| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
115,502 |
86,947 |
$20.37M |
| 00003 |
|
4,259 |
2,513 |
$909K |
| 90832 |
|
26,734 |
10,185 |
$591K |
| 99213 |
|
122,118 |
93,617 |
$289K |
| 99212 |
|
100,902 |
80,156 |
$172K |
| 99202 |
|
18,205 |
16,294 |
$164K |
| 99203 |
|
3,163 |
2,895 |
$79K |
| G0467 |
Fqhc visit, estab pt |
4,389 |
3,218 |
$79K |
| 90791 |
|
1,376 |
1,165 |
$60K |
| 90834 |
|
2,474 |
1,302 |
$59K |
| H1001 |
Antepartum management |
1,468 |
946 |
$29K |
| 99394 |
|
2,030 |
1,570 |
$26K |
| 99000 |
|
30,070 |
24,926 |
$25K |
| 99393 |
|
1,692 |
1,341 |
$22K |
| 0002A |
|
1,659 |
1,393 |
$19K |
| 90460 |
|
3,767 |
2,083 |
$18K |
| 0001A |
|
1,712 |
1,422 |
$16K |
| 92552 |
|
4,165 |
3,323 |
$15K |
| 0012A |
|
2,143 |
1,951 |
$12K |
| 99395 |
|
2,764 |
2,308 |
$11K |
| 0011A |
|
2,222 |
2,010 |
$10K |
| 0064A |
|
481 |
446 |
$10K |
| 99214 |
|
4,174 |
3,718 |
$9K |
| 99396 |
|
1,992 |
1,741 |
$9K |
| 93000 |
|
1,059 |
911 |
$8K |
| 92551 |
|
2,397 |
2,120 |
$8K |
| 0004A |
|
348 |
332 |
$7K |
| 96110 |
|
1,088 |
795 |
$6K |
| 99384 |
|
701 |
597 |
$6K |
| 90686 |
|
2,955 |
2,478 |
$5K |
| 90756 |
|
2,327 |
2,098 |
$4K |
| 97802 |
|
7,287 |
5,593 |
$4K |
| 86328 |
|
2,505 |
1,772 |
$4K |
| 97140 |
|
12,434 |
4,382 |
$4K |
| 99211 |
|
4,962 |
4,657 |
$4K |
| 99392 |
|
824 |
588 |
$3K |
| 99383 |
|
427 |
340 |
$3K |
| 97110 |
|
11,221 |
4,159 |
$3K |
| 99173 |
|
6,261 |
5,128 |
$3K |
| 83026 |
|
3,257 |
2,770 |
$3K |
| 81002 |
|
5,577 |
4,807 |
$2K |
| 93306 |
|
222 |
199 |
$2K |
| 96372 |
|
5,409 |
4,038 |
$2K |
| 86580 |
|
944 |
928 |
$2K |
| 90633 |
|
1,148 |
974 |
$2K |
| 99385 |
|
221 |
211 |
$2K |
| 81025 |
|
3,597 |
3,031 |
$2K |
| H1003 |
Prenatal at risk education |
616 |
484 |
$2K |
| 97161 |
|
2,082 |
1,830 |
$2K |
| G0447 |
Behavior counsel obesity 15m |
6,234 |
4,720 |
$2K |
| 90649 |
|
1,744 |
1,470 |
$1K |
| 92014 |
|
1,352 |
1,088 |
$1K |
| 0013A |
|
51 |
51 |
$1K |
| 76700 |
|
588 |
564 |
$1K |
| 90715 |
|
1,079 |
957 |
$1K |
| 0003A |
|
39 |
38 |
$1K |
| 99391 |
|
401 |
314 |
$1K |
| 0072A |
|
133 |
123 |
$1K |
| 0071A |
|
183 |
161 |
$880.00 |
| 97010 |
|
9,506 |
3,335 |
$871.72 |
| 90471 |
|
4,372 |
3,922 |
$859.76 |
| 88142 |
|
1,229 |
1,116 |
$856.27 |
| 92004 |
|
83 |
82 |
$838.52 |
| 99382 |
|
106 |
82 |
$784.77 |
| 90710 |
|
359 |
289 |
$759.55 |
| 97014 |
|
2,225 |
960 |
$746.87 |
| 90670 |
|
806 |
655 |
$742.01 |
| 82948 |
|
11,735 |
9,478 |
$719.59 |
| 92015 |
|
1,804 |
1,504 |
$687.10 |
| G0466 |
Fqhc visit new patient |
15 |
15 |
$668.02 |
| 97032 |
|
8,988 |
3,022 |
$658.81 |
| 97803 |
|
336 |
257 |
$646.25 |
| 59425 |
|
305 |
210 |
$640.18 |
| S9445 |
Pt education noc individ |
123 |
90 |
$584.84 |
| 90674 |
|
1,099 |
1,068 |
$566.67 |
| 90697 |
|
231 |
182 |
$484.31 |
| 92012 |
|
280 |
268 |
$474.62 |
| 71046 |
|
392 |
316 |
$468.58 |
| 90734 |
|
774 |
630 |
$461.55 |
| G0108 |
Diab manage trn per indiv |
257 |
222 |
$452.82 |
| 76856 |
|
216 |
199 |
$451.60 |
| 90619 |
|
396 |
322 |
$434.64 |
