| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
801 |
799 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
200 |
198 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
123 |
111 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62 |
61 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 90688 |
|
30 |
30 |
$515.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
60 |
$496.42 |
| 90686 |
|
12 |
12 |
$228.36 |
| 1159F |
|
1,120 |
975 |
$0.00 |
| 1160F |
|
1,114 |
974 |
$0.00 |
| 3078F |
|
421 |
389 |
$0.00 |
| 3725F |
|
168 |
166 |
$0.00 |
| 3074F |
|
605 |
549 |
$0.00 |
| 3008F |
|
1,144 |
1,025 |
$0.00 |
| 1101F |
|
223 |
222 |
$0.00 |
| 3079F |
|
65 |
60 |
$0.00 |
| 3075F |
|
16 |
13 |
$0.00 |