| Code | Description | Claims | Beneficiaries | Total Paid |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,928 |
1,996 |
$32K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
560 |
475 |
$8K |
| D1110 |
Prophylaxis - adult |
144 |
143 |
$7K |
| 99307 |
|
760 |
605 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
306 |
273 |
$5K |
| D1206 |
Topical application of fluoride varnish |
183 |
182 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
119 |
113 |
$994.52 |
| 99310 |
Prolong nursin fac eval 15m |
73 |
73 |
$983.22 |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
13 |
$223.36 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
21 |
20 |
$42.84 |
| G0008 |
Administration of influenza virus vaccine |
170 |
106 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
180 |
141 |
$0.00 |
| 90688 |
|
55 |
43 |
$0.00 |