| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99350 |
Prolong home eval add 15m |
7,767 |
7,552 |
$236K |
| 99349 |
|
4,321 |
4,173 |
$99K |
| 99345 |
Prolong home eval add 15m |
420 |
420 |
$18K |
| 99344 |
|
317 |
317 |
$6K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
450 |
450 |
$5K |
| 1170F |
|
1,268 |
1,249 |
$1K |
| 1159F |
|
625 |
609 |
$1K |
| 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 |
304 |
304 |
$871.06 |
| 90674 |
|
249 |
249 |
$735.33 |
| G0008 |
Administration of influenza virus vaccine |
252 |
252 |
$732.45 |
| 1125F |
|
238 |
229 |
$417.06 |
| 1160F |
|
345 |
334 |
$417.06 |
| 99490 |
Ccm add 20min |
84 |
84 |
$71.56 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
29 |
29 |
$31.63 |
| 3008F |
|
90 |
85 |
$0.00 |
| 1126F |
|
17 |
17 |
$0.00 |
| 1158F |
|
16 |
16 |
$0.00 |