| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
177,231 |
140,044 |
$35.29M |
| D9999 |
|
30,786 |
28,353 |
$5.94M |
| D0999 |
|
13,441 |
12,930 |
$3.07M |
| S0280 |
Medical home, initial plan |
3,363 |
3,352 |
$151K |
| G0467 |
Fqhc visit, estab pt |
4,521 |
3,729 |
$139K |
| D1206 |
|
15,952 |
15,565 |
$34K |
| D0120 |
|
10,723 |
10,459 |
$28K |
| D1110 |
|
9,304 |
9,149 |
$23K |
| D1120 |
|
8,289 |
8,076 |
$22K |
| D0274 |
|
8,859 |
8,680 |
$16K |
| D1999 |
|
202 |
189 |
$14K |
| D2392 |
|
1,237 |
971 |
$13K |
| D1351 |
|
6,836 |
1,975 |
$13K |
| D0330 |
|
4,513 |
4,397 |
$12K |
| D0210 |
|
3,226 |
3,133 |
$12K |
| D0150 |
|
5,731 |
5,609 |
$11K |
| D2391 |
|
1,333 |
1,004 |
$5K |
| 99213 |
|
89,865 |
77,271 |
$5K |
| D0190 |
|
5,439 |
5,394 |
$4K |
| 99214 |
|
31,239 |
28,523 |
$4K |
| 3074F |
|
14,330 |
12,671 |
$3K |
| D0230 |
|
13,684 |
4,982 |
$3K |
| D0220 |
|
11,223 |
10,716 |
$3K |
| 3078F |
|
12,751 |
11,450 |
$3K |
| D0272 |
|
2,714 |
2,638 |
$3K |
| 3079F |
|
4,999 |
4,546 |
$2K |
| D0140 |
|
4,803 |
4,596 |
$2K |
| 3077F |
|
2,474 |
2,238 |
$2K |
| 3075F |
|
2,732 |
2,531 |
$2K |
| 90686 |
|
11,000 |
10,792 |
$1K |
| 3044F |
|
668 |
651 |
$1K |
| 90471 |
|
20,152 |
19,677 |
$1K |
| D1208 |
|
1,040 |
1,015 |
$856.74 |
| 3051F |
|
177 |
174 |
$583.82 |
| 90472 |
|
9,067 |
8,891 |
$546.08 |
| 90792 |
|
5,340 |
4,913 |
$536.56 |
| 3048F |
|
539 |
525 |
$522.08 |
| D0603 |
|
1,629 |
1,592 |
$425.00 |
| D4355 |
|
339 |
332 |
$411.63 |
| D2393 |
|
20 |
14 |
$400.11 |
| 90649 |
|
233 |
229 |
$360.00 |
| 71046 |
|
1,729 |
1,659 |
$331.47 |
| D7140 |
|
887 |
558 |
$305.48 |
| 3052F |
|
80 |
78 |
$300.00 |
| D0601 |
|
1,579 |
1,546 |
$260.01 |
| 90651 |
|
3,127 |
3,059 |
$237.96 |
| D0145 |
|
321 |
315 |
$221.59 |
| 3049F |
|
280 |
275 |
$220.00 |
| 99396 |
|
6,784 |
6,680 |
$158.66 |
| 90716 |
|
1,571 |
1,531 |
$138.00 |
| J1050 |
Medroxyprogesterone acetate |
221 |
209 |
$120.00 |
| 90791 |
|
559 |
517 |
$103.04 |
| 90734 |
|
2,177 |
2,117 |
$85.00 |
| 99393 |
|
7,075 |
6,975 |
$79.60 |
| 99212 |
|
6,555 |
6,243 |
$73.26 |
| 93000 |
|
1,722 |
1,680 |
$63.78 |
| 3050F |
|
184 |
182 |
$60.00 |
| 90662 |
|
209 |
207 |
$55.00 |
| 72110 |
|
238 |
234 |
$44.24 |
| 90732 |
|
141 |
141 |
$44.00 |
| 90715 |
|
1,405 |
1,371 |
$40.00 |
| 96372 |
|
1,755 |
1,529 |
$33.93 |
| 73562 |
|
259 |
205 |
$27.36 |
| 73030 |
|
53 |
51 |
$18.10 |
| 81025 |
|
241 |
229 |
$17.94 |
| 69209 |
|
18 |
13 |
$10.94 |
| J1885 |
Ketorolac tromethamine inj |
1,005 |
925 |
$9.96 |
| 36415 |
|
1,004 |
943 |
$6.34 |
| D1354 |
|
45 |
17 |
$0.15 |
| D0270 |
|
13 |
12 |
$0.05 |
| D9110 |
|
119 |
112 |
$0.03 |
| D2940 |
|
18 |
12 |
$0.02 |
| 96110 |
|
4,685 |
4,573 |
$0.00 |
| 3353F |
|
606 |
570 |
$0.00 |
| 90696 |
|
1,142 |
1,117 |
$0.00 |
| 99460 |
|
1,530 |
1,453 |
$0.00 |
| 99202 |
|
3,058 |
2,946 |
$0.00 |
| 92551 |
|
2,981 |
2,925 |
$0.00 |
| 2000F |
|
19,446 |
16,693 |
$0.00 |
| 90834 |
|
1,529 |
1,038 |
$0.00 |
| 99462 |
|
752 |
594 |
$0.00 |
| 90723 |
|
2,746 |
2,698 |
$0.00 |
| 87635 |
|
4,106 |
3,875 |
$0.00 |
| 3352F |
|
844 |
803 |
$0.00 |
| A9150 |
Misc/exper non-prescript dru |
2,687 |
2,526 |
$0.00 |
| 90647 |
|
3,061 |
3,000 |
$0.00 |
| D1330 |
|
2,623 |
2,513 |
$0.00 |
| 4037F |
|
2,474 |
2,432 |
$0.00 |
| 90381 |
|
14 |
14 |
$0.00 |
| 90620 |
|
240 |
239 |
$0.00 |
| 87651 |
|
1,898 |
