| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,979 |
2,716 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,618 |
1,466 |
$62K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,722 |
2,631 |
$26K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
413 |
395 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
25 |
$976.99 |
| 90686 |
|
40 |
33 |
$599.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
14 |
$313.00 |