| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
527 |
448 |
$30K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
769 |
453 |
$17K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,004 |
585 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
185 |
157 |
$4K |
| 99307 |
|
246 |
109 |
$2K |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
103 |
93 |
$341.29 |
| 51798 |
|
14 |
12 |
$141.75 |