| Code | Description | Claims | Beneficiaries | Total Paid |
| G0467 |
Fqhc visit, estab pt |
162,863 |
137,856 |
$10.64M |
| G0466 |
Fqhc visit new patient |
14,584 |
14,103 |
$999K |
| G0470 |
Fqhc visit, mh estab pt |
13,782 |
9,385 |
$888K |
| D0120 |
|
4,784 |
4,769 |
$633K |
| D7140 |
|
5,486 |
3,083 |
$631K |
| D1110 |
|
4,509 |
4,501 |
$616K |
| D0150 |
|
3,879 |
3,858 |
$524K |
| D0140 |
|
2,776 |
2,733 |
$394K |
| D2392 |
|
2,655 |
1,914 |
$343K |
| D4355 |
|
1,431 |
1,426 |
$217K |
| D2391 |
|
1,844 |
1,353 |
$211K |
| G0468 |
Fqhc visit, ippe or awv |
2,816 |
2,801 |
$203K |
| 99213 |
|
76,456 |
67,294 |
$187K |
| 99214 |
|
37,088 |
34,377 |
$140K |
| D2393 |
|
436 |
382 |
$67K |
| 90460 |
|
18,178 |
11,740 |
$55K |
| 90651 |
|
3,207 |
3,143 |
$46K |
| 99393 |
|
7,844 |
7,283 |
$39K |
| 90832 |
|
15,115 |
9,920 |
$39K |
| 99392 |
|
6,337 |
6,002 |
$36K |
| D0210 |
|
3,462 |
3,440 |
$35K |
| 83036 |
|
9,837 |
9,238 |
$32K |
| 84443 |
|
4,551 |
4,381 |
$31K |
| 99394 |
|
6,023 |
5,632 |
$29K |
| 99396 |
|
5,345 |
5,166 |
$28K |
| 99395 |
|
6,113 |
5,889 |
$25K |
| 99212 |
|
13,847 |
13,029 |
$22K |
| 80053 |
|
4,730 |
4,496 |
$21K |
| 99204 |
|
3,487 |
3,311 |
$20K |
| 99215 |
Prolong outpt/office vis |
5,973 |
5,748 |
$19K |
| 85025 |
|
5,612 |
5,359 |
$18K |
| 99391 |
|
3,527 |
3,329 |
$18K |
| 81025 |
|
9,560 |
9,084 |
$16K |
| D0274 |
|
2,836 |
2,830 |
$15K |
| 99385 |
|
2,194 |
2,127 |
$15K |
| D2330 |
|
150 |
117 |
$15K |
| 99203 |
|
3,200 |
3,102 |
$14K |
| 90471 |
|
8,155 |
7,965 |
$14K |
| 88175 |
|
1,212 |
1,165 |
$12K |
| 90686 |
|
4,105 |
4,015 |
$12K |
| 59426 |
|
12 |
12 |
$11K |
| 99386 |
|
1,379 |
1,277 |
$10K |
| 90472 |
|
3,791 |
3,729 |
$9K |
| 80061 |
|
5,623 |
5,331 |
$9K |
| D1120 |
|
207 |
207 |
$9K |
| 99232 |
|
659 |
196 |
$8K |
| D0220 |
|
3,250 |
3,228 |
$8K |
| D2331 |
|
70 |
52 |
$8K |
| 92551 |
|
8,812 |
8,617 |
$7K |
| 99381 |
|
1,019 |
981 |
$7K |
| 81003 |
|
9,901 |
9,431 |
$6K |
| 82043 |
|
2,080 |
1,948 |
$6K |
| 86580 |
|
2,585 |
2,487 |
$5K |
| 80305 |
|
1,960 |
1,349 |
$5K |
| 99382 |
|
684 |
676 |
$5K |
| 93000 |
|
1,657 |
1,571 |
$5K |
| 99000 |
|
982 |
694 |
$5K |
| 96372 |
|
3,142 |
3,031 |
$5K |
| 87880 |
|
901 |
878 |
$4K |
| 90670 |
|
4,270 |
4,160 |
$4K |
| D1206 |
|
166 |
166 |
$4K |
| 80048 |
|
1,212 |
1,182 |
$4K |
| 90715 |
|
2,515 |
2,473 |
$4K |
| 36415 |
|
4,665 |
4,461 |
$4K |
| 85018 |
|
3,739 |
3,659 |
$4K |
| 99383 |
|
999 |
988 |
$4K |
| 81001 |
|
3,900 |
3,806 |
$3K |
| 99384 |
|
659 |
646 |
$3K |
| D0230 |
|
1,456 |
1,133 |
$3K |
| 99406 |
|
1,037 |
967 |
$3K |
| 92250 |
|
259 |
249 |
$3K |
| D2335 |
|
17 |
13 |
$2K |
| D7210 |
|
13 |
13 |
$2K |
| 82948 |
|
7,915 |
7,366 |
$2K |
| 99238 |
|
360 |
168 |
$2K |
| 59425 |
|
18 |
12 |
$2K |
| 90792 |
|
196 |
194 |
$2K |
| 99222 |
|
136 |
65 |
$2K |
| 90632 |
|
63 |
61 |
$2K |
| 90621 |
|
396 |
392 |
$2K |
| 99202 |
|
413 |
403 |
$2K |
| 94640 |
|
314 |
307 |
$2K |
| 90734 |
|
2,496 |
2,448 |
$2K |
| G0008 |
Admin influenza virus vac |
523 |
499 |
$1K |
| 77067 |
|
248 |
241 |
$1K |
| D0330 |
|
222 |
222 |
$1K |
| 87400 |
|
515 |
494 |
$1K |
| 90707 |
|
1,034 |
1,009 |
$978.97 |
| 90677 |
|
344 |
341 |
$833.51 |
| 90834 |
|
154 |
146 |
$639.05 |
| 90716 |
|
1,046 |
