| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
132,671 |
93,329 |
$9.61M |
| G0470 |
Fqhc visit, mh estab pt |
30,056 |
21,076 |
$2.05M |
| D7140 |
|
19,851 |
10,172 |
$1.67M |
| D0140 |
|
19,279 |
18,673 |
$1.52M |
| D2392 |
|
9,067 |
7,033 |
$1.16M |
| D0150 |
|
10,521 |
10,464 |
$742K |
| D2391 |
|
6,247 |
4,576 |
$647K |
| D1110 |
|
8,972 |
8,906 |
$617K |
| G0466 |
Fqhc visit new patient |
6,658 |
6,514 |
$560K |
| D7210 |
|
4,240 |
3,241 |
$549K |
| D0120 |
|
9,461 |
9,402 |
$534K |
| D2393 |
|
3,281 |
2,929 |
$466K |
| D1120 |
|
9,161 |
9,127 |
$369K |
| G0469 |
Fqhc visit, mh new pt |
4,186 |
4,112 |
$304K |
| D4355 |
|
2,364 |
2,327 |
$280K |
| 99214 |
|
47,498 |
41,001 |
$277K |
| D1206 |
|
10,792 |
10,750 |
$273K |
| D0210 |
|
6,881 |
6,767 |
$251K |
| 99213 |
|
43,751 |
39,117 |
$214K |
| D1351 |
|
7,548 |
1,836 |
$213K |
| D0220 |
|
17,216 |
16,777 |
$207K |
| D0274 |
|
8,637 |
8,582 |
$203K |
| D2331 |
|
1,615 |
1,277 |
$173K |
| D2335 |
|
876 |
724 |
$116K |
| J1050 |
Medroxyprogesterone acetate |
1,348 |
1,340 |
$105K |
| D2330 |
|
1,116 |
842 |
$104K |
| D0330 |
|
2,478 |
2,465 |
$85K |
| D2332 |
|
734 |
597 |
$82K |
| D0191 |
|
3,780 |
3,747 |
$77K |
| D0230 |
|
9,607 |
5,560 |
$72K |
| 97110 |
|
17,613 |
4,767 |
$61K |
| H0031 |
Mh health assess by non-md |
5,849 |
5,707 |
$51K |
| D0272 |
|
2,385 |
2,373 |
$50K |
| 90837 |
|
6,192 |
3,496 |
$41K |
| 90651 |
|
2,075 |
2,063 |
$40K |
| D2394 |
|
242 |
226 |
$38K |
| 97140 |
|
10,036 |
3,348 |
$38K |
| 99392 |
|
3,553 |
3,533 |
$34K |
| 99393 |
|
3,793 |
3,779 |
$32K |
| D0270 |
|
2,591 |
2,549 |
$30K |
| H0004 |
Alcohol and/or drug services |
13,928 |
12,262 |
$27K |
| 99394 |
|
2,867 |
2,849 |
$25K |
| 99391 |
|
2,846 |
2,810 |
$23K |
| 90834 |
|
3,515 |
2,611 |
$20K |
| D5110 |
|
40 |
40 |
$20K |
| D7230 |
|
79 |
54 |
$17K |
| D2930 |
|
89 |
80 |
$17K |
| 90460 |
|
4,116 |
4,103 |
$16K |
| 99395 |
|
1,540 |
1,520 |
$12K |
| D0145 |
|
396 |
395 |
$11K |
| 97161 |
|
1,452 |
1,440 |
$11K |
| 99215 |
Prolong outpt/office vis |
1,254 |
1,228 |
$11K |
| D4346 |
|
127 |
127 |
$10K |
| 97112 |
|
2,790 |
1,424 |
$10K |
| 99204 |
|
1,466 |
1,436 |
$10K |
| 90471 |
|
8,736 |
8,647 |
$10K |
| 90472 |
|
4,122 |
4,083 |
$9K |
| D5120 |
|
12 |
12 |
$9K |
| D3320 |
|
26 |
25 |
$8K |
| 90832 |
|
2,043 |
1,564 |
$8K |
| 90791 |
|
927 |
908 |
$8K |
| 90480 |
|
250 |
250 |
$7K |
| 99212 |
|
2,399 |
2,353 |
$7K |
| 90792 |
|
592 |
589 |
$6K |
| 87636 |
|
291 |
289 |
$6K |
| 97530 |
|
1,902 |
1,225 |
$6K |
| 96372 |
|
3,796 |
3,572 |
$6K |
| 90670 |
|
2,484 |
2,477 |
$5K |
| 99203 |
|
1,096 |
1,078 |
$4K |
| 90686 |
|
4,764 |
4,738 |
$4K |
| 99396 |
|
489 |
477 |
$4K |
| 91320 |
|
182 |
182 |
$4K |
| 90677 |
|
501 |
501 |
$3K |
| D2950 |
|
19 |
17 |
$3K |
