| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
241,157 |
202,362 |
$11.02M |
| G0470 |
Fqhc visit, mh estab pt |
56,523 |
34,676 |
$2.70M |
| 99214 |
|
77,148 |
70,300 |
$1.84M |
| 99213 |
|
115,954 |
102,348 |
$1.65M |
| 90837 |
|
23,868 |
15,920 |
$750K |
| D1110 |
|
7,679 |
7,666 |
$653K |
| G0466 |
Fqhc visit new patient |
10,888 |
10,801 |
$639K |
| D0140 |
|
4,472 |
4,424 |
$404K |
| D0120 |
|
8,807 |
8,790 |
$401K |
| D7140 |
|
4,822 |
2,210 |
$367K |
| 90834 |
|
13,374 |
9,873 |
$267K |
| 99396 |
|
6,927 |
6,899 |
$255K |
| D1120 |
|
6,282 |
6,278 |
$254K |
| 99392 |
|
5,873 |
5,841 |
$237K |
| 90832 |
|
15,078 |
11,001 |
$231K |
| 99393 |
|
5,491 |
5,460 |
$221K |
| D0150 |
|
3,035 |
3,030 |
$214K |
| D1206 |
|
7,586 |
7,581 |
$194K |
| 90791 |
|
5,093 |
4,971 |
$194K |
| 99394 |
|
4,657 |
4,623 |
$175K |
| 99395 |
|
5,611 |
5,577 |
$153K |
| Q3014 |
Telehealth facility fee |
9,895 |
9,172 |
$136K |
| D2392 |
|
1,126 |
778 |
$123K |
| D2391 |
|
1,328 |
893 |
$121K |
| 99215 |
Prolong outpt/office vis |
3,138 |
3,056 |
$110K |
| G0469 |
Fqhc visit, mh new pt |
2,066 |
2,029 |
$107K |
| J1050 |
Medroxyprogesterone acetate |
1,583 |
1,570 |
$105K |
| 87636 |
|
1,597 |
1,560 |
$100K |
| D0274 |
|
4,087 |
4,081 |
$91K |
| 99391 |
|
4,113 |
4,059 |
$91K |
| D2150 |
|
894 |
712 |
$90K |
| 87428 |
|
5,109 |
4,842 |
$70K |
| 87880 |
|
14,452 |
13,561 |
$69K |
| 90460 |
|
11,985 |
11,834 |
$65K |
| D2331 |
|
717 |
466 |
$64K |
| G9002 |
Mccd,maintenance rate |
3,505 |
2,997 |
$62K |
| 90792 |
|
1,010 |
1,005 |
$61K |
| 99203 |
|
3,315 |
3,293 |
$61K |
| D1351 |
|
2,130 |
730 |
$54K |
| D0330 |
|
1,063 |
1,060 |
$52K |
| 90651 |
|
2,104 |
2,060 |
$50K |
| 99212 |
|
4,567 |
4,399 |
$48K |
| 90632 |
|
1,746 |
1,723 |
$47K |
| D2140 |
|
540 |
410 |
$47K |
| D0220 |
|
5,067 |
4,980 |
$45K |
| 99204 |
|
1,496 |
1,494 |
$45K |
| D2160 |
|
402 |
342 |
$42K |
| 87426 |
|
3,105 |
3,022 |
$41K |
| D0272 |
|
1,742 |
1,739 |
$39K |
| 90471 |
|
8,177 |
8,056 |
$39K |
| D0210 |
|
1,283 |
1,144 |
$39K |
| 90688 |
|
4,950 |
4,912 |
$38K |
| 96372 |
|
8,553 |
7,671 |
$36K |
| G9001 |
Mccd, initial rate |
886 |
879 |
$35K |
| 90715 |
|
2,820 |
2,783 |
$26K |
| D2393 |
|
173 |
148 |
$25K |
| 99202 |
|
2,277 |
2,253 |
$25K |
| 99496 |
|
696 |
690 |
$23K |
| 90620 |
|
966 |
966 |
$20K |
| 99495 |
|
744 |
743 |
$19K |
| D2330 |
|
203 |
146 |
$18K |
| 99381 |
|
806 |
805 |
$18K |
| 90746 |
|
519 |
502 |
$17K |
| 90677 |
|
404 |
404 |
$15K |
| 90472 |
|
2,307 |
2,250 |
$14K |
| D2335 |
|
107 |
87 |
$13K |
