| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,955 |
2,300 |
$78K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
7,803 |
6,788 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35 |
25 |
$789.90 |
| 99307 |
|
539 |
59 |
$533.49 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
221 |
193 |
$518.88 |
| 82570 |
|
75 |
68 |
$165.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
44 |
39 |
$151.17 |
| 81001 |
|
71 |
66 |
$107.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
15 |
15 |
$93.80 |
| 99305 |
|
15 |
14 |
$55.60 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
57 |
52 |
$55.00 |
| 80076 |
|
30 |
28 |
$32.00 |
| 82947 |
|
12 |
12 |
$18.99 |
| 36415 |
Collection of venous blood by venipuncture |
163 |
154 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$0.00 |