| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,930 |
3,361 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,719 |
1,573 |
$52K |
| 99335 |
|
1,438 |
1,399 |
$24K |
| 99348 |
|
573 |
572 |
$19K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
990 |
961 |
$15K |
| 99215 |
Prolong outpt/office vis |
142 |
141 |
$4K |
| 99205 |
Prolong outpt/office vis |
28 |
24 |
$963.53 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$385.20 |
| 90674 |
|
12 |
12 |
$242.40 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$64.00 |