1,825 |
$0.00 |
| D1352 |
|
143 |
90 |
$0.00 |
| 2010F |
|
24,265 |
20,510 |
$0.00 |
| 99384 |
|
196 |
192 |
$0.00 |
| 83036 |
|
6,137 |
6,006 |
$0.00 |
| 94640 |
|
919 |
831 |
$0.00 |
| 3351F |
|
6,679 |
6,399 |
$0.00 |
| 90697 |
|
448 |
444 |
$0.00 |
| 2001F |
|
23,792 |
20,185 |
$0.00 |
| 96127 |
|
21 |
21 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
203 |
182 |
$0.00 |
| 90677 |
|
831 |
826 |
$0.00 |
| 4010F |
|
2,810 |
2,231 |
$0.00 |
| 90680 |
|
558 |
550 |
$0.00 |
| 3060F |
|
38 |
38 |
$0.00 |
| 3080F |
|
1,787 |
1,622 |
$0.00 |
| G0008 |
Admin influenza virus vac |
332 |
327 |
$0.00 |
| 1034F |
|
5,909 |
4,878 |
$0.00 |
| 3008F |
|
20,709 |
17,769 |
$0.00 |
| A6449 |
Lt compres band >=3" <5"/yd |
82 |
78 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
153 |
143 |
$0.00 |
| 3061F |
|
88 |
84 |
$0.00 |
| 90619 |
|
417 |
412 |
$0.00 |
| 99383 |
|
181 |
178 |
$0.00 |
| 1126F |
|
3,446 |
3,257 |
$0.00 |
| 99381 |
|
170 |
162 |
$0.00 |
| 99385 |
|
67 |
66 |
$0.00 |
| 1036F |
|
14,974 |
12,663 |
$0.00 |
| 90480 |
|
898 |
880 |
$0.00 |
| 1125F |
|
5,365 |
4,805 |
$0.00 |
| 80053 |
|
25 |
25 |
$0.00 |
| 85025 |
|
12 |
12 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
15 |
14 |
$0.00 |
| D9994 |
|
45 |
44 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
38 |
29 |
$0.00 |
| 90656 |
|
1,045 |
1,036 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
12 |
12 |
$0.00 |
| 81001 |
|
13 |
12 |
$0.00 |
| 90839 |
|
12 |
12 |
$0.00 |
| 96380 |
|
28 |
27 |
$0.00 |
| 99391 |
|
6,314 |
5,838 |
$0.00 |
| 90707 |
|
1,480 |
1,449 |
$0.00 |
| 99394 |
|
5,417 |
5,322 |
$0.00 |
| 90633 |
|
3,197 |
3,131 |
$0.00 |
| 4004F |
|
5,440 |
4,942 |
$0.00 |
| 87880 |
|
3,042 |
2,938 |
$0.00 |
| 99238 |
|
1,796 |
1,706 |
$0.00 |
| 99392 |
|
7,670 |
7,531 |
$0.00 |
| 87631 |
|
176 |
167 |
$0.00 |
| 1160F |
|
19,503 |
16,452 |
$0.00 |
| 4274F |
|
9,704 |
7,753 |
$0.00 |
| 90710 |
|
1,280 |
1,257 |
$0.00 |
| 99395 |
|
4,944 |
4,700 |
$0.00 |
| 90837 |
|
2,837 |
1,686 |
$0.00 |
| 4040F |
|
3,381 |
2,716 |
$0.00 |
| 87502 |
|
649 |
608 |
$0.00 |
| 90750 |
|
777 |
765 |
$0.00 |
| 99173 |
|
3,723 |
3,658 |
$0.00 |
| 54150 |
|
353 |
334 |
$0.00 |
| 99203 |
|
1,999 |
1,922 |
$0.00 |
| 99204 |
|
258 |
248 |
$0.00 |
| 3046F |
|
193 |
189 |
$0.00 |
| 90473 |
|
863 |
843 |
$0.00 |
| 90670 |
|
4,241 |
4,167 |
$0.00 |
| 2028F |
|
292 |
286 |
$0.00 |
| 90832 |
|
98 |
75 |
$0.00 |
| 99199 |
|
12 |
12 |
$0.00 |
| 90746 |
|
41 |
41 |
$0.00 |
| 80305 |
|
580 |
415 |
$0.00 |
| 91321 |
|
138 |
136 |
$0.00 |
| 90714 |
|
14 |
14 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
782 |
737 |
$0.00 |
| 90736 |
|
51 |
51 |
$0.00 |
| 90380 |
|
14 |
13 |
$0.00 |
| 99188 |
|
13 |
13 |
$0.00 |
| 93005 |
|
204 |
204 |
$0.00 |
| 90700 |
|
154 |
153 |
$0.00 |
| 99382 |
|
81 |
80 |
$0.00 |
| 73130 |
|
12 |
12 |
$0.00 |
| 91322 |
|
412 |
405 |
$0.00 |
| 91320 |
|
145 |
138 |
$0.00 |
| 90671 |
|
294 |
287 |
$0.00 |
| 1159F |
|
19,503 |
16,452 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
14 |
12 |
$0.00 |
| 82947 |
|
12 |
12 |
$0.00 |
| 99201 |
|
27 |
26 |
$0.00 |
| 17110 |
|
32 |
29 |
$0.00 |
| 99397 |
|
28 |
26 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
44 |
41 |
$0.00 |
| 81003 |
|
13 |
13 |
$0.00 |
| D2140 |
|
19 |
13 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
15 |
15 |
$0.00 |