| Code | Description | Claims | Beneficiaries | Total Paid |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
858 |
795 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
120 |
110 |
$3K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$581.29 |
| 90756 |
|
38 |
38 |
$519.06 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$91.62 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
32 |
27 |
$0.00 |
| 99306 |
Prolong nursin fac eval 15m |
13 |
13 |
$0.00 |