| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
155,052 |
142,724 |
$22.23M |
| 99213 |
|
186,895 |
113,101 |
$234K |
| G0467 |
Fqhc visit, estab pt |
4,496 |
4,062 |
$156K |
| 90792 |
|
2,921 |
2,138 |
$105K |
| 99214 |
|
36,420 |
24,609 |
$65K |
| 87811 |
|
12,536 |
9,856 |
$64K |
| 0012A |
|
673 |
673 |
$44K |
| 0011A |
|
688 |
688 |
$43K |
| 90832 |
|
3,200 |
1,571 |
$37K |
| 99215 |
Prolong outpt/office vis |
466 |
462 |
$34K |
| 90791 |
|
998 |
620 |
$28K |
| 0064A |
|
149 |
148 |
$9K |
| 98941 |
|
2,877 |
1,419 |
$8K |
| 90834 |
|
571 |
178 |
$5K |
| G9012 |
Other specified case mgmt |
253 |
218 |
$4K |
| 99212 |
|
18,118 |
11,117 |
$3K |
| G9008 |
Mccd,phys coor-care ovrsght |
403 |
343 |
$2K |
| 0134A |
|
35 |
32 |
$2K |
| 0004A |
|
27 |
26 |
$2K |
| 99203 |
|
7,001 |
4,638 |
$2K |
| 99204 |
|
2,033 |
1,706 |
$2K |
| 0013A |
|
21 |
21 |
$1K |
| 90750 |
|
397 |
368 |
$531.11 |
| 99202 |
|
2,771 |
1,875 |
$510.70 |
| 87635 |
|
2,491 |
1,606 |
$405.37 |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,047 |
974 |
$235.00 |
| 96372 |
|
4,883 |
3,278 |
$166.19 |
| 90715 |
|
558 |
451 |
$154.10 |
| 92250 |
|
1,831 |
1,819 |
$89.92 |
| 90746 |
|
682 |
610 |
$70.32 |
| 90471 |
|
5,371 |
4,541 |
$63.80 |
| 87804 |
|
6,587 |
4,173 |
$61.69 |
| 99211 |
|
3,995 |
3,695 |
$59.20 |
| 93000 |
|
1,309 |
907 |
$56.44 |
| 71046 |
|
555 |
548 |
$55.88 |
| 81002 |
|
20,566 |
12,742 |
$50.10 |
| 73562 |
|
113 |
103 |
$45.98 |
| 83036 |
|
3,782 |
2,558 |
$43.05 |
| 87880 |
|
7,123 |
4,522 |
$42.66 |
| J1885 |
Ketorolac tromethamine inj |
1,795 |
1,247 |
$35.07 |
| 81025 |
|
10,885 |
7,065 |
$34.19 |
| 72100 |
|
198 |
198 |
$29.79 |
| 90688 |
|
1,705 |
1,437 |
$23.24 |
| 99201 |
|
225 |
137 |
$22.52 |
| 82962 |
|
5,784 |
3,815 |
$15.77 |
| 85018 |
|
2,056 |
1,343 |
$4.03 |
| 3077F |
|
7,174 |
6,897 |
$0.00 |
| 3078F |
|
31,672 |
30,607 |
$0.00 |
| 90472 |
|
755 |
653 |
$0.00 |
| 99395 |
|
492 |
300 |
$0.00 |
| 93005 |
|
252 |
197 |
$0.00 |
| 3046F |
|
324 |
213 |
$0.00 |
| 73130 |
|
28 |
24 |
$0.00 |
| 99396 |
|
471 |
319 |
$0.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
38 |
38 |
$0.00 |
| 69210 |
|
251 |
200 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
71 |
57 |
$0.00 |
| 73630 |
|
79 |
75 |
$0.00 |
| 99242 |
|
14 |
14 |
$0.00 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
18 |
17 |
$0.00 |
| 90658 |
|
64 |
56 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
83 |
55 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
39 |
26 |
$0.00 |
| 73030 |
|
128 |
116 |
$0.00 |
| 81003 |
|
32 |
32 |
$0.00 |
| 69209 |
|
101 |
62 |
$0.00 |
| 74018 |
|
64 |
64 |
$0.00 |
| 73140 |
|
17 |
16 |
$0.00 |
| 90662 |
|
19 |
12 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
13 |
13 |
$0.00 |
| 73610 |
|
13 |
13 |
$0.00 |
| 72110 |
|
12 |
12 |
$0.00 |
| 96379 |
|
30 |
18 |
$0.00 |
| 90686 |
|
272 |
239 |
$0.00 |
| 3074F |
|
32,255 |
31,194 |
$0.00 |
| 86580 |
|
283 |
269 |
$0.00 |
| 3075F |
|
8,317 |
8,164 |
$0.00 |
| 99000 |
|
285 |
258 |
$0.00 |
| 3080F |
|
2,300 |
2,228 |
$0.00 |
| 72040 |
|
51 |
51 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
421 |
310 |
$0.00 |
| 90677 |
|
118 |
114 |
$0.00 |
| 3079F |
|
13,243 |
12,941 |
$0.00 |
| Z7610 |
|
65 |
65 |
$0.00 |
| 94640 |
|
340 |
302 |
$0.00 |
| 90739 |
|
306 |
292 |
$0.00 |
| A9150 |
Misc/exper non-prescript dru |
483 |
434 |
$0.00 |
| J3420 |
Vitamin b12 injection |
257 |
170 |
$0.00 |
| 36416 |
|
91 |
78 |
$0.00 |
| 73502 |
|
45 |
43 |
$0.00 |
| 3044F |
|
788 |
531 |
$0.00 |
| 90657 |
|
19 |
19 |
$0.00 |
| 90743 |
|
132 |
109 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
267 |
211 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
303 |
186 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
421 |
329 |
$0.00 |
| 73560 |
|
103 |
83 |
$0.00 |
| 73120 |
|
19 |
16 |
$0.00 |
| 73620 |
|
50 |
42 |
$0.00 |
| 71045 |
|
57 |
57 |
$0.00 |
| 90656 |
|
20 |
20 |
$0.00 |
| J3490 |
Drugs unclassified injection |
119 |
103 |
$0.00 |
| 99443 |
|
12 |
12 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
12 |
12 |
$0.00 |
| 91301 |
|
21 |
21 |
$0.00 |