| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,001 |
2,893 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,329 |
3,198 |
$68K |
| 99490 |
Ccm add 20min |
2,803 |
2,802 |
$18K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
448 |
431 |
$7K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
31 |
31 |
$514.58 |
| 90756 |
|
232 |
231 |
$225.58 |
| G0008 |
Administration of influenza virus vaccine |
209 |
209 |
$84.76 |
| 99497 |
|
38 |
38 |
$30.80 |