| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,166 |
1,665 |
$277K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,074 |
740 |
$268K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
738 |
656 |
$181K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
535 |
432 |
$56K |
| 99215 |
Prolong outpt/office vis |
90 |
59 |
$15K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
36 |
30 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
272 |
212 |
$301.15 |
| 0124A |
|
30 |
18 |
$232.00 |
| 90686 |
|
142 |
122 |
$103.68 |
| 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) |
174 |
151 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
95 |
78 |
$0.00 |
| 96127 |
|
14 |
12 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |