| Code | Description | Claims | Beneficiaries | Total Paid |
| 36465 |
|
222 |
204 |
$70K |
| 93970 |
|
745 |
737 |
$18K |
| 93923 |
|
254 |
252 |
$11K |
| 93925 |
|
333 |
332 |
$10K |
| 99306 |
Prolong nursin fac eval 15m |
791 |
786 |
$9K |
| 93971 |
|
467 |
416 |
$9K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
855 |
810 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
930 |
876 |
$6K |
| 37252 |
|
19 |
13 |
$3K |
| 99307 |
|
804 |
694 |
$3K |
| 99310 |
Prolong nursin fac eval 15m |
179 |
170 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
123 |
119 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
75 |
$943.77 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
30 |
$772.90 |
| 37253 |
|
19 |
13 |
$640.29 |
| 99205 |
Prolong outpt/office vis |
28 |
28 |
$525.84 |
| 99304 |
|
103 |
103 |
$411.35 |
| 99305 |
|
29 |
29 |
$348.48 |
| 36482 |
|
226 |
206 |
$161.45 |
| 76937 |
|
18 |
12 |
$29.83 |
| 36410 |
|
43 |
36 |
$0.00 |