| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
293,423 |
226,074 |
$39.99M |
| 99213 |
|
291,497 |
220,918 |
$4.44M |
| 99214 |
|
99,952 |
85,622 |
$1.90M |
| G0467 |
Fqhc visit, estab pt |
18,269 |
13,426 |
$1.88M |
| 99212 |
|
19,558 |
17,235 |
$277K |
| 99395 |
|
2,130 |
2,105 |
$170K |
| H1001 |
Antepartum management |
2,152 |
1,433 |
$168K |
| 99396 |
|
4,274 |
4,150 |
$158K |
| 99393 |
|
4,145 |
4,133 |
$123K |
| 99394 |
|
3,433 |
3,429 |
$119K |
| 99215 |
Prolong outpt/office vis |
3,062 |
2,905 |
$111K |
| 99203 |
|
2,190 |
2,183 |
$107K |
| 99392 |
|
3,377 |
3,367 |
$93K |
| 59425 |
|
1,585 |
968 |
$77K |
| 90656 |
|
4,542 |
4,475 |
$67K |
| 90715 |
|
2,670 |
2,637 |
$49K |
| J3490 |
Drugs unclassified injection |
860 |
835 |
$49K |
| 99391 |
|
1,308 |
1,271 |
$37K |
| 90686 |
|
6,191 |
6,037 |
$22K |
| 0270 |
|
2,281 |
2,129 |
$22K |
| 90732 |
|
184 |
181 |
$17K |
| 90649 |
|
2,674 |
2,606 |
$16K |
| 99204 |
|
338 |
337 |
$14K |
| 90834 |
|
965 |
792 |
$13K |
| 90734 |
|
1,782 |
1,754 |
$10K |
| 81002 |
|
6,634 |
5,257 |
$9K |
| 90670 |
|
1,602 |
1,568 |
$9K |
| 92552 |
|
1,411 |
1,410 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
4,008 |
3,432 |
$8K |
| J3420 |
Vitamin b12 injection |
2,981 |
2,804 |
$8K |
| 93000 |
|
347 |
341 |
$7K |
| 90633 |
|
1,222 |
1,210 |
$7K |
| 90685 |
|
1,011 |
994 |
$6K |
| 90698 |
|
991 |
972 |
$5K |
| J1040 |
Methylprednisolone 80 mg inj |
502 |
475 |
$5K |
| 90792 |
|
95 |
90 |
$4K |
| 94760 |
|
2,589 |
2,010 |
$3K |
| 93005 |
|
268 |
264 |
$3K |
| 90680 |
|
359 |
335 |
$3K |
| G2025 |
Dis site tele svcs rhc/fqhc |
249 |
209 |
$3K |
| 0250 |
|
462 |
446 |
$3K |
| H1000 |
Prenatal care atrisk assessm |
12 |
12 |
$2K |
| J2930 |
Methylprednisolone injection |
314 |
285 |
$2K |
| 90710 |
|
359 |
359 |
$2K |
| 90744 |
|
562 |
555 |
$2K |
| 99211 |
|
92 |
89 |
$2K |
| 90791 |
|
16 |
12 |
$2K |
| 99173 |
|
1,353 |
1,352 |
$1K |
| 90696 |
|
252 |
251 |
$1K |
| G0466 |
Fqhc visit new patient |
12 |
12 |
$1K |
| 90471 |
|
7,374 |
7,275 |
$1K |
| 57454 |
|
16 |
16 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
280 |
219 |
$1K |
| 90700 |
|
138 |
138 |
$981.06 |
| 90716 |
|
154 |
154 |
$900.00 |
| 84703 |
|
675 |
652 |
$582.05 |
| 90647 |
|
84 |
84 |
$567.06 |
| 90707 |
|
63 |
63 |
$387.00 |
| 90619 |
|
272 |
227 |
$84.00 |
| J3301 |
Triamcinolone acet inj nos |
15 |
15 |
$69.94 |
| J1815 |
Insulin injection |
13 |
13 |
$58.09 |
| 90620 |
|
116 |
116 |
$3.43 |
| 3074F |
|
1,699 |
1,465 |
$0.00 |
| Z1034 |
|
2,079 |
1,483 |
$0.00 |
| 3075F |
|
736 |
673 |
$0.00 |
| Z7610 |
|
325 |
312 |
$0.00 |
| 00001 |
|
90 |
77 |
$0.00 |
| 3079F |
|
125 |
119 |
$0.00 |
| 90677 |
|
26 |
20 |
$0.00 |
| 99001 |
|
5,609 |
4,879 |
$0.00 |
| 3078F |
|
696 |
635 |
$0.00 |
| T1101 |
|
313 |
304 |
$0.00 |
| 0900 |
|
62 |
56 |
$0.00 |
| 3077F |
|
43 |
41 |
$0.00 |
| G0101 |
Ca screen;pelvic/breast exam |
106 |
106 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
27 |
26 |
$0.00 |
| Z7500 |
|
15 |
15 |
$0.00 |