| Code | Description | Claims | Beneficiaries | Total Paid |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
595 |
153 |
$7K |
| 99307 |
|
168 |
51 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
85 |
84 |
$663.02 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34 |
24 |
$238.92 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
17 |
$145.43 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
14 |
$35.46 |
| 99000 |
|
43 |
38 |
$0.00 |