| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
238,906 |
218,360 |
$97.69M |
| G0467 |
Fqhc visit, estab pt |
11,307 |
10,121 |
$1.41M |
| G9008 |
Mccd,phys coor-care ovrsght |
2,893 |
1,862 |
$652K |
| G9012 |
Other specified case mgmt |
5,850 |
4,585 |
$602K |
| 99213 |
|
188,936 |
121,759 |
$390K |
| 99214 |
|
87,421 |
56,429 |
$340K |
| 76805 |
|
6,720 |
6,603 |
$87K |
| 99212 |
|
52,809 |
30,627 |
$74K |
| 76816 |
|
10,163 |
9,614 |
$73K |
| 91320 |
|
403 |
403 |
$53K |
| 87536 |
|
2,772 |
2,753 |
$49K |
| 76815 |
|
5,588 |
4,336 |
$46K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
7,049 |
6,472 |
$44K |
| 90750 |
|
3,093 |
2,270 |
$42K |
| 76811 |
|
1,199 |
1,170 |
$36K |
| 84443 |
|
12,760 |
12,698 |
$27K |
| 83036 |
|
20,977 |
20,920 |
$25K |
| 90677 |
|
1,051 |
727 |
$25K |
| 59025 |
|
6,356 |
4,756 |
$23K |
| 77067 |
|
3,080 |
2,905 |
$23K |
| 80061 |
|
9,687 |
9,669 |
$19K |
| 85025 |
|
16,264 |
16,101 |
$18K |
| 90686 |
|
5,658 |
4,835 |
$17K |
| 76813 |
|
1,090 |
1,085 |
$17K |
| 80076 |
|
13,937 |
13,815 |
$15K |
| 90471 |
|
26,372 |
20,376 |
$14K |
| 99215 |
Prolong outpt/office vis |
2,267 |
1,379 |
$11K |
| 86481 |
|
815 |
813 |
$11K |
| 90480 |
|
454 |
454 |
$11K |
| 0241U |
|
374 |
373 |
$9K |
| 90715 |
|
1,547 |
1,275 |
$9K |
| 99203 |
|
744 |
601 |
$9K |
| 99211 |
|
2,419 |
1,932 |
$7K |
| 87389 |
|
1,414 |
1,410 |
$7K |
| 99202 |
|
1,047 |
936 |
$6K |
| 86360 |
|
582 |
581 |
$6K |
| 87591 |
|
725 |
712 |
$5K |
| 87491 |
|
724 |
711 |
$5K |
| 86803 |
|
2,037 |
2,028 |
$5K |
| 76801 |
|
544 |
522 |
$5K |
| 86359 |
|
582 |
581 |
$4K |
| 71046 |
|
2,151 |
2,096 |
$3K |
| 80051 |
|
22,132 |
21,729 |
$3K |
| 82565 |
|
22,838 |
22,415 |
$3K |
| 90732 |
|
114 |
107 |
$2K |
| 90662 |
|
857 |
719 |
$2K |
| 82947 |
|
23,796 |
23,122 |
$2K |
| 86780 |
|
671 |
660 |
$2K |
| 82306 |
|
1,251 |
1,250 |
$2K |
| 85610 |
|
3,175 |
2,336 |
$2K |
| 88175 |
|
805 |
755 |
$2K |
| 90656 |
|
721 |
585 |
$2K |
| 84520 |
|
22,187 |
21,780 |
$2K |
| 80307 |
|
243 |
189 |
$2K |
| 0038U |
|
3,317 |
3,308 |
$1K |
| 85027 |
|
1,209 |
1,205 |
$1K |
| 82274 |
|
481 |
481 |
$1K |
| 92250 |
|
560 |
560 |
$1K |
| 80053 |
|
610 |
608 |
$1K |
| 97110 |
|
241 |
123 |
$1K |
| 93010 |
|
753 |
750 |
$1K |
| 90834 |
|
869 |
710 |
$870.36 |
| 83550 |
|
822 |
813 |
$712.86 |
| 83540 |
|
822 |
813 |
$586.78 |
| 72100 |
|
428 |
416 |
$576.45 |
| 99204 |
|
34 |
27 |
$508.46 |
| 87631 |
|
60 |
59 |
$485.17 |
| 97140 |
|
101 |
52 |
$452.04 |
| 81001 |
|
796 |
785 |
$434.69 |
| 87635 |
|
69 |
67 |
$410.47 |
| 80048 |
|
115 |
115 |
$409.33 |
| 90678 |
|
105 |
83 |
$389.30 |
| 82607 |
|
1,117 |
1,114 |
$361.83 |
| 82570 |
|
494 |
493 |
$361.06 |
| 82728 |
|
495 |
492 |
$358.75 |
| 90832 |
|
1,177 |
930 |
$349.72 |
| 99201 |
|
58 |
57 |
$279.37 |
| 87653 |
|
18 |
18 |
$270.42 |
| 76817 |
|
16 |
12 |
$237.12 |
| 73562 |
|
328 |
279 |
$205.32 |
| J1030 |
Methylprednisolone 40 mg inj |
306 |
261 |
$190.91 |
| 82962 |
|
261 |
204 |
$173.67 |
| 20610 |
|
76 |
53 |
$167.60 |
| 80074 |
|
43 |
43 |
$160.48 |
| G2025 |
Dis site tele svcs rhc/fqhc |
908 |
855 |
$139.23 |
| 99245 |
|
19 |
12 |
$132.86 |
| 90472 |
|
167 |
136 |
$126.76 |
| 99000 |
|
153 |
152 |
$117.60 |
| 87340 |
|
69 |
69 |
$116.95 |
| 88142 |
|
32 |
32 |
$108.84 |
| J1010 |
Inj, methylpred acetate 1 mg |
41 |
31 |
$103.45 |
| 82043 |
|
198 |
197 |
$99.35 |
| 86593 |
|
75 |
75 |
$98.70 |
| 84550 |
|
236 |
233 |
$87.71 |
| 71045 |
|
13 |
12 |
$66.88 |
| 93227 |
|
97 |
97 |
$62.81 |
| 86706 |
|
15 |
15 |
$57.54 |
| 77080 |
|
150 |
148 |
$54.82 |
| 73030 |
|
152 |
132 |
$39.40 |
| 99406 |
|
18 |
13 |
$27.06 |
| 87081 |
|
25 |
25 |
$22.25 |
| 84153 |
|
24 |
24 |
$21.26 |
| J2001 |
Lidocaine injection |
327 |
301 |
$20.75 |
| 83735 |
|
12 |
12 |
$19.19 |
| J3420 |
Vitamin b12 injection |
215 |
207 |
$18.74 |
| 81002 |
|
103 |
82 |
$18.53 |
| 83090 |
|
12 |
12 |
$16.39 |
| 84460 |
|
136 |
136 |
$10.56 |
| 3079F |
|
19,650 |
14,035 |
$0.00 |
| 3074F |
|
45,863 |
32,611 |
$0.00 |
| 3044F |
|
10,365 |
8,858 |
$0.00 |
| 1126F |
|
9,133 |
7,639 |
$0.00 |
| 3080F |
|
5,344 |
3,655 |
$0.00 |
| 1125F |
|
6,646 |
6,043 |
$0.00 |
| 3075F |
|
15,859 |
11,354 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
146 |
136 |
$0.00 |
| 99443 |
|
503 |
496 |
$0.00 |
| 4086F |
|
782 |
669 |
$0.00 |
| 99441 |
|
1,554 |
1,459 |
$0.00 |
| 3048F |
|
798 |
523 |
$0.00 |
| J3490 |
Drugs unclassified injection |
132 |
113 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
51 |
51 |
$0.00 |
| 96372 |
|
71 |
61 |
$0.00 |
| G0008 |
Admin influenza virus vac |
152 |
112 |
$0.00 |
| 73502 |
|
26 |
26 |
$0.00 |
| 96380 |
|
36 |
28 |
$0.00 |
| 73560 |
|
14 |
12 |
$0.00 |
| 3049F |
|
118 |
80 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
21 |
21 |
$0.00 |
| 3077F |
|
16,181 |
11,666 |
$0.00 |
| 3078F |
|
52,175 |
37,614 |
$0.00 |
| 1160F |
|
19,593 |
12,507 |
$0.00 |
| G8935 |
Rx ace or arb therapy |
700 |
690 |
$0.00 |
| 1159F |
|
40,304 |
25,564 |
$0.00 |
| 99442 |
|
3,449 |
3,233 |
$0.00 |
| 90791 |
|
571 |
563 |
$0.00 |
| 80305 |
|
14 |
14 |
$0.00 |
| 96136 |
|
31 |
26 |
$0.00 |
| 96130 |
|
28 |
27 |
$0.00 |
| 93248 |
|
50 |
50 |
$0.00 |
| 84450 |
|
44 |
44 |
$0.00 |
| 73630 |
|
30 |
29 |
$0.00 |
| 3051F |
|
15 |
14 |
$0.00 |
| 84439 |
|
13 |
13 |
$0.00 |