| Code | Description | Claims | Beneficiaries | Total Paid |
| G0467 |
Fqhc visit, estab pt |
131,226 |
107,329 |
$8.16M |
| G0470 |
Fqhc visit, mh estab pt |
24,702 |
12,932 |
$1.61M |
| G0468 |
Fqhc visit, ippe or awv |
23,039 |
22,539 |
$1.46M |
| D1110 |
|
14,554 |
14,448 |
$1.41M |
| 99402 |
|
15,835 |
12,555 |
$1.35M |
| D7140 |
|
13,044 |
6,984 |
$1.25M |
| D0140 |
|
11,242 |
10,979 |
$1.04M |
| D0120 |
|
9,477 |
9,437 |
$582K |
| D2392 |
|
3,685 |
3,165 |
$498K |
| D0150 |
|
6,290 |
6,254 |
$497K |
| G0466 |
Fqhc visit new patient |
5,434 |
5,367 |
$413K |
| 99214 |
|
48,944 |
43,058 |
$369K |
| D2150 |
|
2,879 |
2,400 |
$340K |
| D2391 |
|
3,022 |
2,530 |
$331K |
| D5110 |
|
341 |
338 |
$329K |
| 99213 |
|
70,614 |
61,430 |
$326K |
| H2000 |
Comp multidisipln evaluation |
2,583 |
2,567 |
$279K |
| D1120 |
|
7,035 |
6,971 |
$269K |
| D7210 |
|
2,003 |
1,595 |
$267K |
| D2393 |
|
1,454 |
1,354 |
$231K |
| J1050 |
Medroxyprogesterone acetate |
2,991 |
2,968 |
$217K |
| D1206 |
|
8,461 |
8,388 |
$202K |
| D2331 |
|
1,406 |
1,196 |
$183K |
| D0274 |
|
9,867 |
9,815 |
$153K |
| D0330 |
|
5,726 |
5,682 |
$147K |
| D2335 |
|
883 |
784 |
$145K |
| D2160 |
|
913 |
835 |
$125K |
| D2140 |
|
1,245 |
1,054 |
$123K |
| H0006 |
Alcohol and/or drug services |
2,035 |
721 |
$119K |
| D0210 |
|
2,098 |
1,988 |
$113K |
| D2332 |
|
744 |
665 |
$112K |
| D2330 |
|
948 |
751 |
$106K |
| 90832 |
|
15,894 |
9,323 |
$97K |
| D0220 |
|
11,973 |
11,622 |
$92K |
| H1000 |
Prenatal care atrisk assessm |
951 |
945 |
$81K |
| G9002 |
Mccd,maintenance rate |
5,943 |
4,377 |
$52K |
| D0272 |
|
2,604 |
2,592 |
$48K |
| 90834 |
|
3,740 |
2,669 |
$46K |
| 99396 |
|
4,032 |
3,920 |
$43K |
| 99395 |
|
4,278 |
4,184 |
$43K |
| 87635 |
|
1,727 |
1,655 |
$42K |
| 99442 |
|
3,558 |
3,182 |
$42K |
| 90837 |
|
2,541 |
1,710 |
$41K |
| D1351 |
|
1,397 |
240 |
$40K |
| 99392 |
|
3,528 |
3,462 |
$39K |
| 90651 |
|
1,352 |
1,338 |
$39K |
| 99393 |
|
3,154 |
3,114 |
$33K |
| 90791 |
|
2,671 |
2,630 |
$33K |
| D4346 |
|
388 |
388 |
$31K |
| 87636 |
|
393 |
381 |
$29K |
| D5214 |
|
66 |
66 |
$28K |
| D4355 |
|
212 |
210 |
$26K |
| 99391 |
|
2,857 |
2,774 |
$25K |
| 99215 |
Prolong outpt/office vis |
2,116 |
1,972 |
$25K |
| D5120 |
|
101 |
101 |
$25K |
| 99212 |
|
7,488 |
6,545 |
$25K |
| 99204 |
|
1,653 |
1,645 |
$24K |
| 99000 |
|
4,360 |
3,225 |
$22K |
| 99394 |
|
2,310 |
2,268 |
$22K |
| 59426 |
|
30 |
29 |
$21K |
| 99441 |
|
2,552 |
2,325 |
$21K |
| 90471 |
|
15,752 |
15,375 |
$20K |
| 90472 |
|
7,505 |
7,380 |
$20K |
| H0005 |
Alcohol and/or drug services |
439 |
217 |
$17K |
| 99443 |
|
1,198 |
1,131 |
$17K |
| G0469 |
Fqhc visit, mh new pt |
194 |
192 |
$15K |
| 99203 |
|
2,722 |
2,654 |
$15K |
| 96154 |
|
220 |
91 |
$15K |
| D4341 |
|
118 |
56 |
$14K |
| D0230 |
|
3,082 |
2,256 |
$13K |
| 99406 |
|
9,686 |
9,249 |
$13K |
| 83036 |
|
9,864 |
9,756 |
$13K |
| 96372 |
|
8,226 |
7,676 |
$12K |
| J7298 |
