| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
593 |
369 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
505 |
304 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
285 |
196 |
$278.72 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
22 |
12 |
$157.83 |
| 90686 |
|
27 |
17 |
$133.21 |
| 90662 |
|
33 |
26 |
$49.03 |
| 81002 |
|
73 |
53 |
$14.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
13 |
$4.41 |
| G0008 |
Administration of influenza virus vaccine |
42 |
34 |
$0.00 |
| 1033F |
|
205 |
179 |
$0.00 |
| 1160F |
|
493 |
437 |
$0.00 |