| Code | Description | Claims | Beneficiaries | Total Paid |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,179 |
1,762 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
196 |
167 |
$3K |
| 90686 |
|
205 |
159 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
365 |
247 |
$2K |
| 0124A |
|
81 |
73 |
$2K |
| 0003A |
|
35 |
26 |
$840.00 |
| 99310 |
Prolong nursin fac eval 15m |
108 |
90 |
$817.97 |
| 99307 |
|
271 |
219 |
$563.85 |
| 99497 |
|
75 |
73 |
$210.02 |
| 99358 |
Prolong nursin fac eval 15m |
18 |
17 |
$133.38 |
| 99356 |
|
108 |
98 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
16 |
$0.00 |
| 99304 |
|
17 |
16 |
$0.00 |