| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
|
109,424 |
77,418 |
$1.14M |
| 90832 |
|
164,006 |
70,500 |
$687K |
| 99308 |
|
57,322 |
49,089 |
$332K |
| 90791 |
|
12,734 |
10,253 |
$108K |
| 99306 |
Prolong nursin fac eval 15m |
4,888 |
4,406 |
$89K |
| 99310 |
Prolong nursin fac eval 15m |
4,896 |
4,102 |
$62K |
| 99305 |
|
3,462 |
3,167 |
$45K |
| 90833 |
|
4,987 |
3,708 |
$33K |
| 90834 |
|
5,417 |
2,324 |
$27K |
| 90853 |
|
7,557 |
2,191 |
$24K |
| 90837 |
|
1,356 |
438 |
$17K |
| 99307 |
|
722 |
652 |
$2K |
| 99214 |
|
88 |
65 |
$1K |
| 90836 |
|
174 |
129 |
$1K |
| 96132 |
|
272 |
244 |
$588.87 |
| 99336 |
|
56 |
36 |
$565.40 |
| 99335 |
|
48 |
37 |
$369.20 |
| 96136 |
|
662 |
623 |
$325.72 |
| 96118 |
|
153 |
148 |
$321.08 |
| 99349 |
|
34 |
28 |
$261.13 |
| 99348 |
|
30 |
27 |
$184.60 |
| G8510 |
Scr dep neg, no plan reqd |
213 |
207 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
84 |
84 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
1,190 |
1,179 |
$0.00 |
| G2185 |
Caregiver dem trained |
50 |
50 |
$0.00 |
| 1123F |
|
965 |
963 |
$0.00 |
| G2184 |
No caregiver |
217 |
217 |
$0.00 |
| G2197 |
Screen hlthy etoh use |
295 |
292 |
$0.00 |
| G9906 |
Pt recv tbco cess interv |
52 |
52 |
$0.00 |
| M1164 |
Pt w/ dementia any time |
35 |
35 |
$0.00 |
| G9922 |
Sfty cncrns scrn nd mit recs |
18 |
18 |
$0.00 |
| G8433 |
Scr for dep not cpt doc rsn |
12 |
12 |
$0.00 |
| 99304 |
|
12 |
12 |
$0.00 |
| 96130 |
|
171 |
163 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
152 |
152 |
$0.00 |
| G9920 |
Scrning perf and negative |
45 |
45 |
$0.00 |
| 1124F |
|
66 |
66 |
$0.00 |
| G9916 |
Funct status past 12 months |
227 |
227 |
$0.00 |
| 4004F |
|
40 |
40 |
$0.00 |
| G9923 |
Safty cncrns scrn and neg |
80 |
80 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
57 |
57 |
$0.00 |
| 4322F |
|
40 |
40 |
$0.00 |