| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
362,899 |
266,835 |
$70.70M |
| G0467 |
Fqhc visit, estab pt |
9,323 |
6,772 |
$321K |
| 99212 |
|
92,234 |
56,785 |
$266K |
| 99213 |
|
155,309 |
98,517 |
$253K |
| 99214 |
|
54,860 |
36,024 |
$218K |
| 99202 |
|
2,478 |
1,967 |
$150K |
| 99203 |
|
7,338 |
5,047 |
$90K |
| 99215 |
Prolong outpt/office vis |
7,959 |
5,218 |
$57K |
| 96110 |
|
1,296 |
980 |
$43K |
| 96372 |
|
12,793 |
9,347 |
$33K |
| 99204 |
|
1,104 |
802 |
$27K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
1,572 |
1,571 |
$26K |
| A4267 |
Male condom |
2,384 |
2,374 |
$26K |
| 99394 |
|
5,580 |
3,500 |
$21K |
| 96413 |
|
2,125 |
1,219 |
$18K |
| 99392 |
|
10,185 |
6,660 |
$17K |
| 99393 |
|
6,313 |
3,989 |
$17K |
| 92551 |
|
29,064 |
19,386 |
$16K |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,006 |
911 |
$15K |
| 99205 |
Prolong outpt/office vis |
439 |
263 |
$14K |
| 96367 |
|
1,069 |
537 |
$13K |
| 20552 |
|
2,447 |
2,071 |
$13K |
| H1001 |
Antepartum management |
16,268 |
12,577 |
$11K |
| 20611 |
|
384 |
298 |
$11K |
| 20610 |
|
2,191 |
1,845 |
$11K |
| S9445 |
Pt education noc individ |
14,466 |
10,562 |
$10K |
| J1030 |
Methylprednisolone 40 mg inj |
5,391 |
4,457 |
$7K |
| 99000 |
|
60,013 |
43,809 |
$7K |
| 90686 |
|
5,674 |
4,066 |
$6K |
| 90471 |
|
32,199 |
23,899 |
$6K |
| G0466 |
Fqhc visit new patient |
189 |
189 |
$6K |
| J3490 |
Drugs unclassified injection |
119 |
83 |
$6K |
| J7327 |
Monovisc inj per dose |
18 |
13 |
$5K |
| 99391 |
|
8,578 |
6,484 |
$5K |
| 90834 |
|
5,745 |
3,278 |
$4K |
| H1002 |
Carecoordination prenatal |
1,218 |
1,205 |
$4K |
| 90715 |
|
1,419 |
1,000 |
$3K |
| J1100 |
Dexamethasone sodium phos |
5,576 |
4,549 |
$3K |
| 90651 |
|
1,886 |
1,351 |
$3K |
| H1003 |
Prenatal at risk education |
8,492 |
6,610 |
$3K |
| 90472 |
|
17,260 |
12,686 |
$2K |
| H2000 |
Comp multidisipln evaluation |
6,252 |
4,110 |
$2K |
| 99173 |
|
28,988 |
18,960 |
$2K |
| 93000 |
|
1,427 |
916 |
$2K |
| 81025 |
|
5,534 |
4,457 |
$2K |
| 99395 |
|
4,719 |
3,037 |
$2K |
| S5000 |
Prescription drug, generic |
196 |
174 |
$2K |
| 97803 |
|
8,363 |
6,473 |
$2K |
| 90670 |
|
5,112 |
3,833 |
$1K |
| 96156 |
|
12,121 |
8,401 |
$1K |
| 90734 |
|
952 |
669 |
$1K |
| 81002 |
|
62,303 |
37,024 |
$1K |
| 99401 |
|
8,435 |
6,403 |
$1K |
| 90619 |
|
391 |
233 |
$1K |
| 90633 |
|
1,981 |
1,340 |
$927.48 |
| 90621 |
|
574 |
407 |
$873.00 |
| S4993 |
Contraceptive pills for bc |
38 |
38 |
$864.00 |
| 90698 |
|
1,245 |
867 |
$783.00 |
| 99396 |
|
1,942 |
1,332 |
$725.27 |
| 90677 |
|
337 |
227 |
$684.62 |
| 59425 |
|
195 |
152 |
$666.58 |
| 90671 |
|
957 |
723 |
$652.50 |
| 90791 |
|
610 |
431 |
$640.40 |
| 99381 |
|
1,011 |
920 |
$607.78 |
| S9452 |
Nutrition class |
3,659 |
2,726 |
$523.12 |
| 59430 |
|
471 |
468 |
$469.34 |
| J2001 |
Lidocaine injection |
795 |
629 |
$451.31 |
| 97802 |
|
3,272 |
2,316 |
$447.14 |
| J1885 |
Ketorolac tromethamine inj |
2,033 |
1,693 |
$441.45 |
| 90832 |
|
676 |
415 |
$427.03 |
| 99497 |
|
81 |
79 |
$381.97 |
| 90710 |
|
433 |
287 |
$378.00 |
| 96402 |
|
287 |
268 |
$351.56 |
| J0696 |
Ceftriaxone sodium injection |
685 |
510 |
$348.04 |
| 90656 |
|
306 |
223 |
$334.91 |
| 99211 |
|
262 |
259 |
$317.88 |
| 96415 |
|
84 |
69 |
$300.83 |
| 90680 |
|
2,164 |
1,742 |
$297.00 |
| 90744 |
|
569 |
412 |
$288.00 |
| 90620 |
|
99 |
68 |
$283.00 |
| 94640 |
|
612 |
320 |
$273.58 |
| 99385 |
|
