| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99350 |
Prolong home eval add 15m |
1,754 |
1,249 |
$73K |
| 99489 |
Ccm add 20min |
1,254 |
1,192 |
$34K |
| 99487 |
Ccm add 20min |
1,308 |
1,241 |
$21K |
| 99336 |
|
654 |
419 |
$13K |
| 99337 |
|
174 |
113 |
$9K |
| 99458 |
|
548 |
524 |
$8K |
| 99454 |
|
562 |
541 |
$6K |
| 99349 |
|
212 |
166 |
$6K |
| 99457 |
|
560 |
539 |
$6K |
| 99202 |
|
225 |
185 |
$4K |
| 99348 |
|
189 |
152 |
$3K |
| 87635 |
|
152 |
107 |
$3K |
| 0241U |
|
187 |
147 |
$2K |
| 99345 |
Prolong home eval add 15m |
23 |
22 |
$1K |
| G0318 |
Prolong home eval add 15m |
178 |
153 |
$1K |
| 96132 |
|
93 |
76 |
$1K |
| 99212 |
|
96 |
69 |
$1K |
| 99401 |
|
188 |
150 |
$960.12 |
| 99354 |
|
47 |
40 |
$950.90 |
| 96133 |
|
90 |
75 |
$927.32 |
| 99484 |
|
198 |
196 |
$912.62 |
| 99483 |
Prolong outpt/office vis |
30 |
26 |
$907.74 |
| 99215 |
Prolong outpt/office vis |
33 |
26 |
$888.24 |
| 96372 |
|
1,050 |
824 |
$829.85 |
| 96116 |
|
99 |
81 |
$774.62 |
| U0002 |
Covid-19 lab test non-cdc |
43 |
31 |
$769.65 |
| 98960 |
|
619 |
484 |
$592.00 |
| J3420 |
Vitamin b12 injection |
1,041 |
800 |
$582.48 |
| 0071A |
|
25 |
23 |
$534.24 |
| 99326 |
|
25 |
13 |
$515.02 |
| 99334 |
|
57 |
32 |
$436.60 |
| 96136 |
|
94 |
76 |
$395.02 |
| 96137 |
|
92 |
74 |
$373.25 |
| 90756 |
|
15 |
15 |
$331.59 |
| 11721 |
|
27 |
27 |
$290.40 |
| 0072A |
|
16 |
13 |
$267.12 |
| M0201 |
Pne flu hepb cov home admin |
25 |
24 |
$228.96 |
| 99347 |
|
12 |
12 |
$224.15 |
| 99335 |
|
59 |
25 |
$181.50 |
| G2023 |
Specimen collect covid-19 |
72 |
44 |
$140.76 |
| 99407 |
|
53 |
40 |
$124.00 |
| 99000 |
|
20 |
16 |
$58.80 |
| 96160 |
|
30 |
24 |
$46.50 |
| 96161 |
|
64 |
48 |
$38.59 |
| 36415 |
|
375 |
321 |
$17.28 |
| P9604 |
One-way allow prorated trip |
171 |
152 |
$15.22 |
| 90694 |
|
48 |
39 |
$15.00 |
| 99091 |
|
36 |
36 |
$11.37 |
| 99001 |
|
14 |
13 |
$7.84 |
| 99072 |
|
273 |
211 |
$5.00 |
| 96127 |
|
39 |
23 |
$3.56 |
| 1036F |
|
174 |
146 |
$0.00 |
| 1170F |
|
203 |
170 |
$0.00 |
| 1126F |
|
84 |
68 |
$0.00 |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
22 |
16 |
$0.00 |
| 1101F |
|
46 |
41 |
$0.00 |
| 0509F |
|
89 |
81 |
$0.00 |
| 1125F |
|
220 |
177 |
$0.00 |
| 3074F |
|
83 |
72 |
$0.00 |
| G0008 |
Admin influenza virus vac |
103 |
92 |
$0.00 |
| 36410 |
|
29 |
29 |
$0.00 |
| 99214 |
|
13 |
12 |
$0.00 |
| 1031F |
|
39 |
28 |
$0.00 |
| 99406 |
|
14 |
12 |
$0.00 |
| G0506 |
Comp asses care plan ccm svc |
19 |
19 |
$0.00 |
| 0518F |
|
213 |
178 |
$0.00 |
| 1100F |
|
107 |
88 |
$0.00 |
| 1160F |
|
405 |
328 |
$0.00 |
| 3725F |
|
66 |
56 |
$0.00 |
| 3078F |
|
103 |
85 |
$0.00 |
| 4004F |
|
71 |
53 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
178 |
147 |
$0.00 |
| 1090F |
|
140 |
121 |
$0.00 |
| 1091F |
|
27 |
25 |
$0.00 |
| 1159F |
|
14 |
13 |
$0.00 |
| 99080 |
|
63 |
36 |
$0.00 |