| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,529 |
3,155 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
939 |
849 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
946 |
851 |
$20K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
99 |
99 |
$3K |
| 90686 |
|
99 |
87 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
29 |
29 |
$1K |
| 0002A |
|
12 |
12 |
$461.74 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
13 |
$23.85 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
23 |
14 |
$1.76 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$0.00 |