| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
89,027 |
57,034 |
$15.14M |
| T1016 |
Case management |
2,563 |
1,817 |
$35K |
| H0004 |
Alcohol and/or drug services |
20,044 |
9,847 |
$8K |
| H0031 |
Mh health assess by non-md |
5,742 |
5,068 |
$3K |
| 99214 |
|
14,711 |
13,038 |
$2K |
| 90837 |
|
10,133 |
4,745 |
$948.33 |
| 99213 |
|
21,664 |
18,726 |
$819.15 |
| H2014 |
Skills train and dev, 15 min |
2,252 |
1,478 |
$645.37 |
| 90834 |
|
2,060 |
1,281 |
$529.13 |
| G0467 |
Fqhc visit, estab pt |
1,412 |
1,199 |
$416.62 |
| G2025 |
Dis site tele svcs rhc/fqhc |
583 |
434 |
$291.94 |
| 99203 |
|
1,042 |
967 |
$168.66 |
| 90471 |
|
1,104 |
933 |
$135.42 |
| 90686 |
|
808 |
678 |
$96.46 |
| 96372 |
|
636 |
476 |
$56.01 |
| H0038 |
Self-help/peer svc per 15min |
1,844 |
1,406 |
$45.72 |
| 90792 |
|
324 |
306 |
$33.69 |
| 3075F |
|
2,600 |
2,292 |
$0.00 |
| 3074F |
|
7,360 |
6,213 |
$0.00 |
| 83036 |
|
674 |
655 |
$0.00 |
| H0025 |
Alcohol and/or drug preventi |
582 |
545 |
$0.00 |
| 3008F |
|
9,804 |
8,442 |
$0.00 |
| 3048F |
|
885 |
809 |
$0.00 |
| 3060F |
|
240 |
222 |
$0.00 |
| 3079F |
|
4,492 |
3,925 |
$0.00 |
| 3080F |
|
813 |
710 |
$0.00 |
| 3044F |
|
1,440 |
1,309 |
$0.00 |
| 3049F |
|
568 |
502 |
$0.00 |
| 85018 |
|
155 |
125 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
176 |
123 |
$0.00 |
| 99406 |
|
129 |
83 |
$0.00 |
| 99441 |
|
65 |
60 |
$0.00 |
| 1034F |
|
39 |
37 |
$0.00 |
| 99000 |
|
85 |
78 |
$0.00 |
| 90688 |
|
18 |
17 |
$0.00 |
| 1000F |
|
17 |
16 |
$0.00 |
| 1157F |
|
97 |
75 |
$0.00 |
| 90656 |
|
39 |
39 |
$0.00 |
| 3052F |
|
42 |
41 |
$0.00 |
| 1125F |
|
15 |
15 |
$0.00 |
| 1170F |
|
93 |
77 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 1126F |
|
119 |
113 |
$0.00 |
| G0439 |
Ppps, subseq visit |
12 |
12 |
$0.00 |
| 96127 |
|
26 |
26 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| G0008 |
Admin influenza virus vac |
15 |
12 |
$0.00 |
| 99212 |
|
1,168 |
1,104 |
$0.00 |
| 3046F |
|
392 |
358 |
$0.00 |
| 81002 |
|
168 |
145 |
$0.00 |
| 90461 |
|
92 |
90 |
$0.00 |
| 1158F |
|
141 |
119 |
$0.00 |
| 3077F |
|
1,926 |
1,661 |
$0.00 |
| 3050F |
|
357 |
318 |
$0.00 |
| 3078F |
|
6,726 |
5,670 |
$0.00 |
| 99442 |
|
32 |
31 |
$0.00 |
| 90633 |
|
31 |
30 |
$0.00 |
| 99204 |
|
300 |
293 |
$0.00 |
| 3051F |
|
274 |
257 |
$0.00 |
| H2027 |
Psychoed svc, per 15 min |
490 |
337 |
$0.00 |
| 90460 |
|
441 |
424 |
$0.00 |
| 99396 |
|
200 |
193 |
$0.00 |
| 99395 |
|
142 |
137 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
102 |
60 |
$0.00 |
| 90658 |
|
18 |
14 |
$0.00 |
| 90832 |
|
45 |
38 |
$0.00 |
| 3725F |
|
104 |
95 |
$0.00 |
| 1159F |
|
53 |
53 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 90472 |
|
18 |
12 |
$0.00 |