| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
68,873 |
54,188 |
$6.25M |
| 99213 |
|
31,793 |
25,814 |
$2.39M |
| 90834 |
|
15,061 |
10,034 |
$2.16M |
| 90832 |
|
9,777 |
7,320 |
$1.25M |
| H0001 |
Alcohol and/or drug assess |
2,874 |
2,016 |
$383K |
| 96372 |
|
8,796 |
6,653 |
$378K |
| 90791 |
|
2,149 |
1,750 |
$335K |
| 99442 |
|
2,223 |
2,064 |
$302K |
| 11720 |
|
1,692 |
1,638 |
$235K |
| 11721 |
|
1,292 |
1,273 |
$174K |
| 99395 |
|
1,331 |
1,061 |
$131K |
| 11719 |
|
1,035 |
878 |
$126K |
| 90853 |
|
1,483 |
529 |
$116K |
| 99215 |
Prolong outpt/office vis |
863 |
835 |
$112K |
| 99396 |
|
1,085 |
880 |
$101K |
| 36415 |
|
24,044 |
23,433 |
$99K |
| 99406 |
|
4,899 |
3,868 |
$90K |
| G0467 |
Fqhc visit, estab pt |
2,692 |
2,520 |
$87K |
| H0038 |
Self-help/peer svc per 15min |
643 |
385 |
$86K |
| 99212 |
|
785 |
688 |
$70K |
| 99204 |
|
647 |
463 |
$60K |
| 90837 |
|
486 |
367 |
$56K |
| 90756 |
|
1,300 |
1,223 |
$45K |
| 86703 |
|
2,081 |
2,057 |
$40K |
| 90471 |
|
3,660 |
3,631 |
$37K |
| 99211 |
|
596 |
564 |
$30K |
| 99443 |
|
189 |
182 |
$29K |
| 99441 |
|
185 |
178 |
$25K |
| 0012A |
|
817 |
817 |
$25K |
| 90833 |
|
343 |
325 |
$25K |
| 0011A |
|
864 |
864 |
$19K |
| 90688 |
|
1,131 |
1,126 |
$17K |
| 99385 |
|
146 |
104 |
$15K |
| Q3014 |
Telehealth facility fee |
773 |
695 |
$13K |
| H0033 |
Oral med adm direct observe |
587 |
77 |
$11K |
| 99203 |
|
121 |
71 |
$9K |
| 90661 |
|
165 |
164 |
$8K |
| 80305 |
|
904 |
279 |
$7K |
| G2211 |
Complex e/m visit add on |
312 |
282 |
$7K |
| 90836 |
|
299 |
294 |
$6K |
| 96127 |
|
643 |
639 |
$5K |
| 90792 |
|
31 |
31 |
$4K |
| 97803 |
|
95 |
95 |
$4K |
| 90670 |
|
18 |
18 |
$4K |
| 97802 |
|
71 |
71 |
$3K |
| 86580 |
|
132 |
126 |
$3K |
| G0470 |
Fqhc visit, mh estab pt |
167 |
110 |
$3K |
| 99202 |
|
40 |
24 |
$2K |
| T1023 |
Program intake assessment |
14 |
14 |
$2K |
| 99401 |
|
68 |
68 |
$2K |
| D0120 |
|
59 |
59 |
$2K |
| 96160 |
|
360 |
357 |
$1K |
| H0004 |
Alcohol and/or drug services |
34 |
31 |
$1K |
| 81025 |
|
614 |
611 |
$1K |
| 3080F |
|
1,166 |
1,147 |
$1K |
| D4910 |
|
26 |
25 |
$1K |
| 3079F |
|
1,250 |
1,234 |
$1K |
| 3077F |
|
1,404 |
1,374 |
$1K |
| H0050 |
Alcohol/drug service 15 min |
24 |
24 |
$987.64 |
| T1013 |
Sign lang/oral interpreter |
32 |
25 |
$906.30 |
| 3075F |
|
1,295 |
1,266 |
$670.39 |
| D1110 |
|
16 |
16 |
$642.12 |
| J0696 |
Ceftriaxone sodium injection |
191 |
187 |
$640.09 |
| 90460 |
|
45 |
45 |
$552.39 |
| D0210 |
|
13 |
13 |
$468.08 |
| 87808 |
|
36 |
36 |
$446.10 |
| D0150 |
|
12 |
12 |
$359.00 |
| D0274 |
|
14 |
14 |
$355.56 |
| 83036 |
|
16 |
15 |
$286.61 |
| 99407 |
|
16 |
15 |
$232.75 |
| 90472 |
|
21 |
20 |
$95.66 |
| Q0144 |
Azithromycin dihydrate, oral |
13 |
13 |
$7.39 |
| G0008 |
Admin influenza virus vac |
44 |
44 |
$0.00 |
| 1101F |
|
13 |
13 |
$0.00 |
| 99080 |
|
1,076 |
1,055 |
$0.00 |
| 99499 |
|
673 |
664 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
12 |
12 |
$0.00 |
| G0438 |
Ppps, initial visit |
13 |
13 |
$0.00 |