| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
4,923 |
4,469 |
$340K |
| 99284 |
|
5,572 |
5,301 |
$334K |
| J3490 |
Drugs unclassified injection |
2,525 |
1,985 |
$321K |
| 92507 |
|
5,457 |
1,152 |
$321K |
| 99283 |
|
5,557 |
5,309 |
$284K |
| 99213 |
|
45,602 |
41,152 |
$256K |
| 97110 |
|
5,598 |
1,811 |
$184K |
| 99214 |
|
7,354 |
6,782 |
$164K |
| 77067 |
|
1,319 |
1,319 |
$128K |
| 99281 |
|
3,946 |
2,575 |
$124K |
| 99204 |
|
1,790 |
1,780 |
$123K |
| 97140 |
|
4,861 |
1,564 |
$106K |
| 99203 |
|
2,027 |
1,986 |
$106K |
| 99199 |
|
2,428 |
2,137 |
$99K |
| 99223 |
Prolong inpt eval add15 m |
362 |
337 |
$87K |
| 87491 |
|
8,919 |
8,772 |
$86K |
| A0427 |
Als1-emergency |
569 |
505 |
$64K |
| A0429 |
Bls-emergency |
507 |
457 |
$59K |
| 76700 |
|
821 |
807 |
$58K |
| 99215 |
Prolong outpt/office vis |
586 |
553 |
$55K |
| 99211 |
|
1,425 |
1,348 |
$51K |
| 92004 |
|
1,046 |
1,046 |
$50K |
| 99291 |
|
497 |
437 |
$47K |
| 76856 |
|
994 |
958 |
$44K |
| 74177 |
|
411 |
375 |
$42K |
| T4541 |
Large disposable underpad |
1,035 |
1,032 |
$42K |
| 97164 |
|
594 |
296 |
$41K |
| 76830 |
|
756 |
730 |
$41K |
| 87591 |
|
8,859 |
8,716 |
$40K |
| 99212 |
|
13,047 |
11,685 |
$40K |
| A0425 |
Ground mileage |
1,611 |
1,298 |
$38K |
| 70450 |
|
613 |
524 |
$38K |
| 73721 |
|
129 |
118 |
$35K |
| 80053 |
|
24,892 |
22,982 |
$35K |
| 97530 |
|
1,253 |
414 |
$34K |
| 97162 |
|
459 |
454 |
$33K |
| 74176 |
|
432 |
390 |
$31K |
| 88305 |
|
807 |
792 |
$31K |
| 81220 |
|
113 |
112 |
$30K |
| 71046 |
|
1,420 |
1,389 |
$29K |
| T4535 |
Disposable liner/shield/pad |
613 |
605 |
$28K |
| 85025 |
|
29,599 |
26,060 |
$27K |
| 72148 |
|
121 |
121 |
$25K |
| 99232 |
|
1,019 |
226 |
$25K |
| H1001 |
Antepartum management |
603 |
381 |
$24K |
| 76641 |
|
286 |
221 |
$23K |
| 96374 |
|
392 |
366 |
$22K |
| 71045 |
|
3,823 |
2,653 |
$22K |
| T4523 |
Adult size brief/diaper lg |
261 |
260 |
$21K |
| E1390 |
Oxygen concentrator |
180 |
177 |
$20K |
| 93005 |
|
825 |
763 |
$20K |
| V2020 |
Vision svcs frames purchases |
929 |
929 |
$19K |
| S9083 |
Urgent care center global |
314 |
291 |
$18K |
| 86003 |
|
663 |
660 |
$18K |
| 97112 |
|
1,008 |
339 |
$18K |
| A0428 |
Bls |
145 |
125 |
$17K |
| 59425 |
|
1,009 |
725 |
$17K |
| 92340 |
|
787 |
787 |
$16K |
| A4267 |
Male condom |
804 |
782 |
$16K |
| 97001 |
|
30 |
29 |
