| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,563 |
2,402 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
109 |
46 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
237 |
230 |
$567.85 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
191 |
181 |
$76.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$42.30 |
| 3008F |
|
158 |
148 |
$0.00 |
| 3074F |
|
107 |
102 |
$0.00 |
| 3079F |
|
32 |
30 |
$0.00 |
| 99441 |
|
61 |
54 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 3078F |
|
52 |
48 |
$0.00 |
| 1159F |
|
13 |
12 |
$0.00 |