| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
10,252 |
7,615 |
$30K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
7,937 |
7,578 |
$8K |
| 99212 |
|
33,437 |
30,625 |
$592.71 |
| 99213 |
|
321,168 |
263,695 |
$420.33 |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,917 |
1,698 |
$258.99 |
| 98941 |
|
31,195 |
21,639 |
$33.44 |
| 92227 |
|
1,559 |
1,529 |
$21.44 |
| 3725F |
|
319,949 |
258,001 |
$0.00 |
| 3077F |
|
19,920 |
18,212 |
$0.00 |
| 1159F |
|
100,702 |
84,130 |
$0.00 |
| 3078F |
|
270,405 |
232,719 |
$0.00 |
| H1003 |
Prenatal at risk education |
1,557 |
1,417 |
$0.00 |
| 1160F |
|
100,704 |
84,132 |
$0.00 |
| 81003 |
|
20,620 |
18,295 |
$0.00 |
| 90832 |
|
84 |
84 |
$0.00 |
| 97803 |
|
1,563 |
1,375 |
$0.00 |
| 99392 |
|
3,519 |
3,518 |
$0.00 |
| S3000 |
Bilat dil retinal exam |
1,450 |
1,449 |
$0.00 |
| 90633 |
|
744 |
743 |
$0.00 |
| 81025 |
|
10,873 |
10,527 |
$0.00 |
| G0468 |
Fqhc visit, ippe or awv |
444 |
442 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
287 |
285 |
$0.00 |
| 98940 |
|
11,415 |
7,662 |
$0.00 |
| 90715 |
|
2,117 |
2,116 |
$0.00 |
| 87880 |
|
5,733 |
5,646 |
$0.00 |
| 11721 |
|
773 |
771 |
$0.00 |
| 99173 |
|
11,850 |
11,809 |
$0.00 |
| 99393 |
|
4,085 |
4,083 |
$0.00 |
| G9920 |
Scrning perf and negative |
4,835 |
4,575 |
$0.00 |
| 99394 |
|
3,000 |
3,000 |
$0.00 |
| 11720 |
|
653 |
652 |
$0.00 |
| 87811 |
|
18,442 |
17,830 |
$0.00 |
| 90649 |
|
678 |
677 |
$0.00 |
| 99396 |
|
3,495 |
3,485 |
$0.00 |
| 17110 |
|
28 |
26 |
$0.00 |
| 69210 |
|
155 |
150 |
$0.00 |
| 90658 |
|
4,029 |
4,023 |
$0.00 |
| 92015 |
|
72 |
72 |
$0.00 |
| 99401 |
|
3,037 |
2,630 |
$0.00 |
| 99395 |
|
3,754 |
3,750 |
$0.00 |
| 99391 |
|
665 |
661 |
$0.00 |
| 99203 |
|
2,032 |
2,030 |
$0.00 |
| 99204 |
|
1,875 |
1,873 |
$0.00 |
| L3040 |
Ft arch suprt premold longit |
520 |
518 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
82 |
81 |
$0.00 |
| 90710 |
|
243 |
242 |
$0.00 |
| 99244 |
|
65 |
65 |
$0.00 |
| 90700 |
|
77 |
77 |
$0.00 |
| 92020 |
|
13 |
12 |
$0.00 |
| G0466 |
Fqhc visit new patient |
33 |
32 |
$0.00 |
| 59025 |
|
208 |
79 |
$0.00 |
| 92014 |
|
96 |
96 |
$0.00 |
| 95800 |
|
192 |
184 |
$0.00 |
| 99499 |
|
392 |
392 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
211 |
210 |
$0.00 |
| 92133 |
|
173 |
173 |
$0.00 |
| 92083 |
|
98 |
97 |
$0.00 |
| 90707 |
|
169 |
169 |
$0.00 |
| 11750 |
|
83 |
81 |
$0.00 |
| 11719 |
|
179 |
179 |
$0.00 |
| 72100 |
|
25 |
25 |
$0.00 |
| G0438 |
Ppps, initial visit |
123 |
123 |
$0.00 |
| 90713 |
|
27 |
27 |
$0.00 |
