| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99222 |
Initial hospital care, per day, moderate complexity |
513 |
509 |
$33K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,133 |
336 |
$23K |
| 90756 |
|
76 |
75 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
660 |
655 |
$1K |
| 90674 |
|
48 |
48 |
$1K |
| 90686 |
|
46 |
46 |
$911.68 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,576 |
1,503 |
$659.00 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$476.56 |
| 99442 |
|
31 |
30 |
$0.00 |
| 99443 |
|
136 |
134 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
60 |
60 |
$0.00 |
| 90694 |
|
14 |
14 |
$0.00 |