| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99348 |
|
5,168 |
3,422 |
$1.18M |
| 99350 |
Prolong home eval add 15m |
3,753 |
3,564 |
$995K |
| 99383 |
|
6,029 |
3,311 |
$572K |
| 99384 |
|
4,645 |
2,312 |
$380K |
| 99345 |
Prolong home eval add 15m |
1,602 |
1,580 |
$301K |
| 99382 |
|
1,402 |
917 |
$200K |
| 99385 |
|
2,152 |
1,046 |
$135K |
| 99342 |
|
342 |
142 |
$44K |
| 99341 |
|
617 |
465 |
$41K |
| 99339 |
|
68 |
66 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
119 |
119 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
62 |
$19K |
| 99347 |
|
40 |
39 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
48 |
48 |
$14K |
| 1159F |
|
10,498 |
7,997 |
$5K |
| 3074F |
|
5,667 |
4,273 |
$2K |
| 1160F |
|
10,821 |
8,282 |
$450.00 |
| 97802 |
|
151 |
110 |
$400.00 |
| 1111F |
|
1,033 |
720 |
$375.01 |
| 3075F |
|
1,356 |
884 |
$325.00 |
| 3079F |
|
1,907 |
1,320 |
$300.00 |
| 99349 |
|
849 |
760 |
$250.80 |
| 3078F |
|
6,200 |
4,539 |
$0.00 |
| 3077F |
|
560 |
406 |
$0.00 |
| 3288F |
|
2,454 |
1,596 |
$0.00 |
| 0521F |
|
3,445 |
2,470 |
$0.00 |
| 1158F |
|
511 |
347 |
$0.00 |
| 3015F |
|
59 |
42 |
$0.00 |
| 99442 |
|
129 |
128 |
$0.00 |
| 1126F |
|
5,624 |
3,963 |
$0.00 |
| 3008F |
|
3,167 |
2,385 |
$0.00 |
| 1170F |
|
8,619 |
6,693 |
$0.00 |
| 1125F |
|
2,566 |
1,876 |
$0.00 |
| 99344 |
|
204 |
190 |
$0.00 |
| 99441 |
|
3,056 |
2,809 |
$0.00 |
| 3017F |
|
204 |
142 |
$0.00 |
| 2023F |
|
32 |
32 |
$0.00 |
| 3080F |
|
69 |
30 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
174 |
165 |
$0.00 |
| 3014F |
|
136 |
96 |
$0.00 |