
50 |
50 |
$262.88 |
| 81003 |
|
33 |
33 |
$39.62 |
| G0008 |
Administration of influenza virus vaccine |
97 |
97 |
$30.00 |
| 1101F |
|
206 |
203 |
$0.00 |
| 1170F |
|
228 |
225 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |
| 3017F |
|
26 |
26 |
$0.00 |
| 1125F |
|
26 |
26 |
$0.00 |
| 1126F |
|
37 |
37 |
$0.00 |
| 3725F |
|
167 |
164 |
$0.00 |
| 1090F |
|
228 |
225 |
$0.00 |
| 3288F |
|
226 |
223 |
$0.00 |
| 1158F |
|
114 |
114 |
$0.00 |