| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9097 |
Home visit for wound care |
6,785 |
1,168 |
$446K |
| S0316 |
Disease management program, follow-up/reassessment |
34 |
16 |
$3K |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
19 |
14 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,601 |
2,194 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,033 |
1,780 |
$768.50 |
| 1159F |
|
213 |
200 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
119 |
107 |
$0.00 |
| 1160F |
|
171 |
165 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
119 |
113 |
$0.00 |
| 3725F |
|
224 |
213 |
$0.00 |
| 3078F |
|
239 |
221 |
$0.00 |
| 99401 |
|
15 |
15 |
$0.00 |
| 3008F |
|
239 |
229 |
$0.00 |
| 3074F |
|
212 |
198 |
$0.00 |
| 1126F |
|
147 |
144 |
$0.00 |
| 96127 |
|
179 |
174 |
$0.00 |
| 90656 |
|
37 |
37 |
$0.00 |
| 99368 |
|
17 |
15 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |
| 99441 |
|
26 |
25 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
37 |
37 |
$0.00 |
| 98962 |
|
61 |
56 |
$0.00 |