| Code | Description | Claims | Beneficiaries | Total Paid |
| 99350 |
Prolong home eval add 15m |
2,438 |
1,649 |
$52K |
| 99348 |
|
677 |
383 |
$7K |
| 99349 |
|
469 |
221 |
$7K |
| 99345 |
Prolong home eval add 15m |
116 |
72 |
$3K |
| 90686 |
|
185 |
132 |
$327.24 |
| 86580 |
|
216 |
120 |
$317.45 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
64 |
38 |
$237.10 |
| 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 |
16 |
12 |
$210.09 |
| 36415 |
Collection of venous blood by venipuncture |
392 |
221 |
$179.43 |
| 11721 |
|
24 |
18 |
$78.86 |
| G0008 |
Administration of influenza virus vaccine |
175 |
129 |
$76.48 |