| 87804 |
|
2,541 |
2,484 |
$12K |
| Q0091 |
Obtaining screen pap smear |
1,438 |
1,428 |
$12K |
| 80305 |
|
2,859 |
2,601 |
$10K |
| 90670 |
|
2,406 |
2,395 |
$10K |
| 81025 |
|
3,463 |
3,368 |
$9K |
| 0001A |
|
294 |
293 |
$9K |
| 83037 |
|
1,777 |
1,768 |
$9K |
| D2161 |
|
75 |
69 |
$8K |
| 0002A |
|
251 |
251 |
$8K |
| 98929 |
|
358 |
230 |
$8K |
| 81003 |
|
11,724 |
11,285 |
$8K |
| 0031A |
|
589 |
410 |
$8K |
| 90686 |
|
3,560 |
3,533 |
$7K |
| D4910 |
|
79 |
79 |
$7K |
| 0064A |
|
208 |
208 |
$7K |
| 92587 |
|
918 |
915 |
$7K |
| 90750 |
|
89 |
89 |
$7K |
| D0230 |
|
1,678 |
901 |
$7K |
| 0012A |
|
201 |
200 |
$6K |
| 17110 |
|
184 |
171 |
$6K |
| G9007 |
Mccd, sch team conf |
679 |
650 |
$6K |
| 0011A |
|
251 |
250 |
$6K |
| 91322 |
|
57 |
57 |
$6K |
| 0124A |
|
164 |
161 |
$5K |
| 36415 |
|
3,621 |
3,537 |
$5K |
| 99383 |
|
131 |
131 |
$4K |
| 99406 |
|
994 |
969 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
3,088 |
2,817 |
$4K |
| 96110 |
|
480 |
480 |
$4K |
| 90480 |
|
134 |
134 |
$4K |
| 93000 |
|
925 |
913 |
$4K |
| 87807 |
|
793 |
762 |
$4K |
| 90658 |
|
225 |
225 |
$4K |
| 0004A |
|
107 |
107 |
$4K |
| 90707 |
|
337 |
337 |
$3K |
| D0145 |
|
115 |
115 |
$3K |
| D2332 |
|
33 |
27 |
$3K |
| 99382 |
|
93 |
93 |
$3K |
| D0191 |
|
165 |
165 |
$3K |
| 99308 |
|
3,804 |
1,586 |
$3K |
| 92551 |
|
936 |
929 |
$3K |
| 0071A |
|
70 |
70 |
$2K |
| 90734 |
|
1,099 |
1,073 |
$2K |
| 90656 |
|
398 |
397 |
$2K |
| D2940 |
|
26 |
24 |
$2K |
| 0134A |
|
59 |
59 |
$2K |
| 90473 |
|
884 |
880 |
$2K |
| 0054A |
|
66 |
66 |
$2K |
| 0072A |
|
57 |
57 |
$2K |
| 20610 |
|
81 |
80 |
$2K |
| 90619 |
|
643 |
640 |
$2K |
| 90739 |
|
28 |
28 |
$2K |
| 94640 |
|
335 |
327 |
$1K |
| 91320 |
|
16 |
16 |
$1K |
| J2930 |
Methylprednisolone injection |
221 |
216 |
$1K |
| 85018 |
|
1,141 |
1,138 |
$945.82 |
| 83036 |
|
233 |
228 |
$862.14 |
| 90853 |
|
146 |
99 |
$780.49 |
| 82044 |
|
335 |
329 |
$739.09 |
| 82947 |
|
583 |
556 |
$702.05 |
| 87280 |
|
101 |
97 |
$696.97 |
| 99001 |
|
439 |
420 |
$632.03 |
| 90732 |
|
14 |
14 |
$600.00 |
| 90785 |
|
148 |
148 |
$471.00 |
| 0034A |
|
14 |
14 |
$454.32 |
| 0013A |
|
12 |
12 |
$434.28 |
| 99201 |
|
39 |
39 |
$402.90 |
| 90716 |
|
143 |
143 |
$347.41 |
| 83655 |
|
104 |
103 |
$330.99 |
| 99442 |
|
26 |
23 |
$293.55 |
| D1354 |
|
14 |
12 |
$293.00 |
| J3420 |
Vitamin b12 injection |
187 |
162 |
$273.26 |
| 96380 |
|
14 |
14 |
$239.35 |
| 81002 |
|
279 |
261 |
$238.69 |
| 96127 |
|
184 |
184 |
$238.48 |
| 99441 |
|
29 |
29 |
$204.73 |
| J3301 |
Triamcinolone acet inj nos |
