| Code | Description | Claims | Beneficiaries | Total Paid |
| 99348 |
|
13,586 |
13,124 |
$3.95M |
| 99342 |
|
6,884 |
6,870 |
$1.96M |
| 99223 |
Prolong inpt eval add15 m |
4,599 |
4,593 |
$883K |
| S0274 |
Nurse practitioner visit at member's home, outside of a capitation arrangement |
12 |
12 |
$0.12 |
| 3008F |
|
830 |
829 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
671 |
671 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
549 |
548 |
$0.00 |
| 1125F |
|
313 |
313 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
45 |
45 |
$0.00 |
| 1126F |
|
173 |
173 |
$0.00 |
| 1170F |
|
959 |
958 |
$0.00 |
| 3074F |
|
167 |
166 |
$0.00 |
| 99345 |
Prolong home eval add 15m |
13 |
13 |
$0.00 |
| 3075F |
|
28 |
28 |
$0.00 |
| 1123F |
|
553 |
552 |
$0.00 |
| 99344 |
|
177 |
177 |
$0.00 |
| 1157F |
|
12 |
12 |
$0.00 |
| 3078F |
|
497 |
496 |
$0.00 |
| 1159F |
|
986 |
985 |
$0.00 |
| 99347 |
|
124 |
124 |
$0.00 |
| 83037 |
|
32 |
32 |
$0.00 |
| 1158F |
|
818 |
817 |
$0.00 |
| 1160F |
|
962 |
961 |
$0.00 |
| 3288F |
|
897 |
896 |
$0.00 |
| 2028F |
|
26 |
26 |
$0.00 |
| 1124F |
|
64 |
64 |
$0.00 |