| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
76,666 |
67,254 |
$15.69M |
| 00003 |
|
11,782 |
8,985 |
$3.62M |
| 0521 |
|
134,854 |
57,680 |
$590K |
| 0636 |
|
7,372 |
5,075 |
$202K |
| 99213 |
|
27,693 |
24,927 |
$15K |
| 0301 |
|
3,503 |
3,142 |
$14K |
| 0771 |
|
2,753 |
2,528 |
$12K |
| 90750 |
|
525 |
488 |
$11K |
| 0761 |
|
921 |
851 |
$7K |
| 99396 |
|
551 |
523 |
$7K |
| 83036 |
|
3,443 |
3,099 |
$5K |
| 0770 |
|
1,556 |
1,546 |
$5K |
| 98941 |
|
5,480 |
3,326 |
$5K |
| 99214 |
|
5,466 |
4,886 |
$4K |
| 0309 |
|
509 |
459 |
$3K |
| 99395 |
|
924 |
892 |
$3K |
| 0900 |
|
7,845 |
5,575 |
$3K |
| 99212 |
|
11,325 |
10,666 |
$3K |
| 0124A |
|
84 |
54 |
$2K |
| 90662 |
|
331 |
331 |
$2K |
| 97140 |
|
113 |
54 |
$1K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
43 |
43 |
$1K |
| 0307 |
|
990 |
817 |
$1K |
| 82947 |
|
1,099 |
916 |
$1K |
| J3490 |
Drugs unclassified injection |
389 |
117 |
$983.16 |
| 0271 |
|
76 |
69 |
$916.70 |
| 92250 |
|
28 |
15 |
$725.48 |
| 90656 |
|
238 |
230 |
$672.00 |
| 90834 |
|
5,024 |
3,408 |
$638.06 |
| 83721 |
|
783 |
717 |
$637.68 |
| 90677 |
|
101 |
94 |
$634.12 |
| 20552 |
|
25 |
14 |
$581.13 |
| 98940 |
|
43 |
32 |
$534.65 |
| 0300 |
|
59 |
57 |
$533.73 |
| J7060 |
5% dextrose/water |
130 |
61 |
$520.81 |
| 0306 |
|
41 |
41 |
$509.22 |
| J3420 |
Vitamin b12 injection |
124 |
37 |
$394.29 |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,942 |
1,845 |
$304.76 |
| 90686 |
|
2,076 |
1,923 |
$274.61 |
| 90837 |
|
384 |
161 |
$184.00 |
| 99188 |
|
243 |
231 |
$170.98 |
| 90715 |
|
249 |
248 |
$170.73 |
| 85018 |
|
2,114 |
1,851 |
$151.22 |
| A4217 |
Sterile water/saline, 500 ml |
45 |
13 |
$150.00 |
| 96127 |
|
1,944 |
1,915 |
$106.01 |
| G0008 |
Admin influenza virus vac |
370 |
369 |
$93.33 |
| G0467 |
Fqhc visit, estab pt |
458 |
451 |
$91.26 |
| 80061 |
|
252 |
252 |
$83.46 |
| 90832 |
|
2,722 |
1,910 |
$50.00 |
| 99051 |
|
1,844 |
1,745 |
$50.00 |
| 90471 |
|
1,129 |
1,097 |
$43.95 |
| 82962 |
|
40 |
38 |
$22.14 |
| 92552 |
|
1,129 |
1,123 |
$20.53 |
| 81025 |
|
33 |
32 |
$16.80 |
| 99173 |
|
1,281 |
1,273 |
$12.40 |
| 90619 |
|
14 |
13 |
$9.00 |
| 81000 |
|
365 |
355 |
$7.74 |
| G8510 |
Scr dep neg, no plan reqd |
6,468 |
6,198 |
$0.00 |
| 90792 |
|
1,506 |
1,355 |
$0.00 |
| 96372 |
|
57 |
54 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
577 |
561 |
$0.00 |
| 90651 |
|
40 |
40 |
$0.00 |
| G0439 |
Ppps, subseq visit |
86 |
86 |
$0.00 |
| 99385 |
|
31 |
29 |
$0.00 |
| 99000 |
|
16 |
16 |
$0.00 |
| G0396 |
Alcohol/subs interv 15-30mn |
34 |
34 |
$0.00 |
| 90620 |
|
35 |
24 |
$0.00 |
| 90480 |
|
16 |
16 |
$0.00 |
| 90647 |
|
38 |
27 |
$0.00 |
| 90723 |
|
21 |
13 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
2,332 |
2,157 |
$0.00 |
| 90791 |
|
306 |
274 |
$0.00 |
| G0470 |
Fqhc visit, mh estab pt |
189 |
129 |
$0.00 |
| 87880 |
|
55 |
55 |
$0.00 |
| 99392 |
|
130 |
129 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
66 |
65 |
$0.00 |
| 99393 |
|
116 |
115 |
$0.00 |
| 90679 |
|
27 |
27 |
$0.00 |
| 99394 |
|
193 |
193 |
$0.00 |
| 87804 |
|
36 |
36 |
$0.00 |
| 90670 |
|
61 |
43 |
$0.00 |
| 2028F |
|
45 |
44 |
$0.00 |
| G0468 |
Fqhc visit, ippe or awv |
17 |
17 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 99442 |
|
12 |
12 |
$0.00 |