$15K |
| 80048 |
|
5,227 |
3,755 |
$14K |
| 76705 |
|
563 |
500 |
$14K |
| 76770 |
|
237 |
227 |
$13K |
| 77065 |
Tomosynthesis, mammo |
91 |
91 |
$13K |
| 70551 |
|
75 |
73 |
$13K |
| 93010 |
|
2,113 |
1,895 |
$12K |
| 77066 |
Tomosynthesis, mammo |
79 |
79 |
$11K |
| 92015 |
|
1,485 |
1,485 |
$11K |
| 76536 |
|
218 |
216 |
$11K |
| 96372 |
|
735 |
675 |
$11K |
| 97803 |
|
686 |
630 |
$11K |
| 99202 |
|
221 |
220 |
$10K |
| 81025 |
|
2,806 |
2,630 |
$10K |
| 72100 |
|
408 |
396 |
$10K |
| 76642 |
|
176 |
159 |
$10K |
| 99205 |
Prolong outpt/office vis |
75 |
73 |
$10K |
| 93306 |
|
41 |
41 |
$10K |
| 96375 |
|
273 |
251 |
$9K |
| 90686 |
|
1,205 |
1,203 |
$9K |
| K0001 |
Standard wheelchair |
242 |
239 |
$9K |
| 94760 |
|
1,013 |
959 |
$9K |
| 92012 |
|
527 |
519 |
$9K |
| U0003 |
Cov-19 amp prb hgh thruput |
217 |
185 |
$9K |
| 76815 |
|
388 |
309 |
$9K |
| 99201 |
|
162 |
151 |
$9K |
| 80061 |
|
18,391 |
18,298 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
398 |
113 |
$9K |
| 90651 |
|
283 |
283 |
$9K |
| 87806 |
|
566 |
566 |
$9K |
| 83036 |
|
14,621 |
14,496 |
$8K |
| 73030 |
|
398 |
337 |
$8K |
| 73630 |
|
516 |
422 |
$8K |
| 97161 |
|
84 |
84 |
$7K |
| 95810 |
|
14 |
14 |
$7K |
| 73221 |
|
26 |
26 |
$7K |
| 97802 |
|
1,184 |
1,158 |
$7K |
| 84443 |
|
15,687 |
15,527 |
$7K |
| 87661 |
|
295 |
294 |
$7K |
| 73562 |
|
396 |
302 |
$7K |
| E0601 |
Cont airway pressure device |
120 |
119 |
$6K |
| S4993 |
Contraceptive pills for bc |
218 |
217 |
$6K |
| 76817 |
|
137 |
100 |
$6K |
| 90715 |
|
332 |
332 |
$6K |
| 87799 |
|
94 |
91 |
$6K |
| 95117 |
|
733 |
282 |
$6K |
| 81001 |
|
9,947 |
9,585 |
$6K |
| 95115 |
|
297 |
164 |
$5K |
| 73610 |
|
350 |
304 |
$5K |
| 73130 |
|
305 |
248 |
$5K |
| S9999 |
Sales tax |
871 |
824 |
$5K |
| E0443 |
Portable 02 contents, gas |
94 |
94 |
$5K |
| 80307 |
|
702 |
672 |
$5K |
| 72141 |
|
16 |
16 |
$4K |
| 0450 |
|
101 |
96 |
$4K |
| 80076 |
|
1,695 |
1,629 |
$4K |
| 84484 |
|
1,185 |
965 |
$4K |
| 90670 |
|
368 |
366 |
$4K |
| 70486 |
|
29 |
29 |
$4K |
| 84403 |
|
388 |
384 |
$4K |
| 83690 |
|
1,954 |
1,671 |
$4K |
| 70553 |
|
16 |
14 |
$4K |
| 93000 |
|
351 |
332 |
$4K |
| 82306 |
|
7,403 |
7,369 |
$4K |
| E0562 |
Humidifier heated used w pap |
207 |
206 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
218 |
213 |
$3K |
| 72040 |
|
133 |
131 |
$3K |