| J1885 |
Ketorolac tromethamine inj |
1,299 |
1,131 |
$382.31 |
| 90620 |
|
303 |
242 |
$362.37 |
| 99381 |
|
73 |
63 |
$351.06 |
| 99204 |
|
14 |
12 |
$329.73 |
| G8510 |
Scr dep neg, no plan reqd |
1,217 |
999 |
$309.46 |
| G2025 |
Dis site tele svcs rhc/fqhc |
57 |
51 |
$291.73 |
| 99441 |
|
1,157 |
969 |
$290.28 |
| 90744 |
|
324 |
287 |
$233.37 |
| 90716 |
|
355 |
306 |
$228.28 |
| 97530 |
|
707 |
498 |
$228.07 |
| 90694 |
|
60 |
59 |
$227.66 |
| 97112 |
|
1,019 |
484 |
$191.80 |
| 90656 |
|
223 |
159 |
$171.00 |
| 99401 |
|
37 |
29 |
$161.52 |
| 90713 |
|
221 |
188 |
$156.46 |
| J3420 |
Vitamin b12 injection |
806 |
683 |
$151.55 |
| 99215 |
Prolong outpt/office vis |
77 |
75 |
$151.42 |
| G0008 |
Admin influenza virus vac |
37 |
36 |
$142.86 |
| 72100 |
|
148 |
120 |
$137.80 |
| 99386 |
|
29 |
29 |
$129.56 |
| 90677 |
|
192 |
147 |
$126.46 |
| 87804 |
|
975 |
695 |
$119.66 |
| 96156 |
|
14 |
14 |
$114.41 |
| 3074F |
|
15,035 |
12,620 |
$111.66 |
| 85018 |
|
758 |
701 |
$89.87 |
| 97035 |
|
1,797 |
672 |
$84.38 |
| 98941 |
|
887 |
597 |
$74.83 |
| 98940 |
|
556 |
430 |
$65.04 |
| 90648 |
|
333 |
282 |
$64.82 |
| 3044F |
|
3,481 |
3,232 |
$64.42 |
| 99442 |
|
268 |
235 |
$63.28 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
247 |
242 |
$62.34 |
| 1000F |
|
2,803 |
2,464 |
$61.63 |
| 3078F |
|
13,918 |
11,692 |
$53.82 |
| 3077F |
|
2,601 |
2,170 |
$53.70 |
| J0696 |
Ceftriaxone sodium injection |
371 |
344 |
$53.66 |
| 90707 |
|
148 |
127 |
$47.82 |
| 77080 |
|
47 |
45 |
$46.11 |
| 90700 |
|
141 |
114 |
$37.91 |
| 73030 |
|
43 |
36 |
$33.22 |
| J1100 |
Dexamethasone sodium phos |
132 |
127 |
$29.84 |
| 3079F |
|
5,009 |
4,283 |
$28.86 |
| 90681 |
|
62 |
52 |
$26.82 |
| G8431 |
Pos clin depres scrn f/u doc |
235 |
222 |
$25.00 |
| J1030 |
Methylprednisolone 40 mg inj |
20 |
16 |
$17.13 |
| 73562 |
|
14 |
12 |
$15.78 |
| G8483 |
Flu imm no admin doc rea |
275 |
235 |
$9.00 |
| 90696 |
|
17 |
14 |
$8.91 |
| 3008F |
|
6,963 |
6,103 |
$7.50 |
| 1126F |
|
377 |
358 |
$4.50 |
| 3014F |
|
145 |
138 |
$4.50 |
| 1111F |
|
475 |
380 |
$3.00 |
| 81000 |
|
120 |
118 |
$2.58 |
| 3080F |
|
1,557 |
1,294 |
$2.10 |
| 1159F |
|
1,532 |
1,439 |
$1.50 |
| 1160F |
|
1,503 |
1,413 |
$1.50 |
| 3075F |
|
2,529 |
2,149 |
$0.60 |
| Z6400 |
|
1,195 |
995 |
$0.00 |
| 3046F |
|
102 |
96 |
$0.00 |
| 97164 |
|
143 |
100 |
$0.00 |
| 90461 |
|
142 |
129 |
$0.00 |
| D2391 |
|
47 |
24 |
$0.00 |
| 90661 |
|
132 |
112 |
$0.00 |
| 3050F |
|
28 |
25 |
$0.00 |
| 3045F |
|
103 |
97 |
$0.00 |
| 1036F |
|
2,435 |
2,153 |
$0.00 |
| Z1034 |
|
2,406 |
1,593 |
$0.00 |
| Z6410 |
|
578 |
482 |
$0.00 |
| 1125F |
|
936 |
901 |
$0.00 |
| Z1032 |
|
130 |
130 |
$0.00 |
| Z6406 |
|
66 |
53 |
$0.00 |
| Z6204 |
|
44 |
41 |
$0.00 |
| 76830 |
|
49 |
48 |
$0.00 |
| 87635 |
|
47 |
34 |
$0.00 |
| 90723 |
|
67 |
60 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
16 |
16 |
$0.00 |
| 90688 |
|
71 |
70 |
$0.00 |
| 3049F |
|
13 |
13 |
$0.00 |
| 90381 |
|
21 |
16 |
$0.00 |
| D1206 |
|
13 |
13 |
$0.00 |