| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
403 |
374 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
455 |
410 |
$13K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,719 |
1,617 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
111 |
97 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
364 |
333 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
27 |
$3K |
| 99497 |
|
103 |
79 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
16 |
$939.57 |
| 99307 |
|
220 |
212 |
$919.87 |
| 90656 |
|
39 |
37 |
$739.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
50 |
$723.14 |
| 90686 |
|
15 |
14 |
$240.54 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
36 |
12 |
$0.00 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
12 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
15 |
14 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
36 |
14 |
$0.00 |