| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
49,858 |
41,356 |
$3.82M |
| 00003 |
|
23,620 |
11,704 |
$3.61M |
| G0467 |
Fqhc visit, estab pt |
1,292 |
1,125 |
$38K |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,614 |
1,408 |
$30K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
1,006 |
1,004 |
$12K |
| 92081 |
|
6,850 |
6,734 |
$8K |
| 99213 |
|
32,484 |
27,685 |
$5K |
| 99214 |
|
7,164 |
6,733 |
$3K |
| 90686 |
|
3,705 |
3,660 |
$2K |
| 99000 |
|
18,510 |
17,094 |
$2K |
| 90651 |
|
353 |
341 |
$2K |
| 99395 |
|
821 |
812 |
$1K |
| 92551 |
|
6,652 |
6,535 |
$1K |
| 99393 |
|
1,288 |
1,266 |
$1K |
| 99212 |
|
14,149 |
12,422 |
$1K |
| 99392 |
|
1,084 |
1,075 |
$1K |
| 99394 |
|
978 |
957 |
$898.20 |
| 90620 |
|
89 |
84 |
$836.00 |
| 99396 |
|
766 |
743 |
$775.80 |
| 90670 |
|
331 |
328 |
$520.74 |
| 90471 |
|
6,252 |
6,047 |
$397.47 |
| 90632 |
|
280 |
280 |
$344.90 |
| 99203 |
|
638 |
612 |
$255.45 |
| 90715 |
|
271 |
265 |
$254.50 |
| 99401 |
|
305 |
176 |
$250.30 |
| 90688 |
|
56 |
56 |
$185.00 |
| 90654 |
|
32 |
32 |
$180.00 |
| 90472 |
|
1,795 |
1,745 |
$163.86 |
| 36415 |
|
12,936 |
12,526 |
$153.00 |
| 90739 |
|
319 |
319 |
$134.25 |
| 99391 |
|
196 |
195 |
$105.24 |
| 83036 |
|
9,099 |
9,009 |
$102.48 |
| 90716 |
|
59 |
59 |
$90.00 |
| H0049 |
Alcohol/drug screening |
4,355 |
4,265 |
$89.50 |
| 90633 |
|
244 |
243 |
$81.00 |
| 90734 |
|
149 |
140 |
$81.00 |
| 81001 |
|
2,018 |
1,993 |
$77.18 |
| 99441 |
|
10,785 |
9,706 |
$36.00 |
| 81003 |
|
498 |
457 |
$29.24 |
| G0442 |
Annual alcohol screen 15 min |
57 |
55 |
$26.53 |
| 85018 |
|
2,274 |
2,247 |
$22.77 |
| 81025 |
|
196 |
190 |
$22.40 |
| 99442 |
|
7,301 |
6,446 |
$21.00 |
| 90723 |
|
78 |
78 |
$18.00 |
| 90714 |
|
27 |
27 |
$18.00 |
| 90707 |
|
69 |
69 |
$18.00 |
| 87804 |
|
272 |
267 |
$17.70 |
| 99443 |
|
1,597 |
1,504 |
$15.00 |
| S9452 |
Nutrition class |
10,182 |
9,677 |
$9.30 |
| S9451 |
Exercise class |
9,708 |
9,242 |
$8.70 |
| 86580 |
|
32 |
32 |
$7.91 |
| 90460 |
|
1,947 |
1,927 |
$6.00 |
| 96151 |
|
1,699 |
1,682 |
$3.00 |
| 96156 |
|
1,936 |
1,934 |
$1.00 |
| 3044F |
|
3,456 |
3,445 |
$0.30 |
| 3074F |
|
1,337 |
1,259 |
$0.30 |
| 96160 |
|
572 |
556 |
$0.30 |
| 3078F |
|
1,077 |
1,021 |
$0.30 |
| 85025 |
|
4,937 |
4,889 |
$0.00 |
| 82306 |
|
7,423 |
7,401 |
$0.00 |
| 86592 |
|
790 |
789 |
$0.00 |
| 82607 |
|
4,819 |
4,810 |
$0.00 |
| 87591 |
|
1,124 |
1,112 |
$0.00 |
| 88142 |
|
171 |
167 |
$0.00 |
| 87635 |
|
826 |
806 |
$0.00 |
| 84153 |
|
711 |
710 |
$0.00 |
| 85027 |
|
2,830 |
2,826 |
$0.00 |
| 82746 |
|
3,029 |
3,026 |
$0.00 |
| 80053 |
|
8,640 |
8,568 |
$0.00 |
| 1031F |
|
858 |
857 |
$0.00 |
| 84443 |
|
7,597 |
7,536 |
$0.00 |
| 1000F |
|
465 |
465 |
$0.00 |
| 3008F |
|
1,194 |
1,194 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
136 |
