| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
182,418 |
168,307 |
$29.08M |
| 99213 |
|
133,749 |
112,276 |
$414K |
| 99394 |
|
4,170 |
3,715 |
$145K |
| 00003 |
|
495 |
495 |
$127K |
| 99214 |
|
22,614 |
19,580 |
$113K |
| 99393 |
|
4,046 |
3,640 |
$98K |
| 99212 |
|
34,383 |
30,396 |
$81K |
| 90739 |
|
1,897 |
1,732 |
$72K |
| 99391 |
|
2,792 |
2,471 |
$70K |
| 99392 |
|
3,159 |
2,861 |
$56K |
| 90750 |
|
1,390 |
1,330 |
$45K |
| 90834 |
|
2,863 |
2,125 |
$42K |
| 99396 |
|
3,390 |
2,890 |
$41K |
| 90686 |
|
11,903 |
11,204 |
$40K |
| 99395 |
|
3,120 |
2,808 |
$36K |
| 90832 |
|
1,923 |
1,368 |
$35K |
| G0467 |
Fqhc visit, estab pt |
1,812 |
1,490 |
$34K |
| 90677 |
|
1,102 |
917 |
$30K |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,618 |
1,430 |
$25K |
| 99203 |
|
1,663 |
1,486 |
$19K |
| 90715 |
|
3,320 |
2,897 |
$16K |
| 90791 |
|
577 |
486 |
$16K |
| 92551 |
|
1,942 |
1,524 |
$16K |
| 90471 |
|
18,569 |
16,984 |
$15K |
| 92250 |
|
1,290 |
1,147 |
$14K |
| 87811 |
|
1,515 |
1,095 |
$13K |
| 90651 |
|
2,875 |
2,549 |
$12K |
| 90656 |
|
1,831 |
1,431 |
$10K |
| 0011A |
|
195 |
112 |
$10K |
| 96372 |
|
2,414 |
1,879 |
$9K |
| 0064A |
|
165 |
97 |
$8K |
| 0012A |
|
158 |
94 |
$8K |
| 90734 |
|
1,512 |
1,381 |
$7K |
| 96110 |
|
327 |
247 |
$6K |
| 85018 |
|
7,179 |
6,586 |
$6K |
| G9920 |
Scrning perf and negative |
1,511 |
895 |
$5K |
| 90472 |
|
3,205 |
2,914 |
$5K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
1,311 |
1,178 |
$5K |
| 90658 |
|
448 |
396 |
$4K |
| 83655 |
|
1,253 |
1,125 |
$4K |
| 87426 |
|
1,283 |
1,231 |
$3K |
| 90633 |
|
1,160 |
1,007 |
$3K |
| 99202 |
|
531 |
520 |
$3K |
| 90710 |
|
879 |
833 |
$3K |
| 99385 |
|
166 |
163 |
$3K |
| 36415 |
|
258 |
244 |
$3K |
| 83036 |
|
3,221 |
2,911 |
$2K |
| 99173 |
|
1,900 |
1,479 |
$2K |
| 91322 |
|
134 |
119 |
$2K |
| 90649 |
|
251 |
232 |
$2K |
| 85999 |
|
724 |
690 |
$2K |
| 99381 |
|
82 |
63 |
$2K |
| 90662 |
|
168 |
156 |
$2K |
| 90679 |
|
37 |
31 |
$2K |
| 87635 |
|
1,210 |
1,198 |
$2K |
| 90670 |
|
1,233 |
1,147 |
$2K |
| H1003 |
Prenatal at risk education |
490 |
409 |
$2K |
| 87804 |
|
1,892 |
1,351 |
$1K |
| 87880 |
|
2,691 |
2,437 |
$1K |
| T1013 |
Sign lang/oral interpreter |
5,167 |
4,610 |
$1K |
| 90671 |
|
176 |
148 |
$1K |
| 90688 |
|
884 |
881 |
$1K |
| 90480 |
|
508 |
420 |
$1K |
| 90696 |
|
239 |
231 |
$891.00 |
| 99384 |
|
37 |
27 |
$687.21 |
| 86580 |
|
318 |
301 |
$670.03 |
| 99397 |
|
13 |
12 |
$576.62 |
| 90732 |
|
37 |
36 |
$550.55 |
| H2000 |
Comp multidisipln evaluation |
13 |
13 |
$543.32 |
| 99386 |
|
105 |
103 |
$512.88 |
| 81002 |
|
4,866 |
4,246 |
$509.24 |
| 90648 |
|
1,015 |
925 |
$405.00 |
| 90680 |
|
472 |
447 |
$342.00 |
| 81025 |
|
1,953 |
1,741 |
$281.04 |
| 90685 |
|
188 |
183 |
$279.00 |
| 90697 |
|
551 |
432 |
$279.00 |
| 92228 |
|
41 |
38 |
$268.59 |
| 99215 |
Prolong outpt/office vis |
35 |
28 |
$250.00 |
| 90700 |
|
58 |
58 |
$234.00 |
| 90660 |
|
96 |
96 |
$207.00 |
| 99204 |
|
52 |
51 |
$199.52 |
| H1001 |
Antepartum management |
213 |
147 |
$160.88 |
| 90619 |
|
539 |
422 |
$153.00 |
| 71046 |
|
