| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,346 |
1,192 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
126 |
102 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
142 |
76 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
136 |
94 |
$889.42 |
| 99310 |
Prolong nursin fac eval 15m |
17 |
12 |
$401.15 |
| 99307 |
|
81 |
60 |
$361.60 |
| 90686 |
|
17 |
15 |
$322.49 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
17 |
$0.00 |