189 |
119 |
$252.65 |
| 99384 |
|
234 |
209 |
$246.79 |
| 90697 |
|
931 |
734 |
$225.00 |
| 96375 |
|
82 |
79 |
$198.40 |
| 20605 |
|
16 |
13 |
$185.01 |
| 99403 |
|
2,712 |
1,907 |
$168.22 |
| 90648 |
|
2,351 |
1,820 |
$153.00 |
| 36415 |
|
2,530 |
2,246 |
$148.79 |
| 85018 |
|
7,817 |
5,323 |
$141.73 |
| 99386 |
|
45 |
27 |
$136.80 |
| J1010 |
Inj, methylpred acetate 1 mg |
411 |
347 |
$124.11 |
| 96151 |
|
371 |
321 |
$120.00 |
| 99383 |
|
211 |
206 |
$117.56 |
| 90674 |
|
42 |
28 |
$93.76 |
| 88150 |
|
788 |
518 |
$87.50 |
| J3301 |
Triamcinolone acet inj nos |
273 |
252 |
$68.46 |
| 90716 |
|
177 |
118 |
$54.00 |
| 3077F |
|
2,565 |
1,743 |
$51.96 |
| 99242 |
|
572 |
324 |
$47.20 |
| 90707 |
|
182 |
116 |
$36.00 |
| 90696 |
|
71 |
52 |
$36.00 |
| 99382 |
|
13 |
13 |
$27.00 |
| 90723 |
|
1,129 |
910 |
$27.00 |
| Q0091 |
Obtaining screen pap smear |
373 |
241 |
$18.00 |
| 90700 |
|
174 |
113 |
$18.00 |
| J7613 |
Albuterol non-comp unit |
552 |
296 |
$12.59 |
| 90681 |
|
32 |
25 |
$9.00 |
| 90473 |
|
2,424 |
1,925 |
$8.08 |
| 86580 |
|
175 |
127 |
$7.91 |
| J1750 |
Inj iron dextran |
19 |
12 |
$6.52 |
| S0197 |
Prenatal vitamins 30 day |
1,430 |
1,403 |
$4.20 |
| 82962 |
|
3,734 |
2,443 |
$1.80 |
| J7050 |
Normal saline solution infus |
13 |
13 |
$0.70 |
| 3078F |
|
19,415 |
12,225 |
$0.12 |
| 3074F |
|
19,850 |
12,274 |
$0.09 |
| 3079F |
|
4,276 |
2,881 |
$0.02 |
| G8752 |
Sys bp less 140 |
9,817 |
6,490 |
$0.01 |
| 1159F |
|
20,970 |
13,721 |
$0.01 |
| 3075F |
|
2,115 |
1,457 |
$0.01 |
| G8754 |
Dias bp less 90 |
2,429 |
1,693 |
$0.01 |
| Z6414 |
|
5,520 |
3,809 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
1,423 |
1,025 |
$0.00 |
| Z6308 |
|
2,934 |
2,391 |
$0.00 |
| Z6400 |
|
10,128 |
8,400 |
$0.00 |
| Z6304 |
|
9,322 |
6,902 |
$0.00 |
| Z6500 |
|
2,947 |
2,931 |
$0.00 |
| Z6208 |
|
2,456 |
2,022 |
$0.00 |
| 1160F |
|
4,943 |
3,505 |
$0.00 |
| 96158 |
|
872 |
693 |
$0.00 |
| 11721 |
|
76 |
63 |
$0.00 |
| Z6202 |
|
174 |
163 |
$0.00 |
| 99188 |
|
174 |
111 |
$0.00 |
| 96417 |
|
100 |
61 |
$0.00 |
| 87880 |
|
57 |
30 |
$0.00 |
| 87804 |
|
30 |
17 |
$0.00 |
| 0502F |
|
65 |
39 |
$0.00 |
| 96152 |
|
72 |
72 |
$0.00 |
| 96159 |
|
14 |
13 |
$0.00 |
| H1000 |
Prenatal care atrisk assessm |
176 |
134 |
$0.00 |
| 96153 |
|
44 |
39 |
$0.00 |
| Z6302 |
|
103 |
99 |
$0.00 |
| A4207 |
2 cc sterile syringe&needle |
13 |
13 |
$0.00 |
| 99201 |
|
39 |
35 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
59 |
33 |
$0.00 |
| Z6410 |
|
17,320 |
12,614 |
$0.00 |
| Z1034 |
|
21,003 |
16,228 |
$0.00 |
| Z6406 |
|
9,675 |
7,522 |
$0.00 |
| 3080F |
|
1,249 |
774 |
$0.00 |
| Z1032 |
|
2,172 |
2,161 |
$0.00 |
| Z6204 |
|
6,672 |
5,690 |
$0.00 |
| G9231 |
Doc esrd dia trans preg |
1,234 |
826 |
$0.00 |
| G0008 |
Admin influenza virus vac |
40 |
36 |
$0.00 |
| 1111F |
|
3,163 |
2,306 |
$0.00 |
| Z1038 |
|
485 |
481 |
$0.00 |
| 88738 |
|
709 |
440 |
$0.00 |
| Z6404 |
|
577 |
501 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
691 |
440 |
$0.00 |
| 1126F |
|
281 |
245 |
$0.00 |
| 96150 |
|
34 |
28 |
$0.00 |
| G9664 |
Taking statin or rec'd order |
156 |
121 |
$0.00 |
| 3008F |
|
102 |
84 |
$0.00 |
| 1170F |
|
41 |
26 |
$0.00 |
| 99243 |
|
50 |
31 |
$0.00 |
| G0439 |
Ppps, subseq visit |
118 |
117 |
$0.00 |
| 1101F |
|
15 |
15 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
53 |
53 |
$0.00 |
| 1125F |
|
281 |
253 |
$0.00 |
| 99241 |
|
54 |
32 |
$0.00 |