| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
868 |
692 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
507 |
450 |
$40K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
448 |
429 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
100 |
94 |
$1K |
| 90674 |
|
38 |
38 |
$675.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
36 |
$464.23 |
| 93000 |
|
27 |
27 |
$370.41 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$102.88 |