225 |
204 |
$140.11 |
| 90716 |
|
47 |
41 |
$135.00 |
| 90620 |
|
40 |
25 |
$103.61 |
| 90681 |
|
101 |
94 |
$99.00 |
| 90723 |
|
512 |
486 |
$81.00 |
| 72100 |
|
27 |
26 |
$78.45 |
| J1885 |
Ketorolac tromethamine inj |
373 |
253 |
$75.73 |
| 73630 |
|
164 |
106 |
$68.44 |
| T1003 |
Lpn/lvn services up to 15min |
28 |
27 |
$62.60 |
| 90707 |
|
27 |
25 |
$45.00 |
| 96156 |
|
12 |
12 |
$25.23 |
| 36416 |
|
769 |
640 |
$9.05 |
| 90460 |
|
10,873 |
10,157 |
$8.37 |
| 94640 |
|
239 |
197 |
$5.34 |
| 82962 |
|
69 |
68 |
$4.88 |
| J3420 |
Vitamin b12 injection |
40 |
24 |
$3.71 |
| 90461 |
|
6,260 |
4,939 |
$2.68 |
| 99211 |
|
1,245 |
1,124 |
$1.56 |
| Z6400 |
|
461 |
396 |
$0.00 |
| 3077F |
|
4,185 |
3,899 |
$0.00 |
| 3078F |
|
11,969 |
10,942 |
$0.00 |
| 1159F |
|
13,112 |
12,192 |
$0.00 |
| 1160F |
|
14,598 |
13,652 |
$0.00 |
| 3046F |
|
335 |
315 |
$0.00 |
| 3051F |
|
61 |
61 |
$0.00 |
| 91313 |
|
13 |
13 |
$0.00 |
| 99442 |
|
60 |
56 |
$0.00 |
| 2024F |
|
1,022 |
950 |
$0.00 |
| 73562 |
|
14 |
14 |
$0.00 |
| 0502F |
|
662 |
441 |
$0.00 |
| 98960 |
|
66 |
63 |
$0.00 |
| 1158F |
|
1,677 |
1,545 |
$0.00 |
| Z6304 |
|
14 |
14 |
$0.00 |
| 59425 |
|
209 |
154 |
$0.00 |
| J2930 |
Methylprednisolone injection |
61 |
39 |
$0.00 |
| 90746 |
|
95 |
38 |
$0.00 |
| 99401 |
|
88 |
67 |
$0.00 |
| 0521 |
|
44 |
30 |
$0.00 |
| 69210 |
|
24 |
12 |
$0.00 |
| 73030 |
|
12 |
12 |
$0.00 |
| 3045F |
|
118 |
95 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
27 |
27 |
$0.00 |
| G0444 |
Depression screen annual |
15 |
15 |
$0.00 |
| 3074F |
|
10,190 |
9,271 |
$0.00 |
| 3080F |
|
1,575 |
1,493 |
$0.00 |
| 1111F |
|
2,264 |
2,185 |
$0.00 |
| 3075F |
|
2,879 |
2,787 |
$0.00 |
| 3353F |
|
941 |
824 |
$0.00 |
| 1126F |
|
4,999 |
4,540 |
$0.00 |
| 0501F |
|
180 |
132 |
$0.00 |
| 3351F |
|
6,938 |
5,759 |
$0.00 |
| 3079F |
|
4,262 |
4,061 |
$0.00 |
| J3490 |
Drugs unclassified injection |
109 |
81 |
$0.00 |
| G9226 |
3 comp foot exam completed |
816 |
810 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
1,772 |
1,717 |
$0.00 |
| Z1034 |
|
736 |
551 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
2,610 |
2,337 |
$0.00 |
| 3008F |
|
632 |
602 |
$0.00 |
| 98962 |
|
21 |
14 |
$0.00 |
| 1125F |
|
1,755 |
1,683 |
$0.00 |
| 3354F |
|
90 |
81 |
$0.00 |
| 3044F |
|
643 |
608 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
128 |
125 |
$0.00 |
| 3052F |
|
29 |
29 |
$0.00 |
| 99243 |
|
26 |
26 |
$0.00 |
| 99441 |
|
12 |
12 |
$0.00 |
| G0439 |
Ppps, subseq visit |
56 |
56 |
$0.00 |
| Z1032 |
|
70 |
68 |
$0.00 |
| 0500F |
|
75 |
55 |
$0.00 |
| 93000 |
|
228 |
228 |
$0.00 |
| 3352F |
|
195 |
174 |
$0.00 |
| 0134A |
|
13 |
13 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
12 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
20 |
12 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
12 |
12 |
$0.00 |
| 90381 |
|
22 |
15 |
$0.00 |
| 99000 |
|
694 |
615 |
$0.00 |
| 90474 |
|
12 |
12 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| G9007 |
Mccd, sch team conf |
42 |
33 |
$0.00 |
| Z6204 |
|
14 |
14 |
$0.00 |
| Z6406 |
|
12 |
12 |
$0.00 |