| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,019 |
1,620 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
951 |
782 |
$23K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,065 |
775 |
$22K |
| 99306 |
Prolong nursin fac eval 15m |
16 |
16 |
$1K |
| 80305 |
|
42 |
41 |
$421.87 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
36 |
$360.00 |
| 99318 |
|
12 |
12 |
$42.75 |
| 90756 |
|
17 |
17 |
$0.00 |
| 1036F |
|
17 |
13 |
$0.00 |