| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
42,917 |
34,787 |
$4.71M |
| 99213 |
|
26,913 |
23,603 |
$1.06M |
| 87635 |
|
9,409 |
8,792 |
$225K |
| 87502 |
|
4,907 |
4,641 |
$222K |
| 90832 |
|
2,912 |
1,888 |
$154K |
| 99392 |
|
1,997 |
1,964 |
$147K |
| 99214 |
|
3,305 |
3,092 |
$124K |
| G0467 |
Fqhc visit, estab pt |
3,792 |
3,233 |
$122K |
| 99391 |
|
1,538 |
1,497 |
$115K |
| 99393 |
|
1,582 |
1,535 |
$114K |
| 87651 |
|
5,516 |
5,218 |
$95K |
| 99394 |
|
1,187 |
1,135 |
$90K |
| 99212 |
|
1,660 |
1,583 |
$59K |
| 87634 |
|
1,362 |
1,273 |
$32K |
| 96110 |
|
3,647 |
3,548 |
$15K |
| 99203 |
|
287 |
280 |
$14K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
679 |
670 |
$9K |
| 96372 |
|
1,652 |
1,538 |
$8K |
| 87426 |
|
284 |
276 |
$7K |
| 85025 |
|
3,207 |
3,011 |
$7K |
| 80053 |
|
2,949 |
2,790 |
$7K |
| 99381 |
|
92 |
85 |
$7K |
| 84443 |
|
1,178 |
1,115 |
$6K |
| 97803 |
|
1,059 |
953 |
$3K |
| 81001 |
|
2,170 |
1,998 |
$2K |
| 83036 |
|
1,192 |
1,125 |
$2K |
| 81025 |
|
686 |
629 |
$2K |
| 90791 |
|
26 |
25 |
$2K |
| 99202 |
|
53 |
53 |
$2K |
| 80061 |
|
1,054 |
979 |
$2K |
| 97802 |
|
252 |
238 |
$1K |
| 87804 |
|
192 |
96 |
$1K |
| 99395 |
|
18 |
13 |
$1K |
| 99406 |
|
397 |
365 |
$1K |
| 92552 |
|
1,471 |
1,441 |
$1K |
| 84439 |
|
320 |
296 |
$936.91 |
| 36415 |
|
3,885 |
3,664 |
$840.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
54 |
51 |
$763.03 |
| 80050 |
|
38 |
37 |
$735.09 |
| 87880 |
|
80 |
80 |
$533.34 |
| 86308 |
|
140 |
139 |
$388.96 |
| J0702 |
Betamethasone acet&sod phosp |
116 |
114 |
$351.54 |
| 99000 |
|
49 |
48 |
$313.20 |
| 99211 |
|
31 |
30 |
$261.22 |
| 90471 |
|
3,947 |
3,865 |
$195.35 |
| 87806 |
|
24 |
21 |
$137.65 |
| 90686 |
|
525 |
513 |
$128.26 |
| 96160 |
|
299 |
290 |
$122.39 |
| 80048 |
|
54 |
51 |
$99.54 |
| 90619 |
|
13 |
12 |
$93.47 |
| 82607 |
|
20 |
17 |
$63.35 |
| 83540 |
|
34 |
31 |
$48.87 |
| 82043 |
|
33 |
30 |
$44.28 |
| J3301 |
Triamcinolone acet inj nos |
69 |
68 |
$34.21 |
| 87210 |
|
17 |
17 |
$29.34 |
| 90734 |
|
359 |
354 |
$16.15 |
| J1885 |
Ketorolac tromethamine inj |
26 |
24 |
$6.89 |
| 90460 |
|
48 |
48 |
$0.25 |
| 90472 |
|
2,517 |
2,454 |
$0.14 |
| 90474 |
|
191 |
188 |
$0.04 |
| G8417 |
Calc bmi abv up param f/u |
4,588 |
3,910 |
$0.01 |
| 3080F |
|
399 |
353 |
$0.01 |
| 90651 |
|
269 |
264 |
$0.01 |
| 99173 |
|
1,615 |
1,586 |
$0.00 |
| 99307 |
|
1,365 |
1,102 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
27 |
24 |
$0.00 |
| 3028F |
|
3,704 |
3,183 |
$0.00 |
| 90670 |
|
1,111 |
1,086 |
$0.00 |
| 3078F |
|
791 |
726 |
$0.00 |
| 4120F |
|
5,614 |
5,287 |
$0.00 |
| 90681 |
|
262 |
258 |
$0.00 |
| 90648 |
|
511 |
502 |
$0.00 |
| 4124F |
|
206 |
202 |
$0.00 |
| 90633 |
|
664 |
653 |
$0.00 |
| 3077F |
|
701 |
619 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
26 |
25 |
$0.00 |
| 90671 |
|
169 |
164 |
$0.00 |
| 90710 |
|
146 |
142 |
$0.00 |
| 90700 |
|
74 |
73 |
$0.00 |
| 90707 |
|
76 |
75 |
$0.00 |
| 4025F |
|
13 |
13 |
$0.00 |
| 90715 |
|
109 |
108 |
$0.00 |
| 4040F |
|
22 |
22 |
$0.00 |
| 3210F |
|
67 |
63 |
$0.00 |
| 1159F |
|
96 |
90 |
$0.00 |
| 4145F |
|
15 |
14 |
$0.00 |
| 90697 |
|
419 |
395 |
$0.00 |
| 2010F |
|
4,371 |
3,740 |
$0.00 |
| 96127 |
|
705 |
655 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
1,352 |
1,210 |
$0.00 |
| 3008F |
|
4,136 |
3,514 |
$0.00 |
| 1034F |
|
461 |
409 |
$0.00 |
| 90696 |
|
122 |
118 |
$0.00 |
| 2001F |
|
386 |
357 |
$0.00 |
| 3074F |
|
897 |
810 |
$0.00 |
| 3079F |
|
746 |
693 |
$0.00 |
| 1000F |
|
83 |
79 |
$0.00 |
| 90723 |
|
473 |
467 |
$0.00 |
| 3075F |
|
269 |
254 |
$0.00 |
| 2000F |
|
2,747 |
2,384 |
$0.00 |
| 90647 |
|
124 |
124 |
$0.00 |
| 3351F |
|
439 |
401 |
$0.00 |
| 3011F |
|
31 |
25 |
$0.00 |
| 3353F |
|
123 |
117 |
$0.00 |
| 1036F |
|
14 |
13 |
$0.00 |
| 90716 |
|
37 |
37 |
$0.00 |
| 36416 |
|
33 |
32 |
$0.00 |
| 4130F |
|
20 |
18 |
$0.00 |
| 4010F |
|
16 |
13 |
$0.00 |
| G0008 |
Admin influenza virus vac |
26 |
26 |
$0.00 |
| G8418 |
Calc bmi blw low param f/u |
31 |
29 |
$0.00 |
| G8756 |
No bp measure doc |
112 |
98 |
$0.00 |
| 3044F |
|
49 |
41 |
$0.00 |
| 4037F |
|
32 |
32 |
$0.00 |
| 4056F |
|
13 |
13 |
$0.00 |
| 3352F |
|
14 |
14 |
$0.00 |