| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
6,165 |
5,827 |
$707K |
| 99213 |
|
4,075 |
3,643 |
$304K |
| 99308 |
|
1,156 |
410 |
$60K |
| 99204 |
|
156 |
156 |
$27K |
| 99232 |
|
350 |
175 |
$23K |
| 99223 |
Prolong inpt eval add15 m |
115 |
115 |
$20K |
| 95117 |
|
1,074 |
503 |
$12K |
| 99396 |
|
108 |
108 |
$12K |
| 99233 |
Prolong inpt eval add15 m |
49 |
32 |
$5K |
| 99222 |
|
37 |
37 |
$4K |
| 99309 |
|
51 |
26 |
$4K |
| 87635 |
|
71 |
55 |
$3K |
| 90686 |
|
81 |
81 |
$2K |
| 95004 |
|
12 |
12 |
$1K |
| 90471 |
|
131 |
131 |
$1K |
| G0442 |
Annual alcohol screen 15 min |
77 |
77 |
$1K |
| 99211 |
|
33 |
30 |
$663.33 |
| 95806 |
|
12 |
12 |
$380.40 |
| 93000 |
|
27 |
27 |
$349.82 |
| G0008 |
Admin influenza virus vac |
13 |
13 |
$208.95 |
| 81002 |
|
78 |
78 |
$150.69 |
| G0444 |
Depression screen annual |
13 |
13 |
$31.56 |
| G8510 |
Scr dep neg, no plan reqd |
187 |
185 |
$25.00 |
| G8420 |
Calc bmi norm parameters |
410 |
392 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
1,856 |
1,739 |
$0.00 |
| 3079F |
|
53 |
51 |
$0.00 |
| G9906 |
Pt recv tbco cess interv |
41 |
37 |
$0.00 |
| G8432 |
Dep scr not doc, rng |
74 |
73 |
$0.00 |
| 3075F |
|
16 |
16 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
42 |
38 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
38 |
36 |
$0.00 |
| 3074F |
|
86 |
80 |
$0.00 |
| G8754 |
Dias bp less 90 |
14 |
14 |
$0.00 |
| 3077F |
|
13 |
13 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
324 |
320 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
1,210 |
1,084 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
4,298 |
3,838 |
$0.00 |
| G9905 |
No pt tbco scrn rng |
314 |
277 |
$0.00 |
| G0029 |
No tob scr/cess int |
78 |
72 |
$0.00 |
| G0030 |
Pt scr tob & cess int |
13 |
12 |
$0.00 |
| G8752 |
Sys bp less 140 |
12 |
12 |
$0.00 |
| 3078F |
|
74 |
68 |
$0.00 |
| G9899 |
Scrn mam perf rslts doc |
12 |
12 |
$0.00 |
| G8421 |
Bmi not calculated |
14 |
13 |
$0.00 |