| Code | Description | Claims | Beneficiaries | Total Paid |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
17,936 |
5,279 |
$95K |
| 99310 |
Prolong nursin fac eval 15m |
758 |
435 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,018 |
515 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
73 |
46 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
242 |
168 |
$447.41 |
| 99305 |
|
22 |
12 |
$266.31 |
| 99490 |
Ccm add 20min |
44 |
34 |
$12.61 |
| 99497 |
|
27 |
17 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
57 |
12 |
$0.00 |