| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
602 |
533 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
675 |
623 |
$36K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
527 |
416 |
$31K |
| 99490 |
Ccm add 20min |
375 |
375 |
$6K |
| 90686 |
|
141 |
135 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
22 |
12 |
$516.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
77 |
$268.43 |
| 99457 |
|
12 |
12 |
$144.43 |
| G0008 |
Administration of influenza virus vaccine |
32 |
30 |
$0.00 |
| 99497 |
|
60 |
58 |
$-364.59 |