| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
252 |
252 |
$24K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
170 |
169 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
162 |
150 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
80 |
80 |
$5K |
| 99310 |
Prolong nursin fac eval 15m |
320 |
319 |
$351.68 |
| 99051 |
|
16 |
16 |
$171.20 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
61 |
50 |
$149.24 |