| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,110 |
5,752 |
$284K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
599 |
542 |
$18K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
945 |
881 |
$8K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
495 |
479 |
$7K |
| 90674 |
|
157 |
155 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
879 |
867 |
$2K |
| 0031A |
|
18 |
18 |
$640.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
31 |
29 |
$264.13 |
| 99306 |
Prolong nursin fac eval 15m |
15 |
15 |
$251.77 |