| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,860 |
2,717 |
$144K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,658 |
2,517 |
$105K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
325 |
316 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
306 |
241 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
482 |
326 |
$1K |
| 90658 |
|
35 |
35 |
$284.25 |
| 90688 |
|
16 |
16 |
$245.76 |
| 99058 |
|
27 |
25 |
$0.00 |