| Code | Description | Claims | Beneficiaries | Total Paid |
| H0045 |
Respite not-in-home per diem |
12 |
12 |
$58K |
| 99213 |
|
255,433 |
230,833 |
$43K |
| 90732 |
|
395 |
395 |
$21K |
| 90658 |
|
9,923 |
9,910 |
$18K |
| 99214 |
|
58,046 |
54,964 |
$15K |
| 99212 |
|
60,149 |
55,263 |
$14K |
| 90670 |
|
1,788 |
1,787 |
$12K |
| 90471 |
|
24,832 |
24,558 |
$4K |
| 99203 |
|
4,910 |
4,887 |
$3K |
| 99392 |
|
4,669 |
4,654 |
$2K |
| 90715 |
|
1,917 |
1,914 |
$2K |
| 99215 |
Prolong outpt/office vis |
4,352 |
4,167 |
$1K |
| 92002 |
|
1,131 |
1,131 |
$1K |
| 82948 |
|
42,926 |
39,211 |
$1K |
| 90472 |
|
4,693 |
4,652 |
$1K |
| 1159F |
|
165,188 |
152,491 |
$1K |
| 1160F |
|
163,346 |
150,730 |
$1K |
| 99202 |
|
1,581 |
1,581 |
$1K |
| G0467 |
Fqhc visit, estab pt |
1,332 |
1,185 |
$1K |
| 90649 |
|
268 |
268 |
$815.40 |
| 90832 |
|
2,811 |
2,208 |
$812.69 |
| 83036 |
|
14,470 |
14,175 |
$808.89 |
| 99204 |
|
977 |
972 |
$765.89 |
| 99396 |
|
2,335 |
2,324 |
$763.50 |
| 92551 |
|
6,735 |
6,721 |
$696.67 |
| 99394 |
|
1,777 |
1,775 |
$660.27 |
| 92015 |
|
4,960 |
4,945 |
$631.64 |
| 99201 |
|
606 |
470 |
$568.81 |
| 99393 |
|
2,606 |
2,594 |
$560.54 |
| 90633 |
|
1,729 |
1,729 |
$535.94 |
| 81002 |
|
17,789 |
15,386 |
$500.20 |
| 99395 |
|
811 |
807 |
$475.48 |
| 86580 |
|
1,251 |
1,240 |
$415.43 |
| D1310 |
|
510 |
509 |
$409.50 |
| 85018 |
|
9,255 |
9,184 |
$374.34 |
| D1330 |
|
517 |
516 |
$366.60 |
| H1001 |
Antepartum management |
9,226 |
6,891 |
$360.48 |
| 96110 |
|
3,418 |
3,415 |
$337.03 |
| 90710 |
|
552 |
551 |
$307.82 |
| 99211 |
|
2,984 |
2,796 |
$288.38 |
| H2000 |
Comp multidisipln evaluation |
380 |
355 |
$268.94 |
| 92012 |
|
273 |
273 |
$257.46 |
| 99173 |
|
16,486 |
16,454 |
$245.36 |
| D0190 |
|
1,247 |
1,246 |
$225.00 |
| 99241 |
|
471 |
468 |
$220.31 |
| 90736 |
|
64 |
64 |
$216.78 |
| 90834 |
|
2,263 |
1,812 |
$199.47 |
| 93000 |
|
695 |
689 |
$198.87 |
| H1003 |
Prenatal at risk education |
1,678 |
1,309 |
$183.26 |
| 90723 |
|
772 |
772 |
$180.91 |
| 99391 |
|
685 |
683 |
$177.85 |
| D0603 |
|
252 |
252 |
$163.50 |
| 11721 |
|
1,024 |
1,020 |
$132.31 |
| 90648 |
|
985 |
984 |
$121.91 |
| 36416 |
|
2,848 |
2,803 |
$120.31 |
| 90655 |
|
585 |
584 |
$119.00 |
| 92226 |
|
439 |
238 |
$118.38 |
| 92004 |
|
553 |
549 |
$118.32 |
| 90756 |
|
49 |
49 |
$115.00 |
| 90713 |
|
246 |
246 |
$109.07 |
| 90746 |
|
315 |
315 |
$87.81 |
| 99401 |
|
1,527 |
1,510 |
$87.24 |
| 92250 |
|
877 |
827 |
$83.42 |
| 98941 |
|
554 |
412 |
$82.75 |
| 88142 |
|
2,122 |
2,086 |
