| Code | Description | Total Paid |
|---|---|---|
| 99350 | Prolong home eval add 15m | $29K |
| 99336 | $20K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | $12K |
| 99310 | Prolong nursin fac eval 15m | $8K |
| 43775 | $3K | |
| 99215 | Prolong outpt/office vis | $3K |
| 99205 | Prolong outpt/office vis | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | $1K |
| 49326 | $301.84 | |
| 59514 | $0.00 |
| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | KONTSEVYY, BOHDAN | CHICAGO, IL | 1,088 | $74K |
| 2 | A THIRD HAND | LAS VEGAS, NV | 24 | $3K |
| 3 | LEADING SURGICAL ASSISTANTS LLC | HOUSTON, TX | 18 | $0.00 |