| Code | Description | Claims | Beneficiaries | Total Paid |
| S5145 |
Child fostercare th per diem |
46,219 |
1,816 |
$5.40M |
| H2017 |
Psysoc rehab svc, per 15 min |
25,706 |
2,775 |
$1.56M |
| H1000 |
Prenatal care atrisk assessm |
16,522 |
12,829 |
$1.37M |
| T1015 |
Clinic service |
27,175 |
23,030 |
$1.25M |
| 99213 |
|
27,908 |
23,295 |
$620K |
| H0032 |
Mh svc plan dev by non-md |
10,141 |
8,917 |
$469K |
| T1017 |
Targeted case management |
12,368 |
3,743 |
$428K |
| H2019 |
Ther behav svc, per 15 min |
10,033 |
6,679 |
$362K |
| H0031 |
Mh health assess by non-md |
12,761 |
10,474 |
$299K |
| 99212 |
|
10,960 |
9,534 |
$275K |
| H2000 |
Comp multidisipln evaluation |
1,584 |
1,407 |
$213K |
| 99391 |
|
4,131 |
3,854 |
$213K |
| 99392 |
|
3,833 |
3,627 |
$206K |
| 59410 |
|
256 |
192 |
$154K |
| 99393 |
|
1,217 |
1,160 |
$73K |
| D0210 |
|
2,462 |
2,391 |
$67K |
| 99214 |
|
1,191 |
1,020 |
$45K |
| 99394 |
|
626 |
567 |
$37K |
| 90471 |
|
13,232 |
12,175 |
$31K |
| 90671 |
|
554 |
504 |
$28K |
| D1110 |
|
1,845 |
1,770 |
$27K |
| 59430 |
|
542 |
466 |
$24K |
| D0150 |
|
3,519 |
3,373 |
$24K |
| 90670 |
|
2,106 |
1,959 |
$21K |
| D2391 |
|
975 |
766 |
$20K |
| 90472 |
|
6,479 |
5,947 |
$20K |
| D1330 |
|
1,180 |
1,115 |
$19K |
| 99203 |
|
331 |
277 |
$17K |
| G0467 |
Fqhc visit, estab pt |
6,635 |
4,707 |
$16K |
| 99396 |
|
199 |
199 |
$15K |
| H0020 |
Alcohol and/or drug services |
963 |
397 |
$15K |
| H0046 |
Mental health service, nos |
627 |
309 |
$15K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
3,539 |
2,372 |
$14K |
| D2392 |
|
323 |
272 |
$11K |
| D7140 |
|
555 |
349 |
$11K |
| 90834 |
|
176 |
145 |
$11K |
| D1120 |
|
825 |
791 |
$10K |
| 2001F |
|
57,766 |
47,758 |
$9K |
| D0120 |
|
924 |
769 |
$9K |
| D4355 |
|
426 |
398 |
$8K |
| D0330 |
|
375 |
369 |
$8K |
| H0001 |
Alcohol and/or drug assess |
316 |
304 |
$8K |
| 99442 |
|
1,174 |
1,077 |
$7K |
| 99381 |
|
82 |
77 |
$7K |
| 99202 |
|
213 |
166 |
$7K |
| 99401 |
|
689 |
587 |
$7K |
| D0140 |
|
588 |
569 |
$6K |
| 99395 |
|
88 |
80 |
$6K |
| 0012A |
|
179 |
173 |
$4K |
| 77067 |
|
116 |
105 |
$4K |
| D0230 |
|
745 |
640 |
$4K |
| D1351 |
|
286 |
122 |
$4K |
| 0011A |
|
175 |
168 |
$4K |
| 1126F |
|
35,410 |
29,716 |
$3K |
| 90686 |
|
3,754 |
3,547 |
$3K |
| 3074F |
|
23,378 |
18,773 |
$3K |
| 90651 |
|
217 |
187 |
$3K |
| 3008F |
|
51,572 |
42,801 |
$3K |
| 36415 |
|
6,490 |
5,195 |
$3K |
| 99441 |
|
706 |
663 |
$3K |
| D0274 |
|
132 |
127 |
$3K |
| J1050 |
Medroxyprogesterone acetate |
53 |
43 |
$2K |
| 96372 |
|
449 |
353 |
$2K |
| 0031A |
|
55 |
53 |
$1K |
| 90791 |
|
16 |
14 |
$1K |
| 90710 |
|
177 |
152 |
$1K |
| 76818 |
|
72 |
51 |
$1K |
| S9485 |
Crisis intervention mental h |
91 |
26 |
$1K |
| 87426 |
|
75 |
72 |
$977.41 |
| D0220 |
|
2,152 |
1,964 |
$963.12 |
| 99211 |
|
95 |
88 |
$935.04 |
| D1206 |
|
242 |
232 |
$921.63 |
| 1157F |
|
2,455 |
808 |
$903.08 |
| 90474 |
|
489 |
450 |
$900.00 |
| D4346 |
|
87 |
78 |
$834.66 |
| D1208 |
|
648 |
624 |
$825.15 |
| 87591 |
|
18 |
14 |
$779.24 |
| 0001A |
|
30 |
29 |
$769.60 |
| G2025 |
Dis site tele svcs rhc/fqhc |
545 |
374 |
$766.48 |
| 1036F |
|