1,018 |
$584.98 |
| H0031 |
Mh health assess by non-md |
71 |
71 |
$547.26 |
| 99205 |
Prolong outpt/office vis |
235 |
235 |
$500.01 |
| 99404 |
|
13 |
12 |
$458.99 |
| 94010 |
|
134 |
130 |
$396.20 |
| J1050 |
Medroxyprogesterone acetate |
1,230 |
1,186 |
$373.06 |
| H0001 |
Alcohol and/or drug assess |
27 |
27 |
$368.88 |
| G0009 |
Admin pneumococcal vaccine |
101 |
99 |
$357.00 |
| 90656 |
|
148 |
148 |
$355.02 |
| 85610 |
|
264 |
216 |
$350.76 |
| 87086 |
|
305 |
289 |
$331.35 |
| 90474 |
|
320 |
318 |
$327.15 |
| 90732 |
|
14 |
14 |
$320.00 |
| 97802 |
|
2,870 |
2,724 |
$255.00 |
| 90662 |
|
18 |
16 |
$225.00 |
| 90619 |
|
465 |
461 |
$150.00 |
| 90682 |
|
13 |
13 |
$145.99 |
| H0004 |
Alcohol and/or drug services |
228 |
148 |
$130.61 |
| J0696 |
Ceftriaxone sodium injection |
244 |
225 |
$116.25 |
| 86592 |
|
198 |
196 |
$106.63 |
| J0171 |
Adrenalin epinephrine inject |
202 |
180 |
$75.46 |
| 90696 |
|
1,574 |
1,550 |
$74.26 |
| 90658 |
|
33 |
32 |
$53.16 |
| 90744 |
|
1,100 |
1,075 |
$52.28 |
| J1815 |
Insulin injection |
89 |
83 |
$48.81 |
| 85027 |
|
13 |
13 |
$41.58 |
| 96127 |
|
290 |
289 |
$35.31 |
| J3420 |
Vitamin b12 injection |
15 |
12 |
$27.01 |
| 99211 |
|
47 |
45 |
$14.91 |
| 90648 |
|
1,866 |
1,833 |
$12.90 |
| 90749 |
|
24 |
24 |
$0.01 |
| 90723 |
|
1,614 |
1,582 |
$0.00 |
| H0038 |
Self-help/peer svc per 15min |
464 |
274 |
$0.00 |
| 90698 |
|
1,967 |
1,928 |
$0.00 |
| 90680 |
|
248 |
244 |
$0.00 |
| 59430 |
|
14 |
13 |
$0.00 |
| 90620 |
|
100 |
98 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
2,277 |
2,158 |
$0.00 |
| D0603 |
|
364 |
364 |
$0.00 |
| G0439 |
Ppps, subseq visit |
23 |
23 |
$0.00 |
| 86317 |
|
241 |
216 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
17 |
16 |
$0.00 |
| D0602 |
|
105 |
105 |
$0.00 |
| 90647 |
|
300 |
281 |
$0.00 |
| 36410 |
|
224 |
224 |
$0.00 |
| 81528 |
|
53 |
38 |
$0.00 |
| 1036F |
|
15 |
14 |
$0.00 |
| S0281 |
Medical home, maintenance |
94 |
93 |
$0.00 |
| D0601 |
|
108 |
108 |
$0.00 |
| G8754 |
Dias bp less 90 |
163 |
157 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
12 |
12 |
$0.00 |
| 76801 |
|
14 |
13 |
$0.00 |
| 87591 |
|
26 |
26 |
$0.00 |
| 90633 |
|
2,877 |
2,805 |
$0.00 |
| 90710 |
|
2,051 |
2,016 |
$0.00 |
| 86480 |
|
13 |
13 |
$0.00 |
| G0444 |
Depression screen annual |
4,588 |
4,390 |
$0.00 |
| 59409 |
|
29 |
26 |
$0.00 |
| G8421 |
Bmi not calculated |
232 |
214 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
12 |
12 |
$0.00 |
| 90700 |
|
1,364 |
1,335 |
$0.00 |
| 99401 |
|
15 |
15 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
170 |
167 |
$0.00 |
| 90461 |
|
6,657 |
5,727 |
$0.00 |
| 90713 |
|
147 |
141 |
$0.00 |
| 99051 |
|
65 |
63 |
$0.00 |
| 90681 |
|
729 |
710 |
$0.00 |
| 90750 |
|
13 |
13 |
$0.00 |
| 99173 |
|
2,822 |
2,727 |
$0.00 |
| G8752 |
Sys bp less 140 |
131 |
127 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
198 |
194 |
$0.00 |
| 90685 |
|
181 |
174 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
30 |
29 |
$0.00 |
| 99420 |
|
35 |
19 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
88 |
78 |
$0.00 |
| 90791 |
|
32 |
29 |
$0.00 |
| G8785 |
Bp scrn no perf at interval |
15 |
15 |
$0.00 |
| G0438 |
Ppps, initial visit |
22 |
21 |
$0.00 |