| Code | Description | Claims | Beneficiaries | Total Paid |
| 99454 |
|
840 |
840 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
475 |
317 |
$7K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
537 |
516 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
148 |
143 |
$4K |
| 99457 |
|
712 |
712 |
$2K |
| 99458 |
|
573 |
573 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$695.69 |
| 99307 |
|
115 |
108 |
$638.96 |
| 99305 |
|
71 |
71 |
$317.25 |
| 99490 |
Ccm add 20min |
545 |
545 |
$307.68 |
| 99310 |
Prolong nursin fac eval 15m |
20 |
17 |
$179.04 |
| 99439 |
|
469 |
469 |
$93.41 |