| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99350 |
Prolong home eval add 15m |
2,109 |
2,001 |
$144K |
| 99349 |
|
281 |
270 |
$10K |
| 99406 |
|
331 |
315 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
39 |
$1K |
| 90682 |
|
13 |
12 |
$606.12 |
| 0012A |
|
27 |
20 |
$357.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$296.04 |
| 0011A |
|
20 |
19 |
$276.80 |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
22 |
19 |
$222.50 |
| 91301 |
|
57 |
47 |
$0.00 |
| 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 |
15 |
14 |
$0.00 |