134 |
$0.00 |
| 87389 |
|
797 |
790 |
$0.00 |
| 96110 |
|
163 |
157 |
$0.00 |
| 3079F |
|
474 |
459 |
$0.00 |
| 86593 |
|
236 |
235 |
$0.00 |
| 99202 |
|
158 |
158 |
$0.00 |
| 83550 |
|
55 |
55 |
$0.00 |
| 87086 |
|
121 |
119 |
$0.00 |
| 87426 |
|
297 |
288 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
46 |
46 |
$0.00 |
| Z5220 |
|
30 |
30 |
$0.00 |
| 1036F |
|
1,281 |
1,280 |
$0.00 |
| 86706 |
|
31 |
31 |
$0.00 |
| 87490 |
|
107 |
107 |
$0.00 |
| Z6406 |
|
48 |
32 |
$0.00 |
| 82728 |
|
241 |
240 |
$0.00 |
| 80048 |
|
221 |
221 |
$0.00 |
| 87510 |
|
13 |
13 |
$0.00 |
| 82043 |
|
109 |
109 |
$0.00 |
| 86803 |
|
107 |
107 |
$0.00 |
| 87661 |
|
82 |
82 |
$0.00 |
| Z1034 |
|
99 |
73 |
$0.00 |
| 3075F |
|
184 |
181 |
$0.00 |
| 1034F |
|
56 |
56 |
$0.00 |
| 90656 |
|
104 |
104 |
$0.00 |
| 87088 |
|
15 |
14 |
$0.00 |
| H1001 |
Antepartum management |
137 |
115 |
$0.00 |
| 81000 |
|
152 |
152 |
$0.00 |
| 87340 |
|
12 |
12 |
$0.00 |
| 87070 |
|
29 |
29 |
$0.00 |
| 84480 |
|
30 |
30 |
$0.00 |
| 86701 |
|
114 |
114 |
$0.00 |
| 87624 |
|
24 |
24 |
$0.00 |
| 86695 |
|
43 |
43 |
$0.00 |
| 4000F |
|
66 |
66 |
$0.00 |
| 85652 |
|
15 |
15 |
$0.00 |
| 87480 |
|
13 |
13 |
$0.00 |
| 0012A |
|
51 |
51 |
$0.00 |
| 0011A |
|
118 |
118 |
$0.00 |
| 0001A |
|
36 |
36 |
$0.00 |
| 96150 |
|
12 |
12 |
$0.00 |
| 91307 |
|
15 |
15 |
$0.00 |
| 99408 |
|
320 |
320 |
$0.00 |
| 84439 |
|
3,535 |
3,529 |
$0.00 |
| 86480 |
|
709 |
709 |
$0.00 |
| 80061 |
|
9,474 |
9,409 |
$0.00 |
| 86696 |
|
44 |
44 |
$0.00 |
| S9470 |
Nutritional counseling, diet |
39 |
39 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
256 |
256 |
$0.00 |
| 90648 |
|
126 |
126 |
$0.00 |
| 80074 |
|
238 |
233 |
$0.00 |
| 87338 |
|
47 |
47 |
$0.00 |
| 83540 |
|
136 |
136 |
$0.00 |
| 87491 |
|
1,066 |
1,056 |
$0.00 |
| 1033F |
|
413 |
413 |
$0.00 |
| 87880 |
|
347 |
344 |
$0.00 |
| 82565 |
|
119 |
119 |
$0.00 |
| 3725F |
|
1,020 |
1,017 |
$0.00 |
| 84460 |
|
78 |
78 |
$0.00 |
| 90461 |
|
423 |
420 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |
| 1032F |
|
68 |
68 |
$0.00 |
| 90746 |
|
74 |
74 |
$0.00 |
| 81513 |
|
111 |
111 |
$0.00 |
| 90750 |
|
105 |
105 |
$0.00 |
| 86431 |
|
12 |
12 |
$0.00 |
| 86708 |
|
25 |
25 |
$0.00 |
| 87481 |
|
94 |
94 |
$0.00 |
| 99347 |
|
61 |
61 |
$0.00 |
| 99348 |
|
21 |
21 |
$0.00 |
| 84520 |
|
24 |
24 |
$0.00 |
| 83655 |
|
29 |
26 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
12 |
12 |
$0.00 |
| 82274 |
|
94 |
93 |
$0.00 |
| 84450 |
|
28 |
28 |
$0.00 |
| H0050 |
Alcohol/drug service 15 min |
12 |
12 |
$0.00 |
| 87660 |
|
13 |
13 |
$0.00 |
| 82977 |
|
13 |
13 |
$0.00 |
| 1160F |
|
14 |
14 |
$0.00 |
| 88175 |
|
29 |
29 |
$0.00 |
| 0071A |
|
14 |
14 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 3045F |
|
12 |
12 |
$0.00 |
| 84550 |
|
15 |
15 |
$0.00 |