| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
112,168 |
92,788 |
$17.12M |
| 00003 |
|
10,062 |
9,173 |
$2.47M |
| 99213 |
|
118,600 |
68,353 |
$219K |
| 90834 |
|
6,589 |
2,772 |
$157K |
| G9012 |
Other specified case mgmt |
3,290 |
1,843 |
$127K |
| 90832 |
|
5,825 |
2,891 |
$104K |
| G9008 |
Mccd,phys coor-care ovrsght |
2,771 |
1,746 |
$73K |
| G0467 |
Fqhc visit, estab pt |
1,015 |
792 |
$59K |
| 90791 |
|
1,317 |
861 |
$46K |
| 90837 |
|
336 |
138 |
$24K |
| 99214 |
|
18,720 |
11,334 |
$16K |
| 0011A |
|
226 |
225 |
$15K |
| 0012A |
|
224 |
223 |
$15K |
| J3490 |
Drugs unclassified injection |
539 |
350 |
$10K |
| 99203 |
|
471 |
298 |
$6K |
| 99212 |
|
13,908 |
7,500 |
$5K |
| 97802 |
|
9,111 |
5,860 |
$4K |
| 0064A |
|
46 |
42 |
$3K |
| 81025 |
|
4,319 |
2,938 |
$2K |
| 87635 |
|
165 |
91 |
$1K |
| 88175 |
|
1,857 |
1,104 |
$865.93 |
| 90686 |
|
4,530 |
3,123 |
$657.00 |
| G2012 |
Brief check in by md/qhp |
68 |
68 |
$648.96 |
| 90792 |
|
60 |
39 |
$619.50 |
| 90658 |
|
42 |
42 |
$415.32 |
| 88174 |
|
947 |
655 |
$380.35 |
| 99211 |
|
3,985 |
2,240 |
$366.61 |
| 92551 |
|
4,387 |
2,862 |
$231.64 |
| 99215 |
Prolong outpt/office vis |
2,357 |
1,072 |
$214.50 |
| 99391 |
|
1,140 |
695 |
$208.14 |
| 99204 |
|
767 |
518 |
$205.32 |
| 96151 |
|
693 |
666 |
$155.43 |
| 99386 |
|
32 |
24 |
$130.88 |
| 99385 |
|
164 |
104 |
$112.96 |
| 3008F |
|
124,338 |
72,072 |
$99.12 |
| 81002 |
|
10,147 |
5,322 |
$72.06 |
| 87110 |
|
4,471 |
2,726 |
$70.00 |
| 82274 |
|
2,540 |
1,586 |
$64.56 |
| 83036 |
|
2,596 |
1,574 |
$48.00 |
| 96372 |
|
515 |
300 |
$37.31 |
| 82962 |
|
602 |
490 |
$27.06 |
| 90744 |
|
609 |
380 |
$26.91 |
| Q0111 |
Wet mounts/ w preparations |
666 |
387 |
$25.62 |
| 85018 |
|
2,476 |
1,709 |
$18.45 |
| 96150 |
|
106 |
97 |
$17.85 |
| 90633 |
|
787 |
497 |
$9.00 |
| H0049 |
Alcohol/drug screening |
19,053 |
10,808 |
$9.00 |
| 99173 |
|
4,391 |
2,864 |
$4.03 |
| G8431 |
Pos clin depres scrn f/u doc |
25,369 |
11,928 |
$0.01 |
| 99080 |
|
7,280 |
4,645 |
$0.01 |
| 99201 |
|
16 |
16 |
$0.00 |
| 90670 |
|
889 |
532 |
$0.00 |
| 80307 |
|
86 |
51 |
$0.00 |
| 1160F |
|
8,920 |
4,886 |
$0.00 |
| 4004F |
|
5,189 |
2,732 |
$0.00 |
| 99392 |
|
1,549 |
899 |
$0.00 |
| 3078F |
|
23,701 |
14,270 |
$0.00 |
| 3077F |
|
646 |
372 |
$0.00 |
| 83655 |
|
719 |
428 |
$0.00 |
| 99393 |
|
907 |
569 |
$0.00 |
| 80061 |
|
27 |
13 |
$0.00 |
| 3725F |
|
6,288 |
3,264 |
$0.00 |
| 90681 |
|
147 |
91 |
$0.00 |
| 90736 |
|
252 |
167 |
$0.00 |
| 90671 |
|
454 |
285 |
$0.00 |
| 2028F |
|
2,345 |
1,386 |
$0.00 |
| 99394 |
|
612 |
379 |
$0.00 |
| H0050 |
Alcohol/drug service 15 min |
2,117 |
1,084 |
$0.00 |
| 3015F |
|
651 |
389 |
$0.00 |
| G9655 |
Toc tool incl key elem |
31 |
26 |
$0.00 |
| 90734 |
|
308 |
181 |
$0.00 |
| 99442 |
