| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
4,586 |
4,055 |
$18K |
| 99205 |
Prolong outpt/office vis |
306 |
306 |
$13K |
| 99214 |
|
4,096 |
3,762 |
$12K |
| 99213 |
|
5,752 |
5,387 |
$10K |
| 94760 |
|
13,831 |
12,707 |
$6K |
| 99204 |
|
261 |
260 |
$4K |
| G8510 |
Scr dep neg, no plan reqd |
6,037 |
5,307 |
$4K |
| 92551 |
|
771 |
732 |
$4K |
| 93000 |
|
149 |
147 |
$3K |
| 99203 |
|
288 |
280 |
$3K |
| 99385 |
|
43 |
43 |
$2K |
| G8431 |
Pos clin depres scrn f/u doc |
1,122 |
1,059 |
$1K |
| G0447 |
Behavior counsel obesity 15m |
191 |
190 |
$903.64 |
| 99382 |
|
42 |
40 |
$653.24 |
| 99202 |
|
22 |
17 |
$538.58 |
| 99407 |
|
249 |
239 |
$509.26 |
| 90471 |
|
145 |
145 |
$446.45 |
| G0442 |
Annual alcohol screen 15 min |
516 |
505 |
$426.20 |
| 99406 |
|
421 |
389 |
$404.19 |
| 1125F |
|
2,045 |
1,935 |
$400.00 |
| 85018 |
|
852 |
835 |
$331.42 |
| 99401 |
|
11,131 |
10,284 |
$276.32 |
| 99394 |
|
25 |
25 |
$253.66 |
| 81002 |
|
646 |
639 |
$186.76 |
| G0444 |
Depression screen annual |
5,006 |
4,334 |
$154.08 |
| 90688 |
|
36 |
36 |
$36.94 |
| 99211 |
|
56 |
47 |
$36.57 |
| G9920 |
Scrning perf and negative |
81 |
80 |
$29.00 |
| 88174 |
|
96 |
95 |
$18.11 |
| 99212 |
|
68 |
67 |
$17.92 |
| 99448 |
|
518 |
474 |
$11.39 |
| 82962 |
|
41 |
40 |
$1.98 |
| 99392 |
|
57 |
55 |
$0.00 |
| 3078F |
|
4,025 |
3,868 |
$0.00 |
| 1160F |
|
13,377 |
12,032 |
$0.00 |
| 99173 |
|
896 |
826 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
4,221 |
3,732 |
$0.00 |
| 4158F |
|
240 |
233 |
$0.00 |
| 3016F |
|
1,495 |
1,421 |
$0.00 |
| 4306F |
|
150 |
148 |
$0.00 |
| 3077F |
|
896 |
864 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
330 |
320 |
$0.00 |
| 99408 |
|
15 |
15 |
$0.00 |
| 0521F |
|
1,800 |
1,729 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
187 |
182 |
$0.00 |
| 3045F |
|
28 |
24 |
$0.00 |
| 99393 |
|
13 |
13 |
$0.00 |
| G0101 |
Ca screen;pelvic/breast exam |
256 |
251 |
$0.00 |
| 2028F |
|
220 |
211 |
$0.00 |
| 1159F |
|
109 |
108 |
$0.00 |
| G0476 |
Hpv combo assay ca screen |
85 |
84 |
$0.00 |
| 90461 |
|
46 |
45 |
$0.00 |
| 90460 |
|
131 |
101 |
$0.00 |
| 99396 |
|
104 |
104 |
$0.00 |
| 99449 |
|
61 |
60 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
17 |
17 |
$0.00 |
| 96160 |
|
38 |
38 |
$0.00 |
| 99395 |
|
14 |
14 |
$0.00 |
| 3008F |
|
15,886 |
14,208 |
$0.00 |
| 3074F |
|
5,146 |
4,927 |
$0.00 |
| 1126F |
|
2,438 |
2,275 |
$0.00 |
| 3079F |
|
1,936 |
1,888 |
$0.00 |
| 1111F |
|
12,591 |
11,449 |
$0.00 |
| 3075F |
|
717 |
706 |
$0.00 |
| G8418 |
Calc bmi blw low param f/u |
596 |
542 |
$0.00 |
| 1036F |
|
1,243 |
1,191 |
$0.00 |
| 3080F |
|
801 |
779 |
$0.00 |
| 2001F |
|
25 |
25 |
$0.00 |
| H0049 |
Alcohol/drug screening |
1,203 |
1,176 |
$0.00 |
| 3011F |
|
282 |
278 |
$0.00 |
| 1220F |
|
47 |
47 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| G0396 |
Alcohol/subs interv 15-30mn |
49 |
49 |
$0.00 |
| 0545F |
|
15 |
15 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 4000F |
|
16 |
16 |
$0.00 |