| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
394,361 |
299,981 |
$68.42M |
| 00003 |
|
178,115 |
150,970 |
$37.86M |
| G0467 |
Fqhc visit, estab pt |
31,004 |
19,506 |
$1.01M |
| 0012A |
|
457 |
450 |
$24K |
| 0011A |
|
584 |
569 |
$20K |
| 99213 |
|
160,088 |
135,443 |
$17K |
| 92004 |
|
1,334 |
1,154 |
$11K |
| 98940 |
|
5,058 |
3,475 |
$7K |
| 99212 |
|
52,614 |
46,280 |
$4K |
| 92014 |
|
1,000 |
934 |
$4K |
| 99203 |
|
3,595 |
3,591 |
$3K |
| 0064A |
|
45 |
45 |
$2K |
| 99214 |
|
35,163 |
30,805 |
$2K |
| G0470 |
Fqhc visit, mh estab pt |
38 |
25 |
$1K |
| 0031A |
|
31 |
29 |
$1K |
| V2020 |
Vision svcs frames purchases |
745 |
739 |
$907.30 |
| 99202 |
|
1,595 |
1,593 |
$755.75 |
| 92340 |
|
453 |
449 |
$596.96 |
| 92015 |
|
2,396 |
2,187 |
$396.50 |
| 0071A |
|
12 |
12 |
$342.00 |
| 81025 |
|
7,666 |
7,381 |
$151.20 |
| J3490 |
Drugs unclassified injection |
342 |
342 |
$115.23 |
| 87635 |
|
12,424 |
11,740 |
$25.65 |
| 81003 |
|
28,144 |
25,376 |
$8.90 |
| 92551 |
|
16,405 |
16,380 |
$0.00 |
| 90680 |
|
794 |
794 |
$0.00 |
| 1126F |
|
22,279 |
20,609 |
$0.00 |
| 3074F |
|
36,351 |
32,560 |
$0.00 |
| 1125F |
|
6,893 |
6,320 |
$0.00 |
| 96372 |
|
9,314 |
8,013 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
3,714 |
3,255 |
$0.00 |
| 90834 |
|
1,183 |
936 |
$0.00 |
| 82962 |
|
18,591 |
16,326 |
$0.00 |
| 36415 |
|
11,900 |
11,625 |
$0.00 |
| 90471 |
|
22,142 |
21,970 |
$0.00 |
| 83036 |
|
2,160 |
2,149 |
$0.00 |
| 98941 |
|
362 |
260 |
$0.00 |
| 85018 |
|
20,489 |
20,286 |
$0.00 |
| 3075F |
|
6,161 |
5,858 |
$0.00 |
| 90620 |
|
530 |
529 |
$0.00 |
| 90651 |
|
1,772 |
1,772 |
$0.00 |
| Z1032 |
|
581 |
578 |
$0.00 |
| 3080F |
|
1,835 |
1,731 |
$0.00 |
| 90686 |
|
4,887 |
4,878 |
$0.00 |
| 1123F |
|
1,569 |
1,550 |
$0.00 |
| J2001 |
Lidocaine injection |
429 |
384 |
$0.00 |
| 90688 |
|
1,344 |
1,343 |
$0.00 |
| 90656 |
|
564 |
563 |
$0.00 |
| 93000 |
|
925 |
919 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
647 |
574 |
$0.00 |
| 3079F |
|
12,875 |
11,870 |
$0.00 |
| G0008 |
Admin influenza virus vac |
311 |
311 |
$0.00 |
| 90694 |
|
121 |
121 |
$0.00 |
| Z6204 |
|
361 |
359 |
$0.00 |
| Z1034 |
|
10,098 |
6,310 |
$0.00 |
| Z1038 |
|
128 |
128 |
$0.00 |
| 90698 |
|
553 |
553 |
$0.00 |
| 90744 |
|
282 |
282 |
$0.00 |
| J3420 |
Vitamin b12 injection |
1,219 |
1,137 |
$0.00 |
| 94640 |
|
172 |
145 |
$0.00 |
| 96110 |
|
1,484 |
1,482 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
956 |
674 |
$0.00 |
| Z6404 |
|
186 |
186 |
$0.00 |
| 90697 |
|
316 |
316 |
$0.00 |
| 0503F |
|
128 |
122 |
$0.00 |
| 90723 |
|
278 |
278 |
$0.00 |
| 86580 |
|
430 |
426 |
$0.00 |
| 90674 |
|
1,093 |
1,093 |
$0.00 |
| 3044F |
|
1,013 |
1,013 |
$0.00 |
| 99384 |
|
44 |
44 |
$0.00 |
| 90677 |
|
324 |
324 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
164 |
140 |
$0.00 |
| 99381 |
|
118 |
118 |
$0.00 |
| 97032 |
|
347 |
252 |
$0.00 |
| 0501F |
|
260 |
220 |
$0.00 |
| 90696 |
|
81 |
81 |
$0.00 |
| 20550 |
|
12 |
12 |
$0.00 |
| Z6410 |
|
927 |
740 |
$0.00 |
| Z6406 |
