| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
34,783 |
31,966 |
$1.00M |
| 99213 |
|
38,320 |
35,703 |
$803K |
| G0467 |
Fqhc visit, estab pt |
16,213 |
11,644 |
$257K |
| 90686 |
|
10,057 |
9,989 |
$94K |
| 97810 |
|
1,368 |
780 |
$55K |
| 90832 |
|
1,526 |
1,169 |
$55K |
| 99215 |
Prolong outpt/office vis |
1,531 |
1,470 |
$53K |
| 90471 |
|
5,395 |
5,310 |
$45K |
| 90837 |
|
495 |
339 |
$43K |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,976 |
1,777 |
$36K |
| 0012A |
|
931 |
907 |
$30K |
| 90834 |
|
439 |
349 |
$26K |
| 0011A |
|
911 |
890 |
$23K |
| 99442 |
|
784 |
757 |
$20K |
| 92004 |
|
262 |
257 |
$19K |
| G9150 |
Medical home level iii |
243 |
242 |
$16K |
| 0064A |
|
533 |
521 |
$16K |
| 99396 |
|
164 |
163 |
$14K |
| 98968 |
|
290 |
286 |
$13K |
| 90791 |
|
156 |
149 |
$12K |
| 99212 |
|
763 |
674 |
$11K |
| 99211 |
|
2,180 |
1,781 |
$10K |
| 99443 |
|
187 |
174 |
$8K |
| 0124A |
|
658 |
655 |
$8K |
| G9149 |
Medical home level ii |
40 |
40 |
$7K |
| 97811 |
|
157 |
101 |
$5K |
| 99203 |
|
82 |
82 |
$4K |
| 99392 |
|
158 |
158 |
$4K |
| T1015 |
Clinic service |
294 |
254 |
$4K |
| 91320 |
|
41 |
41 |
$4K |
| 92015 |
|
338 |
334 |
$3K |
| 90656 |
|
300 |
300 |
$3K |
| 99391 |
|
105 |
101 |
$3K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
399 |
308 |
$3K |
| 99394 |
|
75 |
74 |
$2K |
| 96127 |
|
1,104 |
1,031 |
$2K |
| 97803 |
|
65 |
64 |
$2K |
| 99393 |
|
113 |
112 |
$2K |
| 90785 |
|
183 |
148 |
$1K |
| 0031A |
|
45 |
44 |
$1K |
| 90480 |
|
36 |
36 |
$1K |
| 97802 |
|
27 |
27 |
$1K |
| 90853 |
|
69 |
27 |
$750.44 |
| 80305 |
|
78 |
49 |
$727.02 |
| 90651 |
|
17 |
16 |
$325.22 |
| 99441 |
|
27 |
26 |
$300.81 |
| 93000 |
|
159 |
154 |
$224.65 |
| 99201 |
|
12 |
12 |
$196.14 |
| 83036 |
|
632 |
630 |
$120.26 |
| 86580 |
|
20 |
13 |
$96.80 |
| 90715 |
|
12 |
12 |
$96.64 |
| 90670 |
|
51 |
51 |
$81.08 |
| 90688 |
|
25 |
25 |
$79.28 |
| 92552 |
|
25 |
25 |
$43.28 |
| 92551 |
|
27 |
27 |
$28.16 |
| 90647 |
|
13 |
13 |
$19.08 |
| 97026 |
|
90 |
58 |
$15.56 |
| 3074F |
|
4,277 |
4,007 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
4,424 |
4,237 |
$0.00 |
| 1036F |
|
1,143 |
1,137 |
$0.00 |
| G0008 |
Admin influenza virus vac |
1,002 |
994 |
$0.00 |
| 91301 |
|
1,753 |
1,667 |
$0.00 |
| G0439 |
Ppps, subseq visit |
28 |
28 |
$0.00 |
| 91306 |
|
402 |
396 |
$0.00 |
| T1002 |
Rn services up to 15 minutes |
44 |
29 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
40 |
40 |
$0.00 |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
12 |
12 |
$0.00 |
| 3075F |
|
24 |
24 |
$0.00 |
| 91303 |
|
43 |
43 |
$0.00 |
| 91307 |
|
48 |
48 |
$0.00 |
| 3078F |
|
5,989 |
5,605 |
$0.00 |
| 90662 |
|
395 |
391 |
$0.00 |
| 91300 |
|
53 |
50 |
$0.00 |
| 0054A |
|
298 |
298 |
$0.00 |
| G0468 |
Fqhc visit, ippe or awv |
29 |
29 |
$0.00 |
| 91312 |
|
195 |
192 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
457 |
457 |
$0.00 |
| 96160 |
|
13 |
12 |
$0.00 |
| 1160F |
|
47 |
47 |
$0.00 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
48 |
45 |
$0.00 |
| 1158F |
|
27 |
27 |
$0.00 |
| 91308 |
|
13 |
12 |
$0.00 |
| 1159F |
|
14 |
14 |
$0.00 |