| Code | Description | Claims | Beneficiaries | Total Paid |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
5,624 |
2,960 |
$47K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,962 |
1,798 |
$27K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
66 |
66 |
$2K |
| 99497 |
|
280 |
277 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
171 |
163 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
41 |
41 |
$1K |
| 99356 |
|
77 |
57 |
$40.79 |
| 3074F |
|
1,174 |
937 |
$0.00 |
| 3075F |
|
1,113 |
917 |
$0.00 |
| 3079F |
|
100 |
87 |
$0.00 |
| 1111F |
|
98 |
95 |
$0.00 |
| 3078F |
|
2,164 |
1,640 |
$0.00 |
| 1160F |
|
3,446 |
1,751 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |