| Code | Description | Claims | Beneficiaries | Total Paid |
| 99349 |
|
1,818 |
1,488 |
$73K |
| 99442 |
|
1,649 |
1,261 |
$43K |
| 99350 |
Prolong home eval add 15m |
119 |
114 |
$12K |
| 99348 |
|
443 |
383 |
$10K |
| 99490 |
Ccm add 20min |
778 |
771 |
$8K |
| 99347 |
|
454 |
284 |
$5K |
| 99345 |
Prolong home eval add 15m |
25 |
25 |
$2K |
| 99343 |
|
30 |
30 |
$2K |
| 99401 |
|
241 |
227 |
$1K |
| 99441 |
|
40 |
38 |
$1K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
108 |
99 |
$577.52 |
| 90756 |
|
52 |
52 |
$397.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$139.35 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$114.56 |
| 94760 |
|
226 |
210 |
$31.82 |
| 3077F |
|
225 |
213 |
$29.24 |
| 3078F |
|
73 |
69 |
$12.50 |
| 3079F |
|
29 |
28 |
$5.00 |
| 1126F |
|
300 |
284 |
$0.00 |
| 1125F |
|
813 |
742 |
$0.00 |
| 1036F |
|
21 |
21 |
$0.00 |
| 3074F |
|
17 |
17 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
795 |
724 |
$0.00 |