| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
33,589 |
29,391 |
$1.35M |
| 99213 |
|
18,533 |
16,701 |
$352K |
| 99214 |
|
11,352 |
10,635 |
$314K |
| G0470 |
Fqhc visit, mh estab pt |
3,842 |
3,016 |
$175K |
| G0466 |
Fqhc visit new patient |
1,705 |
1,690 |
$87K |
| 99212 |
|
2,031 |
1,912 |
$25K |
| 90791 |
|
314 |
309 |
$14K |
| 99204 |
|
409 |
401 |
$13K |
| 90471 |
|
2,038 |
1,997 |
$12K |
| 90834 |
|
621 |
465 |
$11K |
| 96372 |
|
1,675 |
1,587 |
$8K |
| 90832 |
|
604 |
540 |
$8K |
| 90686 |
|
1,132 |
1,120 |
$8K |
| 96160 |
|
887 |
879 |
$8K |
| 99203 |
|
356 |
353 |
$7K |
| 99393 |
|
199 |
196 |
$7K |
| 96127 |
|
4,764 |
4,665 |
$5K |
| 90472 |
|
506 |
506 |
$4K |
| 99394 |
|
112 |
111 |
$4K |
| 99395 |
|
111 |
111 |
$3K |
| 90746 |
|
89 |
89 |
$3K |
| J1050 |
Medroxyprogesterone acetate |
50 |
50 |
$3K |
| 99000 |
|
402 |
397 |
$3K |
| 90632 |
|
81 |
81 |
$3K |
| 90460 |
|
464 |
456 |
$2K |
| 90837 |
|
60 |
32 |
$1K |
| 99215 |
Prolong outpt/office vis |
46 |
46 |
$1K |
| 81025 |
|
271 |
264 |
$1K |
| 83036 |
|
233 |
231 |
$884.40 |
| 90656 |
|
61 |
61 |
$826.95 |
| 0134A |
|
48 |
48 |
$826.81 |
| 81003 |
|
609 |
587 |
$689.21 |
| H0004 |
Alcohol and/or drug services |
58 |
57 |
$648.73 |
| 90651 |
|
24 |
24 |
$602.32 |
| 90792 |
|
13 |
12 |
$458.80 |
| 0064A |
|
14 |
14 |
$378.50 |
| 90715 |
|
27 |
27 |
$370.95 |
| H0001 |
Alcohol and/or drug assess |
12 |
12 |
$331.20 |
| 87880 |
|
43 |
42 |
$314.87 |
| 99202 |
|
12 |
12 |
$252.00 |
| J3420 |
Vitamin b12 injection |
140 |
137 |
$226.50 |
| 99406 |
|
30 |
29 |
$89.10 |
| 82962 |
|
35 |
33 |
$56.91 |
| G2025 |
Dis site tele svcs rhc/fqhc |
252 |
223 |
$26.92 |
| J1885 |
Ketorolac tromethamine inj |
14 |
14 |
$17.94 |
| G8417 |
Calc bmi abv up param f/u |
132 |
131 |
$0.01 |
| 3075F |
|
1,425 |
1,368 |
$0.00 |
| 3351F |
|
1,957 |
1,931 |
$0.00 |
| 3080F |
|
667 |
629 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
382 |
378 |
$0.00 |
| 3008F |
|
3,432 |
3,110 |
$0.00 |
| 3074F |
|
4,020 |
3,697 |
$0.00 |
| 3079F |
|
2,703 |
2,545 |
$0.00 |
| 36416 |
|
317 |
296 |
$0.00 |
| 1126F |
|
385 |
375 |
$0.00 |
| 3044F |
|
71 |
70 |
$0.00 |
| 1125F |
|
418 |
392 |
$0.00 |
| S0281 |
Medical home, maintenance |
891 |
806 |
$0.00 |
| 94760 |
|
204 |
190 |
$0.00 |
| G0008 |
Admin influenza virus vac |
81 |
80 |
$0.00 |
| 2000F |
|
40 |
39 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
13 |
12 |
$0.00 |
| 3077F |
|
764 |
718 |
$0.00 |
| G0444 |
Depression screen annual |
1,322 |
1,281 |
$0.00 |
| 91313 |
|
47 |
47 |
$0.00 |
| 3078F |
|
2,820 |
2,643 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
1,478 |
1,451 |
$0.00 |
| 1159F |
|
133 |
126 |
$0.00 |
| 1160F |
|
1,346 |
1,178 |
$0.00 |
| 90461 |
|
127 |
124 |
$0.00 |