| 20605 |
|
15 |
15 |
$0.00 |
| 11056 |
|
41 |
40 |
$0.00 |
| 99397 |
|
13 |
13 |
$0.00 |
| 91322 |
|
12 |
12 |
$0.00 |
| 3075F |
|
59,683 |
55,592 |
$0.00 |
| 1126F |
|
215,629 |
189,796 |
$0.00 |
| 99214 |
|
48,585 |
44,736 |
$0.00 |
| 1036F |
|
357,777 |
278,478 |
$0.00 |
| 90696 |
|
184 |
183 |
$0.00 |
| 3079F |
|
82,326 |
75,194 |
$0.00 |
| 87426 |
|
10,797 |
10,466 |
$0.00 |
| 82962 |
|
2,420 |
2,308 |
$0.00 |
| 92551 |
|
11,290 |
11,257 |
$0.00 |
| 3074F |
|
278,615 |
238,880 |
$0.00 |
| 3008F |
|
369,378 |
309,908 |
$0.00 |
| 85018 |
|
14,523 |
14,419 |
$0.00 |
| 90686 |
|
1,496 |
1,496 |
$0.00 |
| 1034F |
|
20,979 |
15,717 |
$0.00 |
| 3080F |
|
6,351 |
5,969 |
$0.00 |
| 1125F |
|
46,720 |
41,015 |
$0.00 |
| G9226 |
3 comp foot exam completed |
2,706 |
2,640 |
$0.00 |
| 96156 |
|
3,654 |
3,171 |
$0.00 |
| 11055 |
|
66 |
63 |
$0.00 |
| 36415 |
|
7,705 |
7,526 |
$0.00 |
| 99385 |
|
293 |
293 |
$0.00 |
| 90677 |
|
925 |
925 |
$0.00 |
| J3420 |
Vitamin b12 injection |
1,712 |
1,556 |
$0.00 |
| 1035F |
|
2,961 |
2,175 |
$0.00 |
| 99441 |
|
25 |
25 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
649 |
601 |
$0.00 |
| 90688 |
|
2,156 |
2,152 |
$0.00 |
| S9452 |
Nutrition class |
409 |
392 |
$0.00 |
| H1001 |
Antepartum management |
4,697 |
3,163 |
$0.00 |
| 92250 |
|
1,124 |
1,117 |
$0.00 |
| 86580 |
|
3,283 |
2,988 |
$0.00 |
| 90619 |
|
632 |
632 |
$0.00 |
| 97802 |
|
720 |
717 |
$0.00 |
| S9445 |
Pt education noc individ |
64 |
56 |
$0.00 |
| 93000 |
|
1,146 |
1,139 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
1,184 |
1,104 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
62 |
62 |
$0.00 |
| 90656 |
|
1,384 |
1,384 |
$0.00 |
| G0008 |
Admin influenza virus vac |
93 |
93 |
$0.00 |
| G0439 |
Ppps, subseq visit |
280 |
279 |
$0.00 |
| 96372 |
|
371 |
342 |
$0.00 |
| 99202 |
|
354 |
354 |
$0.00 |
| 99070 |
|
394 |
379 |
$0.00 |
| J3490 |
Drugs unclassified injection |
348 |
348 |
$0.00 |
| 90716 |
|
436 |
436 |
$0.00 |
| 20550 |
|
13 |
12 |
$0.00 |
| 90834 |
|
314 |
257 |
$0.00 |
| 90480 |
|
26 |
26 |
$0.00 |
| 90792 |
|
74 |
74 |
$0.00 |
| 99386 |
|
54 |
54 |
$0.00 |
| 90647 |
|
55 |
55 |
$0.00 |
| 90697 |
|
71 |
71 |
$0.00 |
| J2001 |
Lidocaine injection |
13 |
13 |
$0.00 |
| 94640 |
|
28 |
27 |
$0.00 |
| 99381 |
|
14 |
14 |
$0.00 |
| 99243 |
|
41 |
41 |
$0.00 |
| 90744 |
|
53 |
53 |
$0.00 |
| 11730 |
|
150 |
142 |
$0.00 |
| 90651 |
|
26 |
26 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
80 |
80 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
29 |
29 |
$0.00 |