| Code | Description | Claims | Beneficiaries | Total Paid |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
120 |
73 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
75 |
50 |
$3K |
| 99305 |
|
41 |
41 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
27 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$926.35 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
16 |
16 |
$569.87 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
49 |
42 |
$208.39 |