| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,662 |
4,158 |
$455K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,260 |
1,140 |
$86K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,761 |
1,114 |
$45K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,507 |
997 |
$22K |
| 99215 |
Prolong outpt/office vis |
41 |
39 |
$7K |
| 90688 |
|
115 |
107 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$2K |
| 0011A |
|
25 |
22 |
$776.94 |
| 0012A |
|
20 |
19 |
$720.00 |
| 99305 |
|
14 |
14 |
$343.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$340.78 |
| 99306 |
Prolong nursin fac eval 15m |
12 |
12 |
$239.58 |
| 96127 |
|
33 |
33 |
$150.72 |