|
131 |
81 |
$0.00 |
| 90715 |
|
373 |
238 |
$0.00 |
| 77067 |
|
236 |
149 |
$0.00 |
| 99408 |
|
142 |
76 |
$0.00 |
| 2022F |
|
44 |
30 |
$0.00 |
| 99499 |
|
742 |
720 |
$0.00 |
| 99396 |
|
296 |
167 |
$0.00 |
| 99395 |
|
238 |
132 |
$0.00 |
| 90685 |
|
45 |
45 |
$0.00 |
| 90621 |
|
27 |
27 |
$0.00 |
| G9016 |
Demo-smoking cessation coun |
39 |
25 |
$0.00 |
| 87660 |
|
217 |
125 |
$0.00 |
| 90700 |
|
45 |
25 |
$0.00 |
| J2315 |
Naltrexone, depot form |
52 |
30 |
$0.00 |
| J0576 |
Inj buprenorph (brixadi) 1mg |
24 |
15 |
$0.00 |
| 96158 |
|
12 |
12 |
$0.00 |
| 90644 |
|
12 |
12 |
$0.00 |
| S0621 |
Routine ophthalmological exa |
60 |
41 |
$0.00 |
| G0270 |
Mnt subs tx for change dx |
23 |
12 |
$0.00 |
| 90710 |
|
27 |
27 |
$0.00 |
| 2023F |
|
102 |
59 |
$0.00 |
| 3074F |
|
22,404 |
13,395 |
$0.00 |
| 96110 |
|
1,039 |
580 |
$0.00 |
| 87510 |
|
217 |
125 |
$0.00 |
| 3079F |
|
2,599 |
1,537 |
$0.00 |
| 1036F |
|
9,555 |
5,373 |
$0.00 |
| G9658 |
Toc tool incl elem not used |
5,382 |
3,291 |
$0.00 |
| 96127 |
|
5,752 |
3,364 |
$0.00 |
| 80048 |
|
333 |
190 |
$0.00 |
| 3044F |
|
895 |
519 |
$0.00 |
| 1111F |
|
2,062 |
1,214 |
$0.00 |
| 90651 |
|
632 |
388 |
$0.00 |
| G0307 |
Cbc without platelet |
4,481 |
2,671 |
$0.00 |
| 80051 |
|
240 |
134 |
$0.00 |
| 90656 |
|
830 |
524 |
$0.00 |
| 82270 |
|
122 |
69 |
$0.00 |
| 90698 |
|
777 |
465 |
$0.00 |
| 87430 |
|
28 |
26 |
$0.00 |
| 3075F |
|
2,457 |
1,531 |
$0.00 |
| 92250 |
|
128 |
84 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
889 |
517 |
$0.00 |
| H0002 |
Alcohol and/or drug screenin |
2,709 |
1,425 |
$0.00 |
| 87070 |
|
222 |
207 |
$0.00 |
| 3014F |
|
177 |
126 |
$0.00 |
| 90688 |
|
116 |
65 |
$0.00 |
| 96156 |
|
741 |
562 |
$0.00 |
| 87480 |
|
217 |
125 |
$0.00 |
| 90716 |
|
126 |
87 |
$0.00 |
| 1000F |
|
61 |
37 |
$0.00 |
| 3351F |
|
59 |
37 |
$0.00 |
| 90677 |
|
70 |
42 |
$0.00 |
| J0578 |
Inj brixadi, more than 7 day |
24 |
13 |
$0.00 |
| 90620 |
|
24 |
12 |
$0.00 |
| 99381 |
|
89 |
57 |
$0.00 |
| 84443 |
|
99 |
75 |
$0.00 |
| 82043 |
|
274 |
161 |
$0.00 |
| 3017F |
|
243 |
160 |
$0.00 |
| 99202 |
|
77 |
52 |
$0.00 |
| 90696 |
|
21 |
13 |
$0.00 |
| 1125F |
|
93 |
56 |
$0.00 |
| 3061F |
|
27 |
16 |
$0.00 |
| D0150 |
|
15 |
15 |
$0.00 |
| 1170F |
|
181 |
112 |
$0.00 |
| 3080F |
|
119 |
73 |
$0.00 |
| 4037F |
|
65 |
41 |
$0.00 |
| 36416 |
|
23 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
40 |
40 |
$0.00 |
| G9226 |
3 comp foot exam completed |
29 |
17 |
$0.00 |
| 1157F |
|
22 |
16 |
$0.00 |
| G0136 |
Adm of pa/n assess 5-15 m |
23 |
15 |
$0.00 |
| D1330 |
|
31 |
24 |
$0.00 |
| D1320 |
|
13 |
12 |
$0.00 |
| 99384 |
|
20 |
13 |
$0.00 |
| D0210 |
|
12 |
12 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
21 |
14 |
$0.00 |
| 87624 |
|
18 |
13 |
$0.00 |