| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
277,358 |
205,105 |
$45.49M |
| 0521 |
|
631,452 |
270,614 |
$6.32M |
| 0636 |
|
55,421 |
28,215 |
$936K |
| 00003 |
|
5,015 |
2,340 |
$839K |
| 99213 |
|
65,934 |
59,336 |
$346K |
| 0761 |
|
15,842 |
14,475 |
$310K |
| 59409 |
|
447 |
443 |
$278K |
| J3490 |
Drugs unclassified injection |
3,888 |
3,263 |
$137K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
6,218 |
6,162 |
$121K |
| J7307 |
Etonogestrel implant system |
121 |
106 |
$82K |
| 99212 |
|
8,570 |
7,582 |
$78K |
| 0770 |
|
12,218 |
11,876 |
$67K |
| 0301 |
|
12,173 |
11,618 |
$44K |
| 98940 |
|
44,931 |
27,174 |
$40K |
| 99214 |
|
11,424 |
11,030 |
$32K |
| 0771 |
|
4,839 |
4,415 |
$23K |
| 0307 |
|
7,983 |
6,544 |
$21K |
| 11981 |
|
141 |
93 |
$16K |
| 11976 |
|
400 |
190 |
$15K |
| 87635 |
|
523 |
360 |
$15K |
| 99233 |
Prolong inpt eval add15 m |
651 |
521 |
$14K |
| 0309 |
|
1,718 |
1,635 |
$13K |
| 99402 |
|
560 |
559 |
$12K |
| 99396 |
|
1,763 |
1,701 |
$12K |
| 99238 |
|
694 |
693 |
$11K |
| 99283 |
|
161 |
146 |
$8K |
| 90480 |
|
443 |
284 |
$8K |
| 99395 |
|
3,444 |
3,378 |
$7K |
| 90750 |
|
372 |
334 |
$7K |
| 81025 |
|
4,900 |
4,822 |
$6K |
| G0442 |
Annual alcohol screen 15 min |
2,989 |
2,903 |
$6K |
| 99401 |
|
1,169 |
1,154 |
$6K |
| 83036 |
|
5,734 |
5,340 |
$6K |
| 0071A |
|
204 |
122 |
$5K |
| G0396 |
Alcohol/subs interv 15-30mn |
239 |
239 |
$4K |
| 11750 |
|
294 |
256 |
$4K |
| 0306 |
|
323 |
317 |
$4K |
| 0270 |
|
372 |
369 |
$4K |
| 0072A |
|
100 |
96 |
$4K |
| 0300 |
|
295 |
284 |
$4K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
206 |
201 |
$3K |
| 90677 |
|
1,464 |
1,201 |
$3K |
| 92250 |
|
123 |
102 |
$3K |
| 87804 |
|
662 |
499 |
$3K |
| 0900 |
|
8,340 |
5,968 |
$2K |
| 90651 |
|
1,960 |
1,794 |
$2K |
| 91320 |
|
14 |
14 |
$2K |
| 99188 |
|
8,269 |
8,105 |
$2K |
| 90715 |
|
1,346 |
1,295 |
$1K |
| 0002A |
|
32 |
31 |
$1K |
| 90619 |
|
709 |
574 |
$1K |
| H2000 |
Comp multidisipln evaluation |
620 |
458 |
$1K |
| 0124A |
|
20 |
18 |
$1K |
| 11721 |
|
361 |
354 |
$803.16 |
| 90636 |
|
61 |
60 |
$672.00 |
| 0001A |
|
50 |
31 |
$493.00 |
| H1001 |
Antepartum management |
3,959 |
2,721 |
$486.85 |
| 73630 |
|
378 |
338 |
$475.61 |
| 90656 |
|
1,069 |
1,006 |
$462.00 |
| 99051 |
|
4,345 |
4,240 |
$440.00 |
| 0929 |
|
28 |
28 |
$384.00 |
| 90716 |
|
2,633 |
2,313 |
$378.00 |
| 0500 |
|
14 |
14 |
$348.18 |
| 85018 |
|
13,331 |
11,108 |
$345.58 |
| 90707 |
|
2,460 |
2,143 |
$299.00 |
| 90837 |
|
228 |
157 |
$260.00 |
| 99385 |
|
341 |
339 |
$234.66 |
| 76805 |
|
874 |
865 |
$216.92 |
| 83655 |
|
2,315 |
1,656 |
$215.67 |
| 90670 |
|
4,743 |
4,160 |
$211.00 |
| 90834 |
|
7,611 |
5,131 |
$210.00 |
| 59430 |
|
41 |
38 |
$208.65 |
| 69209 |
|
51 |
37 |
$205.07 |
| 59025 |
|
1,310 |
644 |
$180.93 |
| 92552 |
|
10,811 |
10,740 |
$165.30 |
| 99173 |
|
10,480 |
10,308 |
$133.44 |
| 90686 |
|
13,015 |
11,572 |
$130.92 |
| 87426 |
|
14 |
12 |
$130.38 |
| G9919 |
Scrn nd pos nd prov of rec |
734 |
722 |
$116.00 |
