| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
65,056 |
48,914 |
$10.94M |
| G9008 |
Mccd,phys coor-care ovrsght |
2,971 |
1,723 |
$326K |
| 0001A |
|
694 |
641 |
$37K |
| 0002A |
|
577 |
561 |
$33K |
| 0003A |
|
401 |
401 |
$26K |
| 87635 |
|
4,129 |
3,708 |
$26K |
| 0011A |
|
997 |
957 |
$24K |
| 0012A |
|
647 |
609 |
$18K |
| 0013A |
|
282 |
280 |
$18K |
| 99213 |
|
36,386 |
21,332 |
$17K |
| 99202 |
|
2,776 |
2,494 |
$13K |
| 99201 |
|
4,943 |
4,262 |
$10K |
| G9012 |
Other specified case mgmt |
2,653 |
978 |
$8K |
| 99214 |
|
5,465 |
3,753 |
$7K |
| 0064A |
|
110 |
109 |
$6K |
| 99212 |
|
14,304 |
9,891 |
$6K |
| G0467 |
Fqhc visit, estab pt |
310 |
218 |
$4K |
| 90673 |
|
302 |
204 |
$4K |
| 99203 |
|
1,004 |
798 |
$4K |
| 11721 |
|
646 |
423 |
$3K |
| 99000 |
|
4,210 |
3,410 |
$2K |
| 90715 |
|
227 |
148 |
$2K |
| 90832 |
|
2,717 |
893 |
$2K |
| 90750 |
|
67 |
44 |
$2K |
| 0054A |
|
44 |
39 |
$1K |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
283 |
200 |
$1K |
| 0031A |
|
20 |
20 |
$1K |
| 99211 |
|
410 |
374 |
$913.80 |
| 99396 |
|
674 |
450 |
$737.05 |
| 45378 |
|
387 |
245 |
$587.51 |
| 11730 |
|
123 |
78 |
$567.25 |
| 90471 |
|
2,245 |
1,603 |
$525.26 |
| 99406 |
|
2,468 |
1,616 |
$397.94 |
| 77067 |
|
132 |
99 |
$345.22 |
| G2025 |
Dis site tele svcs rhc/fqhc |
12 |
12 |
$343.82 |
| G8510 |
Scr dep neg, no plan reqd |
3,937 |
2,509 |
$321.27 |
| 97802 |
|
1,593 |
990 |
$264.66 |
| 90656 |
|
42 |
26 |
$245.07 |
| 90837 |
|
151 |
74 |
$244.27 |
| 93000 |
|
31 |
19 |
$239.66 |
| G8431 |
Pos clin depres scrn f/u doc |
768 |
477 |
$191.84 |
| 99204 |
|
40 |
25 |
$160.05 |
| 96372 |
|
2,215 |
1,495 |
$140.29 |
| 83036 |
|
3,505 |
2,242 |
$138.92 |
| 90686 |
|
106 |
74 |
$137.46 |
| 97803 |
|
359 |
194 |
$130.55 |
| 82274 |
|
909 |
578 |
$122.18 |
| 96127 |
|
4,485 |
2,771 |
$113.39 |
| 11732 |
|
41 |
26 |
$113.20 |
| 90658 |
|
240 |
198 |
$106.80 |
| 86580 |
|
149 |
107 |
$99.06 |
| 90834 |
|
212 |
117 |
$98.35 |
| 11056 |
|
36 |
25 |
$96.20 |
| G0246 |
Followup eval of foot pt lop |
2,502 |
1,648 |
$96.10 |
| 96156 |
|
907 |
597 |
$84.30 |
| 90472 |
|
340 |
228 |
$76.25 |
| 99401 |
|
7,158 |
4,040 |
$73.77 |
| 93010 |
|
19 |
12 |
$70.14 |
| 11001 |
|
304 |
171 |
$69.30 |
| 82962 |
|
5,806 |
3,699 |
$59.74 |
| 99394 |
|
24 |
13 |
$54.28 |
| Q0091 |
Obtaining screen pap smear |
225 |
145 |
$50.00 |
| 99395 |
|
224 |
138 |
$37.50 |
| 99392 |
|
24 |
14 |
$37.02 |
| 99215 |
Prolong outpt/office vis |
96 |
