| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
28,647 |
25,261 |
$1.77M |
| D0120 |
|
8,361 |
8,358 |
$448K |
| D0140 |
|
5,090 |
5,009 |
$440K |
| D2392 |
|
3,462 |
2,848 |
$433K |
| D1110 |
|
5,835 |
5,830 |
$418K |
| D7140 |
|
5,636 |
3,210 |
$396K |
| D2391 |
|
3,084 |
2,415 |
$301K |
| G0466 |
Fqhc visit new patient |
2,717 |
2,631 |
$208K |
| D0150 |
|
2,622 |
2,620 |
$202K |
| D1120 |
|
3,407 |
3,406 |
$138K |
| D1206 |
|
4,777 |
4,774 |
$116K |
| D2393 |
|
703 |
663 |
$103K |
| G0470 |
Fqhc visit, mh estab pt |
1,751 |
1,076 |
$101K |
| D0210 |
|
2,286 |
2,273 |
$90K |
| D0274 |
|
3,837 |
3,835 |
$87K |
| 99213 |
|
13,719 |
12,384 |
$68K |
| 99214 |
|
7,226 |
6,881 |
$54K |
| D1351 |
|
1,829 |
498 |
$53K |
| D2331 |
|
478 |
362 |
$51K |
| D0220 |
|
4,786 |
4,716 |
$36K |
| D4355 |
|
265 |
264 |
$32K |
| D0272 |
|
1,275 |
1,274 |
$27K |
| D2330 |
|
239 |
174 |
$23K |
| D0330 |
|
457 |
456 |
$16K |
| 99395 |
|
973 |
936 |
$12K |
| D4910 |
|
127 |
127 |
$10K |
| 90834 |
|
711 |
463 |
$9K |
| 99394 |
|
787 |
755 |
$9K |
| 90471 |
|
4,847 |
4,690 |
$8K |
| 90472 |
|
2,168 |
2,098 |
$8K |
| 99396 |
|
591 |
575 |
$7K |
| 99212 |
|
1,592 |
1,417 |
$6K |
| D2335 |
|
45 |
39 |
$6K |
| D0240 |
|
260 |
134 |
$5K |
| 99393 |
|
614 |
576 |
$5K |
| 90686 |
|
3,134 |
3,045 |
$5K |
| 0124A |
|
253 |
251 |
$4K |
| 96127 |
|
7,912 |
7,119 |
$4K |
| 99392 |
|
349 |
336 |
$4K |
| 90651 |
|
169 |
162 |
$3K |
| D2332 |
|
32 |
25 |
$3K |
| S0621 |
Routine ophthalmological exa |
566 |
529 |
$3K |
| D7210 |
|
27 |
24 |
$3K |
| 90715 |
|
506 |
504 |
$2K |
| 83036 |
|
1,267 |
1,219 |
$2K |
| 99202 |
|
507 |
484 |
$2K |
| D2150 |
|
17 |
15 |
$2K |
| 92015 |
|
1,102 |
1,065 |
$2K |
| 0054A |
|
66 |
65 |
$2K |
| S0620 |
Routine ophthalmological exa |
270 |
247 |
$1K |
| 0004A |
|
49 |
49 |
$1K |
| 0001A |
|
43 |
43 |
$1K |
| 90746 |
|
194 |
191 |
$1K |
| 91320 |
|
18 |
18 |
$1K |
| D0145 |
|
39 |
39 |
$1K |
| 99203 |
|
255 |
250 |
$1K |
| 0002A |
|
33 |
33 |
$1K |
| 90480 |
|
41 |
41 |
$1K |
| Q0091 |
Obtaining screen pap smear |
235 |
233 |
$1K |
| D0270 |
|
194 |
193 |
$995.53 |
| 99391 |
|
103 |
100 |
$921.62 |
| 90832 |
|
73 |
54 |
$700.23 |
| 0053A |
|
31 |
31 |
$675.54 |
| 90791 |
|
20 |
20 |
$593.33 |
| 90716 |
|
30 |
29 |
$545.04 |
| 92012 |
|
96 |
93 |
$542.23 |
| 90656 |
|
96 |
96 |
$469.35 |
| 92340 |
|
167 |
124 |
$440.22 |
| 99204 |
|
69 |
69 |
$386.48 |
| 90707 |
|
28 |
28 |
$385.75 |
| 0051A |
|
12 |
12 |
$375.62 |
| 90632 |
|
76 |
76 |
$350.57 |
| G2025 |
Dis site tele svcs rhc/fqhc |
58 |
50 |
$309.58 |
| G9007 |
Mccd, sch team conf |
26 |
25 |
$288.17 |
| J1050 |
Medroxyprogesterone acetate |
12 |
12 |
$252.56 |
| 90837 |
|
44 |
37 |
$225.84 |
| 81025 |
|
192 |
184 |
$221.03 |
| G0101 |
Ca screen;pelvic/breast exam |
72 |
72 |
$195.10 |
| 0121A |
|
29 |
29 |
$159.92 |
| 96372 |
|
66 |
65 |
$136.26 |
| 98966 |
|
58 |
55 |
$134.29 |
| H0004 |
Alcohol and/or drug services |
154 |
140 |
$134.22 |
| 82962 |
|
181 |
177 |
$132.04 |
| 81002 |
|
192 |
176 |
$84.72 |
| 90688 |
|
32 |
28 |
$71.36 |
| 87880 |
|
34 |
34 |
$54.76 |
| 85018 |
|
128 |
120 |
$42.49 |
| 92341 |
|
18 |
14 |
$22.98 |
| D0230 |
|
15 |
12 |
$21.60 |
| 3078F |
|
1,037 |
993 |
$0.00 |
| 3077F |
|
1,092 |
1,024 |
$0.00 |
| G0444 |
Depression screen annual |
164 |
157 |
$0.00 |
| 91312 |
|
295 |
293 |
$0.00 |
| 90734 |
|
124 |
121 |
$0.00 |
| 91300 |
|
176 |
166 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
70 |
67 |
$0.00 |
| 90670 |
|
67 |
65 |
$0.00 |
| 3079F |
|
1,006 |
960 |
$0.00 |
| 3075F |
|
283 |
272 |
$0.00 |
| 3074F |
|
1,038 |
995 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
1,778 |
1,585 |
$0.00 |
| 3080F |
|
405 |
380 |
$0.00 |
| G0008 |
Admin influenza virus vac |
67 |
66 |
$0.00 |
| 90677 |
|
16 |
16 |
$0.00 |
| 90647 |
|
39 |
39 |
$0.00 |
| 94760 |
|
284 |
266 |
$0.00 |
| 3044F |
|
167 |
167 |
$0.00 |
| 91305 |
|
203 |
203 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 96110 |
|
19 |
15 |
$0.00 |