| S9445 |
Pt education noc individ |
4,081 |
2,916 |
$107.71 |
| 90380 |
|
52 |
44 |
$99.00 |
| 11720 |
|
15 |
12 |
$97.08 |
| 99392 |
|
7,505 |
7,172 |
$95.80 |
| 90832 |
|
1,561 |
1,269 |
$88.27 |
| 90723 |
|
4,649 |
3,991 |
$85.00 |
| 0271 |
|
602 |
533 |
$84.93 |
| 90680 |
|
3,977 |
3,394 |
$77.00 |
| H1000 |
Prenatal care atrisk assessm |
100 |
99 |
$72.63 |
| 99391 |
|
4,735 |
4,468 |
$71.13 |
| 99203 |
|
36 |
33 |
$70.36 |
| 81003 |
|
1,086 |
864 |
$47.55 |
| 90471 |
|
3,242 |
3,139 |
$38.43 |
| Q0144 |
Azithromycin dihydrate, oral |
31 |
31 |
$34.80 |
| 90647 |
|
4,479 |
3,882 |
$25.00 |
| 81000 |
|
458 |
446 |
$22.27 |
| 97803 |
|
340 |
332 |
$22.24 |
| 87880 |
|
175 |
169 |
$17.20 |
| 86580 |
|
202 |
200 |
$8.68 |
| 71046 |
|
14 |
12 |
$3.00 |
| 97802 |
|
267 |
179 |
$0.00 |
| Z6410 |
|
1,747 |
1,286 |
$0.00 |
| 96110 |
|
486 |
480 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
110 |
106 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
19,670 |
18,515 |
$0.00 |
| 90620 |
|
601 |
540 |
$0.00 |
| 76801 |
|
220 |
213 |
$0.00 |
| 90696 |
|
334 |
290 |
$0.00 |
| Z6402 |
|
406 |
406 |
$0.00 |
| G0008 |
Admin influenza virus vac |
289 |
289 |
$0.00 |
| Z6204 |
|
231 |
221 |
$0.00 |
| Z1034 |
|
2,781 |
1,869 |
$0.00 |
| Z1032 |
|
308 |
308 |
$0.00 |
| 99381 |
|
492 |
492 |
$0.00 |
| Z6406 |
|
314 |
303 |
$0.00 |
| G0439 |
Ppps, subseq visit |
275 |
275 |
$0.00 |
| Z7610 |
|
118 |
117 |
$0.00 |
| 96372 |
|
526 |
482 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
40 |
39 |
$0.00 |
| 11730 |
|
25 |
25 |
$0.00 |
| 76499 |
|
56 |
54 |
$0.00 |
| S9452 |
Nutrition class |
24 |
24 |
$0.00 |
| 96151 |
|
30 |
26 |
$0.00 |
| Z1038 |
|
12 |
12 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
13 |
13 |
$0.00 |
| H0001 |
Alcohol and/or drug assess |
86 |
86 |
$0.00 |
| 96127 |
|
144 |
141 |
$0.00 |
| 76815 |
|
12 |
12 |
$0.00 |
| 98941 |
|
15 |
15 |
$0.00 |
| 90633 |
|
3,213 |
2,812 |
$0.00 |
| 99393 |
|
4,598 |
4,405 |
$0.00 |
| 2028F |
|
636 |
635 |
$0.00 |
| 90746 |
|
99 |
99 |
$0.00 |
| Z6304 |
|
337 |
319 |
$0.00 |
| Z6200 |
|
225 |
225 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
1,402 |
1,363 |
$0.00 |
| 90700 |
|
720 |
603 |
$0.00 |
| 90734 |
|
597 |
590 |
$0.00 |
| 99394 |
|
3,113 |
2,996 |
$0.00 |
| Z6300 |
|
400 |
400 |
$0.00 |
| Z6400 |
|
1,373 |
945 |
$0.00 |
| 76813 |
|
264 |
263 |
$0.00 |
| 90791 |
|
347 |
294 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
287 |
281 |
$0.00 |
| H1003 |
Prenatal at risk education |
875 |
630 |
$0.00 |
| 96160 |
|
181 |
181 |
$0.00 |
| Z6414 |
|
382 |
285 |
$0.00 |
| G9920 |
Scrning perf and negative |
222 |
222 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
39 |
38 |
$0.00 |
| 99442 |
|
50 |
50 |
$0.00 |
| 90472 |
|
153 |
135 |
$0.00 |
| 90662 |
|
103 |
103 |
$0.00 |
| 94664 |
|
13 |
13 |
$0.00 |
| 96152 |
|
13 |
12 |
$0.00 |
| Z6308 |
|
70 |
62 |
$0.00 |
| G0470 |
Fqhc visit, mh estab pt |
51 |
37 |
$0.00 |
| 99201 |
|
17 |
17 |
$0.00 |
| Z6202 |
|
26 |
26 |
$0.00 |