50 |
49 |
$181.81 |
| 98968 |
|
17 |
13 |
$140.01 |
| 99177 |
|
1,643 |
1,640 |
$115.97 |
| 85610 |
|
61 |
49 |
$114.52 |
| J2919 |
Inj, methylpred sod succ 5mg |
25 |
25 |
$112.12 |
| J0696 |
Ceftriaxone sodium injection |
76 |
66 |
$107.67 |
| 86580 |
|
20 |
17 |
$98.24 |
| 90662 |
|
82 |
82 |
$98.00 |
| 97802 |
|
95 |
93 |
$85.00 |
| 98967 |
|
14 |
13 |
$54.03 |
| 96160 |
|
2,049 |
2,039 |
$8.32 |
| 92558 |
|
31 |
31 |
$5.33 |
| 3060F |
|
2,102 |
1,651 |
$0.18 |
| 1159F |
|
615 |
517 |
$0.01 |
| 3354F |
|
3,146 |
3,039 |
$0.00 |
| 90647 |
|
585 |
581 |
$0.00 |
| 90696 |
|
628 |
624 |
$0.00 |
| 3351F |
|
11,988 |
11,777 |
$0.00 |
| 3008F |
|
91,927 |
79,739 |
$0.00 |
| 3074F |
|
70,840 |
62,645 |
$0.00 |
| 3353F |
|
6,877 |
6,734 |
$0.00 |
| 2000F |
|
94,079 |
81,023 |
$0.00 |
| 1101F |
|
2,114 |
2,110 |
$0.00 |
| 1000F |
|
88,974 |
76,124 |
$0.00 |
| 3080F |
|
6,409 |
5,987 |
$0.00 |
| 3079F |
|
28,600 |
26,272 |
$0.00 |
| 1220F |
|
16,793 |
16,151 |
$0.00 |
| 3044F |
|
307 |
300 |
$0.00 |
| 90680 |
|
1,379 |
1,374 |
$0.00 |
| 1034F |
|
27,666 |
22,875 |
$0.00 |
| 90723 |
|
141 |
141 |
$0.00 |
| 3352F |
|
9,934 |
9,820 |
$0.00 |
| 3075F |
|
14,965 |
14,084 |
$0.00 |
| 2001F |
|
103,906 |
89,350 |
$0.00 |
| 1031F |
|
26,449 |
24,382 |
$0.00 |
| 2010F |
|
91,474 |
78,971 |
$0.00 |
| 4000F |
|
395 |
385 |
$0.00 |
| 1036F |
|
58,418 |
50,914 |
$0.00 |
| 90697 |
|
624 |
623 |
$0.00 |
| 91303 |
|
279 |
278 |
$0.00 |
| 90698 |
|
918 |
914 |
$0.00 |
| 91301 |
|
191 |
191 |
$0.00 |
| 90744 |
|
591 |
588 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
107 |
99 |
$0.00 |
| 91307 |
|
132 |
126 |
$0.00 |
| 91306 |
|
172 |
172 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |
| 91305 |
|
171 |
167 |
$0.00 |
| Q9992 |
Buprenorphine xr over 100 mg |
13 |
12 |
$0.00 |
| 90461 |
|
6,382 |
6,279 |
$0.00 |
| 99173 |
|
1,142 |
1,141 |
$0.00 |
| 90710 |
|
1,158 |
1,152 |
$0.00 |
| 91312 |
|
160 |
158 |
$0.00 |
| 3288F |
|
2,343 |
2,337 |
$0.00 |
| 2028F |
|
514 |
508 |
$0.00 |
| 90633 |
|
1,812 |
1,798 |
$0.00 |
| 3078F |
|
59,269 |
53,069 |
$0.00 |
| 3077F |
|
8,562 |
7,979 |
$0.00 |
| 97803 |
|
17 |
16 |
$0.00 |
| 91313 |
|
59 |
59 |
$0.00 |
| 1033F |
|
15,969 |
14,901 |
$0.00 |
| 90685 |
|
230 |
226 |
$0.00 |
| 99408 |
|
30 |
30 |
$0.00 |
| 90700 |
|
480 |
479 |
$0.00 |
| 91300 |
|
620 |
576 |
$0.00 |
| 80307 |
|
14 |
13 |
$0.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
18 |
18 |
$0.00 |
| 99080 |
|
43 |
43 |
$0.00 |
| 3725F |
|
372 |
363 |
$0.00 |
| 90846 |
|
15 |
12 |
$0.00 |