| Code | Description | Claims | Beneficiaries | Total Paid |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
767 |
607 |
$6K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
636 |
437 |
$2K |
| 99490 |
Ccm add 20min |
31 |
24 |
$174.45 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
35 |
35 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
35 |
35 |
$0.00 |
| 90686 |
|
18 |
18 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
31 |
31 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$0.00 |