| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,484 |
1,307 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,203 |
1,996 |
$82K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,079 |
1,054 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
38 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
218 |
207 |
$2K |
| 90686 |
|
86 |
72 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
28 |
$0.00 |