Mirena, 52 mg |
12 |
12 |
$12K |
| 90636 |
|
658 |
643 |
$12K |
| 82962 |
|
15,466 |
14,012 |
$12K |
| 0012A |
|
342 |
341 |
$12K |
| 81025 |
|
7,195 |
6,934 |
$12K |
| H0001 |
Alcohol and/or drug assess |
81 |
80 |
$11K |
| 0011A |
|
376 |
376 |
$11K |
| D0190 |
|
2,916 |
2,808 |
$11K |
| D0191 |
|
581 |
569 |
$8K |
| 90632 |
|
1,428 |
1,404 |
$8K |
| 90688 |
|
4,458 |
4,357 |
$8K |
| 36415 |
|
14,927 |
14,050 |
$8K |
| 90853 |
|
450 |
187 |
$8K |
| 90746 |
|
1,235 |
1,207 |
$7K |
| 90715 |
|
1,811 |
1,786 |
$6K |
| 99211 |
|
2,547 |
2,416 |
$6K |
| 99381 |
|
574 |
552 |
$5K |
| Q0091 |
Obtaining screen pap smear |
1,628 |
1,612 |
$5K |
| T1012 |
Alcohol/substance abuse skil |
448 |
170 |
$5K |
| 85018 |
|
9,220 |
9,033 |
$5K |
| 0064A |
|
147 |
147 |
$5K |
| 92558 |
|
5,100 |
4,978 |
$5K |
| T1023 |
Program intake assessment |
53 |
53 |
$5K |
| 83655 |
|
1,711 |
1,659 |
$5K |
| 96160 |
|
1,747 |
1,709 |
$4K |
| 90670 |
|
2,372 |
2,321 |
$4K |
| D2394 |
|
27 |
26 |
$4K |
| 87428 |
|
1,470 |
1,424 |
$4K |
| 96110 |
|
2,314 |
2,256 |
$4K |
| 96127 |
|
8,782 |
8,586 |
$4K |
| 90620 |
|
400 |
397 |
$4K |
| 81003 |
|
1,515 |
1,467 |
$3K |
| 87426 |
|
168 |
157 |
$3K |
| 82274 |
|
627 |
609 |
$3K |
| 98966 |
|
807 |
690 |
$3K |
| 81002 |
|
4,210 |
4,024 |
$3K |
| 87880 |
|
1,120 |
1,098 |
$3K |
| 90756 |
|
481 |
468 |
$3K |
| 99202 |
|
563 |
552 |
$2K |
| D2950 |
|
14 |
14 |
$2K |
| 36416 |
|
18,604 |
17,075 |
$2K |
| 80305 |
|
1,174 |
847 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
1,169 |
1,106 |
$2K |
| D1208 |
|
85 |
85 |
$2K |
| 90658 |
|
133 |
133 |
$2K |
| J3420 |
Vitamin b12 injection |
1,177 |
1,077 |
$2K |
| 0134A |
|
60 |
60 |
$2K |
| 90750 |
|
202 |
201 |
$2K |
| 99417 |
Prolong home eval add 15m |
131 |
81 |
$1K |
| 90716 |
|
504 |
490 |
$1K |
| G9001 |
Mccd, initial rate |
91 |
87 |
$1K |
| 90734 |
|
879 |
861 |
$1K |
| 90460 |
|
323 |
323 |
$1K |
| 88142 |
|
1,100 |
1,060 |
$1K |
| 99354 |
|
98 |
74 |
$1K |
| D4910 |
|
13 |
13 |
$1K |
| 99383 |
|
147 |
140 |
$1K |
| 86318 |
|
315 |
311 |
$787.98 |
| 99188 |
|
879 |
835 |
$771.80 |
| 86328 |
|
29 |
28 |
$763.98 |
| 90473 |
|
1,221 |
1,189 |
$710.76 |
| 69210 |
|
168 |
151 |
$692.74 |
| 87804 |
|
192 |
191 |
$683.29 |
| 90707 |
|
519 |
505 |
$675.65 |
| 90677 |
|
55 |
55 |
$625.88 |
| 99355 |
|
102 |
74 |
$550.70 |
| T1028 |
Home environment assessment |
17,935 |
17,212 |
$412.50 |
| J3301 |
Triamcinolone acet inj nos |
68 |
61 |
$379.81 |
| 99495 |
|
28 |
28 |
$379.41 |
| 93000 |
|
173 |
169 |
$367.66 |
| D0270 |
|
85 |
85 |
$365.86 |
| G2025 |
Dis site tele svcs rhc/fqhc |
58 |
50 |
$364.10 |
| D0999 |
|
13 |
12 |
$331.64 |
| 99050 |
|
1,007 |
988 |
$313.61 |
| 94640 |
|
147 |
132 |
$272.39 |
| 98967 |
|
55 |
49 |
$237.35 |
| 99385 |
|
12 |
12 |
$198.74 |
| J3411 |
Thiamine hcl 100 mg |
53 |
47 |
$180.30 |
| D9230 |
|
191 |
178 |
$162.51 |
| 90474 |
|
66 |
66 |
$147.00 |
| 99174 |
|
2,709 |
