| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 3078F |
|
353 |
342 |
$460.00 |
| 3074F |
|
181 |
180 |
$300.00 |
| 3079F |
|
220 |
214 |
$180.00 |
| 3008F |
|
357 |
329 |
$165.00 |
| 3075F |
|
201 |
193 |
$120.00 |
| 3077F |
|
62 |
62 |
$60.00 |
| 1126F |
|
242 |
242 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,976 |
1,744 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
562 |
548 |
$0.00 |
| 97802 |
|
1,990 |
1,755 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,025 |
932 |
$0.00 |
| 1125F |
|
724 |
673 |
$0.00 |
| 1036F |
|
1,909 |
1,689 |
$0.00 |
| 1220F |
|
1,893 |
1,682 |
$0.00 |
| 3049F |
|
65 |
64 |
$0.00 |
| 85018 |
|
680 |
680 |
$0.00 |
| 99441 |
|
159 |
154 |
$0.00 |
| 81000 |
|
971 |
918 |
$0.00 |
| 87110 |
|
348 |
348 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
26 |
26 |
$0.00 |
| 1111F |
|
14 |
14 |
$0.00 |
| 1160F |
|
1,607 |
1,414 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
56 |
54 |
$0.00 |
| 92552 |
|
650 |
649 |
$0.00 |
| 82947 |
|
84 |
74 |
$0.00 |
| 92081 |
|
636 |
634 |
$0.00 |
| 90461 |
|
149 |
149 |
$0.00 |
| 1159F |
|
1,605 |
1,412 |
$0.00 |
| 1158F |
|
397 |
397 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
118 |
116 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
262 |
257 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
116 |
115 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
46 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
46 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$0.00 |