| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
3,200 |
2,601 |
$172K |
| 99214 |
|
704 |
679 |
$54K |
| 99396 |
|
351 |
351 |
$43K |
| 94010 |
|
742 |
740 |
$21K |
| 93000 |
|
883 |
877 |
$11K |
| G0444 |
Depression screen annual |
789 |
778 |
$6K |
| 90471 |
|
280 |
272 |
$5K |
| 99397 |
|
109 |
107 |
$3K |
| 90658 |
|
125 |
125 |
$2K |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
188 |
187 |
$1K |
| 36415 |
|
1,168 |
1,154 |
$1K |
| 96372 |
|
52 |
52 |
$781.12 |
| 94640 |
|
41 |
33 |
$486.90 |
| G8510 |
Scr dep neg, no plan reqd |
151 |
151 |
$250.00 |
| G0008 |
Admin influenza virus vac |
193 |
193 |
$158.75 |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
81 |
81 |
$69.01 |
| 82962 |
|
44 |
41 |
$25.58 |
| A7003 |
Nebulizer administration set |
17 |
12 |
$21.65 |
| A7016 |
Nebulizer dome & mouthpiece |
17 |
12 |
$15.66 |
| 3078F |
|
27 |
27 |
$2.50 |
| 3075F |
|
14 |
12 |
$2.50 |
| 3016F |
|
23 |
23 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
33 |
33 |
$0.00 |
| 1160F |
|
14 |
13 |
$0.00 |
| G9622 |
No unheal etoh user |
34 |
34 |
$0.00 |
| 3725F |
|
68 |
68 |
$0.00 |
| 3008F |
|
81 |
81 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
48 |
48 |
$0.00 |
| G9275 |
Doc of non tobacco user |
35 |
35 |
$0.00 |
| 1036F |
|
25 |
25 |
$0.00 |
| H0001 |
Alcohol and/or drug assess |
33 |
33 |
$0.00 |
| 1000F |
|
27 |
27 |
$0.00 |