| 87086 |
|
5,023 |
4,806 |
$3K |
| 96361 |
|
133 |
122 |
$3K |
| 77080 |
|
62 |
62 |
$3K |
| 99392 |
|
1,100 |
1,095 |
$3K |
| 88304 |
|
133 |
131 |
$3K |
| E0431 |
Portable gaseous 02 |
159 |
155 |
$3K |
| 90734 |
|
307 |
306 |
$3K |
| T4536 |
Reusable pull-on any size |
155 |
154 |
$3K |
| 97014 |
|
386 |
131 |
$3K |
| T4522 |
Adult size brief/diaper med |
37 |
37 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
56 |
55 |
$3K |
| 71250 |
|
26 |
26 |
$3K |
| 85610 |
|
2,747 |
2,352 |
$3K |
| 74178 |
|
13 |
13 |
$3K |
| 82962 |
|
1,251 |
529 |
$2K |
| 86580 |
|
520 |
516 |
$2K |
| 92134 |
|
89 |
86 |
$2K |
| 96365 |
|
29 |
28 |
$2K |
| 92557 |
|
26 |
26 |
$2K |
| 83735 |
|
2,153 |
1,105 |
$2K |
| J7030 |
Normal saline solution infus |
324 |
306 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
370 |
354 |
$2K |
| 90633 |
|
232 |
231 |
$2K |
| 86592 |
|
5,488 |
5,415 |
$2K |
| 83880 |
|
293 |
262 |
$2K |
| 90700 |
|
229 |
228 |
$2K |
| 84703 |
|
657 |
617 |
$2K |
| 84702 |
|
1,056 |
854 |
$2K |
| 92014 |
|
54 |
52 |
$2K |
| U0005 |
Infec agen detec ampli probe |
204 |
186 |
$2K |
| 85027 |
|
4,549 |
3,927 |
$2K |
| 81003 |
|
6,431 |
6,215 |
$2K |
| 76801 |
|
37 |
26 |
$2K |
| 87801 |
|
12 |
12 |
$2K |
| 85018 |
|
3,523 |
3,489 |
$2K |
| 90716 |
|
203 |
202 |
$2K |
| J2405 |
Ondansetron hcl injection |
298 |
280 |
$2K |
| 99239 |
|
235 |
219 |
$2K |
| 99396 |
|
278 |
277 |
$2K |
| 36415 |
|
9,279 |
8,880 |
$2K |
| 74018 |
|
188 |
156 |
$2K |
| 73502 |
|
73 |
65 |
$2K |
| 84479 |
|
1,435 |
1,427 |
$2K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
39 |
37 |
$2K |
| 87635 |
|
246 |
222 |
$2K |
| 84439 |
|
5,125 |
5,054 |
$2K |
| 73110 |
|
114 |
104 |
$2K |
| 73560 |
|
102 |
88 |
$1K |
| 88175 |
|
2,473 |
2,450 |
$1K |
| 90707 |
|
152 |
151 |
$1K |
| 90658 |
|
165 |
163 |
$1K |
| A0424 |
Extra ambulance attendant |
90 |
78 |
$1K |
| 99393 |
|
1,407 |
1,405 |
$1K |
| 90649 |
|
134 |
134 |
$1K |
| 83605 |
|
282 |
211 |
$1K |
| 90648 |
|
141 |
139 |
$1K |
| 99395 |
|
363 |
362 |
$1K |
| 85730 |
|
2,035 |
1,792 |
$1K |
| 82947 |
|
1,239 |
1,186 |
$1K |
| 73620 |
|
77 |
55 |
$1K |
| 90688 |
|
251 |
251 |
$1K |
| 93970 |
|
14 |
13 |
$1K |
| 87389 |
|
4,236 |
4,212 |
$1K |
| 87624 |
|
1,691 |
1,683 |
$1K |
| T4526 |
Adult size pull-on med |
26 |
26 |
$1K |
| 87210 |
|
281 |
270 |
$1K |
| 87040 |
|
