| Code | Description | Claims | Beneficiaries | Total Paid |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
686 |
555 |
$14K |
| G0008 |
Administration of influenza virus vaccine |
142 |
112 |
$240.66 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
12 |
12 |
$205.20 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
39 |
39 |
$23.36 |
| 90662 |
|
57 |
52 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
34 |
34 |
$0.00 |
| 90661 |
|
12 |
12 |
$0.00 |