| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99349 |
|
2,607 |
2,219 |
$98K |
| 99490 |
Ccm add 20min |
576 |
576 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
704 |
295 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
642 |
276 |
$2K |
| 99350 |
Prolong home eval add 15m |
33 |
33 |
$2K |
| 99348 |
|
30 |
30 |
$534.12 |
| 90756 |
|
31 |
31 |
$199.27 |
| 3078F |
|
1,635 |
1,450 |
$102.40 |
| 3074F |
|
1,154 |
1,027 |
$96.04 |
| 99072 |
|
90 |
80 |
$78.19 |
| 99305 |
|
25 |
25 |
$74.06 |
| 3077F |
|
816 |
746 |
$69.96 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$68.78 |
| 3079F |
|
603 |
569 |
$59.36 |
| 3075F |
|
434 |
420 |
$29.68 |
| 3080F |
|
232 |
220 |
$23.32 |
| 1125F |
|
1,023 |
917 |
$21.25 |
| 1126F |
|
1,506 |
1,319 |
$17.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 1160F |
|
79 |
77 |
$0.00 |
| 1159F |
|
25 |
25 |
$0.00 |