| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99350 |
Prolong home eval add 15m |
1,636 |
1,470 |
$61K |
| 99336 |
|
2,124 |
1,647 |
$49K |
| 99349 |
|
491 |
455 |
$17K |
| 99337 |
|
367 |
301 |
$12K |
| 99335 |
|
225 |
209 |
$5K |
| 99490 |
Ccm add 20min |
269 |
269 |
$3K |
| 99483 |
Prolong outpt/office vis |
38 |
38 |
$536.85 |
| 99439 |
|
58 |
58 |
$312.21 |
| 90688 |
|
20 |
20 |
$214.08 |
| 90686 |
|
14 |
14 |
$152.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$135.00 |
| 99497 |
|
26 |
25 |
$55.22 |
| 99406 |
|
26 |
26 |
$20.00 |
| 3078F |
|
419 |
357 |
$0.00 |
| 1090F |
|
263 |
200 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
270 |
231 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
720 |
593 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
110 |
100 |
$0.00 |
| 3074F |
|
415 |
352 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
121 |
110 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 3044F |
|
13 |
12 |
$0.00 |