301 |
239 |
$989.74 |
| 99394 |
|
1,013 |
1,013 |
$955.86 |
| 93325 |
|
12 |
12 |
$934.56 |
| 86850 |
|
449 |
399 |
$929.37 |
| 90620 |
|
116 |
116 |
$926.10 |
| 93320 |
|
12 |
12 |
$918.84 |
| 97163 |
|
12 |
12 |
$900.78 |
| 90680 |
|
116 |
115 |
$900.00 |
| J2270 |
Morphine sulfate injection |
122 |
108 |
$891.05 |
| 86480 |
|
312 |
308 |
$870.49 |
| J1100 |
Dexamethasone sodium phos |
56 |
56 |
$870.32 |
| 87880 |
|
267 |
265 |
$849.40 |
| G8419 |
Calc bmi out nrm param nof/u |
25 |
24 |
$833.69 |
| G0480 |
Drug test def 1-7 classes |
30 |
28 |
$831.35 |
| 97535 |
|
148 |
90 |
$830.00 |
| G8417 |
Calc bmi abv up param f/u |
429 |
368 |
$791.78 |
| 83655 |
|
2,070 |
2,060 |
$788.19 |
| 87631 |
|
64 |
60 |
$749.58 |
| 84550 |
|
2,406 |
2,363 |
$748.29 |
| 82274 |
|
1,578 |
1,469 |
$737.76 |
| 99282 |
|
14 |
12 |
$732.06 |
| 88142 |
|
291 |
289 |
$711.33 |
| G2023 |
Specimen collect covid-19 |
381 |
362 |
$646.33 |
| 87186 |
|
1,143 |
1,109 |
$628.01 |
| 93042 |
|
195 |
189 |
$610.02 |
| 76870 |
|
12 |
12 |
$606.38 |
| 84402 |
|
61 |
60 |
$573.27 |
| 84100 |
|
1,144 |
711 |
$559.29 |
| J0696 |
Ceftriaxone sodium injection |
80 |
75 |
$558.68 |
| 90713 |
|
64 |
64 |
$558.00 |
| 88307 |
|
15 |
14 |
$555.28 |
| G8418 |
Calc bmi blw low param f/u |
29 |
28 |
$550.17 |
| 86901 |
|
802 |
701 |
$539.67 |
| 87340 |
|
1,119 |
1,103 |
$534.27 |
| 84153 |
|
1,512 |
1,507 |
$534.00 |
| 90471 |
|
1,341 |
1,316 |
$468.43 |
| 86900 |
|
737 |
640 |
$421.90 |
| 83540 |
|
1,423 |
1,402 |
$420.91 |
| 92133 |
|
15 |
14 |
$419.25 |
| 82977 |
|
450 |
448 |
$411.00 |
| 84480 |
|
1,384 |
1,373 |
$402.15 |
| Q3014 |
Telehealth facility fee |
12 |
12 |
$396.41 |
| 87804 |
|
89 |
80 |
$390.06 |
| 87070 |
|
1,674 |
1,626 |
$389.83 |
| 82607 |
|
1,816 |
1,812 |
$373.16 |
| 86803 |
|
1,093 |
1,089 |
$361.78 |
| 82570 |
|
2,767 |
2,729 |
$360.40 |
| 82728 |
|
1,166 |
1,133 |
$355.94 |
| 81002 |
|
1,282 |
1,201 |
$354.29 |
| 80074 |
|
1,100 |
1,081 |
$334.21 |
| 86140 |
|
1,746 |
1,654 |
$333.28 |
| 87077 |
|
809 |
791 |
$333.12 |
| 90656 |
|
48 |
48 |
$315.00 |
| 87081 |
|
745 |
727 |
$309.98 |
| U0002 |
Covid-19 lab test non-cdc |
151 |
139 |
$307.86 |
| 85652 |
|
2,175 |
2,129 |
$278.09 |
| 85049 |
|
245 |
239 |
$277.51 |
| 86038 |
|
1,098 |
1,086 |
$262.69 |
| 99173 |
|
3,947 |
3,855 |
$256.00 |
| 97010 |
|
1,004 |
343 |
$249.00 |
