| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,616 |
4,760 |
$231K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
133 |
86 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
270 |
270 |
$710.45 |
| 90686 |
|
98 |
98 |
$148.30 |
| G0008 |
Administration of influenza virus vaccine |
129 |
128 |
$0.00 |
| 0011A |
|
14 |
14 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
13 |
13 |
$0.00 |
| 0012A |
|
14 |
14 |
$0.00 |
| 90662 |
|
56 |
55 |
$0.00 |