| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,505 |
1,126 |
$27K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
748 |
695 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
284 |
186 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
75 |
64 |
$1K |
| 90756 |
|
34 |
31 |
$297.31 |
| 99305 |
|
12 |
12 |
$254.84 |
| 90686 |
|
38 |
30 |
$134.10 |
| 99490 |
Ccm add 20min |
77 |
76 |
$111.72 |
| 3008F |
|
224 |
161 |
$100.00 |
| 1159F |
|
216 |
162 |
$90.00 |
| 1160F |
|
219 |
163 |
$90.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
94 |
69 |
$60.49 |
| G0008 |
Administration of influenza virus vaccine |
41 |
37 |
$13.12 |
| 3044F |
|
16 |
14 |
$0.00 |