| 86704 |
|
45 |
45 |
$245.90 |
| 81000 |
|
1,340 |
1,323 |
$229.59 |
| 73140 |
|
30 |
28 |
$221.57 |
| 84436 |
|
2,510 |
2,495 |
$219.99 |
| 92083 |
|
12 |
12 |
$218.79 |
| 82746 |
|
1,118 |
1,116 |
$213.54 |
| 87088 |
|
2,200 |
2,167 |
$209.77 |
| 85007 |
|
267 |
212 |
$205.47 |
| 99244 |
|
13 |
13 |
$204.25 |
| 36416 |
|
54 |
54 |
$201.93 |
| 83721 |
|
469 |
468 |
$200.98 |
| Q0144 |
Azithromycin dihydrate, oral |
45 |
44 |
$198.22 |
| 99401 |
|
1,110 |
1,013 |
$190.22 |
| 73590 |
|
14 |
12 |
$187.47 |
| S9088 |
Services provided in urgent |
589 |
550 |
$179.52 |
| 83002 |
|
399 |
397 |
$177.94 |
| 82043 |
|
2,855 |
2,834 |
$163.03 |
| 84481 |
|
1,560 |
1,551 |
$161.68 |
| 96156 |
|
630 |
628 |
$160.64 |
| 83550 |
|
1,141 |
1,124 |
$148.28 |
| 86706 |
|
421 |
420 |
$146.40 |
| 86703 |
|
12 |
12 |
$143.52 |
| 82550 |
|
358 |
343 |
$134.90 |
| 99000 |
|
4,004 |
3,725 |
$131.12 |
| 88141 |
|
257 |
255 |
$126.36 |
| 90660 |
|
14 |
14 |
$126.00 |
| 82785 |
|
496 |
496 |
$124.79 |
| 83001 |
|
493 |
490 |
$124.28 |
| 83615 |
|
291 |
255 |
$124.15 |
| 99383 |
|
28 |
28 |
$119.70 |
| 86225 |
|
142 |
141 |
$117.59 |
| 90723 |
|
12 |
12 |
$108.00 |
| 3008F |
|
7,078 |
6,532 |
$106.61 |
| 88312 |
|
68 |
68 |
$103.99 |
| 82248 |
|
853 |
809 |
$98.88 |
| 83970 |
|
123 |
120 |
$95.89 |
| 83986 |
|
188 |
181 |
$93.99 |
| C9803 |
Hopd covid-19 spec collect |
12 |
12 |
$91.96 |
| 80081 |
|
287 |
286 |
$90.69 |
| 90696 |
|
13 |
12 |
$90.00 |
| 84146 |
|
300 |
300 |
$85.41 |
| 86769 |
|
29 |
29 |
$84.26 |
| 80069 |
|
58 |
44 |
$79.41 |
| 86696 |
|
207 |
205 |
$77.09 |
| 92551 |
|
3,552 |
3,541 |
$76.22 |
| 84460 |
|
597 |
592 |
$71.52 |
| 84155 |
|
80 |
79 |
$70.34 |
| 83013 |
|
244 |
244 |
$69.20 |
| 87338 |
|
201 |
201 |
$63.69 |
| 82652 |
|
682 |
680 |
$63.67 |
| 86376 |
|
366 |
365 |
$61.88 |
| 87177 |
|
161 |
157 |
$61.27 |
| 85379 |
|
13 |
12 |
$60.55 |
| 84144 |
|
13 |
13 |
$57.03 |
| 86735 |
|
20 |
20 |
$53.31 |
| 84450 |
|
494 |
487 |
$52.65 |
| 86695 |
|
190 |
189 |
$52.54 |
| 92552 |
|
1,844 |
1,838 |
$51.09 |
| 83021 |
|
50 |
49 |
$46.20 |
| 73090 |
|
13 |
12 |
$45.66 |
| 82565 |
|
185 |
171 |
$38.71 |
| 86762 |
|
145 |
143 |
$35.58 |
| 85651 |
|
48 |
45 |
$35.33 |
| 87147 |
|
361 |
361 |
$33.63 |
| 84075 |
|
50 |
50 |
$30.09 |
| 0270 |
|
18 |
17 |
$28.44 |
| 82150 |
|
128 |
122 |
$28.12 |
| 85014 |
|
162 |
143 |
$24.31 |
| 86709 |
|
13 |
13 |
$23.31 |
| 82950 |
|
336 |
335 |
$20.33 |
| 86431 |
|
877 |
871 |
$19.83 |
| 86160 |
|
140 |
136 |
$18.73 |
| 94799 |
|
137 |
136 |
$17.10 |
| 90460 |
|
1,827 |
1,818 |
$17.10 |
| 87205 |
|
61 |
59 |
$16.42 |
| 82948 |
|
508 |
391 |
$15.56 |
| 82784 |
|
117 |
116 |
$13.95 |
| 86677 |
|
18 |
18 |
$12.95 |
| 82105 |
|
71 |
66 |
$11.97 |
| 82378 |
|
114 |
104 |
$10.76 |
| 87045 |
|
97 |
96 |
$9.88 |
| 83516 |
|
164 |
164 |
$8.17 |
| 82247 |
|
82 |
82 |
$7.39 |
| H1003 |
Prenatal at risk education |
132 |
102 |
$6.73 |
| 85045 |
|
62 |
59 |
$5.98 |
| 84132 |
|
73 |
54 |
$4.09 |
| 84520 |
|
126 |
103 |
$3.11 |
| 84156 |
|
106 |
104 |
$2.58 |
| 81005 |
|
432 |
429 |
$0.35 |
| G8420 |
Calc bmi norm parameters |
113 |
98 |
$0.00 |
| 3074F |
|
2,605 |
2,366 |
$0.00 |
| 92082 |
|
27 |
27 |
$0.00 |
| 99441 |
|
387 |
361 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
351 |
346 |
$0.00 |
| 86141 |
|
110 |
109 |
$0.00 |
| 84154 |
|
61 |
60 |
$0.00 |
| 82951 |
|
38 |
38 |
$0.00 |
| 2000F |
|
126 |
120 |
$0.00 |
| 82670 |
|
73 |
73 |
$0.00 |
| 3075F |
|
110 |
106 |
$0.00 |
| 94761 |
|
217 |
181 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
168 |
165 |
$0.00 |
| 3079F |
|
463 |
432 |
$0.00 |
| 96110 |
|
294 |
291 |
$0.00 |
| 1126F |
|
64 |
61 |
$0.00 |
| 84478 |
|
12 |
12 |
$0.00 |
| 3044F |
|
78 |
74 |
$0.00 |
| 2001F |
|
379 |
353 |
$0.00 |
| G0439 |
Ppps, subseq visit |
183 |
183 |
$0.00 |
| A0999 |
Unlisted ambulance service |
112 |
93 |
$0.00 |
| 1036F |
|
14 |
13 |
$0.00 |
| 4245F |
|
253 |
238 |
$0.00 |
| 96150 |
|
60 |
56 |
$0.00 |
| 96151 |
|
17 |
14 |
$0.00 |
| H0002 |
Alcohol and/or drug screenin |
215 |
173 |
$0.00 |
| 90585 |
|
136 |
135 |
$0.00 |
| 82120 |
|
149 |
145 |
$0.00 |
| 2010F |
|
125 |
119 |
$0.00 |
| 1000F |
|
85 |
81 |
$0.00 |
| H0049 |
Alcohol/drug screening |
12 |
12 |
$0.00 |
| 87046 |
|
92 |
91 |
$0.00 |
| 92060 |
|
66 |
66 |
$0.00 |
| 12001 |
|
12 |
12 |
$0.00 |
| 3080F |
|
41 |
39 |
$0.00 |
| 86800 |
|
71 |
71 |
$0.00 |
| 82040 |
|
54 |
48 |
$0.00 |
| 36410 |
|
15 |
14 |
$0.00 |
| 83704 |
|
12 |
12 |
$0.00 |
| 86317 |
|
12 |
12 |
$0.00 |
| 0001F |
|
114 |
98 |
$0.00 |
| 77063 |
|
13 |
13 |
$0.00 |
| 86060 |
|
129 |
128 |
$0.00 |
| 99406 |
|
257 |
213 |
$0.00 |
| 92499 |
|
28 |
28 |
$0.00 |
| 99443 |
|
21 |
18 |
$0.00 |
| 82435 |
|
