| Code | Description | Claims | Beneficiaries | Total Paid |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,611 |
878 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
19 |
$580.59 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
17 |
12 |
$171.20 |
| 90686 |
|
27 |
27 |
$149.28 |
| 90688 |
|
35 |
29 |
$125.89 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$80.00 |
| G0008 |
Administration of influenza virus vaccine |
39 |
36 |
$0.00 |