| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
417,527 |
359,950 |
$88.45M |
| 00003 |
|
5,525 |
4,288 |
$1.33M |
| G9012 |
Other specified case mgmt |
11,762 |
5,413 |
$939K |
| G0467 |
Fqhc visit, estab pt |
24,756 |
21,820 |
$470K |
| 99213 |
|
406,733 |
275,476 |
$253K |
| 90791 |
|
6,909 |
4,738 |
$240K |
| D1120 |
|
11,235 |
10,288 |
$224K |
| D1206 |
|
20,161 |
17,937 |
$213K |
| 90832 |
|
13,335 |
8,174 |
$188K |
| D0150 |
|
12,084 |
11,337 |
$140K |
| D0120 |
|
9,898 |
9,164 |
$123K |
| D2392 |
|
4,614 |
3,650 |
$110K |
| 0012A |
|
3,919 |
2,297 |
$102K |
| 99214 |
|
53,157 |
39,844 |
$97K |
| G9008 |
Mccd,phys coor-care ovrsght |
219 |
215 |
$88K |
| D4341 |
|
4,474 |
2,695 |
$85K |
| D2391 |
|
4,404 |
3,267 |
$79K |
| 0011A |
|
3,919 |
2,404 |
$78K |
| D9999 |
|
869 |
856 |
$68K |
| D9430 |
|
9,158 |
7,856 |
$66K |
| 99203 |
|
25,979 |
18,628 |
$64K |
| D0210 |
|
7,000 |
6,533 |
$64K |
| D0220 |
|
17,350 |
15,805 |
$64K |
| 99212 |
|
140,510 |
96,420 |
$57K |
| D1351 |
|
3,178 |
1,435 |
$55K |
| D1110 |
|
5,219 |
4,821 |
$53K |
| D0230 |
|
16,808 |
9,155 |
$47K |
| 90834 |
|
2,318 |
1,232 |
$43K |
| D7140 |
|
2,296 |
1,604 |
$40K |
| D0274 |
|
7,821 |
7,333 |
$36K |
| D1310 |
|
13,428 |
11,471 |
$33K |
| D2740 |
|
106 |
88 |
$32K |
| D4910 |
|
477 |
462 |
$25K |
| G2025 |
Dis site tele svcs rhc/fqhc |
6,336 |
5,640 |
$16K |
| 90792 |
|
696 |
654 |
$16K |
| 99204 |
|
2,364 |
1,782 |
$15K |
| 0064A |
|
758 |
540 |
$11K |
| D0603 |
|
10,356 |
9,761 |
$11K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
4,506 |
4,421 |
$10K |
| 99392 |
|
9,147 |
6,674 |
$9K |
| G0108 |
Diab manage trn per indiv |
1,369 |
890 |
$9K |
| D0240 |
|
1,184 |
578 |
$9K |
| 99202 |
|
5,454 |
4,139 |
$8K |
| D0145 |
|
1,006 |
884 |
$8K |
| G0466 |
Fqhc visit new patient |
334 |
324 |
$8K |
| 99393 |
|
8,002 |
5,663 |
$7K |
| D0330 |
|
1,902 |
1,669 |
$7K |
| 98940 |
|
7,792 |
3,491 |
$7K |
| 99383 |
|
3,387 |
2,513 |
$6K |
| D0140 |
|
2,653 |
2,460 |
$5K |
| D0272 |
|
1,300 |
1,140 |
$5K |
| D0270 |
|
4,131 |
3,736 |
$5K |
| 90471 |
|
68,659 |
53,273 |
$4K |
| D9110 |
|
396 |
302 |
$4K |
| D0999 |
|
65 |
65 |
$4K |
| 96127 |
|
30,972 |
26,249 |
$4K |
| 99391 |
|
4,028 |
3,011 |
$3K |
| D2393 |
|
374 |
340 |
$3K |
| D9993 |
|