18 |
18 |
$0.00 |
| 83050 |
|
13 |
13 |
$0.00 |
| 4037F |
|
61 |
61 |
$0.00 |
| A0398 |
Als routine disposble suppls |
29 |
27 |
$0.00 |
| 1170F |
|
30 |
29 |
$0.00 |
| 3352F |
|
30 |
29 |
$0.00 |
| 83520 |
|
14 |
14 |
$0.00 |
| 0545F |
|
30 |
29 |
$0.00 |
| 92226 |
|
20 |
20 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 97032 |
|
45 |
14 |
$0.00 |
| 1220F |
|
13 |
13 |
$0.00 |
| 92250 |
|
13 |
13 |
$0.00 |
| 86780 |
|
13 |
12 |
$0.00 |
| 92081 |
|
1,683 |
1,683 |
$0.00 |
| 87209 |
|
156 |
152 |
$0.00 |
| 95144 |
|
316 |
181 |
$0.00 |
| 90472 |
|
183 |
182 |
$0.00 |
| 3078F |
|
2,267 |
2,088 |
$0.00 |
| 3725F |
|
134 |
134 |
$0.00 |
| 90461 |
|
223 |
221 |
$0.00 |
| 1160F |
|
464 |
442 |
$0.00 |
| G0444 |
Depression screen annual |
1,116 |
972 |
$0.00 |
| G9920 |
Scrning perf and negative |
1,026 |
1,019 |
$0.00 |
| G0270 |
Mnt subs tx for change dx |
292 |
289 |
$0.00 |
| S9470 |
Nutritional counseling, diet |
148 |
148 |
$0.00 |
| 99051 |
|
316 |
306 |
$0.00 |
| 96160 |
|
258 |
258 |
$0.00 |
| G2012 |
Brief check in by md/qhp |
89 |
81 |
$0.00 |
| 3028F |
|
136 |
131 |
$0.00 |
| 1158F |
|
16 |
14 |
$0.00 |
| 88112 |
|
15 |
15 |
$0.00 |
| 1159F |
|
247 |
234 |
$0.00 |
| 92568 |
|
491 |
417 |
$0.00 |
| 99053 |
|
119 |
115 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
39 |
39 |
$0.00 |
| 82465 |
|
246 |
246 |
$0.00 |
| 82310 |
|
103 |
94 |
$0.00 |
| 87427 |
|
87 |
87 |
$0.00 |
| G0402 |
Initial preventive exam |
16 |
16 |
$0.00 |
| 99442 |
|
195 |
182 |
$0.00 |
| 86039 |
|
140 |
136 |
$0.00 |
| 86200 |
|
210 |
209 |
$0.00 |
| 99080 |
|
31 |
28 |
$0.00 |
| 0521F |
|
30 |
29 |
$0.00 |
| 4005F |
|
30 |
29 |
$0.00 |
| 99072 |
|
567 |
486 |
$0.00 |
| 83026 |
|
69 |
69 |
$0.00 |
| 83525 |
|
12 |
12 |
$0.00 |
| 83037 |
|
26 |
26 |
$0.00 |
| 86708 |
|
70 |
70 |
$0.00 |
| 99391 |
|
294 |
292 |
$0.00 |
| 86765 |
|
19 |
19 |
$0.00 |
| 86235 |
|
126 |
124 |
$0.00 |
| 86787 |
|
12 |
12 |
$0.00 |
| G0438 |
Ppps, initial visit |
29 |
28 |
$0.00 |
| 83020 |
|
12 |
12 |
$0.00 |
| 3288F |
|
13 |
13 |
$0.00 |
| 82627 |
|
26 |
25 |
$0.00 |
| 76857 |
|
13 |
13 |
$0.00 |
| 3077F |
|
26 |
26 |
$0.00 |
| 99152 |
|
12 |
12 |
$0.00 |
| 84165 |
|
12 |
12 |
$0.00 |
| 95930 |
|
13 |
13 |
$0.00 |
| 99421 |
|
52 |
47 |
$0.00 |
| 84295 |
|
18 |
18 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
13 |
13 |
$0.00 |