| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
188,325 |
173,931 |
$52.86M |
| 00003 |
|
25,377 |
24,466 |
$8.27M |
| 99213 |
|
67,829 |
60,667 |
$513K |
| G0467 |
Fqhc visit, estab pt |
7,599 |
6,804 |
$480K |
| 96110 |
|
5,651 |
3,412 |
$212K |
| 90750 |
|
1,345 |
1,117 |
$204K |
| 92014 |
|
5,377 |
3,792 |
$194K |
| 99214 |
|
27,672 |
25,071 |
$183K |
| J1050 |
Medroxyprogesterone acetate |
1,029 |
957 |
$177K |
| 91322 |
|
749 |
687 |
$103K |
| 67028 |
|
1,291 |
748 |
$99K |
| 99212 |
|
17,984 |
15,275 |
$80K |
| 90677 |
|
2,246 |
1,401 |
$76K |
| 92004 |
|
3,415 |
2,235 |
$68K |
| 0012A |
|
1,183 |
673 |
$61K |
| 92012 |
|
997 |
717 |
$52K |
| 0011A |
|
1,043 |
597 |
$50K |
| 90837 |
|
426 |
160 |
$41K |
| 99451 |
|
1,067 |
1,063 |
$39K |
| 92134 |
|
1,385 |
1,016 |
$39K |
| 99391 |
|
5,435 |
4,659 |
$36K |
| 77067 |
|
293 |
292 |
$34K |
| 90834 |
|
391 |
157 |
$30K |
| 0064A |
|
548 |
367 |
$30K |
| 90792 |
|
393 |
230 |
$26K |
| 99203 |
|
1,451 |
1,239 |
$24K |
| 99392 |
|
5,502 |
5,398 |
$23K |
| 0031A |
|
452 |
251 |
$23K |
| 99215 |
Prolong outpt/office vis |
3,601 |
3,086 |
$23K |
| 0134A |
|
333 |
333 |
$22K |
| 0071A |
|
425 |
263 |
$22K |
| 99393 |
|
3,777 |
3,728 |
$19K |
| 96156 |
|
1,300 |
1,300 |
$19K |
| 99204 |
|
666 |
587 |
$16K |
| J3301 |
Triamcinolone acet inj nos |
1,560 |
1,043 |
$16K |
| 90480 |
|
460 |
459 |
$14K |
| 96372 |
|
643 |
624 |
$13K |
| 99401 |
|
946 |
940 |
$12K |
| 90832 |
|
330 |
159 |
$12K |
| 90471 |
|
11,850 |
11,324 |
$11K |
| 20610 |
|
833 |
705 |
$11K |
| G9920 |
Scrning perf and negative |
1,000 |
703 |
$11K |
| 59425 |
|
188 |
142 |
$11K |
| 99243 |
|
239 |
150 |
$11K |
| 11720 |
|
394 |
338 |
$11K |
| 0154A |
|
141 |
141 |
$9K |
| H1003 |
Prenatal at risk education |
868 |
771 |
$9K |
| 90686 |
|
6,361 |
6,086 |
$9K |
| 92015 |
|
2,624 |
1,777 |
$9K |
| 20611 |
|
352 |
189 |
$9K |
| 0001A |
|
168 |
102 |
$9K |
| 90697 |
|
1,832 |
1,135 |
$8K |
| 77063 |
|
278 |
277 |
$8K |
| 0081A |
|
124 |
124 |
$8K |
| 97803 |
|
530 |
512 |
$7K |
| 99242 |
|
247 |
170 |
$7K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
279 |
275 |
$6K |
| 97802 |
|
230 |
227 |
$6K |
| 99244 |
|
150 |
110 |
$6K |
| 99394 |
|
1,982 |
1,958 |
$6K |
| 11056 |
|
169 |
105 |
$6K |
| 0124A |
|
80 |
80 |
$5K |
| 0054A |
|
93 |
51 |
$5K |
| 92551 |
|
6,094 |
5,999 |
$5K |
| 90746 |
|
167 |
160 |
$5K |
| G8510 |
Scr dep neg, no plan reqd |
682 |
417 |
$4K |
| S9445 |
Pt education noc individ |
213 |
149 |
$4K |
| 90715 |
|
1,237 |
1,139 |
$4K |
| 99245 |
|
62 |
35 |
$4K |
| 0002A |
|
69 |
38 |
$4K |
| 11721 |
|
1,360 |
1,259 |
$3K |
| G0466 |
Fqhc visit new patient |
41 |
41 |
$3K |
| 76817 |
|
162 |
66 |
$3K |
| 90713 |
|
214 |
191 |
$3K |
| 0173A |
|
45 |
45 |
$3K |
| 90833 |
|
49 |
26 |
$3K |
| 99385 |
|
221 |
190 |
$3K |
| 90723 |
|
2,138 |
1,897 |
$3K |
| 99070 |
|
27 |
27 |
$3K |
| 90694 |
|
139 |
126 |
$2K |
| 0072A |
|
44 |
25 |
$2K |
| 90647 |
