| Code | Description | Claims | Bene. Records | Total Paid |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
449 |
231 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
108 |
106 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
85 |
84 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
140 |
90 |
$2K |
| 99051 |
|
27 |
27 |
$650.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$84.98 |