| Code | Description | Claims | Beneficiaries | Total Paid |
| G8510 |
Scr dep neg, no plan reqd |
655 |
655 |
$0.00 |
| 3044F |
|
128 |
127 |
$0.00 |
| 3008F |
|
3,117 |
2,868 |
$0.00 |
| 36415 |
|
1,362 |
1,321 |
$0.00 |
| 99213 |
|
2,993 |
2,793 |
$0.00 |
| 83036 |
|
859 |
855 |
$0.00 |
| 84443 |
|
344 |
343 |
$0.00 |
| 96372 |
|
692 |
657 |
$0.00 |
| 1125F |
|
2,330 |
2,183 |
$0.00 |
| 93000 |
|
290 |
288 |
$0.00 |
| 87086 |
|
355 |
346 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
178 |
161 |
$0.00 |
| 86592 |
|
258 |
256 |
$0.00 |
| 1170F |
|
2,649 |
2,466 |
$0.00 |
| 3075F |
|
52 |
52 |
$0.00 |
| 99000 |
|
1,629 |
1,504 |
$0.00 |
| 3074F |
|
533 |
498 |
$0.00 |
| 87081 |
|
75 |
75 |
$0.00 |
| 99214 |
|
920 |
885 |
$0.00 |
| 87591 |
|
519 |
515 |
$0.00 |
| 85651 |
|
65 |
65 |
$0.00 |
| 85025 |
|
1,824 |
1,775 |
$0.00 |
| 3079F |
|
202 |
191 |
$0.00 |
| 84436 |
|
289 |
287 |
$0.00 |
| 82306 |
|
300 |
300 |
$0.00 |
| 82435 |
|
394 |
391 |
$0.00 |
| 82043 |
|
493 |
491 |
$0.00 |
| 80053 |
|
438 |
426 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
1,473 |
1,380 |
$0.00 |
| 83615 |
|
138 |
137 |
$0.00 |
| 84478 |
|
493 |
488 |
$0.00 |
| 84132 |
|
793 |
788 |
$0.00 |
| 81001 |
|
334 |
329 |
$0.00 |
| 87070 |
|
46 |
45 |
$0.00 |
| 83550 |
|
37 |
37 |
$0.00 |
| 82950 |
|
108 |
108 |
$0.00 |
| 76700 |
|
44 |
44 |
$0.00 |
| 36416 |
|
120 |
115 |
$0.00 |
| 82550 |
|
137 |
136 |
$0.00 |
| 80050 |
|
289 |
287 |
$0.00 |
| 97035 |
|
262 |
86 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
73 |
67 |
$0.00 |
| 85730 |
|
38 |
37 |
$0.00 |
| 90471 |
|
16 |
16 |
$0.00 |
| 84153 |
|
76 |
76 |
$0.00 |
| 82607 |
|
71 |
70 |
$0.00 |
| S9452 |
Nutrition class |
42 |
41 |
$0.00 |
| 97802 |
|
202 |
170 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
88 |
85 |
$0.00 |
| 86140 |
|
25 |
25 |
$0.00 |
| 86060 |
|
25 |
25 |
$0.00 |
| 81000 |
|
12 |
12 |
$0.00 |
| 84479 |
|
172 |
171 |
$0.00 |
| 97140 |
|
269 |
87 |
$0.00 |
| 3061F |
|
90 |
88 |
$0.00 |
| 87624 |
|
29 |
29 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
56 |
51 |
$0.00 |
| 86430 |
|
26 |
26 |
$0.00 |
| 82728 |
|
13 |
13 |
$0.00 |
| 80055 |
|
30 |
30 |
$0.00 |
| G0283 |
Elec stim other than wound |
265 |
87 |
$0.00 |
| 3017F |
|
78 |
77 |
$0.00 |
| 59400 |
|
13 |
13 |
$0.00 |
| 85652 |
|
25 |
25 |
$0.00 |
| 87077 |
|
12 |
12 |
$0.00 |
| G0444 |
Depression screen annual |
743 |
743 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
2,492 |
2,287 |
$0.00 |
| 1159F |
|
2,590 |
2,413 |
$0.00 |
| 80061 |
|
1,003 |
997 |
$0.00 |
| 11721 |
|
15 |
15 |
$0.00 |
| 1158F |
|
2,648 |
2,464 |
$0.00 |
| 71046 |
|
217 |
217 |
$0.00 |
| 82947 |
|
861 |
852 |
$0.00 |
| 99396 |
|
392 |
392 |
$0.00 |
| 82565 |
|
803 |
797 |
$0.00 |
| 11720 |
|
30 |
30 |
$0.00 |
| T1015 |
Clinic service |
27 |
25 |
$0.00 |
| 3062F |
|
31 |
31 |
$0.00 |
| 3725F |
|
735 |
735 |
$0.00 |
| 88175 |
|
222 |
222 |
$0.00 |
| 1160F |
|
2,598 |
2,419 |
$0.00 |
| 87806 |
|
259 |
258 |
$0.00 |
| 82465 |
|
493 |
488 |
$0.00 |
| 81003 |
|
958 |
931 |
$0.00 |
| 3078F |
|
605 |
563 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
187 |
179 |
$0.00 |
| 80076 |
|
31 |
31 |
$0.00 |
| 3077F |
|
165 |
156 |
$0.00 |
| 99212 |
|
275 |
259 |
$0.00 |
| 84450 |
|
543 |
539 |
$0.00 |
| 84295 |
|
400 |
395 |
$0.00 |
| 83540 |
|
79 |
79 |
$0.00 |
| 82310 |
|
454 |
446 |
$0.00 |
| 84100 |
|
242 |
239 |
$0.00 |
| 87491 |
|
536 |
532 |
$0.00 |
| 82570 |
|
109 |
109 |
$0.00 |
| 99211 |
|
369 |
355 |
$0.00 |
| 84460 |
|
543 |
539 |
$0.00 |
| 3045F |
|
53 |
53 |
$0.00 |
| 92014 |
|
26 |
26 |
$0.00 |
| 84520 |
|
802 |
796 |
$0.00 |
| 84550 |
|
289 |
284 |
$0.00 |
| 3046F |
|
54 |
53 |
$0.00 |
| 97803 |
|
98 |
69 |
$0.00 |
| 82274 |
|
436 |
436 |
$0.00 |
| G0117 |
Glaucoma scrn hgh risk direc |
27 |
26 |
$0.00 |
| 98966 |
|
103 |
99 |
$0.00 |
| 80074 |
|
54 |
54 |
$0.00 |
| 11056 |
|
42 |
42 |
$0.00 |
| 87186 |
|
12 |
12 |
$0.00 |
| 86038 |
|
27 |
27 |
$0.00 |
| 85610 |
|
38 |
37 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
24 |
24 |
$0.00 |
| 99395 |
|
33 |
33 |
$0.00 |
| J0290 |
Ampicillin 500 mg inj |
20 |
20 |
$0.00 |
| 76856 |
|
39 |
39 |
$0.00 |
| 2022F |
|
81 |
81 |
$0.00 |
| 97110 |
|
269 |
87 |
$0.00 |
| 82248 |
|
30 |
30 |
$0.00 |
| 92552 |
|
12 |
12 |
$0.00 |