| Code | Description | Claims | Beneficiaries | Total Paid |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,916 |
1,446 |
$18K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
732 |
514 |
$4K |
| 0004A |
|
18 |
18 |
$800.00 |
| G0008 |
Administration of influenza virus vaccine |
117 |
69 |
$635.83 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
65 |
58 |
$453.61 |
| 90662 |
|
30 |
22 |
$195.78 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
44 |
36 |
$187.22 |
| 99310 |
Prolong nursin fac eval 15m |
33 |
29 |
$180.88 |
| 90688 |
|
15 |
14 |
$119.46 |
| 90694 |
|
80 |
39 |
$109.84 |
| 99307 |
|
16 |
12 |
$22.14 |
| 99490 |
Ccm add 20min |
28 |
25 |
$18.38 |
| 99439 |
|
19 |
16 |
$0.00 |
| 90682 |
|
37 |
35 |
$0.00 |
| 91300 |
|
18 |
18 |
$0.00 |