| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
9,862 |
9,435 |
$54K |
| 93000 |
|
4,015 |
4,011 |
$45K |
| 99214 |
|
1,152 |
1,078 |
$16K |
| 99396 |
|
1,627 |
1,627 |
$15K |
| 90471 |
|
1,045 |
1,041 |
$10K |
| 90686 |
|
708 |
708 |
$7K |
| 99395 |
|
269 |
269 |
$2K |
| 90658 |
|
318 |
318 |
$905.75 |
| 3074F |
|
2,580 |
2,540 |
$875.00 |
| 3079F |
|
969 |
957 |
$752.50 |
| 99397 |
|
297 |
297 |
$726.65 |
| 3078F |
|
2,365 |
2,334 |
$672.50 |
| 3075F |
|
642 |
637 |
$447.50 |
| 36415 |
|
6,942 |
6,910 |
$223.69 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
117 |
117 |
$203.57 |
| G0008 |
Admin influenza virus vac |
203 |
203 |
$124.19 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
50 |
50 |
$58.34 |
| 1160F |
|
3,633 |
3,570 |
$40.00 |
| 3077F |
|
114 |
114 |
$35.00 |
| 1125F |
|
1,076 |
1,069 |
$25.00 |
| G9507 |
Doc reas on statin or contra |
711 |
698 |
$0.00 |
| 0521F |
|
885 |
879 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
3,890 |
3,726 |
$0.00 |
| 1159F |
|
3,082 |
3,031 |
$0.00 |
| G0444 |
Depression screen annual |
302 |
302 |
$0.00 |
| 3288F |
|
200 |
193 |
$0.00 |
| 4120F |
|
153 |
152 |
$0.00 |
| 4013F |
|
1,358 |
1,345 |
$0.00 |
| 3725F |
|
372 |
369 |
$0.00 |
| 3051F |
|
51 |
50 |
$0.00 |
| 3046F |
|
42 |
41 |
$0.00 |
| 3050F |
|
24 |
24 |
$0.00 |
| 4025F |
|
12 |
12 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
27 |
27 |
$0.00 |
| G9622 |
No unheal etoh user |
13 |
13 |
$0.00 |
| G8598 |
Asa/antiplat ther used |
13 |
12 |
$0.00 |
| G8418 |
Calc bmi blw low param f/u |
729 |
715 |
$0.00 |
| 1000F |
|
916 |
913 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
4,607 |
4,431 |
$0.00 |
| 3044F |
|
458 |
455 |
$0.00 |
| 4016F |
|
576 |
572 |
$0.00 |
| 1036F |
|
731 |
730 |
$0.00 |
| 3008F |
|
8,401 |
8,082 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
222 |
222 |
$0.00 |
| 4015F |
|
484 |
477 |
$0.00 |
| 3048F |
|
125 |
123 |
$0.00 |
| G8432 |
Dep scr not doc, rng |
429 |
426 |
$0.00 |
| H0001 |
Alcohol and/or drug assess |
74 |
74 |
$0.00 |
| G8473 |
Ace/arb thxpy rx'd |
75 |
75 |
$0.00 |
| 3049F |
|
53 |
52 |
$0.00 |
| 3351F |
|
132 |
132 |
$0.00 |
| 3080F |
|
52 |
52 |
$0.00 |
| 3014F |
|
12 |
12 |
$0.00 |
| 99429 |
|
216 |
206 |
$0.00 |
| 4010F |
|
48 |
48 |
$0.00 |
| 99386 |
|
24 |
24 |
$0.00 |