| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,307 |
3,603 |
$255K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
214 |
182 |
$7K |
| 99335 |
|
285 |
269 |
$2K |
| 90686 |
|
75 |
66 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
274 |
255 |
$1K |
| 99336 |
|
39 |
39 |
$403.15 |
| 99334 |
|
66 |
65 |
$268.09 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
26 |
25 |
$41.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$0.00 |