| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
37,190 |
29,154 |
$3.27M |
| 99214 |
|
17,338 |
12,336 |
$429K |
| 99213 |
|
25,154 |
15,835 |
$326K |
| 99212 |
|
8,198 |
5,434 |
$75K |
| 99204 |
|
905 |
729 |
$42K |
| 99203 |
|
733 |
577 |
$27K |
| 99391 |
|
1,181 |
829 |
$25K |
| 99000 |
|
6,705 |
5,652 |
$23K |
| 96156 |
|
518 |
431 |
$22K |
| 99392 |
|
894 |
669 |
$21K |
| 59025 |
|
1,704 |
358 |
$21K |
| 99395 |
|
268 |
203 |
$19K |
| 96372 |
|
1,148 |
839 |
$15K |
| 99396 |
|
152 |
126 |
$13K |
| G0467 |
Fqhc visit, estab pt |
329 |
278 |
$12K |
| 99205 |
Prolong outpt/office vis |
217 |
146 |
$11K |
| J3490 |
Drugs unclassified injection |
208 |
158 |
$10K |
| 99393 |
|
318 |
229 |
$9K |
| 81003 |
|
7,185 |
4,159 |
$9K |
| 99215 |
Prolong outpt/office vis |
168 |
127 |
$8K |
| 85018 |
|
4,679 |
3,660 |
$7K |
| 99381 |
|
220 |
162 |
$6K |
| 81025 |
|
2,262 |
1,710 |
$4K |
| 76700 |
|
79 |
55 |
$4K |
| 99202 |
|
333 |
276 |
$4K |
| 92552 |
|
315 |
235 |
$3K |
| G8510 |
Scr dep neg, no plan reqd |
397 |
347 |
$3K |
| 76830 |
|
46 |
38 |
$3K |
| 99385 |
|
103 |
88 |
$2K |
| 76815 |
|
28 |
28 |
$2K |
| 76856 |
|
33 |
26 |
$2K |
| 90744 |
|
255 |
206 |
$2K |
| 90698 |
|
230 |
194 |
$1K |
| 90633 |
|
186 |
138 |
$1K |
| 81002 |
|
804 |
570 |
$1K |
| 90710 |
|
191 |
137 |
$1K |
| 99394 |
|
36 |
24 |
$1K |
| 93000 |
|
69 |
59 |
$1K |
| 90671 |
|
92 |
82 |
$668.52 |
| G9920 |
Scrning perf and negative |
985 |
816 |
$660.33 |
| 20610 |
|
15 |
14 |
$589.29 |
| 96110 |
|
14 |
12 |
$584.10 |
| 90670 |
|
72 |
69 |
$561.96 |
| G2025 |
Dis site tele svcs rhc/fqhc |
14 |
12 |
$432.36 |
| 85651 |
|
181 |
137 |
$324.30 |
| G0447 |
Behavior counsel obesity 15m |
17 |
13 |
$286.52 |
| 99383 |
|
17 |
12 |
$217.12 |
| G9919 |
Scrn nd pos nd prov of rec |
19 |
15 |
$172.26 |
| 90696 |
|
18 |
13 |
$115.92 |
| 87070 |
|
26 |
16 |
$96.59 |
| 90680 |
|
16 |
12 |
$89.10 |
| 85025 |
|
41 |
34 |
$49.20 |
| J1885 |
Ketorolac tromethamine inj |
45 |
36 |
$26.12 |
| 90471 |
|
40 |
37 |
$17.68 |
| 96160 |
|
314 |
284 |
$0.00 |
| 4004F |
|
479 |
408 |
$0.00 |
| 90472 |
|
19 |
19 |
$0.00 |
| 99173 |
|
72 |
70 |
$0.00 |
| 4553F |
|
14 |
12 |
$0.00 |
| G0444 |
Depression screen annual |
363 |
302 |
$0.00 |
| H0050 |
Alcohol/drug service 15 min |
29 |
28 |
$0.00 |
| 3016F |
|
252 |
209 |
$0.00 |
| 4551F |
|
32 |
31 |
$0.00 |
| 99408 |
|
13 |
13 |
$0.00 |
| 3078F |
|
21 |
15 |
$0.00 |
| 81000 |
|
75 |
71 |
$0.00 |
| H0001 |
Alcohol and/or drug assess |
416 |
368 |
$0.00 |
| 1036F |
|
306 |
261 |
$0.00 |
| 96161 |
|
360 |
299 |
$0.00 |
| H0049 |
Alcohol/drug screening |
460 |
399 |
$0.00 |
| 3510F |
|
907 |
728 |
$0.00 |
| 3352F |
|
70 |
64 |
$0.00 |
| 3079F |
|
17 |
12 |
$0.00 |
| Z1034 |
|
26 |
19 |
$0.00 |
| G8553 |
|
98 |
89 |
$0.00 |