| Code | Description | Claims | Beneficiaries | Total Paid |
| 95811 |
|
1,016 |
972 |
$415K |
| 95806 |
|
1,544 |
1,430 |
$236K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,624 |
2,106 |
$178K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
258 |
245 |
$112K |
| 99205 |
Prolong outpt/office vis |
518 |
497 |
$70K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,709 |
1,749 |
$36K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,206 |
692 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74 |
67 |
$5K |
| 99443 |
|
48 |
37 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
13 |
$2K |
| 94375 |
|
26 |
26 |
$690.32 |
| 94726 |
|
14 |
14 |
$529.44 |
| 94060 |
|
15 |
15 |
$508.85 |
| 94729 |
|
12 |
12 |
$482.57 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
14 |
$141.73 |
| 90688 |
|
17 |
16 |
$101.94 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
30 |
$47.88 |
| 3008F |
|
35 |
32 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |