| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
129,692 |
99,917 |
$31.14M |
| 99214 |
|
185,220 |
150,902 |
$10.68M |
| S0280 |
Medical home, initial plan |
69,848 |
61,479 |
$10.30M |
| 99213 |
|
202,372 |
168,568 |
$8.02M |
| 90832 |
|
150,480 |
102,178 |
$6.59M |
| G9002 |
Mccd,maintenance rate |
126,823 |
98,080 |
$5.80M |
| 90834 |
|
83,888 |
57,378 |
$5.05M |
| 96110 |
|
130,669 |
67,804 |
$3.16M |
| 90791 |
|
26,897 |
21,105 |
$2.87M |
| 90460 |
|
54,305 |
45,118 |
$2.11M |
| H2017 |
Psysoc rehab svc, per 15 min |
31,237 |
4,662 |
$1.92M |
| 99392 |
|
17,641 |
15,734 |
$1.27M |
| 99391 |
|
19,126 |
16,437 |
$1.20M |
| 99393 |
|
16,918 |
15,077 |
$1.19M |
| 99394 |
|
8,898 |
7,956 |
$704K |
| 99212 |
|
22,615 |
19,580 |
$628K |
| 90792 |
|
4,556 |
3,552 |
$509K |
| 90846 |
|
4,119 |
3,322 |
$274K |
| 87804 |
|
18,539 |
8,229 |
$244K |
| 90847 |
|
3,343 |
2,327 |
$203K |
| 87811 |
|
6,166 |
5,137 |
$193K |
| H0034 |
Med trng & support per 15min |
19,279 |
15,028 |
$177K |
| 90471 |
|
14,084 |
11,407 |
$152K |
| G9001 |
Mccd, initial rate |
2,306 |
1,965 |
$150K |
| 87880 |
|
12,368 |
10,589 |
$143K |
| 87502 |
|
1,564 |
1,262 |
$139K |
| 59426 |
|
265 |
246 |
$135K |
| D1206 |
|
6,745 |
6,479 |
$126K |
| 96156 |
|
2,432 |
2,262 |
$112K |
| D1120 |
|
3,459 |
3,360 |
$107K |
| 36415 |
|
48,673 |
41,024 |
$105K |
| 87635 |
|
2,085 |
1,927 |
$97K |
| D1110 |
|
2,397 |
2,245 |
$94K |
| D0120 |
|
3,854 |
3,626 |
$84K |
| D1351 |
|
4,923 |
1,289 |
$84K |
| 99215 |
Prolong outpt/office vis |
2,041 |
1,804 |
$78K |
| 99174 |
|
10,948 |
9,397 |
$71K |
| H0038 |
Self-help/peer svc per 15min |
6,189 |
2,584 |
$71K |
| 59430 |
|
665 |
597 |
$67K |
| 99381 |
|
811 |
733 |
$60K |
| D0150 |
|
2,091 |
2,013 |
$57K |
| 90472 |
|
3,718 |
3,089 |
$56K |
| 92250 |
|
2,659 |
2,054 |
$54K |
| D2391 |
|
846 |
551 |
$49K |
| H0016 |
Alcohol and/or drug services |
465 |
244 |
$49K |
| 92014 |
|
905 |
759 |
$48K |
| 96372 |
|
5,035 |
3,742 |
$47K |
| 90837 |
|
621 |
502 |
$45K |
| D0330 |
|
1,258 |
1,150 |
$42K |
| D0220 |
|
3,496 |
3,311 |
$35K |
| D9230 |
|
1,213 |
1,146 |
$34K |
| D0272 |
|
2,609 |
2,515 |
$34K |
| D2392 |
|
452 |
343 |
$34K |
| 92015 |
|
2,311 |
1,943 |
$33K |
| D7140 |
|
690 |
222 |
$33K |
| 99204 |
|
421 |
344 |
$31K |
| 96130 |
|
632 |
458 |
$31K |
| 85018 |
|
12,515 |
10,887 |
$30K |
| 76815 |
|
615 |
508 |
$28K |
| D0230 |
|
4,098 |
2,723 |
$28K |
| 81025 |
|
4,664 |
3,919 |
$27K |
| 3074F |
|
148,308 |
125,189 |
$27K |
| 99490 |
Ccm add 20min |
4,858 |
4,103 |
$26K |
| 92558 |
|
8,025 |
7,047 |
$26K |
