| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
1,544 |
1,217 |
$85K |
| 99490 |
Ccm add 20min |
734 |
734 |
$9K |
| 99214 |
|
105 |
97 |
$8K |
| 93000 |
|
711 |
693 |
$6K |
| 99454 |
|
998 |
960 |
$2K |
| 99212 |
|
93 |
63 |
$2K |
| 99457 |
|
1,003 |
1,003 |
$2K |
| 99203 |
|
17 |
17 |
$2K |
| 96372 |
|
56 |
42 |
$190.55 |
| 36415 |
|
1,082 |
1,000 |
$185.23 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
40 |
30 |
$11.26 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
24 |
15 |
$11.26 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
72 |
64 |
$0.00 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
73 |
65 |
$0.00 |
| 94760 |
|
121 |
92 |
$0.00 |
| A4215 |
Needle, sterile, any size, each |
68 |
63 |
$0.00 |
| 99000 |
|
64 |
60 |
$0.00 |