| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,681 |
3,229 |
$200K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
806 |
785 |
$13K |
| 90688 |
|
107 |
107 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
144 |
144 |
$1K |
| 90686 |
|
42 |
42 |
$495.71 |
| 99305 |
|
16 |
16 |
$179.69 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$143.00 |
| 3008F |
|
199 |
181 |
$0.00 |