| Code | Description | Claims | Beneficiaries | Total Paid |
| 99349 |
|
16,119 |
15,061 |
$979K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
433 |
433 |
$105K |
| 99350 |
Prolong home eval add 15m |
277 |
251 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
413 |
400 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
419 |
403 |
$26K |
| 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 |
1,934 |
1,888 |
$14K |
| 99348 |
|
409 |
382 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
105 |
103 |
$11K |
| 90674 |
|
543 |
537 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
217 |
209 |
$3K |
| G0180 |
Physician or allowed practitioner 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 |
126 |
117 |
$3K |
| 99343 |
|
16 |
16 |
$2K |
| 99490 |
Ccm add 20min |
2,195 |
2,190 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
30 |
$1K |
| R0070 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen |
18 |
16 |
$1K |
| 93000 |
|
98 |
95 |
$899.95 |
| 0012A |
|
71 |
71 |
$675.00 |
| 0011A |
|
26 |
26 |
$225.00 |
| 99072 |
|
434 |
427 |
$45.00 |
| 91301 |
|
146 |
146 |
$0.00 |
| 1170F |
|
510 |
510 |
$0.00 |
| 99443 |
|
24 |
24 |
$0.00 |
| Q0092 |
Set-up portable x-ray equipment |
18 |
16 |
$0.00 |
| 1101F |
|
406 |
406 |
$0.00 |
| 1125F |
|
99 |
99 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
186 |
186 |
$0.00 |
| 3044F |
|
59 |
56 |
$0.00 |
| 1126F |
|
212 |
212 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
33 |
33 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
46 |
46 |
$0.00 |
| 99386 |
|
14 |
14 |
$0.00 |
| 99497 |
|
115 |
105 |
$0.00 |
| 1159F |
|
535 |
533 |
$0.00 |
| 1160F |
|
536 |
534 |
$0.00 |
| 1090F |
|
509 |
509 |
$0.00 |
| 90756 |
|
51 |
51 |
$0.00 |
| 1158F |
|
36 |
36 |
$0.00 |
| 1100F |
|
13 |
13 |
$0.00 |
| 99442 |
|
19 |
19 |
$0.00 |