| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
103,591 |
76,346 |
$9.95M |
| H2020 |
Ther behav svc, per diem |
12,734 |
7,135 |
$976K |
| 98960 |
|
47 |
17 |
$1K |
| 99213 |
|
70,457 |
54,451 |
$288.64 |
| 99214 |
|
13,929 |
10,667 |
$177.74 |
| 3044F |
|
1,025 |
875 |
$60.00 |
| J0696 |
Ceftriaxone sodium injection |
744 |
596 |
$1.92 |
| 3008F |
|
4,595 |
3,689 |
$0.00 |
| 96372 |
|
12,079 |
9,000 |
$0.00 |
| G8754 |
Dias bp less 90 |
1,251 |
961 |
$0.00 |
| 1030F |
|
1,684 |
1,382 |
$0.00 |
| 96110 |
|
508 |
457 |
$0.00 |
| 81001 |
|
2,309 |
1,724 |
$0.00 |
| 3074F |
|
6,040 |
4,800 |
$0.00 |
| 3017F |
|
646 |
546 |
$0.00 |
| 99308 |
|
3,190 |
2,234 |
$0.00 |
| 3079F |
|
3,833 |
3,131 |
$0.00 |
| 90619 |
|
540 |
431 |
$0.00 |
| 85025 |
|
8,981 |
6,996 |
$0.00 |
| 92551 |
|
2,613 |
2,187 |
$0.00 |
| 3080F |
|
1,121 |
904 |
$0.00 |
| 90651 |
|
1,301 |
1,092 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
16 |
15 |
$0.00 |
| 0545F |
|
2,127 |
980 |
$0.00 |
| 99309 |
|
1,359 |
1,219 |
$0.00 |
| 90680 |
|
858 |
699 |
$0.00 |
| 90697 |
|
631 |
507 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,157 |
558 |
$0.00 |
| 90834 |
|
4,130 |
2,001 |
$0.00 |
| G9717 |
Doc pt dx bipol |
2,836 |
1,303 |
$0.00 |
| 3075F |
|
1,570 |
1,318 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
950 |
744 |
$0.00 |
| 90723 |
|
505 |
442 |
$0.00 |
| 2010F |
|
146 |
105 |
$0.00 |
| 87807 |
|
55 |
51 |
$0.00 |
| 1125F |
|
350 |
281 |
$0.00 |
| 90620 |
|
447 |
387 |
$0.00 |
| 1126F |
|
812 |
648 |
$0.00 |
| 3014F |
|
297 |
251 |
$0.00 |
| 90733 |
|
364 |
292 |
$0.00 |
| 90471 |
|
1,433 |
1,132 |
$0.00 |
| 90792 |
|
606 |
421 |
$0.00 |
| 2001F |
|
97 |
67 |
$0.00 |
| 85018 |
|
180 |
163 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
362 |
314 |
$0.00 |
| 90696 |
|
73 |
51 |
$0.00 |
| 90686 |
|
633 |
563 |
$0.00 |
| 90677 |
|
304 |
265 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
238 |
205 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
63 |
59 |
$0.00 |
| 90657 |
|
76 |
50 |
$0.00 |
| 99381 |
|
59 |
32 |
$0.00 |
| 99217 |
|
14 |
13 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90656 |
|
60 |
51 |
$0.00 |
| 4016F |
|
16 |
14 |
$0.00 |
| 90688 |
|
18 |
13 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
16 |
12 |
$0.00 |
| 1036F |
|
41 |
31 |
$0.00 |
| 3078F |
|
4,448 |
3,553 |
$0.00 |
| 1159F |
|
1,932 |
1,541 |
$0.00 |
| 3077F |
|
1,792 |
1,408 |
$0.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
4,771 |
4,143 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
972 |
784 |
$0.00 |
| 90670 |
|
1,346 |
1,104 |
$0.00 |
| 90648 |
|
760 |
629 |
$0.00 |
| 99391 |
|
1,959 |
1,537 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
1,732 |
1,418 |
$0.00 |
| 81025 |
|
1,307 |
996 |
$0.00 |
| 90791 |
|
1,007 |
583 |
$0.00 |
| 1160F |
|
1,934 |
1,543 |
$0.00 |
| G8752 |
Sys bp less 140 |
774 |
603 |
$0.00 |
| 93010 |
|
708 |
579 |
$0.00 |
| 99396 |
|
910 |
791 |
$0.00 |
| 99392 |
|
2,630 |
2,305 |
$0.00 |
| 3725F |
|
2,676 |
2,208 |
$0.00 |
| 99395 |
|
409 |
326 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
3,525 |
2,788 |
$0.00 |
| 3288F |
|
1,632 |
1,281 |
$0.00 |
| 3089F |
|
954 |
476 |
$0.00 |
| 83655 |
|
125 |
121 |
$0.00 |
| 90633 |
|
876 |
754 |
$0.00 |
| 87880 |
|
1,952 |
1,487 |
$0.00 |
| G8404 |
Low extemity neur exam docum |
740 |
560 |
$0.00 |
| 99394 |
|
2,473 |
2,201 |
$0.00 |
| 90461 |
|
517 |
377 |
$0.00 |
| 90460 |
|
1,059 |
799 |
$0.00 |
| 11721 |
|
434 |
345 |
$0.00 |
| 99212 |
|
2,398 |
1,854 |
$0.00 |
| 4004F |
|
454 |
365 |
$0.00 |
| 99393 |
|
2,891 |
2,478 |
$0.00 |
| 87804 |
|
3,177 |
1,564 |
$0.00 |
| 90832 |
|
1,775 |
968 |
$0.00 |
| 99173 |
|
2,754 |
2,335 |
$0.00 |
| 82948 |
|
921 |
680 |
$0.00 |
| 90715 |
|
156 |
123 |
$0.00 |
| 80306 |
|
67 |
51 |
$0.00 |
| 90658 |
|
423 |
294 |
$0.00 |
| G0444 |
Depression screen annual |
209 |
187 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
186 |
149 |
$0.00 |
| 90472 |
|
654 |
493 |
$0.00 |
| 85014 |
|
180 |
163 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| G8482 |
Flu immunize order/admin |
277 |
257 |
$0.00 |
| 90756 |
|
351 |
309 |
$0.00 |
| 4120F |
|
27 |
24 |
$0.00 |
| 11720 |
|
49 |
39 |
$0.00 |
| J0558 |
Peng benzathine/procaine inj |
38 |
25 |
$0.00 |
| 90710 |
|
73 |
51 |
$0.00 |
| 99211 |
|
177 |
160 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
44 |
31 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
18 |
15 |
$0.00 |
| 99203 |
|
88 |
65 |
$0.00 |
| 90473 |
|
17 |
12 |
$0.00 |
| 4133F |
|
16 |
15 |
$0.00 |
| 99188 |
|
33 |
31 |
$0.00 |
| G8484 |
Flu immunize no admin |
222 |
194 |
$0.00 |
| G0127 |
Trim nail(s) |
14 |
12 |
$0.00 |
| 90707 |
|
37 |
37 |
$0.00 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
54 |
41 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
33 |
24 |
$0.00 |
| 81003 |
|
22 |
14 |
$0.00 |