| Code | Description | Claims | Beneficiaries | Total Paid |
| 99291 |
|
8,575 |
2,196 |
$664K |
| 99232 |
|
11,215 |
3,055 |
$254K |
| 99223 |
Prolong inpt eval add15 m |
1,905 |
1,519 |
$116K |
| 99214 |
|
2,291 |
2,025 |
$115K |
| 99231 |
|
4,647 |
1,472 |
$53K |
| 99213 |
|
1,774 |
1,488 |
$49K |
| 99233 |
Prolong inpt eval add15 m |
1,003 |
426 |
$40K |
| 99204 |
|
266 |
256 |
$24K |
| 95816 |
|
419 |
369 |
$24K |
| 99406 |
|
163 |
141 |
$877.76 |
| 99457 |
|
86 |
77 |
$635.20 |
| 99454 |
|
60 |
51 |
$445.60 |
| 1036F |
|
1,766 |
1,475 |
$225.01 |
| G8754 |
Dias bp less 90 |
1,621 |
1,525 |
$0.01 |
| G8752 |
Sys bp less 140 |
1,633 |
1,535 |
$0.01 |
| G8427 |
Docrev cur meds by elig clin |
4,054 |
3,517 |
$0.01 |
| G8483 |
Flu imm no admin doc rea |
561 |
479 |
$0.01 |
| G9696 |
Med rsn no presc bronchdil |
497 |
405 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
1,680 |
1,419 |
$0.00 |
| G8924 |
Spir res doc fev1/fvc<70% |
1,914 |
1,618 |
$0.00 |
| M1172 |
Doc med rsn no td/tdap |
410 |
383 |
$0.00 |
| G9969 |
Pvdr rfrd pt rprt rcvd |
641 |
595 |
$0.00 |
| M1171 |
Pt recd 1 td/tdap 9yrs prior |
140 |
132 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
194 |
170 |
$0.00 |
| M1169 |
Doc med rsn no flu vax |
393 |
368 |
$0.00 |
| G8926 |
Spiro no perf or doc |
478 |
387 |
$0.00 |
| G9906 |
Pt recv tbco cess interv |
194 |
170 |
$0.00 |
| G9908 |
No pt tbco cess interv rng |
157 |
152 |
$0.00 |
| M1179 |
No pcv recd |
35 |
32 |
$0.00 |
| M1178 |
Doc med rsn no pcv |
492 |
463 |
$0.00 |
| 4040F |
|
1,326 |
1,137 |
$0.00 |
| M1168 |
Pt recd flu vax 7/1-6/30 |
174 |
167 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
350 |
332 |
$0.00 |
| M1175 |
Doc med rsn no hzv |
406 |
380 |
$0.00 |
| 4004F |
|
311 |
256 |
$0.00 |
| G9695 |
Long act inhal bronchdil pre |
1,509 |
1,265 |
$0.00 |
| G8484 |
Flu immunize no admin |
783 |
662 |
$0.00 |
| G9990 |
No pneum vax admin 19+ |
50 |
42 |
$0.00 |
| G9434 |
Asth not controlled |
568 |
469 |
$0.00 |
| M1174 |
Pt w/ 2 hzv 10/2017 - mp |
92 |
87 |
$0.00 |
| G8482 |
Flu immunize order/admin |
259 |
221 |
$0.00 |
| G0029 |
No tob scr/cess int |
158 |
153 |
$0.00 |
| G9905 |
No pt tbco scrn rng |
157 |
152 |
$0.00 |
| 3023F |
|
41 |
37 |
$0.00 |