2,651 |
$141.68 |
| 99384 |
|
13 |
13 |
$101.00 |
| 87491 |
|
2,926 |
2,810 |
$97.39 |
| 99382 |
|
40 |
38 |
$93.36 |
| 87252 |
|
32 |
31 |
$86.32 |
| 80053 |
|
88 |
72 |
$80.92 |
| 2014F |
|
18,732 |
17,643 |
$68.10 |
| 80061 |
|
93 |
78 |
$51.28 |
| S9470 |
Nutritional counseling, diet |
44,835 |
40,767 |
$51.11 |
| H2011 |
Crisis interven svc, 15 min |
77 |
72 |
$50.25 |
| 83014 |
|
142 |
134 |
$49.74 |
| 90686 |
|
935 |
930 |
$45.16 |
| 92551 |
|
154 |
148 |
$35.34 |
| 20610 |
|
15 |
13 |
$34.07 |
| J0696 |
Ceftriaxone sodium injection |
38 |
37 |
$33.00 |
| S0257 |
End of life counseling |
2,450 |
2,351 |
$18.25 |
| 99072 |
|
1,754 |
1,587 |
$12.88 |
| G0471 |
Ven blood coll snf/hha |
258 |
248 |
$9.00 |
| S9451 |
Exercise class |
42,827 |
38,888 |
$0.63 |
| 99173 |
|
3,318 |
3,238 |
$0.24 |
| 3079F |
|
23,593 |
20,972 |
$0.01 |
| 3074F |
|
39,698 |
33,621 |
$0.01 |
| 90633 |
|
1,335 |
1,301 |
$0.00 |
| 3077F |
|
7,348 |
6,525 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
7,719 |
7,286 |
$0.00 |
| 3078F |
|
29,170 |
25,171 |
$0.00 |
| 99051 |
|
1,051 |
1,025 |
$0.00 |
| 3085F |
|
2,230 |
2,126 |
$0.00 |
| 3045F |
|
507 |
488 |
$0.00 |
| 90710 |
|
449 |
440 |
$0.00 |
| S3005 |
Eval self-assess depression |
1,675 |
1,653 |
$0.00 |
| 3046F |
|
946 |
917 |
$0.00 |
| G0444 |
Depression screen annual |
1,123 |
1,084 |
$0.00 |
| 90685 |
|
283 |
265 |
$0.00 |
| 2028F |
|
885 |
873 |
$0.00 |
| 91313 |
|
61 |
61 |
$0.00 |
| 90461 |
|
171 |
171 |
$0.00 |
| 3051F |
|
164 |
163 |
$0.00 |
| D1999 |
|
144 |
142 |
$0.00 |
| 90700 |
|
59 |
54 |
$0.00 |
| 90662 |
|
27 |
27 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
6,589 |
6,303 |
$0.00 |
| H0038 |
Self-help/peer svc per 15min |
2,259 |
1,239 |
$0.00 |
| 1000F |
|
6,825 |
6,496 |
$0.00 |
| 99070 |
|
505 |
505 |
$0.00 |
| H0049 |
Alcohol/drug screening |
1,629 |
1,582 |
$0.00 |
| 3075F |
|
11,744 |
10,768 |
$0.00 |
| D0601 |
|
1,237 |
1,208 |
$0.00 |
| 90680 |
|
1,192 |
1,151 |
$0.00 |
| 3080F |
|
6,046 |
5,381 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
278 |
274 |
$0.00 |
| 90723 |
|
1,415 |
1,379 |
$0.00 |
| 3044F |
|
2,183 |
2,144 |
$0.00 |
| 90696 |
|
422 |
415 |
$0.00 |
| G0008 |
Admin influenza virus vac |
428 |
427 |
$0.00 |
| D1320 |
|
367 |
361 |
$0.00 |
| D0603 |
|
988 |
968 |
$0.00 |
| 1005F |
|
912 |
881 |
$0.00 |
| G0439 |
Ppps, subseq visit |
83 |
81 |
$0.00 |
| 90647 |
|
1,222 |
1,187 |
$0.00 |
| 4000F |
|
5,522 |
4,768 |
$0.00 |
| 1220F |
|
157 |
153 |
$0.00 |
| 91306 |
|
146 |
146 |
$0.00 |
| D0602 |
|
365 |
358 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
44 |
39 |
$0.00 |
| 90698 |
|
221 |
219 |
$0.00 |
| 90619 |
|
66 |
66 |
$0.00 |
| 91301 |
|
197 |
197 |
$0.00 |
| D9440 |
|
127 |
126 |
$0.00 |
| D1330 |
|
246 |
236 |
$0.00 |
| 91305 |
|
36 |
33 |
$0.00 |
| 90697 |
|
160 |
160 |
$0.00 |
| 58300 |
|
14 |
13 |
$0.00 |
| 59430 |
|
13 |
12 |
$0.00 |
| 3052F |
|
75 |
75 |
$0.00 |