| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
762 |
562 |
$18K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
16 |
12 |
$515.08 |
| 99307 |
|
23 |
12 |
$44.22 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
15 |
13 |
$35.38 |
| 36415 |
Collection of venous blood by venipuncture |
58 |
55 |
$18.90 |
| G0008 |
Administration of influenza virus vaccine |
20 |
18 |
$9.47 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |