| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
50,439 |
43,265 |
$12.16M |
| 99213 |
|
52,709 |
31,687 |
$156K |
| 99203 |
|
1,037 |
802 |
$28K |
| 99212 |
|
2,504 |
1,938 |
$19K |
| 0012A |
|
192 |
192 |
$13K |
| 0011A |
|
164 |
164 |
$11K |
| J3490 |
Drugs unclassified injection |
103 |
95 |
$9K |
| 90837 |
|
705 |
345 |
$8K |
| 99214 |
|
8,360 |
5,482 |
$5K |
| 0001A |
|
57 |
55 |
$4K |
| 0064A |
|
49 |
49 |
$3K |
| 90677 |
|
214 |
213 |
$3K |
| 90715 |
|
106 |
83 |
$3K |
| 90791 |
|
530 |
349 |
$2K |
| 0134A |
|
25 |
25 |
$2K |
| 81025 |
|
1,589 |
1,545 |
$2K |
| 99000 |
|
3,141 |
3,046 |
$2K |
| 0002A |
|
15 |
15 |
$1K |
| A4267 |
Male condom |
127 |
122 |
$811.75 |
| 0013A |
|
13 |
13 |
$806.00 |
| G9919 |
Scrn nd pos nd prov of rec |
1,348 |
1,347 |
$776.62 |
| 99396 |
|
1,004 |
625 |
$657.20 |
| 99385 |
|
619 |
397 |
$568.22 |
| 97804 |
|
12 |
12 |
$495.72 |
| 90688 |
|
32 |
32 |
$325.56 |
| 99391 |
|
131 |
101 |
$311.16 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
12 |
12 |
$297.12 |
| 96372 |
|
198 |
193 |
$280.00 |
| G8510 |
Scr dep neg, no plan reqd |
20,794 |
19,310 |
$274.91 |
| 99386 |
|
364 |
248 |
$263.08 |
| 83036 |
|
3,176 |
3,141 |
$261.05 |
| 99395 |
|
294 |
170 |
$203.70 |
| 90471 |
|
2,266 |
2,228 |
$181.01 |
| 90656 |
|
83 |
83 |
$158.41 |
| 99392 |
|
116 |
67 |
$149.19 |
| G9920 |
Scrning perf and negative |
134 |
134 |
$144.13 |
| 85018 |
|
1,479 |
1,459 |
$119.89 |
| 96110 |
|
86 |
86 |
$119.20 |
| 81002 |
|
1,338 |
1,229 |
$95.21 |
| 81003 |
|
800 |
720 |
$88.79 |
| 90723 |
|
41 |
41 |
$63.90 |
| 82962 |
|
2,980 |
2,860 |
$61.11 |
| 90832 |
|
274 |
195 |
$52.34 |
| 90648 |
|
44 |
44 |
$43.63 |
| 99188 |
|
44 |
44 |
$35.64 |
| 90686 |
|
18 |
18 |
$26.54 |
| G9012 |
Other specified case mgmt |
1,675 |
1,476 |
$20.00 |
| 99173 |
|
1,104 |
1,100 |
$15.46 |
| 80305 |
|
14 |
14 |
$11.85 |
| 90633 |
|
27 |
27 |
$9.00 |
| 90472 |
|
100 |
99 |
$4.46 |
| 82948 |
|
229 |
212 |
$2.68 |
| 96160 |
|
1,416 |
1,414 |
$2.54 |
| 3077F |
|
1,783 |
1,663 |
$0.00 |
| 3051F |
|
184 |
184 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
187 |
183 |
$0.00 |
| 3078F |
|
7,272 |
6,913 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
19 |
13 |
$0.00 |
| 99393 |
|
61 |
37 |
$0.00 |
| 99397 |
|
28 |
27 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
159 |
155 |
$0.00 |
| 3046F |
|
27 |
27 |
$0.00 |
| G0470 |
Fqhc visit, mh estab pt |
16 |
14 |
$0.00 |
| 99211 |
|
29 |
18 |
$0.00 |
| 99394 |
|
29 |
16 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 3079F |
|
4,968 |
4,793 |
$0.00 |
| 3044F |
|
832 |
831 |
$0.00 |
| 3074F |
|
9,268 |
8,758 |
$0.00 |
| G8433 |
Scr for dep not cpt doc rsn |
1,365 |
1,301 |
$0.00 |
| H0049 |
Alcohol/drug screening |
14,650 |
13,684 |
$0.00 |
| 3075F |
|
2,324 |
2,275 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
2,689 |
2,145 |
$0.00 |
| 3080F |
|
1,091 |
1,028 |
$0.00 |
| 90834 |
|
279 |
196 |
$0.00 |
| 2000F |
|
65 |
61 |
$0.00 |
| 3008F |
|
88 |
80 |
$0.00 |
| 99202 |
|
16 |
15 |
$0.00 |
| G0008 |
Admin influenza virus vac |
23 |
23 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| D1206 |
|
29 |
29 |
$0.00 |
| 90792 |
|
35 |
26 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
56 |
56 |
$0.00 |
| 3052F |
|
15 |
15 |
$0.00 |
| G0439 |
Ppps, subseq visit |
14 |
14 |
$0.00 |