| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
911 |
808 |
$40K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,636 |
1,477 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
360 |
329 |
$20K |
| 99307 |
|
384 |
376 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
117 |
95 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99310 |
Prolong nursin fac eval 15m |
28 |
21 |
$641.63 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
14 |
$453.85 |
| 90686 |
|
15 |
15 |
$236.83 |