| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
128,956 |
101,713 |
$9.39M |
| 99213 |
|
142,660 |
75,240 |
$2.99M |
| 99214 |
|
15,453 |
9,136 |
$461K |
| 90832 |
|
16,953 |
7,584 |
$348K |
| 90460 |
|
17,956 |
8,841 |
$272K |
| 99392 |
|
7,468 |
4,410 |
$248K |
| 99212 |
|
15,778 |
8,069 |
$204K |
| 99391 |
|
7,400 |
3,998 |
$201K |
| 99393 |
|
4,608 |
2,590 |
$143K |
| G0467 |
Fqhc visit, estab pt |
5,736 |
4,629 |
$126K |
| J1050 |
Medroxyprogesterone acetate |
1,429 |
1,277 |
$121K |
| 99395 |
|
3,515 |
1,933 |
$108K |
| 90834 |
|
3,868 |
1,809 |
$99K |
| 87426 |
|
5,967 |
3,191 |
$95K |
| 90837 |
|
1,842 |
810 |
$75K |
| D1110 |
|
4,677 |
3,249 |
$72K |
| 90670 |
|
2,351 |
1,575 |
$68K |
| 99394 |
|
1,805 |
1,108 |
$65K |
| D0150 |
|
5,731 |
3,719 |
$57K |
| D0330 |
|
3,148 |
2,299 |
$54K |
| 87880 |
|
8,086 |
4,347 |
$51K |
| D1120 |
|
4,630 |
3,162 |
$49K |
| 96110 |
|
13,270 |
4,706 |
$49K |
| 99203 |
|
2,052 |
1,108 |
$44K |
| D1206 |
|
5,755 |
3,874 |
$40K |
| D0120 |
|
4,924 |
3,135 |
$40K |
| 36415 |
|
20,206 |
12,261 |
$33K |
| 87804 |
|
5,186 |
1,681 |
$33K |
| 92551 |
|
8,762 |
5,152 |
$31K |
| 76805 |
|
421 |
362 |
$30K |
| 99396 |
|
839 |
473 |
$29K |
| Q3014 |
Telehealth facility fee |
3,772 |
2,086 |
$28K |
| 76817 |
|
553 |
416 |
$27K |
| D2392 |
|
1,421 |
763 |
$24K |
| 96372 |
|
2,079 |
1,652 |
$23K |
| H1000 |
Prenatal care atrisk assessm |
222 |
191 |
$22K |
| 99204 |
|
529 |
345 |
$21K |
| D7140 |
|
1,259 |
560 |
$20K |
| D2391 |
|
1,248 |
653 |
$20K |
| 83036 |
|
4,773 |
2,853 |
$19K |
| D0274 |
|
2,885 |
2,190 |
$18K |
| D0140 |
|
2,359 |
1,543 |
$18K |
| 99174 |
|
3,260 |
2,024 |
$17K |
| 99177 |
|
3,465 |
2,107 |
$15K |
| 81025 |
|
3,316 |
2,130 |
$14K |
| 90698 |
|
1,114 |
738 |
$12K |
| 90633 |
|
1,327 |
942 |
$11K |
| 99202 |
|
607 |
329 |
$10K |
| 90651 |
|
158 |
130 |
$10K |
| D0272 |
|
2,080 |
1,470 |
$10K |
| 99401 |
|
533 |
376 |
$9K |
| 90686 |
|
2,419 |
1,579 |
$9K |
| 0012A |
|
225 |
223 |
$9K |
| 76830 |
|
138 |
125 |
$9K |
| 0011A |
|
188 |
188 |
$8K |
| 90671 |
|
756 |
387 |
$7K |
| D2393 |
|
271 |
155 |
$7K |
| 80305 |
|
1,284 |
606 |
$7K |
| 99188 |
|
745 |
402 |
$7K |
| 90734 |
|
164 |
133 |
$6K |
| 96161 |
|
4,654 |
2,531 |
$6K |
| G2025 |
Dis site tele svcs rhc/fqhc |
391 |
287 |
$5K |
| D0220 |
|
2,378 |
1,706 |
$5K |
| 85018 |
|
4,040 |
2,512 |
$5K |
| 82962 |
|
3,836 |
2,312 |
$5K |
| 90471 |
|
513 |
304 |
$5K |
| 96127 |
|
1,964 |
1,221 |
$4K |
| 99381 |
|
125 |
56 |
$4K |
| 90710 |
|
91 |
75 |
$4K |
| 90697 |
|
2,251 |
1,282 |
$4K |
| 81003 |
|
3,344 |
2,014 |
$3K |
| D2330 |
|
144 |
57 |
$3K |
| D0210 |
|
178 |
139 |
$3K |
| D1351 |
|
174 |
29 |
$3K |
| D0230 |
|
689 |
448 |
$2K |
| 0064A |
|
51 |
51 |
$2K |
| 76816 |
|
57 |
38 |
$2K |
| 96160 |
|
1,269 |
1,228 |
$2K |
| 0001A |
|
30 |
30 |
$2K |
| 59430 |
|
41 |
24 |
$2K |
| 76856 |
|
29 |
26 |
$2K |
| 0072A |
|
24 |
23 |
$1K |
| 0071A |
|
24 |
23 |
$1K |
| 90756 |
|
81 |
66 |
$1K |
| 0002A |
|
28 |
28 |
$1K |
| 90716 |
|
