| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,112 |
944 |
$22K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
587 |
421 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
96 |
80 |
$3K |
| 90658 |
|
12 |
12 |
$258.23 |
| 99233 |
Prolong inpt eval add15 m |
18 |
13 |
$224.92 |
| 36415 |
Collection of venous blood by venipuncture |
120 |
111 |
$163.46 |
| 90688 |
|
14 |
13 |
$150.26 |
| 1036F |
|
39 |
33 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
38 |
32 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
39 |
26 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
28 |
26 |
$0.00 |