| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
162,063 |
101,769 |
$19.51M |
| H2020 |
Ther behav svc, per diem |
148,095 |
59,407 |
$11.64M |
| D0999 |
|
9,238 |
6,495 |
$983K |
| 3074F |
|
60,928 |
38,574 |
$4K |
| 99213 |
|
108,249 |
68,282 |
$3K |
| D0330 |
|
816 |
589 |
$3K |
| 96160 |
|
98,636 |
57,455 |
$2K |
| 3078F |
|
57,259 |
36,143 |
$2K |
| D7140 |
|
1,246 |
399 |
$2K |
| D0150 |
|
997 |
766 |
$2K |
| 99051 |
|
570 |
242 |
$2K |
| D0274 |
|
1,597 |
1,113 |
$2K |
| 36415 |
|
7,547 |
5,143 |
$1K |
| D1110 |
|
888 |
709 |
$1K |
| 99214 |
|
56,586 |
30,706 |
$1K |
| D0140 |
|
1,647 |
1,127 |
$1K |
| D0120 |
|
1,752 |
1,427 |
$986.12 |
| 99233 |
Prolong inpt eval add15 m |
155 |
14 |
$931.28 |
| 3077F |
|
4,251 |
3,049 |
$900.00 |
| 3044F |
|
2,265 |
1,696 |
$820.00 |
| 3079F |
|
8,383 |
5,867 |
$770.00 |
| D0220 |
|
1,035 |
690 |
$602.50 |
| 0001A |
|
46 |
33 |
$503.00 |
| 3075F |
|
2,931 |
2,061 |
$495.46 |
| 96127 |
|
76,876 |
40,465 |
$492.01 |
| 99212 |
|
15,828 |
8,973 |
$483.86 |
| 3080F |
|
2,070 |
1,483 |
$425.00 |
| 1159F |
|
131,515 |
75,783 |
$374.51 |
| 90832 |
|
31,465 |
9,793 |
$317.20 |
| G8431 |
Pos clin depres scrn f/u doc |
27,125 |
13,014 |
$298.00 |
| 3725F |
|
35,649 |
20,489 |
$97.18 |
| 3046F |
|
247 |
172 |
$80.00 |
| 3051F |
|
242 |
154 |
$70.00 |
| 3052F |
|
240 |
154 |
$60.00 |
| D0272 |
|
175 |
169 |
$17.57 |
| 99391 |
|
1,415 |
950 |
$3.36 |
| 90853 |
|
166 |
68 |
$0.05 |
| 99392 |
|
2,778 |
2,030 |
$0.02 |
| 99396 |
|
1,319 |
1,045 |
$0.01 |
| 90791 |
|
1,329 |
663 |
$0.01 |
| 99408 |
|
24,641 |
14,844 |
$0.01 |
| 99394 |
|
2,908 |
2,026 |
$0.01 |
| 90837 |
|
859 |
230 |
$0.01 |
| 90834 |
|
11,186 |
4,377 |
$0.01 |
| 1160F |
|
131,213 |
75,525 |
$0.00 |
| 90633 |
|
398 |
322 |
$0.00 |
| 99203 |
|
1,064 |
718 |
$0.00 |
| 90836 |
|
6,354 |
2,184 |
$0.00 |
| 87275 |
|
3,496 |
2,472 |
$0.00 |
| 84439 |
|
1,399 |
969 |
$0.00 |
| 90833 |
|
10,960 |
5,343 |
$0.00 |
| 99395 |
|
1,292 |
942 |
$0.00 |
| 81003 |
|
1,891 |
1,018 |
$0.00 |
| 99393 |
|
3,106 |
2,154 |
$0.00 |
| 11721 |
|
441 |
355 |
$0.00 |
| 90460 |
|
6,039 |
4,481 |
$0.00 |
| 81025 |
|
1,179 |
864 |
$0.00 |
| 90670 |
|
644 |
532 |
$0.00 |
| 91300 |
|
80 |
60 |
$0.00 |
| 90472 |
|
1,210 |
990 |
$0.00 |
| 87880 |
|
2,833 |
1,922 |
$0.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
2,127 |
1,425 |
$0.00 |
| 90461 |
|
2,940 |
2,275 |
$0.00 |
| 99173 |
|
4,746 |
3,645 |
$0.00 |
| 80061 |
|
1,009 |
714 |
$0.00 |
| 90863 |
|
316 |
140 |
$0.00 |
| D1120 |
|
885 |
820 |
$0.00 |
| 97803 |
|
83 |
63 |
$0.00 |
| 90734 |
|
185 |
160 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
76 |
62 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
3,456 |
1,271 |
$0.00 |
| 90661 |
|
149 |
103 |
$0.00 |
| 0002A |
|
35 |
15 |
$0.00 |
| 99204 |
|
109 |
55 |
$0.00 |
| 85014 |
|
36 |
