| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
918 |
757 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
477 |
371 |
$17K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,013 |
466 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
647 |
268 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
588 |
321 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,046 |
703 |
$988.97 |
| 99349 |
|
46 |
26 |
$396.30 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
23 |
19 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
18 |
15 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
179 |
141 |
$0.00 |