| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99349 |
|
2,569 |
2,192 |
$117K |
| 99442 |
|
1,446 |
1,142 |
$40K |
| 99443 |
|
523 |
456 |
$17K |
| 99350 |
Prolong home eval add 15m |
318 |
292 |
$16K |
| 99348 |
|
580 |
483 |
$13K |
| 99490 |
Ccm add 20min |
922 |
916 |
$8K |
| 99345 |
Prolong home eval add 15m |
64 |
64 |
$6K |
| 99347 |
|
305 |
222 |
$4K |
| 99441 |
|
157 |
142 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
44 |
31 |
$890.68 |
| 99497 |
|
16 |
15 |
$357.77 |
| 90756 |
|
38 |
38 |
$200.06 |
| 3074F |
|
1,154 |
1,055 |
$182.44 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
49 |
44 |
$168.89 |
| 3078F |
|
1,349 |
1,232 |
$163.36 |
| G0008 |
Administration of influenza virus vaccine |
29 |
29 |
$91.85 |
| 3079F |
|
482 |
460 |
$44.52 |
| 3075F |
|
223 |
212 |
$23.32 |
| 3077F |
|
592 |
552 |
$19.08 |
| 1159F |
|
1,058 |
931 |
$8.50 |
| 1160F |
|
3,182 |
2,471 |
$8.50 |
| 3080F |
|
117 |
110 |
$6.36 |
| 1126F |
|
1,207 |
1,030 |
$4.25 |
| 1125F |
|
684 |
630 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
41 |
41 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
28 |
24 |
$0.00 |