| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,591 |
7,032 |
$338K |
| 90686 |
|
53 |
53 |
$570.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
36 |
$416.70 |
| 99406 |
|
43 |
42 |
$360.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
73 |
41 |
$119.74 |
| 99307 |
|
17 |
13 |
$15.56 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
48 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
21 |
21 |
$0.00 |
| 86318 |
|
25 |
25 |
$0.00 |