| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
119,498 |
98,283 |
$20.57M |
| 00003 |
|
60,490 |
44,111 |
$11.51M |
| 99213 |
|
82,273 |
57,066 |
$249K |
| 90832 |
|
9,034 |
7,177 |
$155K |
| 90791 |
|
3,293 |
2,791 |
$130K |
| 90834 |
|
5,560 |
4,133 |
$113K |
| 99212 |
|
28,201 |
22,713 |
$49K |
| 99214 |
|
15,106 |
10,412 |
$45K |
| G0467 |
Fqhc visit, estab pt |
498 |
426 |
$21K |
| J7307 |
Etonogestrel implant system |
41 |
41 |
$9K |
| H1001 |
Antepartum management |
5,721 |
4,089 |
$7K |
| 99000 |
|
47,415 |
29,988 |
$3K |
| 81025 |
|
14,670 |
10,719 |
$3K |
| 92551 |
|
3,360 |
2,641 |
$3K |
| 87635 |
|
687 |
518 |
$3K |
| 99394 |
|
569 |
437 |
$3K |
| S9445 |
Pt education noc individ |
1,010 |
735 |
$3K |
| 90656 |
|
992 |
731 |
$2K |
| 90686 |
|
3,018 |
2,715 |
$2K |
| 99395 |
|
1,134 |
885 |
$2K |
| 99203 |
|
873 |
779 |
$2K |
| 99396 |
|
1,367 |
1,038 |
$2K |
| 83036 |
|
10,395 |
6,799 |
$2K |
| 90677 |
|
253 |
191 |
$1K |
| 81000 |
|
9,295 |
6,830 |
$1K |
| 96127 |
|
15,552 |
13,076 |
$1K |
| 85018 |
|
3,482 |
3,162 |
$1K |
| 11981 |
|
12 |
12 |
$950.00 |
| 93000 |
|
587 |
461 |
$930.31 |
| 99173 |
|
4,628 |
3,614 |
$834.73 |
| 94010 |
|
244 |
170 |
$803.67 |
| 90471 |
|
5,278 |
4,084 |
$790.63 |
| 90792 |
|
62 |
53 |
$679.41 |
| 59025 |
|
1,562 |
715 |
$558.20 |
| H1000 |
Prenatal care atrisk assessm |
382 |
357 |
$505.24 |
| J3490 |
Drugs unclassified injection |
324 |
233 |
$496.80 |
| S9452 |
Nutrition class |
16 |
15 |
$480.00 |
| 90715 |
|
1,264 |
950 |
$476.97 |
| 59430 |
|
268 |
252 |
$423.36 |
| 82962 |
|
10,664 |
7,594 |
$422.21 |
| S9455 |
Diabetic management program, |
14 |
12 |
$420.00 |
| 87811 |
|
193 |
181 |
$412.30 |
| 90746 |
|
72 |
53 |
$392.00 |
| S9449 |
Weight mgmt class |
13 |
13 |
$390.00 |
| 99392 |
|
208 |
150 |
$367.11 |
| 99215 |
Prolong outpt/office vis |
716 |
562 |
$312.84 |
| 81003 |
|
5,571 |
3,415 |
$308.99 |
| 82948 |
|
1,054 |
736 |
$261.84 |
| G0439 |
Ppps, subseq visit |
32 |
30 |
$240.02 |
| 90480 |
|
67 |
45 |
$240.00 |
| 11976 |
|
18 |
18 |
$219.67 |
| 81002 |
|
8,079 |
6,602 |
$182.02 |
| 99204 |
|
117 |
92 |
$168.56 |
| 99393 |
|
148 |
100 |
$131.55 |
| 96372 |
|
1,264 |
877 |
$128.76 |
| 96156 |
|
5,387 |
5,242 |
$121.95 |
| H0049 |
Alcohol/drug screening |
3,265 |
2,996 |
$111.51 |
| 86580 |
|
107 |
79 |
$108.70 |
| 99391 |
|
35 |
25 |
$104.07 |
| 90460 |
|
608 |
448 |
$75.00 |
| 90649 |
|
44 |
38 |
$72.00 |
| 90632 |
|
19 |
15 |
$58.00 |
| 87880 |
|
488 |
435 |
$57.15 |
| 90662 |
|
26 |
26 |
$56.00 |
| 99202 |
|
85 |
62 |
$51.24 |
| 90653 |
|
28 |
