| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
7,541 |
6,314 |
$385K |
| 99394 |
|
1,320 |
1,268 |
$123K |
| 99393 |
|
1,342 |
1,314 |
$119K |
| 90460 |
|
3,943 |
3,650 |
$108K |
| 99392 |
|
984 |
946 |
$87K |
| 99401 |
|
3,536 |
3,133 |
$56K |
| 99212 |
|
1,677 |
1,572 |
$55K |
| 97802 |
|
4,184 |
3,943 |
$44K |
| 99391 |
|
446 |
417 |
$27K |
| 99214 |
|
300 |
271 |
$26K |
| 99211 |
|
1,117 |
751 |
$21K |
| 92587 |
|
1,329 |
1,270 |
$16K |
| 90461 |
|
970 |
903 |
$13K |
| 96136 |
|
458 |
428 |
$11K |
| 96110 |
|
712 |
681 |
$7K |
| U0002 |
Covid-19 lab test non-cdc |
315 |
286 |
$7K |
| 90670 |
|
341 |
315 |
$7K |
| 90651 |
|
480 |
462 |
$7K |
| 99395 |
|
81 |
68 |
$7K |
| H0049 |
Alcohol/drug screening |
506 |
485 |
$6K |
| G0447 |
Behavior counsel obesity 15m |
1,583 |
1,464 |
$6K |
| 87804 |
|
414 |
374 |
$5K |
| 99203 |
|
42 |
41 |
$4K |
| S0302 |
Completed epsdt |
1,873 |
1,788 |
$3K |
| 36415 |
|
1,412 |
1,353 |
$3K |
| 97803 |
|
141 |
133 |
$3K |
| 90471 |
|
901 |
830 |
$3K |
| 90619 |
|
74 |
73 |
$3K |
| 0071A |
|
104 |
83 |
$2K |
| 87880 |
|
396 |
372 |
$2K |
| 87635 |
|
103 |
96 |
$2K |
| 99383 |
|
24 |
24 |
$2K |
| 0072A |
|
69 |
57 |
$2K |
| 90716 |
|
264 |
255 |
$2K |
| 91300 |
|
120 |
107 |
$2K |
| 99188 |
|
204 |
189 |
$2K |
| 90633 |
|
555 |
527 |
$1K |
| 0002A |
|
57 |
56 |
$1K |
| 90707 |
|
62 |
60 |
$1K |
| D1330 |
|
767 |
702 |
$1K |
| 99384 |
|
13 |
13 |
$1K |
| G0442 |
Annual alcohol screen 15 min |
377 |
356 |
$1K |
| 90671 |
|
38 |
37 |
$886.45 |
| G0444 |
Depression screen annual |
1,477 |
1,364 |
$767.53 |
| 90734 |
|
187 |
177 |
$708.56 |
| 90686 |
|
1,978 |
1,861 |
$688.19 |
| 0001A |
|
52 |
51 |
$567.44 |
| 99050 |
|
183 |
169 |
$557.72 |
| 86328 |
|
133 |
117 |
$520.12 |
| S9452 |
Nutrition class |
74 |
71 |
$509.28 |
| G0445 |
High inten beh couns std 30m |
385 |
345 |
$491.70 |
| 0003A |
|
21 |
14 |
$484.98 |
| G0310 |
Immunize counsel 5-15 min |
60 |
53 |
$420.00 |
| 90713 |
|
631 |
585 |
$413.17 |
| 90656 |
|
239 |
230 |
$366.56 |
| 92567 |
|
119 |
89 |
$313.99 |
| 92558 |
|
115 |
100 |
$299.54 |
| 90648 |
|
380 |
352 |
$256.54 |
| S9441 |
Asthma education |
44 |
40 |
$230.00 |
| 99173 |
|
3,353 |
3,145 |
$215.87 |
| 90700 |
|
727 |
685 |
$150.94 |
| 92557 |
|
20 |
20 |
$150.00 |
| G8510 |
Scr dep neg, no plan reqd |
1,068 |
982 |
$150.00 |
| G9820 |
Doc chlam scr test w/follow |
204 |
182 |
$140.00 |
| 90621 |
|
27 |
25 |
$130.11 |
| 99058 |
|
31 |
28 |
$126.84 |
| 92551 |
|
2,103 |
1,949 |
$108.63 |
| G9903 |
Pt scrn tbco id as non user |
112 |
109 |
$80.00 |
| 99000 |
|
1,812 |
1,686 |
$40.00 |
| 90680 |
|
55 |
55 |
$10.00 |
| G8483 |
Flu imm no admin doc rea |
485 |
448 |
$0.00 |
| 99072 |
|
176 |
150 |
$0.00 |
| S9449 |
Weight mgmt class |
42 |
42 |
$0.00 |
| 90472 |
|
344 |
321 |
$0.00 |
| 90715 |
|
34 |
33 |
$0.00 |
| D1310 |
|
755 |
702 |
$0.00 |
| 96127 |
|
1,543 |
1,443 |
$0.00 |
| 91307 |
|
162 |
114 |
$0.00 |
| 95117 |
|
274 |
54 |
$0.00 |
| 90744 |
|
44 |
43 |
$0.00 |
| 99484 |
|
15 |
13 |
$0.00 |
| 90677 |
|
13 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
34 |
24 |
$0.00 |
| 94760 |
|
16 |
12 |
$0.00 |