| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
375,240 |
303,674 |
$81.91M |
| 99213 |
|
179,283 |
143,242 |
$99K |
| 59409 |
|
73 |
64 |
$52K |
| 59514 |
|
58 |
52 |
$50K |
| 99214 |
|
80,918 |
68,734 |
$47K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
4,617 |
4,542 |
$41K |
| 99219 |
|
275 |
193 |
$14K |
| 90471 |
|
59,854 |
52,630 |
$11K |
| 99243 |
|
1,276 |
894 |
$11K |
| 99391 |
|
8,917 |
7,674 |
$11K |
| G0467 |
Fqhc visit, estab pt |
22,558 |
17,222 |
$8K |
| 99393 |
|
10,257 |
9,172 |
$8K |
| 99392 |
|
9,739 |
8,477 |
$7K |
| J7307 |
Etonogestrel implant system |
399 |
327 |
$7K |
| 99203 |
|
4,926 |
4,054 |
$6K |
| 99394 |
|
7,562 |
6,526 |
$6K |
| 0012A |
|
2,258 |
2,181 |
$6K |
| 92551 |
|
15,129 |
12,745 |
$5K |
| 90472 |
|
25,627 |
22,522 |
$5K |
| 99395 |
|
5,146 |
4,670 |
$4K |
| 0011A |
|
2,411 |
2,264 |
$4K |
| 90715 |
|
6,840 |
5,593 |
$3K |
| T1016 |
Case management |
162 |
158 |
$3K |
| 99381 |
|
1,465 |
1,232 |
$3K |
| 90670 |
|
7,226 |
5,961 |
$2K |
| 99396 |
|
3,844 |
3,484 |
$2K |
| 99212 |
|
15,092 |
13,181 |
$2K |
| 99490 |
Ccm add 20min |
316 |
315 |
$2K |
| 83037 |
|
26,820 |
23,792 |
$2K |
| 90714 |
|
3,968 |
3,111 |
$2K |
| 96372 |
|
5,924 |
5,099 |
$1K |
| 0064A |
|
2,290 |
2,205 |
$1K |
| 99202 |
|
1,377 |
1,043 |
$1K |
| 99001 |
|
1,390 |
1,271 |
$1K |
| 90474 |
|
5,409 |
4,641 |
$1K |
| 0071A |
|
458 |
452 |
$913.00 |
| 81002 |
|
21,818 |
16,497 |
$791.96 |
| 83655 |
|
6,408 |
5,458 |
$753.86 |
| 11981 |
|
136 |
106 |
$750.30 |
| 0072A |
|
382 |
379 |
$664.00 |
| Q0091 |
Obtaining screen pap smear |
4,021 |
3,686 |
$541.67 |
| 85018 |
|
19,399 |
16,246 |
$506.55 |
| 99173 |
|
15,026 |
12,755 |
$474.60 |
| 99204 |
|
1,260 |
1,180 |
$441.76 |
| 96110 |
|
4,009 |
3,426 |
$427.21 |
| 90688 |
|
13,437 |
11,807 |
$397.33 |
| 3074F |
|
18,077 |
16,567 |
$283.74 |
| 87635 |
|
1,023 |
953 |
$272.68 |
| 99385 |
|
573 |
530 |
$194.12 |
| 0112A |
|
46 |
46 |
$166.00 |
| 99215 |
Prolong outpt/office vis |
2,228 |
2,108 |
$143.16 |
| 87637 |
|
3,733 |
3,423 |
$142.63 |
| 90621 |
|
938 |
720 |
$112.04 |
| 87880 |
|
854 |
739 |
$99.88 |
| 0134A |
|
1,747 |
1,637 |
$83.00 |
| 0054A |
|
87 |
82 |
$83.00 |
| 94640 |
|
128 |
85 |
$65.62 |
| 90662 |
|
792 |
675 |
$65.49 |
| 90686 |
|
11,610 |
9,876 |
$63.65 |
| 99000 |
|
31 |
14 |
$51.30 |
| 93320 |
|
12 |
12 |
$47.49 |
