| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,540 |
2,221 |
$144K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
863 |
705 |
$42K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,054 |
1,018 |
$38K |
| 99401 |
|
23 |
22 |
$453.18 |
| 99406 |
|
37 |
32 |
$213.21 |
| 90688 |
|
12 |
12 |
$210.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$162.85 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
17 |
$161.74 |