| Code | Description | Claims | Beneficiaries | Total Paid |
| 99497 |
|
2,789 |
2,468 |
$117K |
| 99215 |
Prolong outpt/office vis |
1,540 |
1,350 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,472 |
1,370 |
$62K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
920 |
786 |
$29K |
| 99349 |
|
825 |
772 |
$15K |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
884 |
881 |
$15K |
| 99406 |
|
1,028 |
940 |
$9K |
| 99350 |
Prolong home eval add 15m |
305 |
268 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
85 |
85 |
$6K |
| 99386 |
|
12 |
12 |
$1K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
101 |
99 |
$730.59 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
16 |
$583.96 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
224 |
222 |
$446.08 |