| Code | Description | Claims | Beneficiaries | Total Paid |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
15,728 |
3,008 |
$63K |
| 99305 |
|
1,386 |
887 |
$13K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,852 |
740 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
131 |
66 |
$1K |
| 99304 |
|
46 |
32 |
$463.19 |
| 1123F |
|
97 |
84 |
$0.00 |
| G9990 |
Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
337 |
103 |
$0.00 |
| 1100F |
|
201 |
153 |
$0.00 |
| 0518F |
|
149 |
129 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
68 |
51 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
15 |
12 |
$0.00 |
| 3288F |
|
72 |
61 |
$0.00 |
| 4040F |
|
103 |
78 |
$0.00 |
| 1124F |
|
18 |
15 |
$0.00 |