| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,946 |
2,398 |
$41K |
| 99423 |
|
459 |
189 |
$25K |
| 99213 |
|
585 |
487 |
$4K |
| 99091 |
|
128 |
121 |
$3K |
| 96372 |
|
405 |
326 |
$2K |
| 99308 |
|
203 |
188 |
$891.77 |
| 99304 |
|
26 |
26 |
$621.68 |
| 99309 |
|
252 |
223 |
$487.56 |
| 99310 |
Prolong nursin fac eval 15m |
65 |
62 |
$45.25 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
77 |
63 |
$3.80 |
| 1159F |
|
51 |
43 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
198 |
131 |
$0.00 |
| 3288F |
|
112 |
107 |
$0.00 |
| 90756 |
|
14 |
14 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
144 |
108 |
$0.00 |
| 1160F |
|
51 |
43 |
$0.00 |
| 81003 |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
22 |
17 |
$0.00 |
| 1126F |
|
520 |
465 |
$0.00 |
| 1170F |
|
263 |
248 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
164 |
121 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
16 |
$0.00 |
| 36415 |
|
29 |
25 |
$0.00 |
| 3008F |
|
49 |
41 |
$0.00 |
| 1125F |
|
27 |
27 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
42 |
42 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
15 |
15 |
$0.00 |