18 |
$44.00 |
| 90620 |
|
142 |
136 |
$39.00 |
| 99401 |
|
296 |
292 |
$37.87 |
| H1003 |
Prenatal at risk education |
158 |
152 |
$30.28 |
| 90461 |
|
390 |
186 |
$30.00 |
| G9920 |
Scrning perf and negative |
692 |
664 |
$29.00 |
| Q0091 |
Obtaining screen pap smear |
733 |
647 |
$25.00 |
| 90472 |
|
446 |
300 |
$13.38 |
| 85013 |
|
2,021 |
1,991 |
$1.83 |
| 3078F |
|
74,327 |
51,305 |
$0.10 |
| 3074F |
|
79,074 |
54,070 |
$0.09 |
| 1036F |
|
73,992 |
43,129 |
$0.07 |
| 3079F |
|
16,458 |
11,748 |
$0.06 |
| 1160F |
|
45,787 |
28,835 |
$0.03 |
| 1159F |
|
45,776 |
28,829 |
$0.03 |
| 90723 |
|
70 |
55 |
$0.03 |
| 90647 |
|
41 |
27 |
$0.03 |
| 3077F |
|
4,735 |
3,438 |
$0.01 |
| 3075F |
|
7,360 |
5,378 |
$0.01 |
| 3080F |
|
936 |
662 |
$0.01 |
| 3725F |
|
3,039 |
2,044 |
$0.00 |
| 83026 |
|
2,084 |
2,064 |
$0.00 |
| Z6304 |
|
198 |
198 |
$0.00 |
| Z6300 |
|
349 |
349 |
$0.00 |
| Z6200 |
|
299 |
295 |
$0.00 |
| 97803 |
|
179 |
162 |
$0.00 |
| Z6400 |
|
599 |
591 |
$0.00 |
| 80061 |
|
264 |
261 |
$0.00 |
| H0050 |
Alcohol/drug service 15 min |
887 |
885 |
$0.00 |
| 99211 |
|
13 |
13 |
$0.00 |
| 3046F |
|
846 |
634 |
$0.00 |
| 87804 |
|
504 |
399 |
$0.00 |
| 1017 |
|
104 |
97 |
$0.00 |
| 90710 |
|
16 |
15 |
$0.00 |
| 99483 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 90658 |
|
48 |
35 |
$0.00 |
| 90707 |
|
37 |
26 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
18 |
18 |
$0.00 |
| 90837 |
|
16 |
16 |
$0.00 |
| Z6208 |
|
13 |
12 |
$0.00 |
| 83655 |
|
13 |
12 |
$0.00 |
| 1034F |
|
4,016 |
2,508 |
$0.00 |
| 3044F |
|
1,258 |
974 |
$0.00 |
| 1125F |
|
162 |
118 |
$0.00 |
| Z1034 |
|
9,006 |
6,680 |
$0.00 |
| Z1032 |
|
757 |
740 |
$0.00 |
| Z6204 |
|
591 |
528 |
$0.00 |
| Z6410 |
|
1,722 |
1,259 |
$0.00 |
| 90651 |
|
132 |
128 |
$0.00 |
| Z6402 |
|
385 |
380 |
$0.00 |
| 80051 |
|
196 |
194 |
$0.00 |
| Z6406 |
|
174 |
174 |
$0.00 |
| Z1038 |
|
180 |
176 |
$0.00 |
| 82306 |
|
33 |
33 |
$0.00 |
| 90657 |
|
62 |
60 |
$0.00 |
| 3052F |
|
119 |
119 |
$0.00 |
| 97802 |
|
39 |
38 |
$0.00 |
| 99384 |
|
45 |
45 |
$0.00 |
| 7900 |
|
97 |
59 |
$0.00 |
| 84479 |
|
133 |
130 |
$0.00 |
| 90732 |
|
13 |
13 |
$0.00 |
| 85025 |
|
166 |
164 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |
| 1126F |
|
666 |
475 |
$0.00 |
| 1035F |
|
152 |
99 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
37 |
34 |
$0.00 |
| 90674 |
|
30 |
30 |
$0.00 |
| 99383 |
|
16 |
13 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
12 |
12 |
$0.00 |
| 80053 |
|
16 |
16 |
$0.00 |
| 90619 |
|
17 |
14 |
$0.00 |
| 99495 |
|
29 |
20 |
$0.00 |