| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,422 |
2,854 |
$213K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,125 |
539 |
$30K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,128 |
529 |
$23K |
| 99233 |
Prolong inpt eval add15 m |
895 |
257 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
222 |
204 |
$19K |
| 99310 |
Prolong nursin fac eval 15m |
520 |
249 |
$13K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
313 |
251 |
$7K |
| 90674 |
|
188 |
140 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
127 |
116 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
30 |
$3K |
| 90756 |
|
37 |
32 |
$905.60 |
| G0008 |
Administration of influenza virus vaccine |
142 |
100 |
$653.80 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$492.20 |
| 90661 |
|
16 |
14 |
$436.94 |
| 82947 |
|
88 |
67 |
$279.68 |
| 3725F |
|
207 |
152 |
$0.00 |