270 |
225 |
$1K |
| 99173 |
|
790 |
485 |
$920.85 |
| 90744 |
|
591 |
387 |
$876.50 |
| 36416 |
|
402 |
248 |
$745.01 |
| 90707 |
|
269 |
222 |
$697.58 |
| 90677 |
|
861 |
621 |
$610.98 |
| 90474 |
|
170 |
121 |
$599.28 |
| 87428 |
|
20 |
13 |
$472.50 |
| 90681 |
|
1,279 |
743 |
$438.00 |
| 90672 |
|
42 |
33 |
$417.94 |
| 90715 |
|
46 |
40 |
$413.52 |
| 87807 |
|
71 |
31 |
$380.91 |
| 80061 |
|
54 |
38 |
$375.28 |
| 90700 |
|
183 |
142 |
$317.75 |
| 90674 |
|
21 |
12 |
$292.20 |
| 90696 |
|
119 |
90 |
$209.18 |
| J1885 |
Ketorolac tromethamine inj |
217 |
116 |
$202.42 |
| D0180 |
|
19 |
13 |
$166.02 |
| 99211 |
|
14 |
12 |
$154.16 |
| 90685 |
|
56 |
40 |
$136.00 |
| 82044 |
|
54 |
39 |
$121.53 |
| D0270 |
|
88 |
60 |
$115.50 |
| 90461 |
|
2,499 |
1,928 |
$80.00 |
| 90713 |
|
27 |
24 |
$10.00 |
| 91301 |
|
355 |
344 |
$3.54 |
| 91300 |
|
17 |
14 |
$0.17 |
| G8484 |
Flu immunize no admin |
65,031 |
33,190 |
$0.00 |
| 4004F |
|
53,596 |
28,673 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
69,748 |
36,221 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
108,598 |
55,538 |
$0.00 |
| G9899 |
Scrn mam perf rslts doc |
2,809 |
1,452 |
$0.00 |
| G8752 |
Sys bp less 140 |
8,433 |
4,797 |
$0.00 |
| 3078F |
|
2,128 |
1,149 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
267 |
218 |
$0.00 |
| 2022F |
|
1,442 |
916 |
$0.00 |
| G9900 |
Scrn mam perf rslts not doc |
565 |
295 |
$0.00 |
| G8482 |
Flu immunize order/admin |
4,535 |
2,353 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
2,050 |
1,045 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
315 |
250 |
$0.00 |
| G8598 |
Asa/antiplat ther used |
410 |
265 |
$0.00 |
| 3046F |
|
516 |
303 |
$0.00 |
| 3045F |
|
49 |
48 |
$0.00 |
| G8938 |
Bmi doc onl fup nt doc |
1,028 |
356 |
$0.00 |
| 3077F |
|
82 |
39 |
$0.00 |
| G9906 |
Pt recv tbco cess interv |
46,533 |
24,226 |
$0.00 |
| 1036F |
|
58,691 |
30,290 |
$0.00 |
| G9717 |
Doc pt dx bipol |
9,880 |
5,341 |
$0.00 |
| G8754 |
Dias bp less 90 |
9,842 |
5,583 |
$0.00 |
| 90656 |
|
194 |
189 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
16,008 |
8,445 |
$0.00 |
| 3017F |
|
20,158 |
10,845 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
48,210 |
25,096 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
55,159 |
27,967 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
11,357 |
6,626 |
$0.00 |
| 3074F |
|
2,254 |
1,228 |
$0.00 |
| 3079F |
|
1,579 |
828 |
$0.00 |
| G8432 |
Dep scr not doc, rng |
1,218 |
862 |
$0.00 |
| 3075F |
|
501 |
266 |
$0.00 |
| G8756 |
No bp measure doc |
620 |
324 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
545 |
331 |
$0.00 |
| G8428 |
Cur meds not document |
245 |
145 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
61 |
60 |
$0.00 |
| 3044F |
|
380 |
262 |
$0.00 |
| 3014F |
|
1,096 |
727 |
$0.00 |
| 99024 |
|
12 |
12 |
$0.00 |
| 90619 |
|
36 |
29 |
$0.00 |
| G8433 |
Scr for dep not cpt doc rsn |
94 |
81 |
$0.00 |
| G9908 |
No pt tbco cess interv rng |
112 |
37 |
$0.00 |