| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,522 |
2,276 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
399 |
399 |
$3K |
| 90686 |
|
61 |
61 |
$474.54 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
19 |
19 |
$388.24 |
| 90656 |
|
44 |
44 |
$234.33 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
220 |
206 |
$161.28 |
| G0008 |
Administration of influenza virus vaccine |
80 |
80 |
$68.08 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
297 |
263 |
$0.00 |
| 1126F |
|
80 |
76 |
$0.00 |
| 1170F |
|
28 |
28 |
$0.00 |
| 1125F |
|
54 |
51 |
$0.00 |
| 3074F |
|
35 |
32 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
31 |
31 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
36 |
36 |
$0.00 |
| 3075F |
|
30 |
28 |
$0.00 |
| 3079F |
|
27 |
25 |
$0.00 |
| 99406 |
|
12 |
12 |
$0.00 |
| 1159F |
|
333 |
314 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
353 |
323 |
$0.00 |
| 99397 |
|
34 |
34 |
$0.00 |
| 1160F |
|
333 |
314 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$0.00 |
| 3078F |
|
60 |
60 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
50 |
50 |
$0.00 |
| 99497 |
|
12 |
12 |
$0.00 |