| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
42 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
97 |
58 |
$280.80 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
20 |
13 |
$151.28 |
| G8484 |
Influenza immunization was not administered, reason not given |
36 |
34 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
12 |
12 |
$0.00 |