| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
861 |
654 |
$30K |
| 99215 |
Prolong outpt/office vis |
268 |
233 |
$13K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
512 |
378 |
$8K |
| 36410 |
|
113 |
96 |
$812.64 |
| 90686 |
|
25 |
24 |
$373.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$236.69 |
| 3008F |
|
993 |
669 |
$193.00 |
| 3078F |
|
1,064 |
695 |
$24.00 |
| 3074F |
|
1,034 |
672 |
$22.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
423 |
291 |
$0.00 |
| 99000 |
|
90 |
80 |
$0.00 |
| 3048F |
|
57 |
50 |
$0.00 |
| 3044F |
|
40 |
29 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
153 |
112 |
$0.00 |
| 4013F |
|
38 |
27 |
$0.00 |