|
1,982 |
1,761 |
$2K |
| 99188 |
|
203 |
114 |
$2K |
| G8431 |
Pos clin depres scrn f/u doc |
149 |
86 |
$2K |
| 73630 |
|
58 |
40 |
$2K |
| 99211 |
|
184 |
171 |
$2K |
| 90619 |
|
217 |
217 |
$2K |
| 90681 |
|
1,008 |
836 |
$2K |
| 91319 |
|
92 |
92 |
$2K |
| 99202 |
|
135 |
121 |
$2K |
| 90670 |
|
1,380 |
1,215 |
$2K |
| 76856 |
|
24 |
24 |
$2K |
| 91318 |
|
117 |
114 |
$2K |
| 73564 |
|
36 |
27 |
$2K |
| 91320 |
|
77 |
75 |
$1K |
| 92226 |
|
65 |
33 |
$1K |
| 90633 |
|
2,144 |
2,042 |
$1K |
| 81025 |
|
2,115 |
1,940 |
$973.37 |
| J3490 |
Drugs unclassified injection |
24 |
24 |
$951.60 |
| 76830 |
|
12 |
12 |
$888.96 |
| 0073A |
|
13 |
13 |
$871.00 |
| 87210 |
|
1,145 |
1,105 |
$807.07 |
| 0074A |
|
12 |
12 |
$804.00 |
| 0034A |
|
18 |
12 |
$722.00 |
| 94760 |
|
93 |
87 |
$650.07 |
| 90680 |
|
572 |
499 |
$640.00 |
| 99381 |
|
45 |
41 |
$623.26 |
| 90688 |
|
715 |
704 |
$610.60 |
| 76815 |
|
157 |
78 |
$561.13 |
| 90716 |
|
473 |
421 |
$560.00 |
| 90651 |
|
1,078 |
1,017 |
$556.00 |
| 99417 |
Prolong home eval add 15m |
24 |
14 |
$510.84 |
| 99396 |
|
18 |
13 |
$508.42 |
| 71046 |
|
24 |
24 |
$435.36 |
| 88720 |
|
267 |
160 |
$402.73 |
| 90744 |
|
261 |
219 |
$390.00 |
| J2001 |
Lidocaine injection |
110 |
109 |
$320.13 |
| 92083 |
|
12 |
12 |
$305.10 |
| 90714 |
|
83 |
81 |
$260.00 |
| S9452 |
Nutrition class |
28 |
28 |
$235.48 |
| 81002 |
|
459 |
369 |
$217.73 |
| 99173 |
|
4,402 |
4,370 |
$206.23 |
| 95251 |
|
17 |
12 |
$198.20 |
| 82247 |
|
107 |
51 |
$195.18 |
| 90707 |
|
179 |
157 |
$190.00 |
| 92133 |
|
12 |
12 |
$185.72 |
| G0008 |
Admin influenza virus vac |
445 |
433 |
$175.57 |
| 90381 |
|
33 |
19 |
$160.00 |
| 90710 |
|
634 |
619 |
$160.00 |
| 99395 |
|
28 |
27 |
$126.93 |
| 99383 |
|
33 |
33 |
$98.02 |
| 11055 |
|
29 |
27 |
$96.25 |
| 90756 |
|
228 |
213 |
$42.29 |
| 90696 |
|
107 |
103 |
$20.00 |
| 90380 |
|
13 |
13 |
$20.00 |
| 90700 |
|
83 |
81 |
$20.00 |
| 90473 |
|
94 |
91 |
$19.24 |
| 90734 |
|
435 |
426 |
$10.00 |
| 90673 |
|
14 |
14 |
$0.14 |
| 90656 |
|
31 |
31 |
$0.04 |
| Z1034 |
|
4,289 |
3,547 |
$0.00 |
| 85018 |
|
579 |
579 |
$0.00 |
| Z6402 |
|
933 |
925 |
$0.00 |
| Z6204 |
|
687 |
673 |
$0.00 |
| Z6406 |
|
645 |
645 |
$0.00 |
| Z1032 |
|
199 |
195 |
$0.00 |
| 83036 |
|
25 |
25 |
$0.00 |
| 90620 |
|
14 |
13 |
$0.00 |
| 99443 |
|
13 |
13 |
$0.00 |
| Z6410 |
|
27 |
27 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
424 |
55 |
$0.00 |
| 90474 |
|
72 |
72 |
$0.00 |
| Z1038 |
|
28 |
26 |
$0.00 |
| 99441 |
|
29 |
26 |
$0.00 |
| Z6300 |
|
876 |
874 |
$0.00 |
| Z6412 |
|
233 |
199 |
$0.00 |
| 99442 |
|
711 |
455 |
$0.00 |
| Z6200 |
|
878 |
876 |
$0.00 |
| Z6400 |
|
874 |
871 |
$0.00 |
| Z6304 |
|
636 |
636 |
$0.00 |
| G0468 |
Fqhc visit, ippe or awv |
34 |
34 |
$0.00 |
| Z6308 |
|
39 |
39 |
$0.00 |
| Z6414 |
|
26 |
26 |
$0.00 |
| Z6208 |
|
26 |
26 |
$0.00 |
| 90472 |
|
44 |
44 |
$0.00 |
| G0444 |
Depression screen annual |
12 |
12 |
$0.00 |