| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
627 |
624 |
$46K |
| 99214 |
|
8,775 |
8,698 |
$41K |
| 92552 |
|
1,552 |
1,549 |
$23K |
| 90686 |
|
984 |
981 |
$12K |
| 99213 |
|
2,799 |
2,774 |
$8K |
| 97802 |
|
552 |
552 |
$8K |
| 1000F |
|
4,440 |
4,408 |
$5K |
| 99211 |
|
1,461 |
1,385 |
$3K |
| 99393 |
|
371 |
371 |
$3K |
| G8510 |
Scr dep neg, no plan reqd |
916 |
912 |
$2K |
| 99203 |
|
228 |
228 |
$2K |
| 1036F |
|
6,081 |
6,023 |
$2K |
| 90656 |
|
116 |
116 |
$2K |
| 99443 |
|
256 |
254 |
$2K |
| 99202 |
|
313 |
312 |
$2K |
| 3074F |
|
1,070 |
1,062 |
$2K |
| 93000 |
|
64 |
64 |
$1K |
| 3011F |
|
1,495 |
1,493 |
$1K |
| 3044F |
|
1,573 |
1,568 |
$1K |
| 90715 |
|
56 |
55 |
$1K |
| 3078F |
|
1,048 |
1,041 |
$950.00 |
| 3079F |
|
1,083 |
1,076 |
$900.00 |
| 99394 |
|
184 |
184 |
$876.51 |
| 99401 |
|
985 |
983 |
$850.00 |
| 99212 |
|
664 |
650 |
$849.07 |
| G0444 |
Depression screen annual |
56 |
56 |
$750.80 |
| 4013F |
|
855 |
852 |
$735.00 |
| 99395 |
|
78 |
77 |
$615.61 |
| 99460 |
|
13 |
13 |
$611.76 |
| 3077F |
|
1,058 |
1,037 |
$600.02 |
| 3049F |
|
495 |
494 |
$560.00 |
| 3061F |
|
419 |
418 |
$550.00 |
| 90471 |
|
889 |
886 |
$485.94 |
| 85018 |
|
2,126 |
2,116 |
$484.46 |
| 3075F |
|
485 |
482 |
$450.00 |
| G0136 |
Adm of pa/n assess 5-15 m |
69 |
69 |
$414.36 |
| 99392 |
|
137 |
137 |
$372.04 |
| 90651 |
|
68 |
68 |
$371.97 |
| 90460 |
|
251 |
244 |
$360.50 |
| 99000 |
|
803 |
770 |
$338.93 |
| 81002 |
|
1,605 |
1,597 |
$304.82 |
| 1034F |
|
436 |
433 |
$250.00 |
| H0049 |
Alcohol/drug screening |
73 |
73 |
$250.00 |
| 96160 |
|
508 |
507 |
$217.79 |
| G9920 |
Scrning perf and negative |
575 |
572 |
$162.00 |
| G8431 |
Pos clin depres scrn f/u doc |
289 |
289 |
$149.44 |
| 90670 |
|
36 |
36 |
$134.91 |
| 99173 |
|
226 |
226 |
$102.42 |
| 3051F |
|
26 |
26 |
$100.00 |
| 90461 |
|
144 |
96 |
$82.50 |
| 86580 |
|
27 |
26 |
$59.99 |
| 99201 |
|
26 |
26 |
$38.61 |
| 36415 |
|
180 |
175 |
$30.00 |
| 90619 |
|
58 |
58 |
$18.00 |
| G9903 |
Pt scrn tbco id as non user |
721 |
717 |
$0.87 |
| 1160F |
|
3,280 |
3,256 |
$0.82 |
| 1159F |
|
3,168 |
3,147 |
$0.81 |
| G8427 |
Docrev cur meds by elig clin |
2,557 |
2,528 |
$0.79 |
| 3008F |
|
2,038 |
2,028 |
$0.43 |
| 1003F |
|
1,456 |
1,447 |
$0.36 |
| G8754 |
Dias bp less 90 |
426 |
424 |
$0.35 |
| 1030F |
|
915 |
911 |
$0.34 |
| 4035F |
|
863 |
861 |
$0.31 |
| 2010F |
|
1,251 |
1,249 |
$0.30 |
| 3725F |
|
1,358 |
1,355 |
$0.25 |
| 4050F |
|
925 |
924 |
$0.24 |
| 4010F |
|
621 |
621 |
$0.21 |
| 3048F |
|
829 |
829 |
$0.21 |
| 4188F |
|
565 |
565 |
$0.19 |
| 4037F |
|
375 |
372 |
$0.18 |
| 4210F |
|
293 |
293 |
$0.13 |
| 4145F |
|
334 |
333 |
$0.12 |
| 1157F |
|
274 |
272 |
$0.12 |
| 1158F |
|
272 |
272 |
$0.11 |
| 3351F |
|
466 |
465 |
$0.11 |
| G8752 |
Sys bp less 140 |
214 |
212 |
$0.10 |
| 3050F |
|
280 |
279 |
$0.10 |
| 1220F |
|
428 |
426 |
$0.07 |
| G8482 |
Flu immunize order/admin |
77 |
77 |
$0.06 |
| 3080F |
|
511 |
498 |
$0.06 |
| 4008F |
|
58 |
58 |
$0.05 |
| G8753 |
Sys bp > or = 140 |
69 |
68 |
$0.03 |
| 3093F |
|
86 |
86 |
$0.03 |
| 3352F |
|
217 |
217 |
$0.03 |
| 1033F |
|
256 |
256 |
$0.02 |
| 1031F |
|
250 |
249 |
$0.02 |
| 2028F |
|
28 |
28 |
$0.01 |
| 3353F |
|
93 |
93 |
$0.01 |
| 1110F |
|
18 |
18 |
$0.01 |
| 1111F |
|
19 |
19 |
$0.01 |
| G8417 |
Calc bmi abv up param f/u |
131 |
131 |
$0.00 |
| 3046F |
|
13 |
13 |
$0.00 |
| 4004F |
|
13 |
13 |
$0.00 |
| 3016F |
|
64 |
64 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
163 |
163 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
38 |
38 |
$0.00 |
| 99442 |
|
25 |
25 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
81 |
81 |
$0.00 |
| 3060F |
|
12 |
12 |
$0.00 |
| 3092F |
|
30 |
30 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
12 |
12 |
$0.00 |
| 96161 |
|
16 |
15 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
25 |
23 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 3354F |
|
14 |
14 |
$0.00 |