| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
10,374 |
9,324 |
$16K |
| 99203 |
|
647 |
646 |
$5K |
| 90471 |
|
983 |
967 |
$3K |
| 99214 |
|
1,425 |
1,343 |
$1K |
| 88142 |
|
90 |
89 |
$1K |
| 87110 |
|
78 |
77 |
$1K |
| 87510 |
|
52 |
50 |
$855.90 |
| 87480 |
|
53 |
52 |
$855.13 |
| 92551 |
|
84 |
83 |
$836.48 |
| 90649 |
|
47 |
47 |
$820.46 |
| 99395 |
|
397 |
388 |
$775.57 |
| 96110 |
|
210 |
205 |
$572.22 |
| 90658 |
|
47 |
47 |
$558.32 |
| 90715 |
|
31 |
31 |
$406.01 |
| 99393 |
|
79 |
79 |
$390.69 |
| 99392 |
|
199 |
197 |
$380.12 |
| 81025 |
|
127 |
126 |
$340.71 |
| 99211 |
|
821 |
666 |
$312.85 |
| 99394 |
|
74 |
73 |
$217.12 |
| 99212 |
|
367 |
356 |
$186.25 |
| 99204 |
|
159 |
158 |
$111.02 |
| 99173 |
|
117 |
116 |
$77.52 |
| 87210 |
|
16 |
16 |
$49.28 |
| 99391 |
|
27 |
27 |
$34.34 |
| 99442 |
|
15 |
15 |
$23.21 |
| 96372 |
|
14 |
13 |
$18.56 |
| 99406 |
|
15 |
15 |
$10.31 |
| 81003 |
|
12 |
12 |
$7.76 |
| 99000 |
|
243 |
239 |
$3.59 |
| 99396 |
|
323 |
318 |
$0.00 |
| 3077F |
|
323 |
302 |
$0.00 |
| 1159F |
|
2,488 |
2,054 |
$0.00 |
| 90472 |
|
82 |
81 |
$0.00 |
| G9920 |
Screening performed and negative |
335 |
328 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
74 |
73 |
$0.00 |
| 99072 |
|
259 |
255 |
$0.00 |
| 3078F |
|
1,459 |
1,381 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 96160 |
|
171 |
169 |
$0.00 |
| 71046 |
|
15 |
15 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
121 |
120 |
$0.00 |
| 3046F |
|
42 |
32 |
$0.00 |
| 4004F |
|
33 |
32 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |
| 80305 |
|
13 |
13 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
17 |
17 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
2,895 |
2,464 |
$0.00 |
| 3079F |
|
440 |
418 |
$0.00 |
| 3074F |
|
1,415 |
1,324 |
$0.00 |
| 1036F |
|
3,069 |
2,649 |
$0.00 |
| 3008F |
|
1,475 |
1,391 |
$0.00 |
| 1125F |
|
630 |
562 |
$0.00 |
| 1126F |
|
1,144 |
1,001 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
214 |
212 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
157 |
139 |
$0.00 |
| 1170F |
|
74 |
73 |
$0.00 |
| 3080F |
|
148 |
137 |
$0.00 |
| 1110F |
|
49 |
47 |
$0.00 |
| 3044F |
|
71 |
66 |
$0.00 |
| 3075F |
|
264 |
255 |
$0.00 |
| 99495 |
|
23 |
20 |
$0.00 |
| 1101F |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 1111F |
|
17 |
15 |
$0.00 |