| G0008 |
Admin influenza virus vac |
3,033 |
2,510 |
$45.33 |
| 96127 |
|
4,237 |
4,016 |
$24.29 |
| 93325 |
|
12 |
12 |
$22.32 |
| J1885 |
Ketorolac tromethamine inj |
766 |
653 |
$13.16 |
| 82947 |
|
102 |
68 |
$11.60 |
| 90734 |
|
2,444 |
2,010 |
$9.98 |
| 99211 |
|
225 |
211 |
$7.74 |
| J0696 |
Ceftriaxone sodium injection |
148 |
118 |
$5.71 |
| J1100 |
Dexamethasone sodium phos |
98 |
73 |
$0.96 |
| J1050 |
Medroxyprogesterone acetate |
488 |
453 |
$0.49 |
| 90697 |
|
930 |
874 |
$0.29 |
| 90680 |
|
3,343 |
2,644 |
$0.29 |
| G8754 |
Dias bp less 90 |
866 |
807 |
$0.08 |
| G0468 |
Fqhc visit, ippe or awv |
167 |
152 |
$0.04 |
| 1159F |
|
81,295 |
69,598 |
$0.03 |
| 1036F |
|
53,775 |
45,308 |
$0.02 |
| 1220F |
|
31,327 |
29,383 |
$0.01 |
| G8753 |
Sys bp > or = 140 |
124 |
111 |
$0.01 |
| 1125F |
|
13,909 |
12,573 |
$0.00 |
| 90723 |
|
4,318 |
3,533 |
$0.00 |
| 3044F |
|
5,361 |
4,923 |
$0.00 |
| D1206 |
|
4,630 |
4,489 |
$0.00 |
| 2001F |
|
17,589 |
15,910 |
$0.00 |
| 91307 |
|
292 |
270 |
$0.00 |
| 92558 |
|
3,545 |
3,375 |
$0.00 |
| 3080F |
|
1,044 |
975 |
$0.00 |
| 1126F |
|
29,850 |
26,914 |
$0.00 |
| 3008F |
|
17,612 |
15,930 |
$0.00 |
| 90647 |
|
4,134 |
3,398 |
$0.00 |
| 90716 |
|
725 |
591 |
$0.00 |
| 3079F |
|
7,668 |
7,181 |
$0.00 |
| 90651 |
|
4,056 |
3,540 |
$0.00 |
| 3075F |
|
4,630 |
4,409 |
$0.00 |
| 91301 |
|
3,549 |
3,436 |
$0.00 |
| D0272 |
|
1,347 |
1,307 |
$0.00 |
| D1351 |
|
1,430 |
466 |
$0.00 |
| D0120 |
|
3,229 |
3,071 |
$0.00 |
| D0140 |
|
1,867 |
1,708 |
$0.00 |
| 1111F |
|
401 |
368 |
$0.00 |
| 3052F |
|
241 |
233 |
$0.00 |
| 1101F |
|
163 |
139 |
$0.00 |
| 99383 |
|
85 |
73 |
$0.00 |
| D0150 |
|
683 |
674 |
$0.00 |
| 90696 |
|
474 |
381 |
$0.00 |
| 90834 |
|
207 |
188 |
$0.00 |
| 90480 |
|
1,483 |
1,465 |
$0.00 |
| D0230 |
|
2,923 |
2,425 |
$0.00 |
| D0603 |
|
2,671 |
2,595 |
$0.00 |
| 90732 |
|
55 |
40 |
$0.00 |
| 93306 |
|
193 |
191 |
$0.00 |
| D0210 |
|
108 |
108 |
$0.00 |
| 96156 |
|
260 |
235 |
$0.00 |
| D1208 |
|
458 |
356 |
$0.00 |
| D0601 |
|
106 |
95 |
$0.00 |
| 90620 |
|
284 |
277 |
$0.00 |
| 0074A |
|
94 |
90 |
$0.00 |
| D2392 |
|
337 |
235 |
$0.00 |
| 90656 |
|
780 |
775 |
$0.00 |
| D0240 |
|
31 |
31 |
$0.00 |
| H0004 |
Alcohol and/or drug services |
372 |
304 |
$0.00 |
| 20610 |
|
13 |
13 |
$0.00 |
| 91306 |
|
384 |
380 |
$0.00 |
| 87428 |
|
47 |
46 |
$0.00 |
