| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99350 |
Prolong home eval add 15m |
1,670 |
1,576 |
$61K |
| 99349 |
|
1,407 |
1,372 |
$34K |
| 99344 |
|
489 |
476 |
$19K |
| 99337 |
|
608 |
559 |
$18K |
| 99328 |
|
140 |
133 |
$7K |
| 99205 |
Prolong outpt/office vis |
196 |
184 |
$6K |
| 99310 |
Prolong nursin fac eval 15m |
122 |
118 |
$6K |
| 99345 |
Prolong home eval add 15m |
56 |
55 |
$6K |
| 99215 |
Prolong outpt/office vis |
241 |
219 |
$4K |
| 99327 |
|
93 |
88 |
$3K |
| 99348 |
|
177 |
175 |
$3K |
| 99342 |
|
92 |
89 |
$1K |
| 17000 |
|
121 |
107 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
12 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$345.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22 |
21 |
$278.60 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
22 |
$257.06 |
| 17110 |
|
14 |
14 |
$161.76 |
| T2016 |
Habilitation, residential, waiver; per diem |
16 |
14 |
$0.09 |