| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99349 |
|
1,195 |
961 |
$44K |
| 99350 |
Prolong home eval add 15m |
484 |
461 |
$23K |
| 99443 |
|
559 |
507 |
$21K |
| 99442 |
|
562 |
447 |
$15K |
| 99348 |
|
651 |
553 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
220 |
205 |
$7K |
| 99344 |
|
28 |
28 |
$4K |
| 99490 |
Ccm add 20min |
433 |
430 |
$4K |
| 99347 |
|
304 |
251 |
$2K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
412 |
356 |
$2K |
| 99343 |
|
90 |
90 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
14 |
$936.07 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$521.04 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$134.55 |
| 99497 |
|
12 |
12 |
$13.21 |
| 3077F |
|
163 |
163 |
$0.00 |
| 3078F |
|
312 |
312 |
$0.00 |
| 1160F |
|
38 |
38 |
$0.00 |
| 1159F |
|
50 |
50 |
$0.00 |
| 90756 |
|
12 |
12 |
$0.00 |
| 1126F |
|
423 |
412 |
$0.00 |
| 3075F |
|
111 |
111 |
$0.00 |
| 3074F |
|
227 |
225 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |
| 1125F |
|
143 |
143 |
$0.00 |
| 3079F |
|
127 |
127 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 3080F |
|
46 |
46 |
$0.00 |