| Code | Description | Claims | Beneficiaries | Total Paid |
| 90460 |
|
1,654 |
1,634 |
$12K |
| 99213 |
|
2,369 |
1,993 |
$6K |
| 99393 |
|
812 |
804 |
$5K |
| 99394 |
|
491 |
480 |
$4K |
| 86580 |
|
492 |
489 |
$4K |
| 99401 |
|
2,275 |
2,231 |
$4K |
| 99392 |
|
510 |
484 |
$2K |
| 92587 |
|
1,226 |
1,222 |
$1K |
| G0447 |
Behavior counsel obesity 15m |
235 |
234 |
$510.00 |
| 99212 |
|
193 |
181 |
$464.68 |
| 99173 |
|
782 |
781 |
$197.35 |
| H0001 |
Alcohol and/or drug assess |
258 |
258 |
$170.00 |
| 90461 |
|
107 |
107 |
$150.90 |
| 99211 |
|
274 |
274 |
$81.95 |
| 99395 |
|
32 |
31 |
$75.00 |
| 90658 |
|
94 |
93 |
$45.00 |
| G0432 |
Eia hiv-1/hiv-2 screen |
34 |
34 |
$20.00 |
| 36415 |
|
1,129 |
1,127 |
$16.46 |
| 90688 |
|
586 |
586 |
$16.29 |
| G8510 |
Scr dep neg, no plan reqd |
164 |
164 |
$10.50 |
| G9622 |
No unheal etoh user |
222 |
222 |
$2.50 |
| G9820 |
Doc chlam scr test w/follow |
88 |
88 |
$2.50 |
| A4206 |
1 cc sterile syringe&needle |
373 |
372 |
$1.18 |
| A4930 |
Sterile, gloves per pair |
1,413 |
1,373 |
$0.40 |
| 3008F |
|
1,384 |
1,373 |
$0.00 |
| 2000F |
|
846 |
844 |
$0.00 |
| 2001F |
|
886 |
884 |
$0.00 |
| 2010F |
|
1,054 |
1,049 |
$0.00 |
| 1000F |
|
337 |
337 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
201 |
201 |
$0.00 |
| 99000 |
|
232 |
230 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 1036F |
|
337 |
337 |
$0.00 |
| 90686 |
|
49 |
49 |
$0.00 |
| 3725F |
|
343 |
342 |
$0.00 |
| 1160F |
|
32 |
31 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid |
222 |
221 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
2,593 |
2,200 |
$0.00 |
| 3016F |
|
223 |
223 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
112 |
112 |
$0.00 |
| 90670 |
|
24 |
24 |
$0.00 |
| 90633 |
|
29 |
29 |
$0.00 |