| 81025 |
|
3,199 |
3,130 |
$3K |
| D3220 |
|
24 |
24 |
$3K |
| 87880 |
|
1,397 |
1,373 |
$3K |
| D4341 |
|
17 |
12 |
$2K |
| 99442 |
|
284 |
265 |
$2K |
| 83036 |
|
2,531 |
2,496 |
$2K |
| 97014 |
|
1,394 |
594 |
$2K |
| Q0091 |
Obtaining screen pap smear |
967 |
954 |
$2K |
| 90715 |
|
1,436 |
1,429 |
$2K |
| 97035 |
|
1,588 |
689 |
$2K |
| 81002 |
|
4,258 |
4,119 |
$2K |
| 99406 |
|
13,249 |
11,156 |
$2K |
| D9930 |
|
12 |
12 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
808 |
740 |
$1K |
| 97032 |
|
663 |
381 |
$1K |
| 90656 |
|
272 |
272 |
$1K |
| 99385 |
|
155 |
154 |
$1K |
| 90716 |
|
1,684 |
1,677 |
$919.40 |
| 82962 |
|
2,863 |
2,714 |
$910.55 |
| 83655 |
|
283 |
283 |
$819.11 |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,325 |
1,048 |
$771.31 |
| 99381 |
|
148 |
148 |
$767.47 |
| 97162 |
|
44 |
44 |
$424.95 |
| 90620 |
|
199 |
199 |
$420.00 |
| 99386 |
|
51 |
51 |
$333.74 |
| 90474 |
|
672 |
644 |
$268.14 |
| 97168 |
|
25 |
25 |
$265.82 |
| 85018 |
|
1,224 |
1,220 |
$263.44 |
| 90707 |
|
1,630 |
1,621 |
$231.45 |
| D0190 |
|
14 |
14 |
$228.00 |
| J0696 |
Ceftriaxone sodium injection |
228 |
222 |
$221.88 |
| 97124 |
|
44 |
27 |
$202.08 |
| 99383 |
|
48 |
48 |
$202.00 |
| 90833 |
|
20 |
15 |
$160.08 |
| 99443 |
|
40 |
29 |
$130.74 |
| D1354 |
|
14 |
12 |
$124.00 |
| 99402 |
|
24 |
24 |
$104.23 |
| 99384 |
|
48 |
48 |
$101.00 |
| 96127 |
|
275 |
275 |
$88.34 |
| 99441 |
|
88 |
83 |
$68.12 |
| 94640 |
|
39 |
37 |
$63.00 |
| 99201 |
|
38 |
38 |
$47.27 |
| 99202 |
|
90 |
90 |
$36.03 |
| 96160 |
|
224 |
198 |
$34.88 |
| 90647 |
|
2,128 |
2,126 |
$0.00 |
| 90680 |
|
27 |
27 |
$0.00 |
| 90723 |
|
1,575 |
1,573 |
$0.00 |
| S0281 |
Medical home, maintenance |
388 |
329 |
$0.00 |
| D0601 |
|
39 |
36 |
$0.00 |
| D0603 |
|
312 |
308 |
$0.00 |
| 90619 |
|
716 |
715 |
$0.00 |
| 90696 |
|
354 |
352 |
$0.00 |
| 3074F |
|
4,943 |
4,532 |
$0.00 |
| 3075F |
|
744 |
711 |
$0.00 |
| 3079F |
|
1,415 |
1,350 |
$0.00 |
| 90732 |
|
34 |
34 |
$0.00 |
| 3080F |
|
431 |
410 |
$0.00 |
| D1310 |
|
332 |
325 |
$0.00 |
| 90697 |
|
43 |
43 |
$0.00 |
| G0008 |
Admin influenza virus vac |
55 |
55 |
$0.00 |
| 3044F |
|
161 |
159 |
$0.00 |
| D0602 |
|
217 |
216 |
$0.00 |
| D1330 |
|
753 |
738 |
$0.00 |
| 99051 |
|
11,809 |
11,339 |
$0.00 |
| 90461 |
|
2,200 |
2,196 |
$0.00 |
| 90633 |
|
1,712 |
1,709 |
$0.00 |
| 90713 |
|
430 |
428 |
$0.00 |
| 90700 |
|
1,288 |
1,282 |
$0.00 |
| 90734 |
|
946 |
941 |
$0.00 |
| 90681 |
|
915 |
914 |
$0.00 |
| D9230 |
|
1,248 |
1,202 |
$0.00 |
| 3078F |
|
4,397 |
4,074 |
$0.00 |
| 3077F |
|
538 |
507 |
$0.00 |
| 90685 |
|
286 |
285 |
$0.00 |
| 90710 |
|
61 |
61 |
$0.00 |
| 99173 |
|
16 |
15 |
$0.00 |
| 3046F |
|
18 |
18 |
$0.00 |
| 99382 |
|
13 |
13 |
$0.00 |
| 90746 |
|
13 |
13 |
$0.00 |