| Code | Description | Claims | Beneficiaries | Total Paid |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
5,644 |
2,644 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
455 |
305 |
$4K |
| 99336 |
|
567 |
356 |
$789.72 |
| 99223 |
Prolong inpt eval add15 m |
40 |
24 |
$391.50 |
| 99349 |
|
48 |
29 |
$303.00 |
| 99490 |
Ccm add 20min |
46 |
37 |
$216.24 |
| 99233 |
Prolong inpt eval add15 m |
111 |
24 |
$134.16 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
28 |
15 |
$28.06 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
14 |
14 |
$0.00 |
| 90756 |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
70 |
42 |
$0.00 |
| 90688 |
|
42 |
30 |
$0.00 |