| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
26,476 |
21,287 |
$2.20M |
| G0467 |
Fqhc visit, estab pt |
5,416 |
4,720 |
$360K |
| 99213 |
|
132,279 |
114,315 |
$42K |
| 99214 |
|
28,547 |
26,869 |
$11K |
| 90651 |
|
915 |
910 |
$9K |
| 77067 |
|
3,013 |
3,009 |
$6K |
| 99212 |
|
22,266 |
19,268 |
$6K |
| 90670 |
|
1,161 |
1,159 |
$4K |
| 99394 |
|
3,273 |
3,204 |
$4K |
| 99393 |
|
4,800 |
4,731 |
$4K |
| 90710 |
|
545 |
544 |
$4K |
| 97802 |
|
3,466 |
3,151 |
$3K |
| 90734 |
|
855 |
850 |
$3K |
| 87491 |
|
8,844 |
8,792 |
$3K |
| 87591 |
|
9,107 |
8,854 |
$3K |
| G0108 |
Diab manage trn per indiv |
1,291 |
602 |
$2K |
| 92012 |
|
302 |
300 |
$2K |
| G0438 |
Ppps, initial visit |
852 |
805 |
$2K |
| 99392 |
|
2,897 |
2,872 |
$2K |
| 99203 |
|
1,755 |
1,747 |
$2K |
| 71046 |
|
2,297 |
2,283 |
$2K |
| 90756 |
|
247 |
246 |
$2K |
| 82962 |
|
15,583 |
14,160 |
$1K |
| 98960 |
|
138 |
77 |
$1K |
| 92002 |
|
385 |
385 |
$1K |
| 90686 |
|
4,827 |
4,736 |
$1K |
| 87390 |
|
7,346 |
7,316 |
$1K |
| 87905 |
|
9,061 |
8,963 |
$1K |
| 90471 |
|
15,284 |
14,439 |
$969.25 |
| 73630 |
|
893 |
889 |
$959.20 |
| 87808 |
|
9,288 |
9,178 |
$880.00 |
| 87624 |
|
3,686 |
3,674 |
$824.18 |
| 90698 |
|
525 |
524 |
$813.33 |
| 87625 |
|
3,501 |
3,491 |
$755.17 |
| 90633 |
|
760 |
758 |
$753.90 |
| 87661 |
|
3,002 |
2,994 |
$749.32 |
| 87635 |
|
1,534 |
1,466 |
$716.50 |
| 92014 |
|
582 |
581 |
$711.47 |
| 90715 |
|
521 |
514 |
$704.13 |
| 11721 |
|
1,499 |
1,475 |
$696.57 |
| 96372 |
|
1,812 |
1,770 |
$679.60 |
| 99211 |
|
1,355 |
861 |
$671.99 |
| 76856 |
|
1,072 |
1,072 |
$602.73 |
| 92015 |
|
2,346 |
2,346 |
$572.00 |
| 11421 |
|
218 |
210 |
$530.72 |
| 83036 |
|
6,034 |
5,907 |
$457.88 |
| 99202 |
|
2,510 |
2,500 |
$441.48 |
| 86701 |
|
7,388 |
7,349 |
$422.82 |
| 11730 |
|
357 |
300 |
$412.10 |
| 81025 |
|
8,728 |
8,486 |
$397.46 |
| 76642 |
|
538 |
537 |
$396.35 |
| 92004 |
|
1,088 |
1,087 |
$392.41 |
| 73560 |
|
597 |
595 |
$357.77 |
| 72110 |
|
699 |
699 |
$347.28 |
| 29540 |
|
349 |
328 |
$346.56 |
| 97803 |
|
2,931 |
2,816 |
$336.05 |
| 88175 |
|
4,055 |
4,039 |
$336.04 |
| 81000 |
|
15,739 |
13,322 |
$323.84 |
| 97010 |
|
910 |
384 |
$301.94 |
| 87804 |
|
1,524 |
1,501 |
$297.93 |
| 97110 |
|
1,106 |
449 |
$292.95 |
| 99215 |
Prolong outpt/office vis |
1,656 |
1,297 |
$283.15 |
| 90696 |
|
52 |
52 |
$266.80 |
| 11420 |
|
30 |
30 |
$263.55 |
| 87880 |
|
1,866 |
1,835 |
$258.54 |
| 90680 |
|
38 |
38 |
$250.29 |
| 73030 |
|
366 |
365 |
$230.64 |
| 99204 |
