| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
102,355 |
93,321 |
$13.70M |
| 99213 |
|
54,648 |
46,245 |
$1.08M |
| 99214 |
|
49,269 |
39,642 |
$984K |
| G0467 |
Fqhc visit, estab pt |
14,590 |
13,296 |
$757K |
| 59425 |
|
6,517 |
4,934 |
$514K |
| 90832 |
|
10,950 |
6,692 |
$256K |
| H1001 |
Antepartum management |
1,200 |
818 |
$136K |
| 99212 |
|
4,088 |
3,900 |
$134K |
| 90471 |
|
11,541 |
8,925 |
$110K |
| J3490 |
Drugs unclassified injection |
2,760 |
2,495 |
$74K |
| 99393 |
|
2,120 |
1,786 |
$71K |
| H1003 |
Prenatal at risk education |
2,114 |
1,750 |
$67K |
| 90791 |
|
861 |
540 |
$64K |
| 90686 |
|
6,251 |
5,324 |
$61K |
| 92552 |
|
5,288 |
4,546 |
$57K |
| 99392 |
|
2,013 |
1,591 |
$55K |
| G2025 |
Dis site tele svcs rhc/fqhc |
2,431 |
2,160 |
$51K |
| 96372 |
|
5,062 |
4,329 |
$47K |
| 99203 |
|
755 |
662 |
$46K |
| Z7500 |
|
3,601 |
3,242 |
$44K |
| 59025 |
|
1,528 |
654 |
$40K |
| 99204 |
|
651 |
551 |
$26K |
| 99391 |
|
1,366 |
987 |
$23K |
| 76815 |
|
281 |
140 |
$22K |
| G0447 |
Behavior counsel obesity 15m |
2,268 |
2,255 |
$20K |
| 81025 |
|
7,352 |
6,749 |
$16K |
| 99394 |
|
346 |
295 |
$16K |
| 85018 |
|
11,429 |
9,433 |
$14K |
| 0011A |
|
224 |
224 |
$10K |
| 0012A |
|
217 |
215 |
$10K |
| G8431 |
Pos clin depres scrn f/u doc |
569 |
368 |
$9K |
| H2000 |
Comp multidisipln evaluation |
39 |
39 |
$7K |
| 81003 |
|
4,019 |
3,079 |
$7K |
| A4267 |
Male condom |
1,405 |
1,363 |
$7K |
| 99211 |
|
396 |
383 |
$6K |
| 99173 |
|
2,619 |
2,121 |
$6K |
| 90834 |
|
156 |
88 |
$5K |
| 90715 |
|
250 |
190 |
$4K |
| 90670 |
|
920 |
729 |
$3K |
| 90656 |
|
339 |
300 |
$3K |
| 82948 |
|
1,221 |
1,066 |
$3K |
| 90677 |
|
107 |
77 |
$2K |
| G8510 |
Scr dep neg, no plan reqd |
334 |
309 |
$2K |
| 99401 |
|
99 |
89 |
$2K |
| 97803 |
|
120 |
104 |
$2K |
| 90662 |
|
492 |
481 |
$2K |
| G9920 |
Scrning perf and negative |
108 |
108 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
148 |
107 |
$1K |
| 96156 |
|
75 |
69 |
$920.74 |
| 96127 |
|
135 |
135 |
$721.50 |
| 59430 |
|
12 |
12 |
$665.28 |
| 99000 |
|
149 |
148 |
$576.78 |
| 90651 |
|
81 |
69 |
$455.50 |
| 83036 |
|
69 |
51 |
$425.96 |
| 99202 |
|
13 |
13 |
$413.18 |
| G9919 |
Scrn nd pos nd prov of rec |
29 |
29 |
$406.00 |
| 92250 |
|
12 |
12 |
$396.00 |
| 90648 |
|
643 |
502 |
$285.30 |
| 90633 |
|
210 |
173 |
$237.60 |
| 90734 |
|
14 |
12 |
$175.00 |
| S9445 |
Pt education noc individ |
13 |
13 |
$165.36 |
| 90723 |
|
280 |
238 |
$78.30 |
| 90696 |
|
12 |
12 |
$59.40 |
| J3420 |
Vitamin b12 injection |
83 |
68 |
$51.00 |
| 90680 |
|
144 |
129 |
$48.60 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
67 |
66 |
$39.87 |
| 90619 |
|
14 |
12 |
$39.60 |
| 90707 |
|
13 |
13 |
$19.80 |
| 90716 |
|
13 |
13 |
$19.80 |
| 90697 |
|
39 |
27 |
$9.90 |
| Z6500 |
|
315 |
315 |
$0.00 |
| G0470 |
Fqhc visit, mh estab pt |
396 |
309 |
$0.00 |
| Z6400 |
|
1,382 |
1,361 |
$0.00 |
| 3078F |
|
495 |
475 |
$0.00 |
| Z6304 |
|
57 |
54 |
$0.00 |
| 3077F |
|
174 |
168 |
$0.00 |
| Z1034 |
|
5,262 |
4,259 |
$0.00 |
| D1206 |
|
14 |
14 |
$0.00 |
| 3075F |
|
49 |
47 |
$0.00 |
| Z6204 |
|
230 |
199 |
$0.00 |
| G0008 |
Admin influenza virus vac |
470 |
470 |
$0.00 |
| Z6410 |
|
316 |
217 |
$0.00 |
| 3044F |
|
61 |
57 |
$0.00 |
| 3079F |
|
84 |
83 |
$0.00 |
| Z6406 |
|
122 |
106 |
$0.00 |
| 3074F |
|
117 |
113 |
$0.00 |
| Z1032 |
|
12 |
12 |
$0.00 |