| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99347 |
|
1,506 |
1,506 |
$441K |
| 99341 |
|
3,211 |
3,204 |
$430K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
991 |
989 |
$118K |
| 92250 |
|
2,332 |
1,351 |
$76K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,379 |
6,131 |
$11K |
| 99383 |
|
368 |
367 |
$10K |
| 99600 |
Unlisted home visit service or procedure |
184 |
184 |
$9K |
| 94010 |
|
200 |
200 |
$8K |
| 92225 |
|
28 |
28 |
$7K |
| 99345 |
Prolong home eval add 15m |
38 |
38 |
$6K |
| 99384 |
|
456 |
456 |
$4K |
| 99201 |
|
1,010 |
1,000 |
$2K |
| 99343 |
|
705 |
694 |
$2K |
| 36416 |
|
879 |
879 |
$2K |
| 82274 |
|
317 |
317 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,054 |
1,043 |
$2K |
| 83037 |
|
5,929 |
5,926 |
$1K |
| 76977 |
|
298 |
242 |
$745.03 |
| Q0092 |
Set-up portable x-ray equipment |
13 |
13 |
$360.00 |
| 82044 |
|
176 |
176 |
$35.65 |
| 90791 |
Psychiatric diagnostic evaluation |
708 |
703 |
$0.00 |
| 1159F |
|
2,705 |
2,703 |
$0.00 |
| 3077F |
|
2,850 |
2,849 |
$0.00 |
| 3078F |
|
3,850 |
3,845 |
$0.00 |
| 1158F |
|
2,386 |
2,373 |
$0.00 |
| 3046F |
|
1,199 |
1,199 |
$0.00 |
| 2022F |
|
913 |
386 |
$0.00 |
| 3045F |
|
890 |
890 |
$0.00 |
| 82565 |
|
1,606 |
1,606 |
$0.00 |
| 1160F |
|
2,716 |
2,714 |
$0.00 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
290 |
280 |
$0.00 |
| 96152 |
|
676 |
675 |
$0.00 |
| 99408 |
|
96 |
96 |
$0.00 |
| 3074F |
|
3,700 |
3,699 |
$0.00 |
| 3008F |
|
1,031 |
1,031 |
$0.00 |
| 92228 |
|
6,284 |
6,276 |
$0.00 |
| 1126F |
|
2,170 |
2,166 |
$0.00 |
| 3044F |
|
2,352 |
2,350 |
$0.00 |
| 3072F |
|
621 |
526 |
$0.00 |
| 3075F |
|
1,864 |
1,863 |
$0.00 |
| 2023F |
|
2,985 |
2,936 |
$0.00 |
| 81000 |
|
2,482 |
2,481 |
$0.00 |
| 1170F |
|
3,509 |
3,496 |
$0.00 |
| 3080F |
|
2,130 |
2,128 |
$0.00 |
| G0245 |
Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education |
1,304 |
1,302 |
$0.00 |
| 3079F |
|
2,612 |
2,612 |
$0.00 |
| 80051 |
|
1,505 |
1,505 |
$0.00 |
| 2000F |
|
2,358 |
2,347 |
$0.00 |
| 1125F |
|
723 |
723 |
$0.00 |
| 96125 |
|
2,107 |
2,096 |
$0.00 |
| Q5001 |
Hospice or home health care provided in patient's home/residence |
1,470 |
1,470 |
$0.00 |
| 99070 |
|
162 |
158 |
$0.00 |
| 81099 |
|
127 |
127 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$0.00 |