| Code | Description | Claims | Beneficiaries | Total Paid |
| 99349 |
|
2,999 |
2,445 |
$104K |
| 99350 |
Prolong home eval add 15m |
1,454 |
1,363 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
733 |
599 |
$26K |
| 99443 |
|
454 |
418 |
$16K |
| 99442 |
|
600 |
504 |
$12K |
| 99490 |
Ccm add 20min |
1,310 |
1,310 |
$12K |
| 99348 |
|
450 |
350 |
$8K |
| 99345 |
Prolong home eval add 15m |
67 |
67 |
$6K |
| 99347 |
|
153 |
130 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
25 |
$1K |
| 99344 |
|
12 |
12 |
$975.73 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
122 |
113 |
$801.26 |
| 90756 |
|
80 |
79 |
$613.72 |
| 99497 |
|
28 |
28 |
$413.21 |
| 99441 |
|
33 |
31 |
$312.67 |
| G0008 |
Administration of influenza virus vaccine |
36 |
36 |
$104.74 |
| 3078F |
|
2,330 |
2,105 |
$42.50 |
| 3074F |
|
1,861 |
1,705 |
$35.00 |
| 94760 |
|
232 |
230 |
$17.45 |
| 1126F |
|
1,710 |
1,537 |
$0.00 |
| 1125F |
|
2,162 |
1,924 |
$0.00 |
| 3079F |
|
126 |
120 |
$0.00 |
| 3075F |
|
140 |
134 |
$0.00 |
| 1157F |
|
14 |
14 |
$0.00 |
| 1159F |
|
2,592 |
2,091 |
$0.00 |
| 1160F |
|
2,692 |
2,186 |
$0.00 |
| 3077F |
|
208 |
195 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,231 |
890 |
$0.00 |