$81.60 |
| 90620 |
|
431 |
431 |
$81.00 |
| 87635 |
|
504 |
489 |
$75.11 |
| 99490 |
Ccm add 20min |
258 |
191 |
$73.24 |
| 99000 |
|
3,747 |
3,647 |
$68.21 |
| 86318 |
|
73 |
71 |
$61.88 |
| 81025 |
|
1,182 |
1,148 |
$61.32 |
| 87491 |
|
438 |
436 |
$57.30 |
| 98940 |
|
2,120 |
1,655 |
$52.70 |
| G0108 |
Diab manage trn per indiv |
536 |
493 |
$45.74 |
| 36415 |
|
3,183 |
3,056 |
$39.90 |
| 0011A |
|
1,468 |
1,463 |
$33.96 |
| 90700 |
|
356 |
356 |
$30.40 |
| 90647 |
|
422 |
422 |
$29.65 |
| 90686 |
|
3,754 |
3,750 |
$26.73 |
| 96151 |
|
222 |
211 |
$25.41 |
| G8510 |
Scr dep neg, no plan reqd |
21,955 |
21,035 |
$24.07 |
| 3078F |
|
45,816 |
43,804 |
$24.00 |
| 0013A |
|
133 |
133 |
$17.00 |
| 59425 |
|
263 |
189 |
$17.00 |
| H1002 |
Carecoordination prenatal |
225 |
213 |
$16.66 |
| G0442 |
Annual alcohol screen 15 min |
307 |
266 |
$16.34 |
| S9445 |
Pt education noc individ |
3,078 |
2,751 |
$10.08 |
| 90651 |
|
517 |
516 |
$8.91 |
| 82270 |
|
227 |
227 |
$8.67 |
| 87624 |
|
1,904 |
1,860 |
$8.00 |
| 82274 |
|
1,681 |
1,653 |
$6.00 |
| 86328 |
|
27 |
26 |
$2.00 |
| 77067 |
|
1,755 |
1,720 |
$0.03 |
| G2012 |
Brief check in by md/qhp |
4,310 |
3,819 |
$0.01 |
| 90791 |
|
492 |
489 |
$0.00 |
| 3077F |
|
2,505 |
2,412 |
$0.00 |
| H1000 |
Prenatal care atrisk assessm |
750 |
748 |
$0.00 |
| 0502F |
|
1,281 |
1,013 |
$0.00 |
| 3725F |
|
4,467 |
4,208 |
$0.00 |
| 92134 |
|
172 |
170 |
$0.00 |
| 2028F |
|
914 |
904 |
$0.00 |
| 3051F |
|
427 |
422 |
$0.00 |
| 90460 |
|
12,522 |
12,409 |
$0.00 |
| 90461 |
|
5,063 |
5,045 |
$0.00 |
| 83655 |
|
298 |
298 |
$0.00 |
| 80061 |
|
458 |
451 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
1,331 |
1,289 |
$0.00 |
| 99408 |
|
1,234 |
1,218 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
451 |
440 |
$0.00 |
| 90734 |
|
63 |
63 |
$0.00 |
| 3046F |
|
422 |
404 |
$0.00 |
| 90707 |
|
115 |
115 |
$0.00 |
| 90685 |
|
21 |
21 |
$0.00 |
| 90671 |
|
50 |
50 |
$0.00 |
| 90837 |
|
1,268 |
996 |
$0.00 |
| 99242 |
|
31 |
28 |
$0.00 |
| 92225 |
|
278 |
146 |
$0.00 |
| 11056 |
|
53 |
53 |
$0.00 |
| 90750 |
|
41 |
41 |
$0.00 |
| 88164 |
|
14 |
14 |
$0.00 |
| 0002A |
|
99 |
99 |
$0.00 |
| 97803 |
|
215 |
214 |
$0.00 |
| 0004A |
|
61 |
61 |
$0.00 |
| 2022F |
|
170 |
100 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 92083 |
|
60 |
60 |
$0.00 |
| 0003A |
|
16 |
16 |
$0.00 |
| 91300 |
|
17 |
17 |
$0.00 |
| H0032 |
Mh svc plan dev by non-md |
83 |
43 |
$0.00 |
| 0071A |
|
12 |
12 |
$0.00 |
| D0145 |
|
14 |
14 |
$0.00 |
| 1158F |
|
147 |
143 |
