| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
524 |
465 |
$21K |
| H0001 |
Alcohol and/or drug assessment |
665 |
560 |
$7K |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
664 |
561 |
$5K |
| 3074F |
|
527 |
447 |
$2K |
| 3078F |
|
473 |
407 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
205 |
176 |
$904.20 |
| 99211 |
|
14 |
14 |
$308.88 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
191 |
162 |
$166.82 |
| 3008F |
|
641 |
525 |
$77.50 |
| 2010F |
|
742 |
605 |
$73.22 |
| 1126F |
|
458 |
390 |
$49.00 |
| 1125F |
|
79 |
77 |
$7.00 |
| 1036F |
|
86 |
80 |
$4.28 |
| 99000 |
|
244 |
236 |
$4.28 |
| 36415 |
|
240 |
234 |
$3.12 |
| A4930 |
Gloves, sterile, per pair |
259 |
249 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
41 |
37 |
$0.00 |
| 1000F |
|
656 |
557 |
$0.00 |
| 1159F |
|
594 |
497 |
$0.00 |
| 4004F |
|
597 |
503 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
246 |
239 |
$0.00 |
| 99051 |
|
12 |
12 |
$0.00 |
| 3725F |
|
611 |
532 |
$0.00 |
| 3016F |
|
191 |
180 |
$0.00 |
| 3015F |
|
12 |
12 |
$0.00 |
| 99401 |
|
15 |
14 |
$0.00 |