| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,500 |
1,446 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,240 |
2,072 |
$90K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
977 |
770 |
$35K |
| 99307 |
|
47 |
40 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$922.08 |
| 99318 |
|
14 |
12 |
$816.89 |
| 90686 |
|
19 |
19 |
$342.54 |
| 36415 |
Collection of venous blood by venipuncture |
92 |
91 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
20 |
$0.00 |