| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
465 |
388 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
303 |
272 |
$7K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
150 |
130 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
15 |
15 |
$111.44 |
| G0008 |
Administration of influenza virus vaccine |
41 |
41 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$0.00 |