| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
36,031 |
31,019 |
$2.31M |
| G0470 |
Fqhc visit, mh estab pt |
15,313 |
9,703 |
$1.11M |
| S0280 |
Medical home, initial plan |
3,571 |
1,671 |
$548K |
| G0468 |
Fqhc visit, ippe or awv |
4,004 |
3,979 |
$258K |
| G0466 |
Fqhc visit new patient |
2,916 |
2,902 |
$241K |
| 99214 |
|
18,398 |
16,513 |
$180K |
| 99213 |
|
16,708 |
15,324 |
$116K |
| 90834 |
|
7,838 |
5,506 |
$67K |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,901 |
1,400 |
$63K |
| 99396 |
|
2,389 |
2,324 |
$35K |
| S0281 |
Medical home, maintenance |
1,545 |
580 |
$32K |
| 90832 |
|
5,183 |
3,918 |
$24K |
| 99395 |
|
1,823 |
1,767 |
$23K |
| J2315 |
Naltrexone, depot form |
20 |
12 |
$16K |
| H0031 |
Mh health assess by non-md |
726 |
684 |
$15K |
| 99203 |
|
1,657 |
1,654 |
$14K |
| 90837 |
|
736 |
554 |
$12K |
| 99406 |
|
3,770 |
3,612 |
$8K |
| 0012A |
|
227 |
227 |
$8K |
| 99204 |
|
425 |
419 |
$6K |
| 0064A |
|
182 |
182 |
$6K |
| 0011A |
|
243 |
242 |
$5K |
| 80305 |
|
1,799 |
1,261 |
$5K |
| 87635 |
|
264 |
256 |
$4K |
| 0031A |
|
92 |
91 |
$3K |
| 90471 |
|
1,965 |
1,859 |
$3K |
| 99496 |
|
213 |
208 |
$3K |
| 99000 |
|
337 |
326 |
$3K |
| 83036 |
|
1,187 |
1,182 |
$3K |
| 36415 |
|
2,081 |
1,968 |
$2K |
| 90732 |
|
73 |
73 |
$2K |
| 99202 |
|
247 |
247 |
$1K |
| 90686 |
|
338 |
338 |
$1K |
| 96372 |
|
526 |
496 |
$1K |
| 90750 |
|
30 |
29 |
$1K |
| 96160 |
|
598 |
591 |
$857.76 |
| 90715 |
|
124 |
122 |
$731.93 |
| H0004 |
Alcohol and/or drug services |
129 |
100 |
$648.73 |
| 96127 |
|
1,423 |
1,318 |
$630.77 |
| 99215 |
Prolong outpt/office vis |
26 |
25 |
$496.52 |
| 82962 |
|
594 |
556 |
$432.40 |
| 90656 |
|
81 |
81 |
$346.50 |
| 99495 |
|
13 |
12 |
$274.56 |
| 90792 |
|
12 |
12 |
$229.00 |
| 81002 |
|
371 |
359 |
$195.32 |
| 99212 |
|
49 |
46 |
$187.42 |
| 87804 |
|
31 |
30 |
$80.20 |
| 81025 |
|
27 |
27 |
$73.61 |
| J1885 |
Ketorolac tromethamine inj |
12 |
12 |
$23.78 |
| G0101 |
Ca screen;pelvic/breast exam |
13 |
13 |
$21.39 |
| 3725F |
|
4,852 |
4,433 |
$0.00 |
| 3078F |
|
16,022 |
14,603 |
$0.00 |
| 3077F |
|
2,519 |
2,380 |
$0.00 |
| 3015F |
|
494 |
472 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
554 |
516 |
$0.00 |
| S3005 |
Eval self-assess depression |
481 |
477 |
$0.00 |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
12 |
12 |
$0.00 |
| 3075F |
|
5,040 |
4,773 |
$0.00 |
| 3008F |
|
32,100 |
27,684 |
$0.00 |
| 3079F |
|
9,628 |
9,029 |
$0.00 |
| 3074F |
|
20,120 |
18,128 |
$0.00 |
| 94760 |
|
3,713 |
3,425 |
$0.00 |
| G0439 |
Ppps, subseq visit |
749 |
707 |
$0.00 |
| 1111F |
|
319 |
313 |
$0.00 |
| 3080F |
|
942 |
867 |
$0.00 |
| 1034F |
|
338 |
324 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
688 |
661 |
$0.00 |
| 91303 |
|
81 |
80 |
$0.00 |
| 91306 |
|
182 |
182 |
$0.00 |
| 3044F |
|
34 |
34 |
$0.00 |
| 91301 |
|
520 |
518 |
$0.00 |
| 1015F |
|
18 |
17 |
$0.00 |
| H0038 |
Self-help/peer svc per 15min |
22 |
17 |
$0.00 |