|
299 |
298 |
$0.00 |
| 99383 |
|
108 |
108 |
$0.00 |
| 81001 |
|
112 |
111 |
$0.00 |
| 91301 |
|
238 |
226 |
$0.00 |
| Z6402 |
|
222 |
222 |
$0.00 |
| 99474 |
|
123 |
117 |
$0.00 |
| 90474 |
|
53 |
53 |
$0.00 |
| 1170F |
|
163 |
161 |
$0.00 |
| V2784 |
Lens polycarb or equal |
30 |
30 |
$0.00 |
| 0022A |
|
59 |
59 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
89 |
88 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| 87807 |
|
55 |
55 |
$0.00 |
| 90716 |
|
27 |
27 |
$0.00 |
| A4670 |
Automatic bp monitor, dial |
18 |
18 |
$0.00 |
| 87804 |
|
2,965 |
2,926 |
$0.00 |
| 99173 |
|
16,621 |
16,592 |
$0.00 |
| M1016 |
Pt dx meop or sur steri |
7,302 |
5,627 |
$0.00 |
| 3078F |
|
32,575 |
29,379 |
$0.00 |
| 90670 |
|
1,751 |
1,751 |
$0.00 |
| 87880 |
|
2,543 |
2,517 |
$0.00 |
| 1159F |
|
54,499 |
46,438 |
$0.00 |
| 90472 |
|
9,323 |
9,248 |
$0.00 |
| G9920 |
Scrning perf and negative |
4,222 |
4,214 |
$0.00 |
| Z6300 |
|
400 |
400 |
$0.00 |
| 99394 |
|
3,028 |
3,025 |
$0.00 |
| 90734 |
|
1,074 |
1,074 |
$0.00 |
| 90756 |
|
304 |
304 |
$0.00 |
| 1158F |
|
1,556 |
1,540 |
$0.00 |
| 90715 |
|
2,643 |
2,641 |
$0.00 |
| 99391 |
|
1,944 |
1,933 |
$0.00 |
| 0502F |
|
484 |
417 |
$0.00 |
| 3077F |
|
4,730 |
4,331 |
$0.00 |
| 99393 |
|
3,144 |
3,144 |
$0.00 |
| 90648 |
|
450 |
450 |
$0.00 |
| 90633 |
|
651 |
651 |
$0.00 |
| 90473 |
|
637 |
637 |
$0.00 |
| 90791 |
|
719 |
719 |
$0.00 |
| 90661 |
|
231 |
231 |
$0.00 |
| 99396 |
|
2,146 |
2,088 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
613 |
596 |
$0.00 |
| 99392 |
|
2,797 |
2,793 |
$0.00 |
| 90832 |
|
6,413 |
5,234 |
$0.00 |
| 1160F |
|
5,267 |
4,726 |
$0.00 |
| 99204 |
|
367 |
367 |
$0.00 |
| Z6304 |
|
607 |
604 |
$0.00 |
| Z6202 |
|
259 |
259 |
$0.00 |
| 99395 |
|
2,248 |
2,198 |
$0.00 |
| 83655 |
|
373 |
371 |
$0.00 |
| Z6400 |
|
581 |
580 |
$0.00 |
| 90658 |
|
12 |
12 |
$0.00 |
| 87420 |
|
24 |
24 |
$0.00 |
| 90837 |
|
527 |
391 |
$0.00 |
| 96158 |
|
134 |
104 |
$0.00 |
| 20552 |
|
53 |
52 |
$0.00 |
| Z6302 |
|
363 |
363 |
$0.00 |
| 90461 |
|
14 |
14 |
$0.00 |
| 90460 |
|
67 |
67 |
$0.00 |
| 97012 |
|
347 |
252 |
$0.00 |
| 90736 |
|
53 |
53 |
$0.00 |
| Z6200 |
|
319 |
319 |
$0.00 |
| 97110 |
|
347 |
252 |
$0.00 |
| 87811 |
|
887 |
848 |
$0.00 |
| 99201 |
|
112 |
112 |
$0.00 |
| 90672 |
|
127 |
127 |
$0.00 |
| Z1036 |
|
138 |
90 |
$0.00 |
| 90710 |
|
150 |
150 |
$0.00 |
| 90682 |
|
30 |
30 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
65 |
64 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 99211 |
|
42 |
42 |
$0.00 |
| 99453 |
|
19 |
19 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 3046F |
|
12 |
12 |
$0.00 |
| 99473 |
|
19 |
19 |
$0.00 |
| 11721 |
|
60 |
60 |
$0.00 |
| 3051F |
|
16 |
16 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90621 |
|
13 |
13 |
$0.00 |
| 90662 |
|
38 |
38 |
$0.00 |
| 99408 |
|
73 |
63 |
$0.00 |
| 80305 |
|
46 |
43 |
$0.00 |
| Z6308 |
|
54 |
52 |
$0.00 |
| 99382 |
|
45 |
45 |
$0.00 |
| A4550 |
Surgical trays |
42 |
42 |
$0.00 |
| 11719 |
|
36 |
36 |
$0.00 |