| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,220 |
1,051 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
667 |
573 |
$24K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
682 |
652 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
162 |
141 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
36 |
36 |
$3K |
| 90662 |
|
20 |
20 |
$1K |
| 3725F |
|
56 |
54 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
19 |
13 |
$1K |
| 99310 |
Prolong nursin fac eval 15m |
51 |
51 |
$1K |
| 90688 |
|
16 |
14 |
$322.08 |
| 99307 |
|
23 |
23 |
$123.56 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$0.00 |