70 |
$36.51 |
| 90651 |
|
40 |
24 |
$36.03 |
| 87625 |
|
224 |
144 |
$29.20 |
| G0444 |
Depression screen annual |
4,760 |
2,987 |
$16.87 |
| 81000 |
|
365 |
236 |
$16.73 |
| 88174 |
|
228 |
144 |
$16.46 |
| 88141 |
|
224 |
145 |
$9.48 |
| 90661 |
|
20 |
12 |
$9.00 |
| 81025 |
|
53 |
28 |
$8.40 |
| 85018 |
|
629 |
399 |
$5.80 |
| H0043 |
Supported housing, per diem |
55 |
45 |
$0.17 |
| S9451 |
Exercise class |
6,902 |
3,894 |
$0.04 |
| S9449 |
Weight mgmt class |
7,236 |
4,066 |
$0.04 |
| G0328 |
Fecal blood scrn immunoassay |
1,063 |
699 |
$0.03 |
| 3008F |
|
17,370 |
9,609 |
$0.00 |
| 3074F |
|
2,310 |
1,489 |
$0.00 |
| 3080F |
|
471 |
295 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
697 |
457 |
$0.00 |
| 99496 |
|
398 |
233 |
$0.00 |
| 3014F |
|
669 |
446 |
$0.00 |
| 1111F |
|
645 |
418 |
$0.00 |
| 3075F |
|
1,071 |
698 |
$0.00 |
| 1034F |
|
2,386 |
1,561 |
$0.00 |
| 3017F |
|
1,584 |
1,011 |
$0.00 |
| 96110 |
|
50 |
30 |
$0.00 |
| 3044F |
|
391 |
270 |
$0.00 |
| 36415 |
|
1,136 |
679 |
$0.00 |
| 1036F |
|
2,017 |
1,321 |
$0.00 |
| 3079F |
|
1,657 |
1,058 |
$0.00 |
| 91301 |
|
47 |
47 |
$0.00 |
| 3048F |
|
72 |
49 |
$0.00 |
| 00018 |
|
47 |
43 |
$0.00 |
| J3420 |
Vitamin b12 injection |
25 |
12 |
$0.00 |
| G0396 |
Alcohol/subs interv 15-30mn |
19 |
14 |
$0.00 |
| 99495 |
|
215 |
127 |
$0.00 |
| 4010F |
|
236 |
144 |
$0.00 |
| 1123F |
|
20 |
13 |
$0.00 |
| 3061F |
|
61 |
41 |
$0.00 |
| G0475 |
Hiv combination assay |
56 |
55 |
$0.00 |
| 3049F |
|
42 |
26 |
$0.00 |
| 29540 |
|
36 |
15 |
$0.00 |
| 81001 |
|
18 |
14 |
$0.00 |
| 99442 |
|
1,523 |
879 |
$0.00 |
| 3725F |
|
5,259 |
3,296 |
$0.00 |
| H2016 |
Comp comm supp svc, per diem |
308 |
244 |
$0.00 |
| 4004F |
|
2,430 |
1,594 |
$0.00 |
| 3046F |
|
444 |
322 |
$0.00 |
| G0270 |
Mnt subs tx for change dx |
79 |
44 |
$0.00 |
| 11000 |
|
1,087 |
645 |
$0.00 |
| 3077F |
|
1,365 |
861 |
$0.00 |
| 3078F |
|
2,428 |
1,581 |
$0.00 |
| 83037 |
|
1,401 |
939 |
$0.00 |
| J2426 |
Inj, invega sustenna, 1 mg |
137 |
125 |
$0.00 |
| 91320 |
|
48 |
29 |
$0.00 |
| 90806 |
|
22 |
13 |
$0.00 |
| 4013F |
|
264 |
163 |
$0.00 |
| 99393 |
|
25 |
13 |
$0.00 |
| 90791 |
|
142 |
137 |
$0.00 |
| 3050F |
|
218 |
137 |
$0.00 |
| 1160F |
|
63 |
46 |
$0.00 |
| 3045F |
|
15 |
14 |
$0.00 |
| H2014 |
Skills train and dev, 15 min |
20 |
19 |
$0.00 |
| 1159F |
|
65 |
47 |
$0.00 |
| 96136 |
|
12 |
12 |
$0.00 |
| 3051F |
|
18 |
12 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
15 |
12 |
$0.00 |