| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,577 |
1,331 |
$62K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,844 |
1,858 |
$19K |
| 99306 |
Prolong nursin fac eval 15m |
605 |
582 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
373 |
337 |
$9K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
692 |
652 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36 |
31 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 99305 |
|
30 |
30 |
$327.75 |
| 90688 |
|
19 |
16 |
$303.28 |
| 99442 |
|
45 |
32 |
$240.45 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
18 |
$231.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
17 |
$0.00 |