| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
237,501 |
204,758 |
$32.52M |
| 90834 |
|
10,979 |
4,707 |
$233K |
| G0467 |
Fqhc visit, estab pt |
4,099 |
3,472 |
$131K |
| 90791 |
|
3,562 |
1,810 |
$125K |
| 90837 |
|
1,374 |
749 |
$56K |
| 99213 |
|
151,413 |
98,113 |
$36K |
| 90832 |
|
2,252 |
856 |
$34K |
| G2025 |
Dis site tele svcs rhc/fqhc |
2,593 |
2,217 |
$24K |
| 99212 |
|
74,787 |
50,015 |
$20K |
| 0012A |
|
274 |
153 |
$14K |
| 0011A |
|
251 |
149 |
$12K |
| 99214 |
|
45,191 |
29,498 |
$11K |
| G9008 |
Mccd,phys coor-care ovrsght |
208 |
147 |
$5K |
| 11721 |
|
471 |
349 |
$5K |
| 90686 |
|
10,173 |
7,491 |
$2K |
| 0064A |
|
152 |
95 |
$2K |
| 99395 |
|
2,454 |
1,926 |
$2K |
| 0134A |
|
902 |
636 |
$2K |
| 0013A |
|
22 |
15 |
$815.00 |
| 99396 |
|
708 |
618 |
$717.08 |
| 83036 |
|
16,917 |
12,536 |
$648.02 |
| 92250 |
|
208 |
206 |
$562.36 |
| 90480 |
|
1,229 |
935 |
$462.90 |
| 73630 |
|
123 |
118 |
$435.90 |
| G9012 |
Other specified case mgmt |
1,312 |
325 |
$427.79 |
| 90471 |
|
23,820 |
17,733 |
$425.96 |
| 90662 |
|
1,052 |
898 |
$224.86 |
| 11056 |
|
21 |
12 |
$212.66 |
| 99204 |
|
471 |
321 |
$192.92 |
| 99202 |
|
1,328 |
1,245 |
$154.01 |
| 90715 |
|
495 |
380 |
$152.48 |
| 90688 |
|
281 |
212 |
$89.87 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
2,139 |
1,971 |
$29.51 |
| 90656 |
|
1,532 |
1,198 |
$23.99 |
| 99211 |
|
2,324 |
1,917 |
$11.88 |
| 82962 |
|
2,205 |
1,325 |
$5.94 |
| 85018 |
|
489 |
375 |
$5.83 |
| 97802 |
|
870 |
869 |
$1.87 |
| 3075F |
|
3,214 |
3,087 |
$0.00 |
| 1126F |
|
14,565 |
13,704 |
$0.00 |
| G0439 |
Ppps, subseq visit |
1,183 |
1,143 |
$0.00 |
| 36416 |
|
533 |
504 |
$0.00 |
| 3079F |
|
5,361 |
5,140 |
$0.00 |
| 3074F |
|
19,335 |
18,347 |
$0.00 |
| 99000 |
|
2,570 |
2,463 |
$0.00 |
| 99441 |
|
1,227 |
1,147 |
$0.00 |
| 92228 |
|
58 |
53 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
1,989 |
1,942 |
$0.00 |
| 36415 |
|
2,216 |
2,170 |
$0.00 |
| 1125F |
|
5,078 |
4,888 |
$0.00 |
| 1111F |
|
2,245 |
2,127 |
$0.00 |
| 3351F |
|
9,392 |
8,628 |
$0.00 |
| G9226 |
3 comp foot exam completed |
1,684 |
1,657 |
$0.00 |
| 3353F |
|
273 |
261 |
$0.00 |
| 3044F |
|
476 |
445 |
$0.00 |
| 90732 |
|
35 |
29 |
$0.00 |
| 90677 |
|
955 |
755 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
1,467 |
1,435 |
$0.00 |
| 90739 |
|
688 |
518 |
$0.00 |
| G0328 |
Fecal blood scrn immunoassay |
103 |
100 |
$0.00 |
| 90651 |
|
41 |
26 |
$0.00 |
| 91306 |
|
115 |
74 |
$0.00 |
| G9926 |
Sfty cncrns scrn but no recs |
13 |
13 |
$0.00 |
| Z6204 |
|
26 |
26 |
$0.00 |
| 99024 |
|
39 |
31 |
$0.00 |
| 96372 |
|
50 |
42 |
$0.00 |
| 3008F |
|
16 |
16 |
$0.00 |
| G9007 |
Mccd, sch team conf |
18 |
18 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
17 |
15 |
$0.00 |
| 99443 |
|
26 |
16 |
$0.00 |
| 3052F |
|
12 |
12 |
$0.00 |
| 80053 |
|
12 |
12 |
$0.00 |
| 3078F |
|
23,383 |
22,105 |
$0.00 |
| 2024F |
|
62 |
62 |
$0.00 |
| 1160F |
|
26,194 |
23,982 |
$0.00 |
| 1159F |
|
20,365 |
18,553 |
$0.00 |
| 99442 |
|
1,108 |
831 |
$0.00 |
| 91320 |
|
338 |
251 |
$0.00 |
| 3077F |
|
2,282 |
2,157 |
$0.00 |
| 1158F |
|
1,553 |
1,501 |
$0.00 |
| 3046F |
|
403 |
383 |
$0.00 |
| 91322 |
|
309 |
230 |
$0.00 |
| 90472 |
|
890 |
654 |
$0.00 |
| 91313 |
|
857 |
598 |
$0.00 |
| 3045F |
|
288 |
270 |
$0.00 |
| 3051F |
|
94 |
92 |
$0.00 |
| 99203 |
|
280 |
208 |
$0.00 |
| G0444 |
Depression screen annual |
120 |
117 |
$0.00 |
| 90460 |
|
35 |
27 |
$0.00 |
| 99394 |
|
30 |
25 |
$0.00 |
| 97803 |
|
617 |
615 |
$0.00 |
| 81002 |
|
306 |
256 |
$0.00 |
| 90611 |
|
113 |
113 |
$0.00 |
| 99497 |
|
225 |
215 |
$0.00 |
| 99201 |
|
12 |
12 |
$0.00 |
| 90746 |
|
327 |
226 |
$0.00 |
| 90734 |
|
112 |
68 |
$0.00 |
| 81025 |
|
84 |
68 |
$0.00 |
| 87804 |
|
14 |
12 |
$0.00 |
| 99173 |
|
16 |
16 |
$0.00 |
| 87811 |
|
12 |
12 |
$0.00 |
| 71046 |
|
15 |
15 |
$0.00 |
| 90670 |
|
22 |
18 |
$0.00 |
| 90750 |
|
24 |
16 |
$0.00 |
| 90682 |
|
24 |
15 |
$0.00 |