| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
125,661 |
112,407 |
$19.27M |
| 00003 |
|
55,580 |
41,681 |
$10.90M |
| 99213 |
|
115,080 |
91,834 |
$108K |
| G0467 |
Fqhc visit, estab pt |
10,172 |
8,724 |
$38K |
| 99214 |
|
23,750 |
19,300 |
$36K |
| 90834 |
|
2,712 |
1,046 |
$28K |
| 90837 |
|
2,539 |
1,189 |
$18K |
| Q0091 |
Obtaining screen pap smear |
2,604 |
2,494 |
$15K |
| 99212 |
|
8,959 |
6,527 |
$15K |
| 90471 |
|
15,254 |
12,225 |
$14K |
| G2025 |
Dis site tele svcs rhc/fqhc |
8,742 |
7,549 |
$12K |
| 90756 |
|
1,863 |
1,634 |
$11K |
| 99396 |
|
13,422 |
11,284 |
$9K |
| 90658 |
|
707 |
687 |
$5K |
| D4341 |
|
810 |
249 |
$4K |
| 90832 |
|
391 |
188 |
$3K |
| 90750 |
|
1,470 |
914 |
$2K |
| 90686 |
|
3,328 |
2,601 |
$2K |
| 3008F |
|
38,833 |
32,657 |
$2K |
| D4910 |
|
186 |
160 |
$1K |
| 90688 |
|
2,668 |
2,204 |
$1K |
| 93000 |
|
211 |
197 |
$1K |
| 90746 |
|
1,672 |
1,116 |
$701.67 |
| 90792 |
|
163 |
148 |
$647.89 |
| D0210 |
|
99 |
61 |
$620.00 |
| D0150 |
|
86 |
49 |
$601.00 |
| 99395 |
|
2,772 |
2,349 |
$567.36 |
| 90715 |
|
630 |
432 |
$550.00 |
| 88142 |
|
1,685 |
1,573 |
$432.00 |
| 1034F |
|
13,016 |
10,614 |
$330.00 |
| 92551 |
|
682 |
643 |
$326.60 |
| 90674 |
|
1,089 |
918 |
$295.00 |
| G0439 |
Ppps, subseq visit |
1,199 |
1,023 |
$293.00 |
| 90472 |
|
1,914 |
1,195 |
$230.00 |
| 90632 |
|
74 |
48 |
$210.00 |
| G0468 |
Fqhc visit, ippe or awv |
1,845 |
1,599 |
$172.79 |
| 99397 |
|
403 |
315 |
$140.00 |
| 3725F |
|
2,762 |
2,594 |
$125.00 |
| 99497 |
|
83 |
80 |
$110.00 |
| 90662 |
|
13 |
13 |
$98.00 |
| D0120 |
|
107 |
96 |
$93.00 |
| 92004 |
|
2,087 |
1,537 |
$55.00 |
| 97026 |
|
3,331 |
2,483 |
$50.08 |
| G0008 |
Admin influenza virus vac |
1,150 |
1,035 |
$50.00 |
| 92015 |
|
1,769 |
1,306 |
$47.58 |
| 87624 |
|
14 |
14 |
$45.00 |
| 97140 |
|
3,331 |
2,483 |
$44.42 |
| 92014 |
|
713 |
621 |
$39.44 |
| 1160F |
|
1,047 |
936 |
$30.00 |
| 97039 |
|
3,158 |
2,360 |
$28.54 |
| D0230 |
|
399 |
96 |
$26.40 |
| 1126F |
|
845 |
748 |
$25.98 |
| 36415 |
|
4,070 |
3,183 |
$18.00 |
| 97810 |
|
3,286 |
2,457 |
$5.79 |
| 97811 |
|
3,286 |
2,457 |
$5.79 |
| G8510 |
Scr dep neg, no plan reqd |
8,508 |
7,548 |
$0.14 |
| 98961 |
|
33,950 |
28,501 |
$0.03 |
| G0447 |
Behavior counsel obesity 15m |
59 |
59 |
$0.01 |
| 3078F |
|
5,625 |
4,890 |
$0.00 |
| 4004F |
|
13,015 |
10,613 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
252 |
194 |
$0.00 |
| 99203 |
|
914 |
758 |
$0.00 |
| G0101 |
Ca screen;pelvic/breast exam |
290 |
290 |
$0.00 |
| G0438 |
Ppps, initial visit |
151 |
128 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
49 |
47 |
$0.00 |
| 90661 |
|
56 |
56 |
$0.00 |
| 3077F |
|
1,216 |
949 |
$0.00 |
| 99394 |
|
334 |
313 |
$0.00 |
| 99393 |
|
91 |
90 |
$0.00 |
| 2022F |
|
818 |
670 |
$0.00 |
| 2028F |
|
605 |
514 |
$0.00 |
| 90734 |
|
146 |
145 |
$0.00 |
| 1158F |
|
603 |
538 |
$0.00 |
| 82948 |
|
37 |
37 |
$0.00 |
| 1090F |
|
59 |
54 |
$0.00 |
| 1159F |
|
582 |
529 |
$0.00 |
| 90707 |
|
20 |
12 |
$0.00 |
| 3288F |
|
29 |
26 |
$0.00 |
| 99173 |
|
134 |
132 |
$0.00 |
| 99080 |
|
99 |
91 |
$0.00 |
| 92012 |
|
32 |
29 |
$0.00 |
| G0270 |
Mnt subs tx for change dx |
59 |
59 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| G0402 |
Initial preventive exam |
14 |
12 |
$0.00 |
| 90670 |
|
69 |
49 |
$0.00 |
| 0054A |
|
39 |
39 |
$0.00 |
| 90791 |
|
21 |
21 |
$0.00 |
| A4614 |
Hand-held pefr meter |
15 |
15 |
$0.00 |
| 3080F |
|
687 |
532 |
$0.00 |
| 96372 |
|
24 |
24 |
$0.00 |
| 2023F |
|
603 |
382 |
$0.00 |
| 0012A |
|
189 |
189 |
$0.00 |
| 3075F |
|
3,170 |
2,735 |
$0.00 |
| 99172 |
|
299 |
293 |
$0.00 |
| 3074F |
|
5,986 |
5,172 |
$0.00 |
| 1170F |
|
1,043 |
932 |
$0.00 |
| 3079F |
|
4,984 |
4,234 |
$0.00 |
| G0123 |
Screen cerv/vag thin layer |
343 |
343 |
$0.00 |
| 90651 |
|
224 |
213 |
$0.00 |
| 99386 |
|
447 |
362 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
51 |
42 |
$0.00 |
| 90656 |
|
386 |
348 |
$0.00 |
| 1111F |
|
367 |
285 |
$0.00 |
| 3017F |
|
65 |
53 |
$0.00 |
| 99385 |
|
162 |
120 |
$0.00 |
| 3072F |
|
91 |
90 |
$0.00 |
| 94762 |
|
336 |
306 |
$0.00 |
| 94760 |
|
149 |
149 |
$0.00 |
| 3044F |
|
73 |
72 |
$0.00 |
| 3061F |
|
66 |
66 |
$0.00 |
| 1101F |
|
58 |
53 |
$0.00 |
| 0011A |
|
58 |
58 |
$0.00 |
| 82607 |
|
12 |
12 |
$0.00 |
| 3014F |
|
13 |
12 |
$0.00 |
| G0296 |
Visit to determ ldct elig |
30 |
26 |
$0.00 |
| 0064A |
|
237 |
237 |
$0.00 |
| 99202 |
|
17 |
17 |
$0.00 |