32 |
$0.00 |
| 0521F |
|
140 |
68 |
$0.00 |
| 90715 |
|
184 |
98 |
$0.00 |
| 99211 |
|
137 |
116 |
$0.00 |
| 90687 |
|
16 |
15 |
$0.00 |
| 90685 |
|
104 |
70 |
$0.00 |
| 90671 |
|
166 |
102 |
$0.00 |
| 90710 |
|
20 |
15 |
$0.00 |
| 98960 |
|
255 |
29 |
$0.00 |
| 90658 |
|
65 |
59 |
$0.00 |
| 2028F |
|
12 |
12 |
$0.00 |
| 1111F |
|
33,502 |
22,382 |
$0.00 |
| 85025 |
|
1,617 |
1,124 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
96,823 |
56,283 |
$0.00 |
| 87426 |
|
644 |
344 |
$0.00 |
| 80053 |
|
1,617 |
1,105 |
$0.00 |
| 1036F |
|
36,789 |
20,815 |
$0.00 |
| 82962 |
|
2,395 |
1,794 |
$0.00 |
| 00000 |
|
67 |
43 |
$0.00 |
| 90471 |
|
2,971 |
2,500 |
$0.00 |
| 83036 |
|
3,527 |
2,196 |
$0.00 |
| 92551 |
|
2,698 |
1,931 |
$0.00 |
| 3008F |
|
57,658 |
33,738 |
$0.00 |
| D9999 |
|
150 |
143 |
$0.00 |
| 4000F |
|
2,745 |
1,947 |
$0.00 |
| 1034F |
|
2,411 |
1,555 |
$0.00 |
| 90651 |
|
643 |
405 |
$0.00 |
| 1126F |
|
5,503 |
3,522 |
$0.00 |
| 1125F |
|
8,084 |
4,943 |
$0.00 |
| 96110 |
|
1,304 |
1,011 |
$0.00 |
| 85018 |
|
481 |
365 |
$0.00 |
| 90847 |
|
42 |
24 |
$0.00 |
| 87389 |
|
158 |
126 |
$0.00 |
| 90680 |
|
179 |
114 |
$0.00 |
| 87276 |
|
2,726 |
1,905 |
$0.00 |
| 87086 |
|
30 |
13 |
$0.00 |
| 90792 |
|
3,220 |
1,384 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
238 |
82 |
$0.00 |
| 90619 |
|
247 |
162 |
$0.00 |
| 96372 |
|
140 |
110 |
$0.00 |
| H0033 |
Oral med adm direct observe |
426 |
362 |
$0.00 |
| 90656 |
|
825 |
667 |
$0.00 |
| 90688 |
|
243 |
162 |
$0.00 |
| 99202 |
|
258 |
180 |
$0.00 |
| 87280 |
|
288 |
191 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
657 |
464 |
$0.00 |
| 99406 |
|
110 |
64 |
$0.00 |
| 90620 |
|
327 |
168 |
$0.00 |
| A9150 |
Misc/exper non-prescript dru |
392 |
249 |
$0.00 |
| 90686 |
|
1,526 |
937 |
$0.00 |
| 90697 |
|
107 |
70 |
$0.00 |
| G9226 |
3 comp foot exam completed |
87 |
69 |
$0.00 |
| 90667 |
|
41 |
28 |
$0.00 |
| 99232 |
|
377 |
17 |
$0.00 |
| G0008 |
Admin influenza virus vac |
34 |
29 |
$0.00 |
| 86803 |
|
127 |
91 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
262 |
124 |
$0.00 |
| 90647 |
|
55 |
47 |
$0.00 |
| 82306 |
|
334 |
197 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
34 |
27 |
$0.00 |
| 84479 |
|
22 |
19 |
$0.00 |
| D1208 |
|
107 |
101 |
$0.00 |
| 99386 |
|
59 |
41 |
$0.00 |
| D1206 |
|
51 |
51 |
$0.00 |
| 97802 |
|
39 |
34 |
$0.00 |
| 90698 |
|
58 |
40 |
$0.00 |
| 90674 |
|
54 |
41 |
$0.00 |
| 91305 |
|
16 |
15 |
$0.00 |
| 90839 |
|
164 |
97 |
$0.00 |
| 99385 |
|
111 |
74 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
21 |
13 |
$0.00 |
| 92250 |
|
12 |
12 |
$0.00 |
| 87340 |
|
47 |
38 |
$0.00 |
| 90723 |
|
17 |
15 |
$0.00 |
| 84436 |
|
22 |
19 |
$0.00 |
| 90696 |
|
16 |
13 |
$0.00 |
| 91301 |
|
13 |
12 |
$0.00 |
| 99407 |
|
35 |
19 |
$0.00 |
| 90744 |
|
19 |
13 |
$0.00 |