| Code | Description | Claims | Beneficiaries | Total Paid |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
56 |
47 |
$17K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
163 |
129 |
$5K |
| 99205 |
Prolong outpt/office vis |
16 |
16 |
$5K |
| 99306 |
Prolong nursin fac eval 15m |
52 |
52 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$677.88 |
| 1160F |
|
35 |
24 |
$0.17 |
| G8484 |
Influenza immunization was not administered, reason not given |
28 |
28 |
$0.00 |