| Code | Description | Claims | Beneficiaries | Total Paid |
| 99335 |
|
5,232 |
2,699 |
$41K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,131 |
1,374 |
$14K |
| 99307 |
|
4,475 |
1,723 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
258 |
222 |
$9K |
| 99334 |
|
333 |
297 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
368 |
332 |
$1K |
| 99325 |
|
15 |
15 |
$191.52 |
| 90658 |
|
13 |
13 |
$161.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$145.53 |
| 99336 |
|
12 |
12 |
$143.50 |
| 90674 |
|
20 |
20 |
$56.26 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$0.00 |
| 99318 |
|
44 |
44 |
$0.00 |