| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
140,950 |
121,300 |
$29.70M |
| 99213 |
|
148,815 |
89,376 |
$211K |
| 99203 |
|
7,901 |
5,440 |
$79K |
| 0002A |
|
312 |
312 |
$21K |
| 0012A |
|
296 |
296 |
$20K |
| 0001A |
|
269 |
269 |
$18K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
673 |
628 |
$17K |
| 0011A |
|
246 |
246 |
$16K |
| 99214 |
|
29,009 |
18,505 |
$11K |
| 99212 |
|
13,646 |
8,014 |
$8K |
| 90715 |
|
243 |
225 |
$7K |
| 0004A |
|
90 |
90 |
$6K |
| 92552 |
|
343 |
285 |
$6K |
| 99202 |
|
519 |
373 |
$5K |
| 0064A |
|
75 |
75 |
$5K |
| 99000 |
|
22,786 |
22,088 |
$4K |
| 90677 |
|
256 |
256 |
$4K |
| 99211 |
|
2,410 |
1,690 |
$3K |
| 0013A |
|
39 |
39 |
$2K |
| 90651 |
|
156 |
125 |
$2K |
| 90734 |
|
107 |
91 |
$2K |
| 99201 |
|
107 |
107 |
$2K |
| 90832 |
|
121 |
90 |
$2K |
| 99204 |
|
881 |
613 |
$2K |
| 90688 |
|
168 |
168 |
$2K |
| 97802 |
|
18 |
12 |
$2K |
| 90732 |
|
19 |
19 |
$2K |
| 0054A |
|
25 |
25 |
$2K |
| H1011 |
Family assessment |
34 |
34 |
$2K |
| G8510 |
Scr dep neg, no plan reqd |
58,884 |
53,623 |
$1K |
| 96372 |
|
1,923 |
1,868 |
$1K |
| 0124A |
|
15 |
15 |
$1K |
| 90686 |
|
275 |
275 |
$968.37 |
| 90791 |
|
505 |
293 |
$892.72 |
| 0134A |
|
13 |
13 |
$871.00 |
| 87811 |
|
479 |
473 |
$778.28 |
| G9919 |
Scrn nd pos nd prov of rec |
1,010 |
1,007 |
$721.23 |
| 90471 |
|
5,344 |
5,227 |
$628.66 |
| 87651 |
|
322 |
320 |
$588.58 |
| G9920 |
Scrning perf and negative |
386 |
386 |
$548.39 |
| 90834 |
|
1,094 |
487 |
$533.26 |
| 99391 |
|
491 |
345 |
$515.10 |
| J0561 |
Penicillin g benzathine inj |
18 |
12 |
$490.78 |
| 90716 |
|
48 |
48 |
$372.30 |
| 96110 |
|
269 |
269 |
$356.40 |
| 99396 |
|
250 |
170 |
$328.60 |
| 83036 |
|
2,607 |
2,571 |
$322.03 |
| 81025 |
|
829 |
811 |
$320.03 |
| 99392 |
|
644 |
395 |
$303.93 |
| T1027 |
Family training & counseling |
34 |
34 |
$280.55 |
| H2015 |
Comp comm supp svc, 15 min |
34 |
34 |
$280.55 |
| 90633 |
|
229 |
202 |
$277.82 |
| H2027 |
Psychoed svc, per 15 min |
34 |
34 |
$270.15 |
| 85018 |
|
2,873 |
2,828 |
$219.59 |
| 90656 |
|
220 |
220 |
$216.19 |
| 90744 |
|
19 |
19 |
$144.44 |
| 86580 |
|
197 |
189 |
$134.25 |
| 99393 |
|
349 |
234 |
$130.23 |
| 90713 |
|
18 |
18 |
$121.68 |
| 90710 |
|
16 |
16 |
$117.81 |
| 81003 |
|
939 |
914 |
$85.42 |
| 99173 |
|
1,472 |
1,459 |
$67.52 |
| 99394 |
|
367 |
259 |
$59.71 |
| 99215 |
Prolong outpt/office vis |
521 |
319 |
$57.20 |
| 99383 |
|
22 |
13 |
$54.28 |
| 82962 |
|
2,542 |
2,453 |
$43.60 |
| 90723 |
|
29 |
29 |
$39.80 |
| 90707 |
|
41 |
41 |
$39.60 |
| 87801 |
|
13 |
13 |
$38.41 |
| 90700 |
|
30 |
30 |
$29.80 |
| 90696 |
|
24 |
24 |
$19.80 |
| 90472 |
|
359 |
357 |
$17.00 |
| H0049 |
Alcohol/drug screening |
26,155 |
24,503 |
$15.42 |
| 99385 |
|
41 |
28 |
$0.00 |
| 3079F |
|
7,449 |
7,213 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
2,885 |
1,613 |
$0.00 |
| 3044F |
|
332 |
329 |
$0.00 |
| 3075F |
|
3,511 |
3,450 |
$0.00 |
| G8433 |
Scr for dep not cpt doc rsn |
740 |
717 |
$0.00 |
| 80053 |
|
70 |
68 |
$0.00 |
| 3074F |
|
18,629 |
17,745 |
$0.00 |
| 3080F |
|
1,189 |
1,120 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
63 |
63 |
$0.00 |
| G9012 |
Other specified case mgmt |
582 |
402 |
$0.00 |
| 87428 |
|
33 |
33 |
$0.00 |
| 36415 |
|
93 |
89 |
$0.00 |
| 94761 |
|
14 |
14 |
$0.00 |
| J3490 |
Drugs unclassified injection |
69 |
46 |
$0.00 |
| 99234 |
|
298 |
254 |
$0.00 |
| 85027 |
|
34 |
34 |
$0.00 |
| 99443 |
|
72 |
55 |
$0.00 |
| 86803 |
|
16 |
16 |
$0.00 |
| 84443 |
|
18 |
18 |
$0.00 |
| 3008F |
|
34 |
33 |
$0.00 |
| 85025 |
|
17 |
16 |
$0.00 |
| 80048 |
|
17 |
16 |
$0.00 |
| 96160 |
|
1,137 |
1,132 |
$0.00 |
| 3078F |
|
17,245 |
16,502 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
533 |
516 |
$0.00 |
| 3077F |
|
3,066 |
2,900 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
814 |
792 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |
| 90611 |
|
126 |
126 |
$0.00 |
| 87798 |
|
46 |
44 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |
| 99395 |
|
245 |
163 |
$0.00 |
| 99442 |
|
24 |
24 |
$0.00 |
| 80061 |
|
46 |
46 |
$0.00 |
| 3051F |
|
58 |
56 |
$0.00 |
| 90837 |
|
64 |
28 |
$0.00 |
| 3046F |
|
75 |
75 |
$0.00 |
| 11720 |
|
12 |
12 |
$0.00 |