| Code | Description | Claims | Beneficiaries | Total Paid |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,531 |
880 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
49 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95 |
70 |
$4K |
| 99310 |
Prolong nursin fac eval 15m |
34 |
25 |
$553.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
25 |
$298.06 |
| 90686 |
|
25 |
25 |
$292.18 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
20 |
13 |
$3.31 |
| 3074F |
|
14 |
12 |
$0.00 |