| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90853 |
|
45,586 |
8,777 |
$7.92M |
| 99213 |
|
50,774 |
44,413 |
$7.43M |
| 99214 |
|
40,933 |
36,484 |
$6.02M |
| H2015 |
Comp comm supp svc, 15 min |
26,392 |
11,143 |
$4.51M |
| D0999 |
|
14,083 |
12,129 |
$2.76M |
| H2017 |
Psysoc rehab svc, per 15 min |
13,879 |
1,867 |
$2.44M |
| 90834 |
|
11,880 |
8,118 |
$2.08M |
| 90832 |
|
9,160 |
6,066 |
$1.56M |
| 90837 |
|
7,635 |
5,444 |
$1.32M |
| 90791 |
|
4,627 |
4,508 |
$787K |
| 99212 |
|
4,312 |
4,091 |
$687K |
| 99442 |
|
2,499 |
2,334 |
$409K |
| 99441 |
|
2,501 |
2,305 |
$398K |
| G0467 |
Fqhc visit, estab pt |
12,972 |
9,904 |
$376K |
| Q3014 |
Telehealth facility fee |
5,037 |
3,751 |
$323K |
| 99203 |
|
1,974 |
1,939 |
$310K |
| 90792 |
|
1,446 |
1,381 |
$238K |
| 99443 |
|
1,152 |
1,084 |
$192K |
| 99204 |
|
954 |
910 |
$154K |
| 99393 |
|
929 |
917 |
$145K |
| 99394 |
|
839 |
823 |
$127K |
| 99202 |
|
665 |
653 |
$104K |
| 0011A |
|
591 |
572 |
$94K |
| 99215 |
Prolong outpt/office vis |
455 |
433 |
$76K |
| 0012A |
|
446 |
431 |
$73K |
| 90460 |
|
2,054 |
1,858 |
$64K |
| 99395 |
|
349 |
343 |
$59K |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,063 |
898 |
$53K |
| 99396 |
|
315 |
313 |
$52K |
| 99392 |
|
384 |
381 |
$50K |
| H2033 |
Multisys ther/juvenile 15min |
270 |
39 |
$42K |
| 90471 |
|
3,033 |
3,004 |
$35K |
| 96110 |
|
877 |
857 |
$28K |
| 83036 |
|
3,524 |
3,508 |
$25K |
| 91300 |
|
180 |
170 |
$24K |
| 0001A |
|
231 |
215 |
$23K |
| D9995 |
|
190 |
176 |
$17K |
| 0072A |
|
105 |
98 |
$14K |
| 0071A |
|
114 |
107 |
$14K |
| 90686 |
|
2,775 |
2,767 |
$12K |
| D0140 |
|
221 |
216 |
$11K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
121 |
88 |
$11K |
| 0013A |
|
76 |
72 |
$10K |
| 91307 |
|
56 |
55 |
$10K |
| 87428 |
|
621 |
608 |
$9K |
| 91301 |
|
132 |
128 |
$7K |
| 0002A |
|
100 |
93 |
$6K |
| 36415 |
|
2,413 |
2,364 |
$5K |
| H0048 |
Spec coll non-blood:a/d test |
3,278 |
2,984 |
$5K |
| G0480 |
Drug test def 1-7 classes |
576 |
574 |
$5K |
| D0190 |
|
100 |
100 |
$4K |
| 81002 |
|
899 |
879 |
$4K |
| 0031A |
|
29 |
27 |
$4K |
| 96372 |
|
1,569 |
1,410 |
$3K |
| 90734 |
|
489 |
487 |
$3K |
| 90715 |
|
1,038 |
1,033 |
$3K |
| 90651 |
|
653 |
652 |
$2K |
| 99201 |
|
12 |
12 |
$2K |
| 90472 |
|
287 |
281 |
$1K |
| 90677 |
|
14 |
14 |
$1K |
| D0150 |
|
257 |
251 |
$1K |
| 88142 |
|
169 |
147 |
$843.70 |
| 87491 |
|
329 |
326 |
$840.40 |
| 90461 |
|
1,130 |
1,121 |
$558.54 |
| 90633 |
|
57 |
57 |
$538.86 |
| 36416 |
|
3,265 |
3,244 |
$522.37 |
| 92250 |
|
225 |
225 |
$424.82 |
| 81025 |
|
112 |
110 |
$356.76 |
| 87880 |
|
71 |
71 |
$183.39 |
| 90696 |
|
23 |
23 |
$179.62 |
| 90670 |
|
55 |
55 |
$177.14 |
| G0008 |
Admin influenza virus vac |
198 |
197 |
$99.34 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
96 |
95 |
$28.68 |
| J1050 |
Medroxyprogesterone acetate |
81 |
81 |
$9.27 |
| 90688 |
|
454 |
447 |
$5.72 |
| 90732 |
|
111 |
111 |
$5.18 |
| 82570 |
|
59 |
57 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| J1631 |
Haloperidol decanoate inj |
31 |
24 |
$0.00 |
| 84439 |
|
42 |
42 |
$0.00 |
| 80061 |
|
250 |
248 |
$0.00 |
| D0330 |
|
12 |
12 |
$0.00 |
| D1110 |
|
69 |
67 |
$0.00 |
| 84443 |
|
218 |
209 |
$0.00 |
| 80053 |
|
299 |
297 |
$0.00 |
| 81001 |
|
31 |
31 |
$0.00 |
| 87591 |
|
331 |
326 |
$0.00 |
| 82043 |
|
58 |
57 |
$0.00 |
| 87086 |
|
37 |
36 |
$0.00 |
| 85027 |
|
67 |
67 |
$0.00 |
| 82306 |
|
41 |
39 |
$0.00 |
| 82728 |
|
12 |
12 |
$0.00 |
| 85025 |
|
218 |
218 |
$0.00 |
| 87801 |
|
30 |
29 |
$0.00 |
| 91305 |
|
16 |
15 |
$0.00 |
| D1208 |
|
13 |
13 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| H0049 |
Alcohol/drug screening |
112 |
108 |
$0.00 |