| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
279 |
261 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
117 |
112 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
116 |
85 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
125 |
112 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
15 |
14 |
$42.80 |
| 11721 |
|
12 |
12 |
$0.60 |
| 90688 |
|
54 |
53 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
59 |
59 |
$0.00 |