| Code | Description | Claims | Beneficiaries | Total Paid |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
8,507 |
2,931 |
$253K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,288 |
1,671 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
888 |
671 |
$27K |
| 93922 |
|
210 |
171 |
$9K |
| 99215 |
Prolong outpt/office vis |
57 |
46 |
$4K |
| 99305 |
|
65 |
52 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$1K |
| 90674 |
|
68 |
53 |
$764.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
110 |
82 |
$706.52 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
20 |
$419.23 |
| 81007 |
|
35 |
28 |
$393.45 |
| 93000 |
|
18 |
12 |
$100.12 |
| 99490 |
Ccm add 20min |
141 |
134 |
$0.00 |