|
825 |
760 |
$228.12 |
| 98940 |
|
1,199 |
908 |
$200.64 |
| 99391 |
|
515 |
495 |
$137.36 |
| 97014 |
|
415 |
167 |
$132.36 |
| 73130 |
|
237 |
237 |
$124.45 |
| 90744 |
|
327 |
327 |
$119.40 |
| 11732 |
|
166 |
166 |
$117.92 |
| 80055 |
|
473 |
471 |
$106.41 |
| 76816 |
|
145 |
144 |
$102.64 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
2,272 |
2,062 |
$100.43 |
| 90674 |
|
232 |
223 |
$84.69 |
| 90661 |
|
108 |
108 |
$84.11 |
| 92250 |
|
1,239 |
1,230 |
$83.43 |
| 73610 |
|
26 |
26 |
$74.67 |
| 99201 |
|
192 |
187 |
$68.01 |
| 86762 |
|
484 |
482 |
$64.00 |
| 71045 |
|
62 |
62 |
$52.47 |
| J1050 |
Medroxyprogesterone acetate |
1,081 |
1,077 |
$44.73 |
| 97760 |
|
27 |
27 |
$39.03 |
| 99401 |
|
2,026 |
1,815 |
$27.95 |
| 86580 |
|
1,052 |
965 |
$19.98 |
| 87081 |
|
49 |
49 |
$16.86 |
| 86900 |
|
483 |
481 |
$11.80 |
| 86901 |
|
24 |
24 |
$7.32 |
| G8510 |
Scr dep neg, no plan reqd |
5,198 |
5,103 |
$1.17 |
| J3490 |
Drugs unclassified injection |
649 |
646 |
$0.17 |
| 11422 |
|
398 |
383 |
$0.08 |
| 90750 |
|
30 |
30 |
$0.00 |
| 3078F |
|
24,903 |
22,679 |
$0.00 |
| 3077F |
|
3,276 |
3,133 |
$0.00 |
| 90791 |
|
370 |
362 |
$0.00 |
| 90460 |
|
743 |
739 |
$0.00 |
| G0402 |
Initial preventive exam |
458 |
458 |
$0.00 |
| 90472 |
|
919 |
918 |
$0.00 |
| 99173 |
|
3,908 |
3,891 |
$0.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
482 |
482 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
191 |
186 |
$0.00 |
| 11056 |
|
53 |
52 |
$0.00 |
| H1003 |
Prenatal at risk education |
563 |
562 |
$0.00 |
| 99442 |
|
218 |
205 |
$0.00 |
| G0127 |
Trim nail(s) |
92 |
92 |
$0.00 |
| H1000 |
Prenatal care atrisk assessm |
321 |
321 |
$0.00 |
| 99395 |
|
514 |
511 |
$0.00 |
| 0013A |
|
14 |
14 |
$0.00 |
| 99080 |
|
366 |
360 |
$0.00 |
| 87811 |
|
303 |
299 |
$0.00 |
| 99396 |
|
692 |
690 |
$0.00 |
| 2022F |
|
642 |
641 |
$0.00 |
| 1160F |
|
105 |
105 |
$0.00 |
| 1158F |
|
77 |
77 |
$0.00 |
| 76705 |
|
189 |
189 |
$0.00 |
| P3001 |
Screening pap smear by phys |
170 |
169 |
$0.00 |
| 76805 |
|
27 |
27 |
$0.00 |
| 2028F |
|
767 |
697 |
$0.00 |
| 11000 |
|
15 |
13 |
$0.00 |
| 11423 |
|
163 |
161 |
$0.00 |
| 90649 |
|
14 |
14 |
$0.00 |
| 11720 |
|
12 |
12 |
$0.00 |
| 73565 |
|
37 |
37 |
$0.00 |
| 99490 |
Ccm add 20min |
122 |
122 |
$0.00 |
| 96167 |
|
456 |
453 |
$0.00 |
| S0621 |
Routine ophthalmological exa |
12 |
12 |
$0.00 |
| 1159F |
|
105 |
105 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
149 |
148 |
$0.00 |
| 98942 |
|
15 |
