| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
659 |
642 |
$22K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
965 |
624 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
33 |
$2K |
| 99051 |
|
46 |
46 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
12 |
12 |
$752.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$93.73 |