| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99350 |
Prolong home eval add 15m |
6,105 |
5,314 |
$233K |
| 99215 |
Prolong outpt/office vis |
3,338 |
2,784 |
$192K |
| 99091 |
|
840 |
804 |
$131K |
| 99423 |
|
1,840 |
613 |
$97K |
| 99444 |
|
1,643 |
478 |
$92K |
| 99349 |
|
1,752 |
1,534 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,025 |
936 |
$40K |
| 99336 |
|
451 |
416 |
$15K |
| 99337 |
|
492 |
453 |
$10K |
| 99422 |
|
273 |
192 |
$6K |
| 99421 |
|
158 |
115 |
$3K |
| 99490 |
Ccm add 20min |
1,000 |
992 |
$3K |
| 99327 |
|
72 |
71 |
$2K |
| 99457 |
|
1,669 |
1,661 |
$2K |
| 99454 |
|
1,333 |
1,328 |
$2K |
| 99458 |
|
1,494 |
1,486 |
$1K |
| 90756 |
|
104 |
92 |
$1K |
| 90674 |
|
141 |
126 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
40 |
$915.55 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
13 |
$843.12 |
| 69210 |
|
74 |
67 |
$675.89 |
| 99326 |
|
12 |
12 |
$507.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
32 |
$381.20 |
| 99439 |
|
185 |
179 |
$280.32 |
| 90656 |
|
59 |
57 |
$35.38 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$23.73 |
| G0008 |
Administration of influenza virus vaccine |
325 |
248 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
195 |
189 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
12 |
12 |
$0.00 |
| 90686 |
|
26 |
26 |
$0.00 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
56 |
53 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
82 |
80 |
$0.00 |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
25 |
25 |
$0.00 |