| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,471 |
2,993 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,333 |
1,998 |
$71K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
155 |
138 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
29 |
28 |
$376.11 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$355.20 |
| 90756 |
|
34 |
33 |
$78.30 |
| 90688 |
|
29 |
29 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
48 |
48 |
$0.00 |