| Code | Description | Claims | Beneficiaries | Total Paid |
| 99444 |
|
1,908 |
513 |
$108K |
| 99423 |
|
1,421 |
341 |
$81K |
| 99349 |
|
8,239 |
5,056 |
$60K |
| 99233 |
Prolong inpt eval add15 m |
918 |
216 |
$23K |
| 99223 |
Prolong inpt eval add15 m |
182 |
175 |
$7K |
| 99483 |
Prolong outpt/office vis |
61 |
60 |
$3K |
| 99490 |
Ccm add 20min |
1,298 |
1,276 |
$2K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
1,816 |
1,769 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
95 |
75 |
$1K |
| 99344 |
|
41 |
41 |
$1K |
| 99491 |
Ccm add 20min |
107 |
105 |
$358.89 |
| 11755 |
|
28 |
15 |
$272.98 |
| 99091 |
|
15 |
15 |
$157.50 |
| 99442 |
|
12 |
12 |
$29.08 |
| 99487 |
Ccm add 20min |
19 |
13 |
$0.00 |
| 99497 |
|
80 |
66 |
$0.00 |
| 99348 |
|
37 |
36 |
$0.00 |
| 90756 |
|
23 |
22 |
$0.00 |
| 99354 |
|
115 |
94 |
$0.00 |
| 99439 |
|
184 |
93 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
14 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
40 |
22 |
$0.00 |
| 99454 |
|
12 |
12 |
$0.00 |
| 99457 |
|
12 |
12 |
$0.00 |
| 99489 |
Ccm add 20min |
40 |
13 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22 |
22 |
$0.00 |