8,655 |
8,325 |
$3K |
| 99394 |
|
3,945 |
2,714 |
$2K |
| 99384 |
|
1,682 |
1,192 |
$2K |
| 90688 |
|
7,110 |
5,005 |
$2K |
| 90715 |
|
8,682 |
6,411 |
$2K |
| D0160 |
|
24 |
24 |
$2K |
| 90472 |
|
24,340 |
18,755 |
$2K |
| 96160 |
|
11,075 |
7,868 |
$2K |
| 97803 |
|
1,537 |
1,222 |
$1K |
| 99215 |
Prolong outpt/office vis |
2,209 |
1,712 |
$1K |
| 90670 |
|
4,984 |
3,649 |
$1K |
| 96156 |
|
10,561 |
6,526 |
$1K |
| 90480 |
|
226 |
222 |
$1K |
| 92551 |
|
15,539 |
10,359 |
$1K |
| D0602 |
|
2,253 |
2,156 |
$1K |
| 96372 |
|
4,344 |
2,319 |
$1K |
| 85018 |
|
14,948 |
11,912 |
$1K |
| 99173 |
|
20,260 |
13,969 |
$1K |
| 97802 |
|
1,436 |
1,314 |
$836.74 |
| 99205 |
Prolong outpt/office vis |
123 |
88 |
$824.98 |
| 90686 |
|
23,559 |
17,616 |
$792.06 |
| 90658 |
|
281 |
242 |
$790.87 |
| D0601 |
|
1,001 |
940 |
$789.00 |
| 83036 |
|
19,983 |
13,956 |
$781.75 |
| 99385 |
|
635 |
408 |
$742.80 |
| 92552 |
|
3,427 |
2,641 |
$677.92 |
| 0071A |
|
131 |
97 |
$636.00 |
| 99382 |
|
825 |
551 |
$583.36 |
| 93000 |
|
3,816 |
2,491 |
$531.45 |
| 99395 |
|
836 |
616 |
$529.89 |
| 90460 |
|
2,193 |
2,081 |
$511.60 |
| 99211 |
|
5,110 |
4,818 |
$501.99 |
| 36415 |
|
467 |
447 |
$432.92 |
| 90461 |
|
812 |
759 |
$425.64 |
| 90744 |
|
1,287 |
1,059 |
$378.54 |
| 90746 |
|
141 |
126 |
$283.27 |
| 0002A |
|
17 |
12 |
$268.00 |
| 90710 |
|
2,955 |
2,077 |
$263.82 |
| 81000 |
|
104 |
98 |
$258.84 |
| D0350 |
|
1,106 |
1,012 |
$249.60 |
| 0052A |
|
14 |
12 |
$241.00 |
| 0004A |
|
18 |
13 |
$201.00 |
| 0072A |
|
32 |
29 |
$201.00 |
| 99396 |
|
608 |
455 |
$179.84 |
| D1352 |
|
78 |
67 |
$142.00 |
| 90697 |
|
222 |
181 |
$139.78 |
| 99381 |
|
134 |
104 |
$133.43 |
| 98941 |
|
72 |
29 |
$122.07 |
| 90739 |
|
614 |
576 |
$121.70 |
| 90662 |
|
70 |
60 |
$109.75 |
| 80053 |
|
105 |
105 |
$107.00 |
| 90698 |
|
339 |
312 |
$104.19 |
| D1320 |
|
346 |
219 |
$90.00 |
| 90633 |
|
6,665 |
4,899 |
$89.47 |
| 90713 |
|
1,513 |
1,208 |
$76.83 |
| 90656 |
|
1,226 |
1,143 |
$48.22 |
| 92587 |
|
1,867 |
1,324 |
$46.07 |
| 81025 |
|
3,559 |
2,351 |
$39.33 |
| 81002 |
|
8,583 |
5,516 |
$30.10 |
| V2020 |
Vision svcs frames purchases |
77 |
77 |
$21.31 |
| 83655 |
|
567 |
458 |
$21.26 |
| G0008 |
Admin influenza virus vac |
469 |
432 |
$20.77 |
| 80305 |
|
436 |
236 |
