| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11721 |
|
1,832 |
1,824 |
$6K |
| 99350 |
Prolong home eval add 15m |
488 |
459 |
$3K |
| 99490 |
Ccm add 20min |
385 |
385 |
$3K |
| 99349 |
|
137 |
135 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
78 |
78 |
$1K |
| 99348 |
|
244 |
225 |
$747.60 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
121 |
112 |
$660.50 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
78 |
76 |
$598.07 |
| 93923 |
|
28 |
28 |
$575.73 |
| 11720 |
|
536 |
534 |
$505.89 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
97 |
92 |
$393.28 |
| 11056 |
|
39 |
39 |
$180.20 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
14 |
$102.04 |
| 90662 |
|
37 |
37 |
$79.23 |
| 99336 |
|
25 |
25 |
$70.91 |
| G0180 |
Physician or allowed practitioner 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 |
$69.24 |
| 36410 |
|
30 |
29 |
$55.98 |
| 73630 |
|
12 |
12 |
$42.92 |
| 80047 |
|
79 |
73 |
$24.27 |
| 82565 |
|
86 |
80 |
$8.32 |
| 82947 |
|
100 |
92 |
$6.38 |
| 85014 |
|
103 |
95 |
$4.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
25 |
25 |
$0.00 |
| 73620 |
|
38 |
20 |
$0.00 |