| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
322 |
280 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
284 |
244 |
$13K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
362 |
287 |
$7K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
28 |
22 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
75 |
44 |
$565.99 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
22 |
17 |
$182.40 |
| 36415 |
Collection of venous blood by venipuncture |
97 |
92 |
$75.60 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
68 |
31 |
$20.77 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
36 |
30 |
$11.12 |