14 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |
| 84439 |
|
31 |
29 |
$0.00 |
| 3046F |
|
76 |
74 |
$0.00 |
| 99387 |
|
41 |
41 |
$0.00 |
| 71047 |
|
45 |
45 |
$0.00 |
| 96158 |
|
49 |
40 |
$0.00 |
| 97763 |
|
27 |
27 |
$0.00 |
| 77066 |
Tomosynthesis, mammo |
25 |
25 |
$0.00 |
| S3000 |
Bilat dil retinal exam |
12 |
12 |
$0.00 |
| 82274 |
|
15 |
15 |
$0.00 |
| 76882 |
|
13 |
13 |
$0.00 |
| 76801 |
|
399 |
398 |
$0.00 |
| 3074F |
|
25,525 |
23,021 |
$0.00 |
| 92551 |
|
3,941 |
3,924 |
$0.00 |
| 3075F |
|
3,179 |
2,956 |
$0.00 |
| 3079F |
|
6,918 |
6,349 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
545 |
534 |
$0.00 |
| 72080 |
|
27 |
27 |
$0.00 |
| 99402 |
|
423 |
419 |
$0.00 |
| 99386 |
|
538 |
535 |
$0.00 |
| 3080F |
|
693 |
620 |
$0.00 |
| J3420 |
Vitamin b12 injection |
14 |
12 |
$0.00 |
| S9445 |
Pt education noc individ |
458 |
337 |
$0.00 |
| H1001 |
Antepartum management |
2,378 |
1,704 |
$0.00 |
| 96156 |
|
2,292 |
2,238 |
$0.00 |
| 99385 |
|
196 |
196 |
$0.00 |
| 1111F |
|
252 |
220 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
402 |
348 |
$0.00 |
| 99384 |
|
166 |
163 |
$0.00 |
| 99172 |
|
26 |
26 |
$0.00 |
| G8418 |
Calc bmi blw low param f/u |
13 |
13 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
354 |
348 |
$0.00 |
| 11001 |
|
56 |
54 |
$0.00 |
| S9452 |
Nutrition class |
160 |
159 |
$0.00 |
| G9012 |
Other specified case mgmt |
370 |
355 |
$0.00 |
| 99383 |
|
118 |
118 |
$0.00 |
| 90620 |
|
128 |
128 |
$0.00 |
| 72040 |
|
40 |
40 |
$0.00 |
| 59430 |
|
116 |
114 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
180 |
180 |
$0.00 |
| G0439 |
Ppps, subseq visit |
705 |
656 |
$0.00 |
| 76641 |
|
51 |
51 |
$0.00 |
| S0620 |
Routine ophthalmological exa |
12 |
12 |
$0.00 |
| 81001 |
|
12 |
12 |
$0.00 |
| 99403 |
|
27 |
26 |
$0.00 |
| 97162 |
|
28 |
28 |
$0.00 |
| 76700 |
|
13 |
13 |
$0.00 |
| 94760 |
|
40 |
39 |
$0.00 |
| J1815 |
Insulin injection |
79 |
79 |
$0.00 |
| 72072 |
|
13 |
13 |
$0.00 |
| 3072F |
|
60 |
60 |
$0.00 |
| 90677 |
|
106 |
106 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
196 |
195 |
$0.00 |
| 3044F |
|
59 |
57 |
$0.00 |
| 99443 |
|
33 |
33 |
$0.00 |
| 11055 |
|
27 |
27 |
$0.00 |
| 20550 |
|
17 |
15 |
$0.00 |
| 99381 |
|
26 |
24 |
$0.00 |
| 72120 |
|
60 |
60 |
$0.00 |
| 90834 |
|
28 |
15 |
$0.00 |
| 76830 |
|
27 |
27 |
$0.00 |
| 98941 |
|
44 |
38 |
$0.00 |
| G9226 |
3 comp foot exam completed |
17 |
12 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 73600 |
|
12 |
12 |
$0.00 |