| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
|
27,827 |
20,799 |
$461K |
| 90832 |
|
21,249 |
14,912 |
$399K |
| 99308 |
|
24,913 |
18,675 |
$288K |
| 99310 |
Prolong nursin fac eval 15m |
4,254 |
3,548 |
$97K |
| 90791 |
|
2,244 |
1,860 |
$91K |
| 90785 |
|
12,165 |
8,890 |
$52K |
| 99349 |
|
1,166 |
835 |
$29K |
| 90834 |
|
1,117 |
899 |
$29K |
| 99306 |
Prolong nursin fac eval 15m |
683 |
579 |
$21K |
| 99348 |
|
451 |
332 |
$7K |
| 99335 |
|
419 |
303 |
$4K |
| 99305 |
|
185 |
164 |
$4K |
| 96116 |
|
244 |
221 |
$3K |
| 99345 |
Prolong home eval add 15m |
31 |
15 |
$1K |
| 99336 |
|
38 |
32 |
$1K |
| 90837 |
|
20 |
15 |
$872.56 |
| 99307 |
|
23 |
16 |
$275.67 |
| 99304 |
|
29 |
21 |
$272.40 |
| 99325 |
|
20 |
17 |
$233.50 |
| 99347 |
|
15 |
12 |
$59.62 |
| G9922 |
Sfty cncrns scrn nd mit recs |
634 |
603 |
$0.00 |
| 1123F |
|
706 |
677 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
99 |
93 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
252 |
239 |
$0.00 |
| G9717 |
Doc pt dx bipol |
313 |
291 |
$0.00 |
| G9906 |
Pt recv tbco cess interv |
127 |
125 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
12 |
12 |
$0.00 |
| G2197 |
Screen hlthy etoh use |
15 |
14 |
$0.00 |
| 1036F |
|
16 |
14 |
$0.00 |
| G9916 |
Funct status past 12 months |
653 |
622 |
$0.00 |
| G9622 |
No unheal etoh user |
443 |
420 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
164 |
156 |
$0.00 |
| 4004F |
|
33 |
31 |
$0.00 |
| G9920 |
Scrning perf and negative |
14 |
13 |
$0.00 |
| 99334 |
|
15 |
12 |
$0.00 |
| G8482 |
Flu immunize order/admin |
16 |
16 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
15 |
15 |
$0.00 |
| G9923 |
Safty cncrns scrn and neg |
12 |
12 |
$0.00 |