| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 1126F |
|
590 |
590 |
$49K |
| 88141 |
|
125 |
56 |
$6K |
| 90662 |
|
155 |
155 |
$6K |
| 90715 |
|
118 |
116 |
$4K |
| 90674 |
|
156 |
92 |
$2K |
| 90686 |
|
113 |
113 |
$1K |
| Q0091 |
Obtaining screen pap smear |
104 |
104 |
$1K |
| 99213 |
|
3,030 |
3,010 |
$772.28 |
| 90688 |
|
51 |
51 |
$579.60 |
| 99396 |
|
909 |
907 |
$412.35 |
| G0447 |
Behavior counsel obesity 15m |
1,232 |
1,229 |
$394.29 |
| 99497 |
|
15 |
15 |
$344.45 |
| 97803 |
|
1,661 |
1,656 |
$335.11 |
| 99395 |
|
606 |
603 |
$230.50 |
| 99202 |
|
156 |
156 |
$142.32 |
| G8510 |
Scr dep neg, no plan reqd |
2,284 |
2,277 |
$133.23 |
| 99406 |
|
1,539 |
1,534 |
$65.69 |
| 99214 |
|
252 |
252 |
$46.88 |
| 90471 |
|
349 |
349 |
$44.56 |
| 99212 |
|
246 |
233 |
$34.55 |
| 94760 |
|
448 |
447 |
$25.04 |
| 99442 |
|
55 |
55 |
$24.00 |
| 99211 |
|
423 |
408 |
$22.91 |
| 81002 |
|
246 |
244 |
$6.95 |
| G0328 |
Fecal blood scrn immunoassay |
36 |
36 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
659 |
656 |
$0.00 |
| 3017F |
|
599 |
597 |
$0.00 |
| G0008 |
Admin influenza virus vac |
76 |
76 |
$0.00 |
| 3008F |
|
2,445 |
2,433 |
$0.00 |
| 1157F |
|
266 |
265 |
$0.00 |
| 3074F |
|
2,258 |
2,241 |
$0.00 |
| 3075F |
|
74 |
74 |
$0.00 |
| 36415 |
|
770 |
768 |
$0.00 |
| 3014F |
|
133 |
133 |
$0.00 |
| S9451 |
Exercise class |
954 |
951 |
$0.00 |
| 1220F |
|
1,355 |
1,351 |
$0.00 |
| 99000 |
|
1,409 |
1,406 |
$0.00 |
| 1125F |
|
100 |
100 |
$0.00 |
| 3079F |
|
259 |
259 |
$0.00 |
| 1170F |
|
540 |
538 |
$0.00 |
| 1036F |
|
32 |
32 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
41 |
41 |
$0.00 |
| 81000 |
|
53 |
53 |
$0.00 |
| 0012A |
|
12 |
12 |
$0.00 |
| 97802 |
|
13 |
13 |
$0.00 |
| 85018 |
|
12 |
12 |
$0.00 |
| G0103 |
Psa screening |
24 |
24 |
$0.00 |
| G0101 |
Ca screen;pelvic/breast exam |
109 |
109 |
$0.00 |
| G8484 |
Flu immunize no admin |
35 |
35 |
$0.00 |
| 3078F |
|
2,174 |
2,157 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
683 |
682 |
$0.00 |
| 1159F |
|
911 |
905 |
$0.00 |
| 99408 |
|
664 |
664 |
$0.00 |
| 99203 |
|
103 |
103 |
$0.00 |
| 3725F |
|
618 |
617 |
$0.00 |
| 1160F |
|
914 |
908 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
45 |
45 |
$0.00 |
| 3077F |
|
69 |
68 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
15 |
15 |
$0.00 |