| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,864 |
2,721 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,205 |
1,098 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
36 |
$3K |
| 94727 |
|
182 |
179 |
$3K |
| 94060 |
|
111 |
109 |
$2K |
| 94729 |
|
125 |
124 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
108 |
102 |
$1K |
| 99307 |
|
14 |
13 |
$31.84 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
71 |
70 |
$21.60 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |