| Code | Description | Claims | Beneficiaries | Total Paid |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,083 |
1,011 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
392 |
337 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
73 |
$6K |
| 99310 |
Prolong nursin fac eval 15m |
127 |
108 |
$3K |
| 99306 |
Prolong nursin fac eval 15m |
13 |
13 |
$867.96 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
15 |
$532.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22 |
20 |
$345.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
14 |
$273.19 |