| Code | Description | Claims | Beneficiaries | Total Paid |
| 99444 |
|
2,162 |
586 |
$122K |
| 99423 |
|
1,598 |
422 |
$91K |
| 99214 |
|
4,171 |
3,452 |
$75K |
| 99309 |
|
8,204 |
3,102 |
$39K |
| 99443 |
|
212 |
169 |
$4K |
| 96372 |
|
299 |
276 |
$2K |
| 99422 |
|
106 |
68 |
$2K |
| 99308 |
|
268 |
215 |
$2K |
| 99490 |
Ccm add 20min |
400 |
400 |
$2K |
| 99091 |
|
87 |
87 |
$961.35 |
| 99310 |
Prolong nursin fac eval 15m |
32 |
30 |
$511.92 |
| 95250 |
|
24 |
24 |
$410.42 |
| 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 |
632 |
632 |
$279.32 |
| 93922 |
|
18 |
13 |
$85.32 |
| 95923 |
|
13 |
13 |
$79.20 |
| 90686 |
|
14 |
14 |
$72.87 |
| 95943 |
|
13 |
13 |
$60.71 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
77 |
70 |
$58.96 |
| 90688 |
|
15 |
15 |
$53.05 |
| 99442 |
|
37 |
33 |
$43.07 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
15 |
$8.50 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
115 |
115 |
$0.00 |
| 36415 |
|
30 |
30 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12 |
12 |
$0.00 |