$0.00 |
| 92201 |
|
70 |
37 |
$0.00 |
| 92202 |
|
50 |
26 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
23 |
23 |
$0.00 |
| 99499 |
|
13 |
13 |
$0.00 |
| 3044F |
|
2,709 |
2,655 |
$0.00 |
| 3079F |
|
11,497 |
11,149 |
$0.00 |
| 1126F |
|
31,807 |
30,544 |
$0.00 |
| 3074F |
|
42,759 |
40,837 |
$0.00 |
| 99429 |
|
7,180 |
6,639 |
$0.00 |
| 1170F |
|
2,989 |
2,887 |
$0.00 |
| 2033F |
|
509 |
492 |
$0.00 |
| 3075F |
|
8,880 |
8,692 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
752 |
693 |
$0.00 |
| 3008F |
|
3,802 |
3,644 |
$0.00 |
| D1206 |
|
452 |
452 |
$0.00 |
| 1125F |
|
6,631 |
6,442 |
$0.00 |
| D0140 |
|
592 |
592 |
$0.00 |
| 1034F |
|
187 |
156 |
$0.00 |
| D0602 |
|
45 |
45 |
$0.00 |
| 86701 |
|
19 |
19 |
$0.00 |
| 1111F |
|
460 |
443 |
$0.00 |
| 59430 |
|
558 |
527 |
$0.00 |
| 0001A |
|
110 |
110 |
$0.00 |
| 4010F |
|
370 |
365 |
$0.00 |
| 96156 |
|
521 |
521 |
$0.00 |
| T1016 |
Case management |
172 |
168 |
$0.00 |
| 0064A |
|
229 |
229 |
$0.00 |
| 97802 |
|
1,123 |
1,120 |
$0.00 |
| 99366 |
|
223 |
220 |
$0.00 |
| 0012A |
|
1,420 |
1,419 |
$0.00 |
| 99402 |
|
197 |
197 |
$0.00 |
| 3052F |
|
25 |
25 |
$0.00 |
| 90677 |
|
286 |
283 |
$0.00 |
| 3080F |
|
148 |
142 |
$0.00 |
| 90656 |
|
557 |
557 |
$0.00 |
| 84443 |
|
59 |
58 |
$0.00 |
| 87426 |
|
329 |
326 |
$0.00 |
| H0002 |
Alcohol and/or drug screenin |
461 |
428 |
$0.00 |
| 91301 |
|
712 |
692 |
$0.00 |
| 0094A |
|
24 |
24 |
$0.00 |
| 3061F |
|
164 |
163 |
$0.00 |
| 3072F |
|
12 |
12 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
304 |
288 |
$0.00 |
| 76801 |
|
12 |
12 |
$0.00 |
| 90716 |
|
192 |
192 |
$0.00 |
| 1000F |
|
192 |
157 |
$0.00 |
| 80055 |
|
12 |
12 |
$0.00 |
| 90739 |
|
150 |
150 |
$0.00 |
| 85025 |
|
68 |
68 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
99 |
74 |
$0.00 |
| 90744 |
|
27 |
27 |
$0.00 |
| 0031A |
|
31 |
31 |
$0.00 |
| J3490 |
Drugs unclassified injection |
25 |
25 |
$0.00 |
| 92499 |
|
182 |
95 |
$0.00 |
| 87591 |
|
12 |
12 |
$0.00 |
| 96372 |
|
12 |
12 |
$0.00 |
| S9452 |
Nutrition class |
14 |
13 |
$0.00 |
| 91306 |
|
16 |
16 |
$0.00 |
| 90680 |
|
58 |
58 |
$0.00 |
| 45378 |
|
15 |
15 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |
| 90632 |
|
30 |
30 |
$0.00 |
| 2023F |
|
30 |
16 |
$0.00 |
| 90792 |
|
28 |
28 |
$0.00 |
| 97597 |
|
44 |
42 |
$0.00 |
| 0503F |
|
25 |
24 |
$0.00 |
| 80048 |
|
13 |
13 |
$0.00 |
| 99406 |
|
53 |
53 |
$0.00 |
| 90657 |
|
18 |
18 |
$0.00 |
| D0601 |
|
15 |
15 |
$0.00 |
| 90650 |
|
12 |
12 |
$0.00 |
| 0500F |
|
14 |
14 |
$0.00 |