8,979 |
7,455 |
$761.03 |
| 87635 |
|
25 |
25 |
$649.47 |
| 0002A |
|
23 |
20 |
$646.40 |
| 90633 |
|
794 |
733 |
$613.54 |
| 97802 |
|
298 |
199 |
$563.00 |
| 3078F |
|
21,238 |
16,753 |
$550.16 |
| 86703 |
|
206 |
117 |
$501.06 |
| 90715 |
|
179 |
168 |
$481.75 |
| 92004 |
|
17 |
14 |
$459.90 |
| 1220F |
|
40,799 |
33,656 |
$432.68 |
| 83036 |
|
504 |
241 |
$414.16 |
| 0072A |
|
15 |
15 |
$361.60 |
| 3351F |
|
3,473 |
3,036 |
$349.00 |
| S9083 |
Urgent care center global |
15 |
14 |
$270.00 |
| 87804 |
|
100 |
97 |
$268.27 |
| G0470 |
Fqhc visit, mh estab pt |
208 |
128 |
$262.92 |
| 87880 |
|
75 |
72 |
$259.32 |
| 99408 |
|
62 |
58 |
$253.36 |
| 0013A |
|
14 |
14 |
$237.20 |
| 0502F |
|
1,648 |
1,387 |
$200.66 |
| 90723 |
|
152 |
144 |
$190.00 |
| 1159F |
|
22,012 |
17,760 |
$187.79 |
| 85025 |
|
203 |
98 |
$173.76 |
| 90648 |
|
535 |
508 |
$171.47 |
| 3075F |
|
1,096 |
872 |
$125.00 |
| 87340 |
|
41 |
24 |
$110.41 |
| 90688 |
|
59 |
55 |
$86.66 |
| 80061 |
|
63 |
47 |
$83.79 |
| 87491 |
|
56 |
27 |
$83.40 |
| 90473 |
|
76 |
72 |
$80.00 |
| J1885 |
Ketorolac tromethamine inj |
32 |
26 |
$78.03 |
| 80053 |
|
126 |
45 |
$64.80 |
| 71046 |
|
12 |
12 |
$63.19 |
| 1000F |
|
23,492 |
19,372 |
$56.73 |
| 90656 |
|
195 |
194 |
$54.19 |
| D0190 |
|
14 |
14 |
$52.25 |
| D0272 |
|
25 |
25 |
$47.25 |
| 2022F |
|
21 |
16 |
$43.30 |
| 84443 |
|
14 |
14 |
$42.54 |
| 81002 |
|
14 |
13 |
$41.60 |
| 90681 |
|
495 |
449 |
$40.00 |
| 1030F |
|
6,141 |
5,223 |
$38.38 |
| 87624 |
|
13 |
13 |
$35.10 |
| 81025 |
|
12 |
12 |
$31.68 |
| 90698 |
|
55 |
52 |
$30.00 |
| 90697 |
|
324 |
295 |
$30.00 |
| 86592 |
|
30 |
25 |
$21.00 |
| 81003 |
|
19 |
17 |
$12.12 |
| 85660 |
|
12 |
12 |
$11.01 |
| G2012 |
Brief check in by md/qhp |
15 |
13 |
$9.46 |
| G0468 |
Fqhc visit, ippe or awv |
159 |
135 |
$6.20 |
| G0439 |
Ppps, subseq visit |
63 |
53 |
$6.20 |
| 81001 |
|
115 |
36 |
$6.00 |
| 99173 |
|
29 |
29 |
$2.90 |
| 85018 |
|
55 |
13 |
$1.00 |
| 1125F |
|
3,046 |
2,537 |
$0.15 |
| 1022F |
|
2,415 |
1,939 |
$0.14 |
| 3079F |
|
4,338 |
3,262 |
$0.08 |
| 3077F |
|
782 |
569 |
$0.04 |
| 3015F |
|
71 |
68 |
$0.01 |
| 1034F |
|
469 |
386 |
$0.01 |
| 1160F |
|
11,417 |
9,013 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 3725F |
|
89 |
73 |
$0.00 |
| 1033F |
|
150 |
108 |
$0.00 |
| 4004F |
|
73 |
71 |
$0.00 |
| 3210F |
|
122 |
96 |
$0.00 |
| 3293F |
|
110 |
105 |
$0.00 |
| 0518F |
|
26 |
25 |
$0.00 |
| H2013 |
Psych hlth fac svc, per diem |
28 |
14 |
$0.00 |
| 90734 |
|
57 |
38 |
$0.00 |
| 92015 |
|
17 |
14 |
$0.00 |
| 90700 |
|
27 |
27 |
$0.00 |
| 2000F |
|
23,357 |
17,705 |
$0.00 |
| 91307 |
|
24 |
21 |
$0.00 |
| 3352F |
|
1,779 |
1,448 |
$0.00 |
| 4000F |
|
4,964 |
4,089 |
$0.00 |
| 3080F |
|
203 |
150 |
$0.00 |
| 3044F |
|
316 |
279 |
$0.00 |
| 4037F |
|
169 |
168 |
$0.00 |
| 3014F |
|
13 |
13 |
$0.00 |
| 3292F |
|
456 |
422 |
$0.00 |
| 4010F |
|
212 |
105 |
$0.00 |
| 1101F |
|
95 |
87 |
$0.00 |
| 0500F |
|
144 |
134 |
$0.00 |
| 1055F |
|
13 |
13 |
$0.00 |
| 92551 |
|
24 |
24 |
$0.00 |
| 36416 |
|
15 |
14 |
$0.00 |
| 3049F |
|
28 |
19 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 3048F |
|
37 |
23 |
$0.00 |