| Code | Description | Claims | Beneficiaries | Total Paid |
| 99310 |
Prolong nursin fac eval 15m |
1,547 |
1,046 |
$8K |
| 99215 |
Prolong outpt/office vis |
1,010 |
679 |
$8K |
| 99336 |
|
1,444 |
929 |
$7K |
| 99490 |
Ccm add 20min |
4,608 |
3,279 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
162 |
17 |
$363.85 |
| G8864 |
Pneumococcal vaccine administered or previously received |
41 |
33 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
24 |
15 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
29 |
25 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
31 |
27 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
46 |
37 |
$0.00 |
| 96127 |
|
46 |
37 |
$0.00 |
| 1036F |
|
64 |
51 |
$0.00 |
| G8867 |
Pneumococcal vaccine not administered or previously received, reason not given |
14 |
13 |
$0.00 |
| 3044F |
|
62 |
53 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
43 |
34 |
$0.00 |
| 99232 |
|
68 |
13 |
$0.00 |
| 1101F |
|
45 |
37 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
14 |
$0.00 |