| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
120,366 |
88,185 |
$20.55M |
| 99213 |
|
100,801 |
57,869 |
$1.46M |
| 99214 |
|
14,692 |
9,913 |
$398K |
| 99212 |
|
17,214 |
10,162 |
$175K |
| 90832 |
|
5,351 |
3,390 |
$137K |
| H1001 |
Antepartum management |
2,121 |
1,441 |
$128K |
| G0467 |
Fqhc visit, estab pt |
7,536 |
5,583 |
$126K |
| 90792 |
|
2,377 |
1,463 |
$108K |
| 98941 |
|
13,495 |
5,889 |
$107K |
| 99203 |
|
2,197 |
1,479 |
$63K |
| 59425 |
|
826 |
528 |
$48K |
| 90837 |
|
1,104 |
615 |
$42K |
| 90791 |
|
691 |
412 |
$40K |
| 99392 |
|
1,267 |
783 |
$26K |
| 92551 |
|
2,446 |
2,432 |
$24K |
| 99215 |
Prolong outpt/office vis |
382 |
303 |
$21K |
| 90834 |
|
979 |
636 |
$20K |
| 99202 |
|
1,043 |
671 |
$20K |
| 90682 |
|
343 |
341 |
$19K |
| 81025 |
|
3,827 |
3,592 |
$17K |
| 81002 |
|
8,482 |
7,254 |
$16K |
| 97802 |
|
1,389 |
1,352 |
$15K |
| 99395 |
|
304 |
178 |
$15K |
| 97810 |
|
1,829 |
1,039 |
$15K |
| 99391 |
|
946 |
567 |
$15K |
| 99393 |
|
531 |
332 |
$14K |
| 97813 |
|
1,005 |
613 |
$12K |
| 98940 |
|
1,300 |
623 |
$10K |
| 99394 |
|
345 |
209 |
$10K |
| 80305 |
|
1,095 |
905 |
$9K |
| 90686 |
|
657 |
648 |
$9K |
| 82962 |
|
4,444 |
3,748 |
$8K |
| 99401 |
|
676 |
603 |
$7K |
| 97811 |
|
1,354 |
777 |
$7K |
| 87880 |
|
1,026 |
994 |
$7K |
| 85018 |
|
3,282 |
3,192 |
$6K |
| 90715 |
|
337 |
336 |
$6K |
| G9920 |
Scrning perf and negative |
276 |
275 |
$4K |
| H1000 |
Prenatal care atrisk assessm |
31 |
31 |
$4K |
| G2025 |
Dis site tele svcs rhc/fqhc |
115 |
94 |
$3K |
| 87804 |
|
342 |
328 |
$3K |
| J3490 |
Drugs unclassified injection |
990 |
963 |
$2K |
| S9445 |
Pt education noc individ |
263 |
201 |
$2K |
| 99204 |
|
58 |
37 |
$2K |
| 99173 |
|
1,922 |
1,912 |
$2K |
| G0470 |
Fqhc visit, mh estab pt |
78 |
66 |
$2K |
| 90732 |
|
16 |
16 |
$2K |
| H1003 |
Prenatal at risk education |
221 |
197 |
$2K |
| 90670 |
|
443 |
436 |
$2K |
| H2000 |
Comp multidisipln evaluation |
159 |
154 |
$1K |
| 93000 |
|
39 |
37 |
$1K |
| G9919 |
Scrn nd pos nd prov of rec |
43 |
43 |
$1K |
| 86580 |
|
328 |
318 |
$1K |
| 90710 |
|
158 |
156 |
$904.77 |
| 83036 |
|
86 |
85 |
$700.28 |
| 90460 |
|
69 |
68 |
$663.30 |
| 99384 |
|
25 |
13 |
$607.29 |
| 90649 |
|
59 |
59 |
$503.16 |
| 96156 |
|
48 |
39 |
$479.44 |
| 99242 |
|
32 |
15 |
$472.00 |
| 87426 |
|
17 |
15 |
$398.66 |
| 99381 |
|
19 |
12 |
$317.31 |
| 99422 |
|
37 |
34 |
$294.84 |
| G0466 |
Fqhc visit new patient |
28 |
28 |
$291.15 |
| 97803 |
|
57 |
57 |
$276.63 |
| 99383 |
|
20 |
13 |
$274.15 |
| 99283 |
|
951 |
824 |
$154.67 |
| 99403 |
|
18 |
17 |
$151.38 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
82 |
74 |
$148.39 |
| 90734 |
|
25 |
25 |
$139.54 |
| 87807 |
|
15 |
14 |
$111.41 |
| 90633 |
|
100 |
100 |
$92.34 |
| 96372 |
|
27 |
26 |
$75.00 |
| J3301 |
Triamcinolone acet inj nos |
12 |
12 |
$74.40 |
| J1885 |
Ketorolac tromethamine inj |
18 |
14 |
$20.30 |
| 90698 |
|
83 |
81 |
$18.00 |
| J1050 |
Medroxyprogesterone acetate |
15 |
15 |
$16.20 |
| 90744 |
|
99 |
98 |
$9.00 |
| G0447 |
Behavior counsel obesity 15m |
76 |
76 |
$0.01 |
| Z6410 |
|
212 |
171 |
$0.00 |
| 3044F |
|
235 |
229 |
$0.00 |
| 3008F |
|
384 |
332 |
$0.00 |
| Z1034 |
|
2,699 |
1,839 |
$0.00 |
| 97814 |
|
886 |
606 |
$0.00 |
| 99441 |
|
1,183 |
1,113 |
$0.00 |
| 3079F |
|
300 |
288 |
$0.00 |
| 2000F |
|
501 |
438 |
$0.00 |
| Z6406 |
|
314 |
251 |
$0.00 |
| 99443 |
|
114 |
102 |
$0.00 |
| 1034F |
|
82 |
71 |
$0.00 |
| 3080F |
|
304 |
285 |
$0.00 |
| 3075F |
|
63 |
60 |
$0.00 |
| 3074F |
|
635 |
591 |
$0.00 |
| Z6204 |
|
26 |
25 |
$0.00 |
| 2001F |
|
538 |
470 |
$0.00 |
| 2010F |
|
547 |
478 |
$0.00 |
| 90651 |
|
30 |
29 |
$0.00 |
| 1125F |
|
50 |
49 |
$0.00 |
| 90680 |
|
28 |
27 |
$0.00 |
| Z1032 |
|
111 |
110 |
$0.00 |
| 1036F |
|
288 |
264 |
$0.00 |
| 1126F |
|
64 |
59 |
$0.00 |
| Z6404 |
|
42 |
40 |
$0.00 |
| 4010F |
|
61 |
55 |
$0.00 |
| Z6402 |
|
13 |
13 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 0500F |
|
18 |
18 |
$0.00 |
| 3077F |
|
432 |
405 |
$0.00 |
| Z6400 |
|
246 |
245 |
$0.00 |
| 0502F |
|
878 |
618 |
$0.00 |
| 3046F |
|
40 |
37 |
$0.00 |
| 99442 |
|
1,405 |
1,281 |
$0.00 |
| 1160F |
|
356 |
322 |
$0.00 |
| 1003F |
|
279 |
278 |
$0.00 |
| 1159F |
|
356 |
322 |
$0.00 |
| 3078F |
|
426 |
396 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| Z6414 |
|
105 |
101 |
$0.00 |
| Z6300 |
|
12 |
12 |
$0.00 |
| 90671 |
|
53 |
53 |
$0.00 |
| 3051F |
|
16 |
13 |
$0.00 |
| 4274F |
|
59 |
49 |
$0.00 |