| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
95,896 |
64,739 |
$17.14M |
| G0467 |
Fqhc visit, estab pt |
27,826 |
22,722 |
$1.48M |
| G2025 |
Dis site tele svcs rhc/fqhc |
5,770 |
4,662 |
$613K |
| G0470 |
Fqhc visit, mh estab pt |
5,917 |
2,751 |
$291K |
| 99213 |
|
50,877 |
43,110 |
$136K |
| 98941 |
|
9,653 |
5,040 |
$107K |
| 99214 |
|
31,181 |
27,543 |
$82K |
| 80305 |
|
7,218 |
5,030 |
$54K |
| 0012A |
|
1,121 |
1,085 |
$39K |
| 0011A |
|
1,172 |
1,155 |
$38K |
| 0001A |
|
1,005 |
952 |
$35K |
| 0002A |
|
935 |
889 |
$33K |
| 90834 |
|
12,404 |
6,139 |
$33K |
| 0071A |
|
625 |
570 |
$21K |
| 0072A |
|
672 |
531 |
$20K |
| G0008 |
Admin influenza virus vac |
2,579 |
2,486 |
$19K |
| 99395 |
|
1,571 |
1,439 |
$17K |
| 99396 |
|
1,174 |
1,051 |
$15K |
| 90832 |
|
5,315 |
3,423 |
$15K |
| 0031A |
|
336 |
322 |
$11K |
| 0064A |
|
339 |
264 |
$10K |
| 99212 |
|
2,136 |
1,979 |
$8K |
| 0004A |
|
254 |
180 |
$7K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
95 |
93 |
$6K |
| 0003A |
|
174 |
139 |
$5K |
| 96160 |
|
3,632 |
3,376 |
$5K |
| 99203 |
|
1,324 |
1,261 |
$3K |
| 99202 |
|
1,068 |
1,002 |
$2K |
| 96372 |
|
1,543 |
1,432 |
$2K |
| 90837 |
|
419 |
237 |
$2K |
| 0124A |
|
47 |
46 |
$2K |
| 0054A |
|
46 |
45 |
$2K |
| 91320 |
|
14 |
14 |
$2K |
| 69209 |
|
74 |
72 |
$1K |
| 90686 |
|
1,312 |
1,270 |
$1K |
| 98940 |
|
999 |
621 |
$1K |
| 99350 |
Prolong home eval add 15m |
441 |
363 |
$1K |
| 99215 |
Prolong outpt/office vis |
1,013 |
979 |
$1K |
| 90688 |
|
466 |
453 |
$1K |
| 87880 |
|
127 |
113 |
$1K |
| G0468 |
Fqhc visit, ippe or awv |
41 |
40 |
$983.07 |
| 99348 |
|
1,027 |
816 |
$913.52 |
| 0052A |
|
17 |
14 |
$554.70 |
| 90853 |
|
373 |
195 |
$536.46 |
| 97140 |
|
621 |
294 |
$487.16 |
| 0034A |
|
15 |
13 |
$484.77 |
| 0134A |
|
13 |
13 |
$480.74 |
| 0051A |
|
13 |
13 |
$480.74 |
| 90480 |
|
14 |
14 |
$469.32 |
| 0013A |
|
14 |
13 |
$447.48 |
| J1885 |
Ketorolac tromethamine inj |
700 |
644 |
$423.96 |
| G0466 |
Fqhc visit new patient |
37 |
36 |
$403.23 |
| 99349 |
|
442 |
347 |
$376.25 |
| 96127 |
|
565 |
530 |
$370.35 |
| 90471 |
|
609 |
577 |
$272.25 |
| 90662 |
|
41 |
41 |
$189.15 |
| 97110 |
|
740 |
373 |
$174.10 |
| 81003 |
|
66 |
65 |
$126.75 |
| G0438 |
Ppps, initial visit |
12 |
12 |
$95.45 |
| 81025 |
|
13 |
12 |
$64.20 |
| 17110 |
|
26 |
24 |
$16.79 |
| 90715 |
|
112 |
104 |
$15.21 |
| 94760 |
|
1,306 |
1,252 |
$7.30 |
| 94640 |
|
130 |
127 |
$2.21 |
| 90472 |
|
61 |
55 |
$1.30 |
| 90746 |
|
13 |
12 |
$0.00 |
| 91312 |
|
47 |
46 |
$0.00 |
| 90791 |
|
163 |
159 |
$0.00 |
| 99347 |
|
14 |
14 |
$0.00 |
| 91300 |
|
2,398 |
2,081 |
$0.00 |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
14 |
13 |
$0.00 |
| 99238 |
|
45 |
42 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
59 |
51 |
$0.00 |
| 90713 |
|
34 |
33 |
$0.00 |
| 90658 |
|
24 |
23 |
$0.00 |
| 91313 |
|
13 |
13 |
$0.00 |
| 97162 |
|
60 |
60 |
$0.00 |
| 91301 |
|
2,372 |
2,229 |
$0.00 |
| 91303 |
|
377 |
350 |
$0.00 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
228 |
215 |
$0.00 |
| 91307 |
|
1,310 |
1,015 |
$0.00 |
| 91305 |
|
122 |
111 |
$0.00 |
| 90792 |
|
178 |
172 |
$0.00 |
| Q9992 |
Buprenorphine xr over 100 mg |
41 |
38 |
$0.00 |
| 99460 |
|
63 |
61 |
$0.00 |
| 91306 |
|
338 |
263 |
$0.00 |
| 90656 |
|
102 |
102 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |
| 97010 |
|
28 |
14 |
$0.00 |