| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
186,369 |
145,501 |
$32.39M |
| 00003 |
|
90,092 |
69,865 |
$20.85M |
| 90837 |
|
21,275 |
8,174 |
$652K |
| 90834 |
|
16,204 |
6,416 |
$300K |
| 90832 |
|
12,768 |
5,188 |
$160K |
| 99213 |
|
107,736 |
64,072 |
$156K |
| G0467 |
Fqhc visit, estab pt |
4,935 |
4,109 |
$125K |
| 90791 |
|
2,363 |
1,475 |
$89K |
| 0011A |
|
1,647 |
1,194 |
$59K |
| 0012A |
|
1,473 |
1,183 |
$55K |
| 90471 |
|
19,329 |
14,125 |
$49K |
| 99212 |
|
27,594 |
15,421 |
$46K |
| G9012 |
Other specified case mgmt |
2,881 |
1,895 |
$45K |
| G9920 |
Scrning perf and negative |
7,045 |
4,717 |
$43K |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,988 |
1,790 |
$37K |
| 99214 |
|
39,288 |
24,663 |
$33K |
| 0001A |
|
861 |
677 |
$32K |
| 0002A |
|
711 |
614 |
$27K |
| 0064A |
|
600 |
597 |
$27K |
| 92014 |
|
10,119 |
6,231 |
$24K |
| 90686 |
|
4,535 |
3,135 |
$17K |
| 90674 |
|
3,221 |
2,346 |
$17K |
| V2020 |
Vision svcs frames purchases |
672 |
672 |
$13K |
| 92004 |
|
2,139 |
1,405 |
$9K |
| 0004A |
|
186 |
185 |
$9K |
| 0124A |
|
187 |
160 |
$8K |
| 87426 |
|
1,439 |
934 |
$7K |
| 99396 |
|
5,455 |
3,205 |
$7K |
| 92340 |
|
353 |
353 |
$7K |
| 90658 |
|
563 |
562 |
$6K |
| 90750 |
|
470 |
345 |
$6K |
| 90792 |
|
206 |
129 |
$6K |
| V2100 |
Lens spher single plano 4.00 |
125 |
125 |
$4K |
| 92551 |
|
2,549 |
1,563 |
$4K |
| D0150 |
|
521 |
400 |
$4K |
| G0466 |
Fqhc visit new patient |
54 |
54 |
$3K |
| 99203 |
|
715 |
629 |
$3K |
| D2392 |
|
234 |
138 |
$3K |
| 99215 |
Prolong outpt/office vis |
81 |
52 |
$3K |
| D1110 |
|
506 |
356 |
$3K |
| 92012 |
|
3,336 |
1,911 |
$3K |
| 0071A |
|
64 |
63 |
$3K |
| 92015 |
|
12,842 |
8,264 |
$3K |
| 0072A |
|
53 |
53 |
$2K |
| D0210 |
|
345 |
265 |
$2K |
| D1120 |
|
159 |
115 |
$2K |
| 90651 |
|
370 |
249 |
$2K |
| G9919 |
Scrn nd pos nd prov of rec |
154 |
100 |
$2K |
| D9430 |
|
1,020 |
626 |
$1K |
| 90756 |
|
210 |
131 |
$1K |
| 90656 |
|
200 |
172 |
$1K |
| 92341 |
|
37 |
37 |
$1K |
| 0134A |
|
14 |
14 |
$938.00 |
| D4341 |
|
96 |
37 |
$910.00 |
| D0120 |
|
159 |
121 |
$818.00 |
| 0054A |
|
12 |
12 |
$804.00 |
| 93000 |
|
231 |
141 |
$760.00 |
| D4910 |
|
55 |
41 |
$673.01 |
| Q0091 |
Obtaining screen pap smear |
130 |
72 |
$635.00 |
| 90620 |
|
394 |
259 |
$622.00 |
| 99385 |
|
119 |
76 |
$553.80 |
| 90688 |
|
199 |
118 |
$540.00 |
| 99202 |
|
456 |
328 |
$344.97 |
| 1159F |
|
84,818 |
48,147 |
$267.16 |
| 99394 |
|
412 |
239 |
$236.00 |
| 90472 |
|
1,841 |
1,202 |
$193.42 |
| 90460 |
|
1,027 |
723 |
$189.50 |
| 97810 |
|
2,371 |
1,163 |
$183.80 |
| D0220 |
|
154 |
105 |
$175.00 |
| 1125F |
|
7,539 |
4,727 |
$146.77 |
| 99173 |
|
2,596 |
1,581 |
$143.13 |
| 97012 |
|
5,881 |
2,650 |
$120.56 |
| 99395 |
|
393 |
232 |
$118.06 |
| 99393 |
|
163 |
92 |
$107.70 |
| 98940 |
|
7,284 |
3,249 |
$107.70 |
| 92132 |
|
75 |
