| Code | Description | Claims | Beneficiaries | Total Paid |
| 99336 |
|
1,576 |
1,265 |
$38K |
| 99349 |
|
2,225 |
1,714 |
$20K |
| 99491 |
Ccm add 20min |
1,367 |
1,366 |
$11K |
| 99487 |
Ccm add 20min |
429 |
426 |
$9K |
| 99490 |
Ccm add 20min |
1,224 |
1,221 |
$6K |
| 96372 |
|
696 |
613 |
$3K |
| 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 |
319 |
314 |
$2K |
| 99497 |
|
190 |
179 |
$2K |
| 95923 |
|
83 |
81 |
$2K |
| 99489 |
Ccm add 20min |
80 |
78 |
$650.56 |
| 99439 |
|
469 |
468 |
$601.19 |
| 93923 |
|
99 |
97 |
$513.48 |
| 96116 |
|
245 |
231 |
$420.05 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$354.74 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
28 |
28 |
$285.04 |
| 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 |
30 |
30 |
$278.13 |
| 99350 |
Prolong home eval add 15m |
105 |
70 |
$237.90 |
| 93040 |
|
92 |
89 |
$236.27 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
472 |
433 |
$180.18 |
| 94010 |
|
39 |
39 |
$155.18 |
| 90674 |
|
55 |
55 |
$72.74 |
| 90756 |
|
49 |
49 |
$71.28 |
| 99484 |
|
208 |
208 |
$69.56 |
| 99443 |
|
38 |
27 |
$68.14 |
| 95921 |
|
39 |
38 |
$65.73 |
| 69210 |
|
36 |
36 |
$34.67 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$3.12 |
| G0008 |
Administration of influenza virus vaccine |
55 |
55 |
$0.00 |
| 99407 |
|
14 |
14 |
$0.00 |