| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99350 |
Prolong home eval add 15m |
3,720 |
3,360 |
$147K |
| 99337 |
|
4,047 |
3,426 |
$120K |
| 99349 |
|
2,234 |
2,036 |
$64K |
| 99336 |
|
1,756 |
1,540 |
$43K |
| 11721 |
|
4,538 |
4,187 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
218 |
197 |
$3K |
| 99215 |
Prolong outpt/office vis |
61 |
50 |
$2K |
| 11056 |
|
104 |
100 |
$2K |
| 11720 |
|
214 |
200 |
$1K |
| 99345 |
Prolong home eval add 15m |
13 |
13 |
$773.38 |
| 99344 |
|
36 |
30 |
$648.83 |
| 11719 |
|
236 |
211 |
$491.06 |
| 99327 |
|
13 |
12 |
$294.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
35 |
$186.49 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
13 |
13 |
$176.40 |
| 90686 |
|
33 |
33 |
$133.31 |
| G0008 |
Administration of influenza virus vaccine |
39 |
39 |
$91.12 |
| 90674 |
|
17 |
13 |
$47.48 |
| 90688 |
|
14 |
13 |
$45.75 |
| 11055 |
|
14 |
12 |
$39.57 |
| 3078F |
|
45 |
39 |
$0.00 |
| 1159F |
|
40 |
31 |
$0.00 |
| 1160F |
|
40 |
31 |
$0.00 |
| 1126F |
|
22 |
17 |
$0.00 |
| 3074F |
|
37 |
32 |
$0.00 |
| 1125F |
|
25 |
23 |
$0.00 |
| 1170F |
|
66 |
53 |
$0.00 |