| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
164,840 |
135,511 |
$44.08M |
| 0520 |
|
7,128 |
5,209 |
$76K |
| 0012A |
|
102 |
102 |
$7K |
| 0001A |
|
131 |
131 |
$7K |
| 0002A |
|
100 |
100 |
$6K |
| 0521 |
|
274,299 |
117,164 |
$6K |
| 0011A |
|
115 |
114 |
$6K |
| 0064A |
|
207 |
207 |
$3K |
| 0004A |
|
88 |
88 |
$1K |
| 0072A |
|
19 |
19 |
$1K |
| 0071A |
|
18 |
18 |
$1K |
| 99214 |
|
22,935 |
21,181 |
$742.40 |
| 0124A |
|
115 |
112 |
$737.00 |
| 0134A |
|
130 |
130 |
$603.00 |
| 99213 |
|
43,459 |
38,322 |
$362.40 |
| 0054A |
|
33 |
33 |
$201.00 |
| 96110 |
|
2,075 |
2,003 |
$119.20 |
| 99392 |
|
3,466 |
3,438 |
$111.06 |
| 92551 |
|
6,692 |
6,671 |
$44.19 |
| 99212 |
|
6,875 |
6,028 |
$36.02 |
| 99441 |
|
1,523 |
1,398 |
$33.40 |
| 0300 |
|
20,034 |
16,599 |
$31.62 |
| 90651 |
|
513 |
486 |
$27.00 |
| 90633 |
|
1,308 |
1,162 |
$17.91 |
| 90686 |
|
3,020 |
2,617 |
$17.91 |
| 85018 |
|
8,249 |
7,157 |
$10.25 |
| 83655 |
|
1,532 |
1,511 |
$10.00 |
| 90715 |
|
543 |
512 |
$9.00 |
| 90710 |
|
330 |
303 |
$9.00 |
| 90734 |
|
553 |
501 |
$9.00 |
| A4267 |
Contraceptive supply, condom, male, each |
196 |
191 |
$7.39 |
| 81025 |
|
145 |
144 |
$5.60 |
| 0771 |
|
6,624 |
5,565 |
$5.00 |
| 90471 |
|
2,226 |
2,213 |
$4.42 |
| 81003 |
|
75 |
66 |
$1.96 |
| J3490 |
Unclassified drugs |
209 |
179 |
$1.53 |
| Z6400 |
|
508 |
508 |
$0.00 |
| 0500 |
|
15,293 |
5,328 |
$0.00 |
| 80305 |
|
1,171 |
907 |
$0.00 |
| 90670 |
|
2,091 |
1,804 |
$0.00 |
| 0470 |
|
1,847 |
1,841 |
$0.00 |
| Z6202 |
|
243 |
227 |
$0.00 |
| 99391 |
|
2,102 |
2,000 |
$0.00 |
| 59025 |
|
337 |
159 |
$0.00 |
| 99394 |
|
1,870 |
1,867 |
$0.00 |
| 90832 |
|
2,761 |
2,112 |
$0.00 |
| 99396 |
|
300 |
272 |
$0.00 |
| 0929 |
|
6,489 |
6,488 |
$0.00 |
| 0900 |
|
814 |
416 |
$0.00 |
| 99173 |
|
5,871 |
5,856 |
$0.00 |
| 87804 |
|
202 |
199 |
$0.00 |
| Z6308 |
|
332 |
325 |
$0.00 |
| Z6200 |
|
381 |
381 |
$0.00 |
| 87880 |
|
108 |
100 |
$0.00 |
| 90707 |
|
258 |
232 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
324 |
311 |
$0.00 |
| 99051 |
|
132 |
129 |
$0.00 |
| Z6300 |
|
415 |
415 |
$0.00 |
| Z6304 |
|
287 |
280 |
$0.00 |
| 99442 |
|
1,364 |
1,266 |
$0.00 |
| 99393 |
|
2,578 |
2,573 |
$0.00 |
| 90791 |
|
133 |
130 |
$0.00 |
| 87811 |
|
248 |
246 |
$0.00 |
| 90700 |
|
213 |
192 |
$0.00 |
