| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,429 |
5,339 |
$388K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,351 |
985 |
$46K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,770 |
1,683 |
$28K |
| 80305 |
|
2,840 |
1,960 |
$13K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
748 |
451 |
$8K |
| 99307 |
|
80 |
44 |
$588.55 |
| 90682 |
|
36 |
25 |
$358.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
44 |
$292.80 |
| 90686 |
|
20 |
12 |
$131.17 |
| 99422 |
|
18 |
12 |
$5.95 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
13 |
$3.00 |