| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,805 |
4,086 |
$72K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,102 |
941 |
$27K |
| G0008 |
Administration of influenza virus vaccine |
378 |
377 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
78 |
78 |
$2K |
| 90662 |
|
226 |
226 |
$727.97 |
| 36415 |
Collection of venous blood by venipuncture |
736 |
734 |
$226.24 |
| G8482 |
Influenza immunization administered or previously received |
16 |
16 |
$136.38 |
| 90686 |
|
163 |
162 |
$77.81 |
| 3078F |
|
27 |
27 |
$0.00 |
| 1159F |
|
40 |
40 |
$0.00 |
| 1160F |
|
40 |
40 |
$0.00 |
| 3014F |
|
35 |
35 |
$0.00 |
| 3008F |
|
40 |
40 |
$0.00 |
| 1157F |
|
40 |
40 |
$0.00 |
| 3074F |
|
13 |
13 |
$0.00 |