| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,314 |
4,218 |
$165K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,881 |
1,496 |
$44K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,395 |
1,680 |
$16K |
| 99307 |
|
1,883 |
1,075 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
436 |
205 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
419 |
151 |
$3K |
| 99306 |
Prolong nursin fac eval 15m |
13 |
12 |
$499.50 |
| 82962 |
|
591 |
435 |
$486.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
17 |
$446.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
26 |
$354.10 |
| 90686 |
|
145 |
124 |
$304.48 |
| 81002 |
|
187 |
151 |
$249.23 |
| 90658 |
|
15 |
12 |
$167.28 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
64 |
35 |
$166.68 |
| G0008 |
Administration of influenza virus vaccine |
223 |
149 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
39 |
29 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
57 |
41 |
$0.00 |