| Code | Description | Claims | Beneficiaries | Total Paid |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
35,591 |
30,921 |
$863K |
| 99306 |
Prolong nursin fac eval 15m |
4,584 |
4,242 |
$222K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
6,978 |
4,763 |
$139K |
| 99336 |
|
1,099 |
1,029 |
$47K |
| 99337 |
|
445 |
393 |
$37K |
| 99349 |
|
265 |
261 |
$15K |
| 99305 |
|
513 |
499 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
553 |
371 |
$5K |
| 99307 |
|
311 |
263 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
111 |
107 |
$2K |
| 90674 |
|
43 |
42 |
$519.56 |
| 99304 |
|
30 |
30 |
$218.75 |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$172.20 |
| 99442 |
|
82 |
43 |
$111.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$100.00 |
| 90694 |
|
19 |
18 |
$73.08 |
| 99334 |
|
12 |
12 |
$32.93 |
| G0008 |
Administration of influenza virus vaccine |
60 |
59 |
$10.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
14 |
14 |
$0.00 |
| 90662 |
|
16 |
16 |
$0.00 |
| 99497 |
|
14 |
13 |
$0.00 |