| 90677 |
|
140 |
132 |
$0.00 |
| 0111A |
|
114 |
100 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
29 |
24 |
$0.00 |
| 0154A |
|
13 |
13 |
$0.00 |
| 90792 |
|
150 |
150 |
$0.00 |
| 99384 |
|
14 |
13 |
$0.00 |
| 87426 |
|
66 |
61 |
$0.00 |
| 93000 |
|
65 |
65 |
$0.00 |
| 99386 |
|
27 |
27 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
35 |
17 |
$0.00 |
| 96161 |
|
28 |
28 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
30 |
25 |
$0.00 |
| 86580 |
|
38 |
36 |
$0.00 |
| 58300 |
|
12 |
12 |
$0.00 |
| 0001A |
|
24 |
23 |
$0.00 |
| 3046F |
|
2,601 |
2,376 |
$0.00 |
| 90710 |
|
569 |
451 |
$0.00 |
| 3077F |
|
5,123 |
4,753 |
$0.00 |
| 90681 |
|
476 |
468 |
$0.00 |
| D0220 |
|
4,501 |
4,264 |
$0.00 |
| 3078F |
|
21,978 |
20,029 |
$0.00 |
| H0031 |
Mh health assess by non-md |
407 |
398 |
$0.00 |
| 1158F |
|
4,035 |
3,857 |
$0.00 |
| 90832 |
|
537 |
497 |
$0.00 |
| 99177 |
|
6,840 |
6,493 |
$0.00 |
| D1120 |
|
3,634 |
3,464 |
$0.00 |
| 91312 |
|
77 |
69 |
$0.00 |
| 90633 |
|
3,166 |
2,676 |
$0.00 |
| D1110 |
|
722 |
701 |
$0.00 |
| D9993 |
|
779 |
703 |
$0.00 |
| 90671 |
|
525 |
523 |
$0.00 |
| D0270 |
|
860 |
809 |
$0.00 |
| 1003F |
|
7,334 |
6,697 |
$0.00 |
| D0190 |
|
894 |
816 |
$0.00 |
| D1354 |
|
1,985 |
586 |
$0.00 |
| 90837 |
|
60 |
50 |
$0.00 |
| 3045F |
|
1,662 |
1,492 |
$0.00 |
| 96159 |
|
1,469 |
1,341 |
$0.00 |
| 96158 |
|
4,184 |
3,604 |
$0.00 |
| D0145 |
|
91 |
91 |
$0.00 |
| 91322 |
|
1,294 |
1,266 |
$0.00 |
| D0274 |
|
1,046 |
1,016 |
$0.00 |
| 3051F |
|
781 |
747 |
$0.00 |
| D1999 |
|
1,288 |
1,158 |
$0.00 |
| D2391 |
|
309 |
219 |
$0.00 |
| G8752 |
Sys bp less 140 |
225 |
206 |
$0.00 |
| 90700 |
|
566 |
484 |
$0.00 |
| 90707 |
|
643 |
527 |
$0.00 |
| 0124A |
|
288 |
256 |
$0.00 |
| G0438 |
Ppps, initial visit |
75 |
72 |
$0.00 |
| 85610 |
|
905 |
467 |
$0.00 |
| 4004F |
|
436 |
394 |
$0.00 |
| 90658 |
|
980 |
971 |
$0.00 |
| 91313 |
|
508 |
501 |
$0.00 |
| 90685 |
|
270 |
266 |
$0.00 |
| 91300 |
|
153 |
146 |
$0.00 |
| 96152 |
|
243 |
196 |
$0.00 |
| 90791 |
|
21 |
18 |
$0.00 |
| 2028F |
|
88 |
87 |
$0.00 |
| 90750 |
|
54 |
48 |
$0.00 |
| 90736 |
|
13 |
12 |
$0.00 |
| 99473 |
|
80 |
80 |
$0.00 |
| 0004A |
|
35 |
35 |
$0.00 |
| 93303 |
|
12 |
12 |
$0.00 |
| 91311 |
|
14 |
14 |
$0.00 |
| 91321 |
|
29 |
29 |
$0.00 |
| 0003A |
|
16 |
16 |
$0.00 |
| 11982 |
|
13 |
13 |
$0.00 |