| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,676 |
5,392 |
$162K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,448 |
2,322 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
237 |
203 |
$5K |
| 99441 |
|
21 |
16 |
$88.68 |
| 81002 |
|
15 |
12 |
$44.15 |
| 71046 |
Radiologic examination, chest; 2 views |
92 |
72 |
$32.04 |
| 1159F |
|
13 |
13 |
$0.00 |
| 90756 |
|
75 |
60 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
49 |
43 |
$0.00 |
| 1125F |
|
16 |
15 |
$0.00 |