$19.08 |
| 90716 |
|
1,851 |
1,516 |
$17.95 |
| 87880 |
|
528 |
363 |
$13.98 |
| 83026 |
|
11,633 |
7,226 |
$13.46 |
| 90696 |
|
607 |
436 |
$13.42 |
| 99386 |
|
283 |
201 |
$10.72 |
| 87804 |
|
115 |
70 |
$8.85 |
| 82962 |
|
1,666 |
1,202 |
$7.89 |
| 99441 |
|
8,475 |
5,987 |
$7.20 |
| 86580 |
|
313 |
219 |
$3.36 |
| 90653 |
|
155 |
130 |
$3.00 |
| 90672 |
|
1,498 |
966 |
$0.05 |
| 90651 |
|
3,470 |
2,410 |
$0.03 |
| 1159F |
|
25,381 |
23,699 |
$0.00 |
| 99177 |
|
3,010 |
2,199 |
$0.00 |
| 90700 |
|
703 |
517 |
$0.00 |
| 1160F |
|
20,826 |
19,296 |
$0.00 |
| 3078F |
|
93,338 |
81,049 |
$0.00 |
| 3077F |
|
24,887 |
21,269 |
$0.00 |
| 90648 |
|
3,305 |
2,279 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
1,567 |
1,130 |
$0.00 |
| 99188 |
|
1,880 |
1,202 |
$0.00 |
| 99442 |
|
7,231 |
6,196 |
$0.00 |
| 3046F |
|
493 |
429 |
$0.00 |
| 99401 |
|
371 |
371 |
$0.00 |
| 90734 |
|
1,642 |
1,140 |
$0.00 |
| 91321 |
|
59 |
59 |
$0.00 |
| 90473 |
|
351 |
223 |
$0.00 |
| D9991 |
|
56 |
39 |
$0.00 |
| 90681 |
|
398 |
293 |
$0.00 |
| 3051F |
|
488 |
426 |
$0.00 |
| G0438 |
Ppps, initial visit |
381 |
360 |
$0.00 |
| G8752 |
Sys bp less 140 |
15 |
12 |
$0.00 |
| 4004F |
|
2,943 |
2,861 |
$0.00 |
| 92014 |
|
235 |
235 |
$0.00 |
| D9986 |
|
973 |
918 |
$0.00 |
| 91300 |
|
151 |
133 |
$0.00 |
| D9987 |
|
195 |
188 |
$0.00 |
| 92015 |
|
235 |
235 |
$0.00 |
| 3050F |
|
99 |
97 |
$0.00 |
| 90707 |
|
511 |
412 |
$0.00 |
| 90671 |
|
62 |
62 |
$0.00 |
| D9996 |
|
78 |
77 |
$0.00 |
| G0444 |
Depression screen annual |
186 |
171 |
$0.00 |
| D5110 |
|
31 |
31 |
$0.00 |
| 90685 |
|
80 |
80 |
$0.00 |
| 17110 |
|
14 |
13 |
$0.00 |
| 90621 |
|
53 |
29 |
$0.00 |
| D9990 |
|
63 |
54 |
$0.00 |
| 91322 |
|
12 |
12 |
$0.00 |
| D2950 |
|
49 |
47 |
$0.00 |
| 90649 |
|
55 |
34 |
$0.00 |
| D1354 |
|
13 |
13 |
$0.00 |
| 11721 |
|
29 |
29 |
$0.00 |
| 80061 |
|
28 |
28 |
$0.00 |
| T1013 |
Sign lang/oral interpreter |
104 |
55 |
$0.00 |
| D2332 |
|
12 |
12 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
23 |
13 |
$0.00 |
| 93005 |
|
21 |
12 |
$0.00 |
| 81003 |
|
25 |
13 |
$0.00 |
| 99199 |
|
15 |
15 |
$0.00 |
| S9470 |
Nutritional counseling, diet |
12 |
12 |
$0.00 |
| 3075F |
|
17,862 |
15,463 |
$0.00 |
| 3079F |
|
33,368 |
29,082 |
$0.00 |
| 1125F |
|