| J1050 |
Medroxyprogesterone acetate |
1,212 |
1,038 |
$23K |
| 90686 |
|
20,884 |
17,824 |
$23K |
| 92552 |
|
1,342 |
1,274 |
$23K |
| 90688 |
|
4,195 |
3,486 |
$23K |
| D0274 |
|
1,325 |
1,224 |
$23K |
| 90715 |
|
1,023 |
914 |
$23K |
| 3008F |
|
179,934 |
148,549 |
$22K |
| 3078F |
|
129,560 |
110,022 |
$20K |
| 92551 |
|
2,846 |
2,518 |
$20K |
| 96167 |
|
494 |
462 |
$20K |
| D0145 |
|
883 |
871 |
$19K |
| 0012A |
|
516 |
490 |
$18K |
| 81003 |
|
20,934 |
15,358 |
$18K |
| 99484 |
|
478 |
452 |
$17K |
| 0011A |
|
513 |
458 |
$16K |
| G0467 |
Fqhc visit, estab pt |
3,178 |
2,257 |
$16K |
| 96150 |
|
1,335 |
974 |
$15K |
| 99211 |
|
831 |
745 |
$13K |
| 96136 |
|
550 |
400 |
$12K |
| 90651 |
|
3,322 |
2,932 |
$12K |
| 96158 |
|
304 |
269 |
$12K |
| 3079F |
|
38,668 |
32,271 |
$11K |
| 90677 |
|
2,158 |
1,863 |
$10K |
| D2140 |
|
171 |
101 |
$10K |
| 91322 |
|
143 |
117 |
$10K |
| 0031A |
|
298 |
247 |
$9K |
| 99173 |
|
1,996 |
1,751 |
$9K |
| 36416 |
|
7,162 |
6,241 |
$8K |
| 80305 |
|
1,091 |
812 |
$8K |
| 90480 |
|
342 |
260 |
$8K |
| 99395 |
|
102 |
96 |
$8K |
| 96137 |
|
298 |
215 |
$8K |
| 3075F |
|
10,890 |
9,145 |
$7K |
| 87807 |
|
569 |
471 |
$7K |
| 83655 |
|
529 |
454 |
$7K |
| D0210 |
|
133 |
127 |
$6K |
| 90670 |
|
9,361 |
8,529 |
$6K |
| 90656 |
|
655 |
618 |
$6K |
| 90678 |
|
36 |
26 |
$6K |
| D2150 |
|
71 |
40 |
$5K |
| 96101 |
|
230 |
146 |
$5K |
| 3077F |
|
5,488 |
4,506 |
$5K |
| D2930 |
|
34 |
24 |
$4K |
| 98967 |
|
268 |
212 |
$3K |
| 0072A |
|
90 |
84 |
$3K |
| D0140 |
|
195 |
139 |
$3K |
| 80061 |
|
193 |
173 |
$3K |
| 90716 |
|
3,839 |
3,367 |
$3K |
| 59025 |
|
96 |
43 |
$3K |
| V2020 |
Vision svcs frames purchases |
246 |
228 |
$3K |
| 99202 |
|
74 |
54 |
$3K |
| 99203 |
|
52 |
41 |
$2K |
| 92587 |
|
91 |
84 |
$2K |
| 90853 |
|
615 |
241 |
$2K |
| 90723 |
|
9,954 |
8,897 |
$2K |
| D0190 |
|
311 |
270 |
$2K |
| 90461 |
|
14,679 |
13,155 |
$2K |
| 0071A |
|
56 |
50 |
$2K |
| 92004 |
|
57 |
45 |
$2K |
| 90619 |
|
734 |
634 |
$2K |
| 90734 |
|
1,059 |
953 |
$2K |
| 90785 |
|
764 |
597 |
$2K |
| 98966 |
|
241 |
167 |
$1K |
| 82465 |
|
621 |
542 |
$1K |
| 0064A |
|
42 |
37 |
$1K |
| V2100 |
Lens spher single plano 4.00 |
175 |
160 |
$1K |
| 96131 |
|
19 |
14 |
$1K |
| 96154 |
|
126 |
75 |
$1K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
245 |
219 |
$1K |
| 90680 |
|
3,684 |
3,330 |
$1K |
| 99382 |
|
14 |
13 |
$1K |
| 92340 |
|
79 |
57 |
$1K |
| 85025 |
|
166 |
130 |
$1K |
| 90707 |
|
3,703 |
3,235 |
$1K |
| D1354 |
|
120 |
44 |
$951.94 |
| 90473 |
|
132 |
118 |
$865.61 |
| 0081A |
|
