| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99491 |
Ccm add 20min |
290 |
290 |
$5K |
| 99490 |
Ccm add 20min |
427 |
427 |
$4K |
| 99350 |
Prolong home eval add 15m |
1,487 |
1,430 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
31 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
44 |
$722.20 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$641.84 |
| 99349 |
|
77 |
77 |
$115.16 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
56 |
$9.81 |
| 99358 |
Prolong nursin fac eval 15m |
33 |
33 |
$0.00 |
| 99483 |
Prolong outpt/office vis |
32 |
32 |
$0.00 |
| 99497 |
|
33 |
33 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
32 |
32 |
$0.00 |
| 99344 |
|
29 |
29 |
$0.00 |