| 91300 |
|
88 |
88 |
$0.00 |
| 99395 |
|
252 |
241 |
$0.00 |
| 98926 |
|
185 |
176 |
$0.00 |
| Z6208 |
|
484 |
340 |
$0.00 |
| 59425 |
|
41 |
25 |
$0.00 |
| 90837 |
|
158 |
133 |
$0.00 |
| Z6414 |
|
12 |
12 |
$0.00 |
| 90621 |
|
44 |
28 |
$0.00 |
| 91312 |
|
104 |
104 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
31 |
31 |
$0.00 |
| 91313 |
|
111 |
111 |
$0.00 |
| 97803 |
|
60 |
48 |
$0.00 |
| 0479 |
|
31 |
19 |
$0.00 |
| 99401 |
|
45 |
40 |
$0.00 |
| 90746 |
|
31 |
31 |
$0.00 |
| 91322 |
|
13 |
13 |
$0.00 |
| 99397 |
|
29 |
15 |
$0.00 |
| 96158 |
|
16 |
16 |
$0.00 |
| 0636 |
|
27,300 |
14,963 |
$0.00 |
| 99000 |
|
5,832 |
5,648 |
$0.00 |
| Z6410 |
|
959 |
944 |
$0.00 |
| D1206 |
|
658 |
657 |
$0.00 |
| 90697 |
|
1,143 |
733 |
$0.00 |
| 90647 |
|
962 |
946 |
$0.00 |
| 91305 |
|
46 |
46 |
$0.00 |
| 90680 |
|
1,763 |
1,389 |
$0.00 |
| 36415 |
|
1,522 |
1,492 |
$0.00 |
| Z6402 |
|
403 |
403 |
$0.00 |
| 83036 |
|
3,219 |
2,258 |
$0.00 |
| 90723 |
|
881 |
881 |
$0.00 |
| Z1034 |
|
5,561 |
3,185 |
$0.00 |
| Z6204 |
|
1,587 |
1,364 |
$0.00 |
| 87426 |
|
28 |
24 |
$0.00 |
| 90677 |
|
1,087 |
791 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
711 |
711 |
$0.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
305 |
301 |
$0.00 |
| Z6406 |
|
1,509 |
1,419 |
$0.00 |
| 94760 |
|
157 |
149 |
$0.00 |
| 0270 |
|
250 |
247 |
$0.00 |
| 90834 |
|
954 |
855 |
$0.00 |
| 87428 |
|
389 |
325 |
$0.00 |
| 0250 |
|
1,386 |
1,263 |
$0.00 |
| 76815 |
|
372 |
189 |
$0.00 |
| 90688 |
|
628 |
627 |
$0.00 |
| Z1032 |
|
223 |
223 |
$0.00 |
| 0305 |
|
298 |
297 |
$0.00 |
| 82962 |
|
335 |
177 |
$0.00 |
| 90732 |
|
78 |
78 |
$0.00 |
| 90716 |
|
431 |
369 |
$0.00 |
| 0409 |
|
48 |
18 |
$0.00 |
| 90696 |
|
256 |
220 |
$0.00 |
| 90656 |
|
250 |
228 |
$0.00 |
| 91306 |
|
143 |
143 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
100 |
100 |
$0.00 |
| G0010 |
Administration of hepatitis b vaccine |
12 |
12 |
$0.00 |
| 0531 |
|
122 |
104 |
$0.00 |
| 0306 |
|
95 |
87 |
$0.00 |
| 76811 |
|
14 |
14 |
$0.00 |
| 92250 |
|
29 |
29 |
$0.00 |
| 0410 |
|
16 |
12 |
$0.00 |
| Z1038 |
|
39 |
39 |
$0.00 |
| 0301 |
|
38 |
24 |
$0.00 |
| 76817 |
|
27 |
26 |
$0.00 |
| 99381 |
|
12 |
12 |
$0.00 |
| 90480 |
|
13 |
13 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
17 |
13 |
$0.00 |