| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99349 |
|
1,081 |
861 |
$40K |
| 99350 |
Prolong home eval add 15m |
80 |
68 |
$6K |
| 99348 |
|
17 |
16 |
$875.06 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20 |
17 |
$604.44 |
| 90653 |
|
36 |
21 |
$0.00 |
| 99490 |
Ccm add 20min |
308 |
242 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
22 |
19 |
$0.00 |
| 99457 |
|
60 |
41 |
$0.00 |
| 99439 |
|
123 |
88 |
$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) |
18 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
49 |
23 |
$0.00 |
| 90694 |
|
12 |
12 |
$0.00 |