1,468 |
1,421 |
$0.00 |
| D1330 |
|
22,135 |
19,634 |
$0.00 |
| 3080F |
|
12,151 |
10,176 |
$0.00 |
| 3074F |
|
96,644 |
83,794 |
$0.00 |
| 3008F |
|
135,403 |
116,091 |
$0.00 |
| 3052F |
|
37 |
37 |
$0.00 |
| 90723 |
|
3,235 |
2,251 |
$0.00 |
| 90474 |
|
199 |
123 |
$0.00 |
| 3044F |
|
3,732 |
3,286 |
$0.00 |
| G0439 |
Ppps, subseq visit |
151 |
147 |
$0.00 |
| J3420 |
Vitamin b12 injection |
597 |
221 |
$0.00 |
| 4010F |
|
3,050 |
2,805 |
$0.00 |
| 91307 |
|
256 |
215 |
$0.00 |
| 90677 |
|
591 |
485 |
$0.00 |
| 92250 |
|
1,565 |
1,078 |
$0.00 |
| 1170F |
|
437 |
415 |
$0.00 |
| D5899 |
|
869 |
565 |
$0.00 |
| 3049F |
|
54 |
54 |
$0.00 |
| V2782 |
Lens, 1.54-1.65 p/1.60-1.79g |
64 |
64 |
$0.00 |
| 96150 |
|
958 |
558 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
124 |
79 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
285 |
187 |
$0.00 |
| 91301 |
|
220 |
195 |
$0.00 |
| 90647 |
|
282 |
204 |
$0.00 |
| 99406 |
|
234 |
201 |
$0.00 |
| 96110 |
|
303 |
282 |
$0.00 |
| 99443 |
|
1,270 |
1,149 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
82 |
76 |
$0.00 |
| 1126F |
|
277 |
246 |
$0.00 |
| 90732 |
|
214 |
168 |
$0.00 |
| 91306 |
|
645 |
560 |
$0.00 |
| 3061F |
|
15 |
15 |
$0.00 |
| D2330 |
|
76 |
71 |
$0.00 |
| 87635 |
|
29 |
29 |
$0.00 |
| 96151 |
|
120 |
71 |
$0.00 |
| 90694 |
|
421 |
359 |
$0.00 |
| 1036F |
|
220 |
219 |
$0.00 |
| 1101F |
|
134 |
127 |
$0.00 |
| V2100 |
Lens spher single plano 4.00 |
32 |
32 |
$0.00 |
| 90680 |
|
136 |
97 |
$0.00 |
| G9664 |
Taking statin or rec'd order |
50 |
49 |
$0.00 |
| D2331 |
|
91 |
84 |
$0.00 |
| 90620 |
|
58 |
38 |
$0.00 |
| D0171 |
|
106 |
104 |
$0.00 |
| H0049 |
Alcohol/drug screening |
240 |
239 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
38 |
37 |
$0.00 |
| 99402 |
|
29 |
28 |
$0.00 |
| D4342 |
|
15 |
12 |
$0.00 |
| 3048F |
|
53 |
48 |
$0.00 |
| 90619 |
|
27 |
16 |
$0.00 |
| 99403 |
|
31 |
31 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
15 |
12 |
$0.00 |
| 99283 |
|
161 |
146 |
$0.00 |
| G8754 |
Dias bp less 90 |
45 |
41 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
20 |
20 |
$0.00 |
| 94640 |
|
19 |
15 |
$0.00 |
| 91305 |
|
18 |
18 |
$0.00 |
| V2200 |
Lens spher bifoc plano 4.00d |
16 |
16 |
$0.00 |
| 90660 |
|
25 |
13 |
$0.00 |