22 |
14 |
$831.35 |
| 90647 |
|
8,231 |
7,484 |
$823.46 |
| 90474 |
|
158 |
127 |
$813.12 |
| 90671 |
|
712 |
650 |
$788.30 |
| 3080F |
|
1,277 |
1,048 |
$740.00 |
| T1016 |
Case management |
60 |
31 |
$616.00 |
| 96127 |
|
139 |
123 |
$572.66 |
| 90633 |
|
4,439 |
3,911 |
$569.08 |
| 71046 |
|
48 |
37 |
$522.22 |
| 87070 |
|
71 |
70 |
$510.95 |
| 0051A |
|
13 |
13 |
$480.00 |
| 0052A |
|
12 |
12 |
$480.00 |
| H0049 |
Alcohol/drug screening |
36 |
26 |
$408.00 |
| 99605 |
|
20 |
15 |
$375.00 |
| J1631 |
Haloperidol decanoate inj |
119 |
74 |
$352.10 |
| 83036 |
|
55 |
50 |
$308.77 |
| 82570 |
|
93 |
80 |
$258.00 |
| 82044 |
|
56 |
50 |
$201.03 |
| 90620 |
|
15 |
15 |
$200.00 |
| 94760 |
|
409 |
282 |
$106.84 |
| 88720 |
|
21 |
15 |
$75.84 |
| 91301 |
|
1,167 |
1,046 |
$73.88 |
| 90700 |
|
462 |
433 |
$52.30 |
| 99408 |
|
7,590 |
5,898 |
$46.68 |
| D0350 |
|
210 |
192 |
$40.16 |
| 99442 |
|
348 |
314 |
$30.33 |
| 3044F |
|
2,131 |
1,962 |
$20.00 |
| 2022F |
|
21 |
16 |
$10.00 |
| T2002 |
N-et; per diem |
156 |
84 |
$7.20 |
| G9005 |
Mccd, risk adj, maintenance |
60,192 |
36,682 |
$4.03 |
| G9010 |
Mccd, risk adj, level 4 |
22,351 |
15,787 |
$0.88 |
| G9004 |
Mccd, risk adj lo, initial |
42,592 |
30,298 |
$0.80 |
| J2315 |
Naltrexone, depot form |
16 |
12 |
$0.59 |
| G9006 |
Mccd, home monitoring |
2,982 |
2,335 |
$0.29 |
| G9011 |
Mccd, risk adj, level 5 |
8,236 |
6,049 |
$0.24 |
| 4037F |
|
24,545 |
20,896 |
$0.00 |
| 90674 |
|
1,817 |
1,649 |
$0.00 |
| 0501F |
|
424 |
354 |
$0.00 |
| 90696 |
|
379 |
308 |
$0.00 |
| 2023F |
|
2,161 |
1,798 |
$0.00 |
| 87426 |
|
1,016 |
785 |
$0.00 |
| 99441 |
|
87 |
84 |
$0.00 |
| D1310 |
|
159 |
159 |
$0.00 |
| 91307 |
|
189 |
168 |
$0.00 |
| 91306 |
|
42 |
37 |
$0.00 |
| G9007 |
Mccd, sch team conf |
23 |
12 |
$0.00 |
| 91305 |
|
150 |
139 |
$0.00 |
| 91303 |
|
298 |
247 |
$0.00 |
| 99443 |
|
15 |
14 |
$0.00 |
| D9995 |
|
79 |
78 |
$0.00 |
| 59410 |
|
17 |
13 |
$0.00 |
| 90657 |
|
73 |
35 |
$0.00 |
| D1330 |
|
146 |
146 |
$0.00 |
| H0033 |
Oral med adm direct observe |
16 |
14 |
$0.00 |
| 90381 |
|
18 |
14 |
$0.00 |
| 0502F |
|
18,812 |
11,430 |
$0.00 |
| 90681 |
|
1,081 |
1,020 |
$0.00 |
| 90685 |
|
570 |
531 |
$0.00 |
| 90672 |
|
284 |
242 |
$0.00 |
| 92588 |
|
140 |
118 |
$0.00 |
| 90661 |
|
1,227 |
987 |
$0.00 |
| 99080 |
|
325 |
258 |
$0.00 |
| 90687 |
|
104 |
90 |
$0.00 |
| D9996 |
|
188 |
179 |
$0.00 |
| 90380 |
|
35 |
28 |
$0.00 |
| 91321 |
|
30 |
26 |
$0.00 |
| 91308 |
|
24 |
15 |
$0.00 |
| G0470 |
Fqhc visit, mh estab pt |
22 |
17 |
$0.00 |
| 90658 |
|
14 |
14 |
$0.00 |