| Code | Description | Claims | Beneficiaries | Total Paid |
| 99310 |
Prolong nursin fac eval 15m |
255 |
162 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,519 |
2,231 |
$3K |
| 90658 |
|
12 |
12 |
$140.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$70.00 |
| 3078F |
|
45 |
43 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
49 |
$0.00 |
| 3074F |
|
60 |
56 |
$0.00 |