| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
6,895 |
6,799 |
$184K |
| 99396 |
|
766 |
766 |
$46K |
| 90471 |
|
1,842 |
1,839 |
$29K |
| 90686 |
|
1,322 |
1,317 |
$23K |
| 99214 |
|
331 |
330 |
$20K |
| 0513F |
|
827 |
826 |
$7K |
| 90688 |
|
339 |
339 |
$6K |
| 36415 |
|
7,483 |
7,464 |
$6K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
658 |
658 |
$5K |
| 3044F |
|
472 |
472 |
$4K |
| 3079F |
|
320 |
319 |
$3K |
| 3074F |
|
352 |
352 |
$3K |
| 90756 |
|
190 |
190 |
$3K |
| 90658 |
|
176 |
176 |
$2K |
| 99203 |
|
33 |
33 |
$2K |
| 99386 |
|
30 |
30 |
$2K |
| 99212 |
|
56 |
56 |
$1K |
| 3078F |
|
178 |
177 |
$940.00 |
| 90656 |
|
134 |
134 |
$851.17 |
| 3075F |
|
103 |
102 |
$480.00 |
| 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 |
13 |
13 |
$365.81 |
| 99397 |
|
14 |
14 |
$194.31 |
| G0008 |
Administration of influenza virus vaccine |
263 |
263 |
$108.49 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
203 |
202 |
$17.72 |
| 1170F |
|
203 |
203 |
$0.00 |
| 1125F |
|
67 |
67 |
$0.00 |
| 1101F |
|
13 |
13 |
$0.00 |
| 3080F |
|
24 |
24 |
$0.00 |
| 1160F |
|
183 |
183 |
$0.00 |
| 3077F |
|
77 |
75 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
32 |
31 |
$0.00 |