| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,494 |
1,362 |
$107K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,530 |
945 |
$55K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,095 |
665 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
163 |
140 |
$8K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
88 |
87 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
111 |
84 |
$997.74 |
| 90686 |
|
74 |
63 |
$939.05 |
| 99349 |
|
19 |
12 |
$737.95 |
| 90662 |
|
41 |
24 |
$677.52 |
| 99441 |
|
18 |
15 |
$136.07 |
| G8482 |
Influenza immunization administered or previously received |
19 |
18 |
$103.76 |
| 3008F |
|
12 |
12 |
$60.00 |