| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
124 |
112 |
$49K |
| 99205 |
Prolong outpt/office vis |
86 |
72 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
19 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
72 |
59 |
$735.59 |
| G8484 |
Influenza immunization was not administered, reason not given |
29 |
29 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
15 |
15 |
$0.00 |