75 |
$105.76 |
| 91322 |
|
223 |
158 |
$96.00 |
| 99392 |
|
23 |
13 |
$89.50 |
| 1160F |
|
84,779 |
48,131 |
$74.08 |
| 3725F |
|
36,634 |
23,248 |
$67.86 |
| 1126F |
|
32,968 |
21,124 |
$45.00 |
| 90480 |
|
44 |
40 |
$40.20 |
| 90700 |
|
21 |
12 |
$40.00 |
| 90715 |
|
244 |
187 |
$30.00 |
| D0230 |
|
59 |
27 |
$24.90 |
| 99211 |
|
424 |
278 |
$23.09 |
| 90734 |
|
47 |
31 |
$20.00 |
| 96372 |
|
12 |
12 |
$19.69 |
| 88142 |
|
110 |
85 |
$14.28 |
| 97124 |
|
7,323 |
3,266 |
$11.41 |
| 85018 |
|
947 |
579 |
$9.61 |
| 81002 |
|
1,201 |
729 |
$8.58 |
| G9008 |
Mccd,phys coor-care ovrsght |
885 |
746 |
$0.16 |
| 4040F |
|
6,857 |
4,480 |
$0.00 |
| 1158F |
|
3,633 |
2,605 |
$0.00 |
| 3078F |
|
36,735 |
23,410 |
$0.00 |
| 3015F |
|
4,700 |
2,902 |
$0.00 |
| 2022F |
|
617 |
387 |
$0.00 |
| 99442 |
|
5,151 |
4,767 |
$0.00 |
| 3077F |
|
1,328 |
848 |
$0.00 |
| 4025F |
|
5,927 |
3,390 |
$0.00 |
| 3051F |
|
457 |
276 |
$0.00 |
| 90661 |
|
1,076 |
830 |
$0.00 |
| 2028F |
|
326 |
275 |
$0.00 |
| 90838 |
|
268 |
159 |
$0.00 |
| 97803 |
|
347 |
202 |
$0.00 |
| 1124F |
|
575 |
458 |
$0.00 |
| 90746 |
|
192 |
162 |
$0.00 |
| 91312 |
|
119 |
69 |
$0.00 |
| 90678 |
|
107 |
91 |
$0.00 |
| 99204 |
|
23 |
14 |
$0.00 |
| 3288F |
|
18 |
12 |
$0.00 |
| G0468 |
Fqhc visit, ippe or awv |
40 |
40 |
$0.00 |
| 91320 |
|
14 |
14 |
$0.00 |
| G0407 |
Inpt/tele follow up 25 |
23 |
14 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 99201 |
|
20 |
12 |
$0.00 |
| 3008F |
|
49,491 |
31,114 |
$0.00 |
| 1157F |
|
431 |
384 |
$0.00 |
| 1170F |
|
1,154 |
743 |
$0.00 |
| 3352F |
|
18,715 |
13,025 |
$0.00 |
| 1220F |
|
15,050 |
10,038 |
$0.00 |
| 3074F |
|
36,331 |
22,991 |
$0.00 |
| 3351F |
|
20,235 |
13,882 |
$0.00 |
| 3079F |
|
8,973 |
5,868 |
$0.00 |
| 1036F |
|
43,863 |
27,217 |
$0.00 |
| 4037F |
|
18,925 |
11,619 |
$0.00 |
| 99441 |
|
1,540 |
1,389 |
$0.00 |
| 1000F |
|
5,584 |
3,827 |
$0.00 |
| 4010F |
|
8,926 |
5,345 |
$0.00 |
| 1101F |
|
5,881 |
3,675 |
$0.00 |
| 3061F |
|
2,323 |
1,640 |
$0.00 |
| 1034F |
|
2,038 |
1,249 |
$0.00 |
| 3044F |
|
63,138 |
35,845 |
$0.00 |
| 36416 |
|
672 |
646 |
$0.00 |
| 3075F |
|
5,782 |
3,887 |
$0.00 |
| 97014 |
|
7,245 |
3,261 |
$0.00 |
| 3014F |
|
6,246 |
3,963 |
$0.00 |
| 99443 |
|
620 |
489 |
$0.00 |
| 1123F |
|
292 |
280 |
$0.00 |
| 3353F |
|
1,603 |
1,115 |
$0.00 |
| 3072F |
|
190 |
126 |
$0.00 |
| 97802 |
|
391 |
217 |
$0.00 |
| 2033F |
|
349 |
225 |
$0.00 |
| 2023F |
|
99 |
71 |
$0.00 |
| 3354F |
|
79 |
47 |
$0.00 |
| 3060F |
|
19 |
12 |
$0.00 |
| G0439 |
Ppps, subseq visit |
13 |
13 |
$0.00 |
| 3080F |
|
21 |
12 |
$0.00 |
| 99386 |
|
55 |
39 |
$0.00 |
| D0140 |
|
17 |
15 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
46 |
46 |
$0.00 |
| 90619 |
|
23 |
12 |
$0.00 |
| 90739 |
|
13 |
12 |
$0.00 |
| G0406 |
Inpt/tele follow up 15 |
23 |
12 |
$0.00 |
| 90694 |
|
16 |
14 |
$0.00 |