| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,789 |
1,520 |
$90K |
| 99310 |
Prolong nursin fac eval 15m |
181 |
178 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
27 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
159 |
131 |
$953.48 |
| 90688 |
|
30 |
30 |
$378.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$176.20 |
| 36415 |
Collection of venous blood by venipuncture |
178 |
170 |
$109.61 |