| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
267,848 |
236,450 |
$50.65M |
| G0467 |
Fqhc visit, estab pt |
6,548 |
4,989 |
$400K |
| 99213 |
|
90,126 |
75,296 |
$280K |
| 99214 |
|
19,470 |
16,741 |
$55K |
| 90791 |
|
17,833 |
15,362 |
$48K |
| G0470 |
Fqhc visit, mh estab pt |
537 |
493 |
$34K |
| 99203 |
|
1,528 |
1,462 |
$29K |
| 99212 |
|
40,802 |
34,901 |
$23K |
| 99232 |
|
891 |
275 |
$19K |
| 98940 |
|
7,545 |
5,147 |
$14K |
| 90832 |
|
27,337 |
20,305 |
$13K |
| 99222 |
|
299 |
287 |
$11K |
| 99202 |
|
852 |
843 |
$9K |
| 99204 |
|
296 |
296 |
$9K |
| 99394 |
|
583 |
505 |
$7K |
| 99393 |
|
796 |
708 |
$7K |
| 99238 |
|
342 |
321 |
$7K |
| 99392 |
|
1,136 |
1,049 |
$6K |
| G2025 |
Dis site tele svcs rhc/fqhc |
352 |
330 |
$6K |
| 59425 |
|
456 |
339 |
$5K |
| 90792 |
|
3,326 |
2,849 |
$3K |
| 98941 |
|
2,696 |
1,836 |
$3K |
| 99395 |
|
419 |
385 |
$3K |
| 99000 |
|
5,081 |
4,522 |
$2K |
| 99391 |
|
901 |
854 |
$2K |
| 99383 |
|
219 |
217 |
$2K |
| 85018 |
|
5,319 |
4,853 |
$2K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
469 |
469 |
$2K |
| 99382 |
|
207 |
202 |
$2K |
| 92551 |
|
3,640 |
3,295 |
$2K |
| 0012A |
|
34 |
18 |
$2K |
| 0011A |
|
49 |
45 |
$2K |
| 0003A |
|
27 |
17 |
$1K |
| 81005 |
|
1,416 |
1,059 |
$1K |
| 90686 |
|
2,417 |
2,245 |
$1K |
| H1003 |
Prenatal at risk education |
118 |
88 |
$1K |
| 90834 |
|
371 |
289 |
$1K |
| 99201 |
|
117 |
117 |
$1K |
| 0001A |
|
17 |
13 |
$930.50 |
| 81025 |
|
1,656 |
1,515 |
$850.53 |
| 3074F |
|
7,046 |
6,469 |
$838.43 |
| 0072A |
|
12 |
12 |
$804.00 |
| 99381 |
|
94 |
85 |
$780.01 |
| 99385 |
|
54 |
51 |
$680.06 |
| 99396 |
|
177 |
172 |
$665.01 |
| 83036 |
|
1,278 |
1,137 |
$572.54 |
| 11721 |
|
814 |
485 |
$538.18 |
| 83655 |
|
576 |
530 |
$393.64 |
| H1001 |
Antepartum management |
16 |
12 |
$378.65 |
| 90723 |
|
899 |
846 |
$377.05 |
| 99173 |
|
3,400 |
3,100 |
$373.62 |
| J3490 |
Drugs unclassified injection |
91 |
90 |
$294.46 |
| 90677 |
|
231 |
225 |
$284.00 |
| 99401 |
|
48 |
39 |
$279.21 |
| 96151 |
|
63 |
38 |
$271.64 |
| 90837 |
|
16 |
13 |
$263.94 |
| 90670 |
|
1,051 |
984 |
$261.00 |
| 90656 |
|
246 |
239 |
$243.00 |
| 87880 |
|
82 |
72 |
$237.88 |
| 90648 |
|
1,076 |
1,000 |
$167.63 |
| 90651 |
|
345 |
303 |
$164.09 |
| J3420 |
Vitamin b12 injection |
96 |
94 |
$148.39 |
| Q0091 |
Obtaining screen pap smear |
904 |
883 |
$106.86 |
| 3075F |
|
889 |
848 |
$103.76 |
| 96372 |
|
61 |
56 |
$92.56 |
| 81000 |
|
997 |
871 |
$78.59 |
| 97803 |
|
12 |
12 |
$76.11 |
| 81003 |
|
2,703 |
2,158 |
$75.07 |
| 90710 |
|
150 |
135 |
$63.00 |
| 90696 |
|
98 |
87 |
$63.00 |
| 90734 |
|
255 |
224 |
$51.75 |
| 90633 |
|
516 |
476 |
$36.00 |
| J1885 |
Ketorolac tromethamine inj |
13 |
13 |
$31.59 |
| 1111F |
|
13,532 |
12,402 |
$28.80 |
| J1100 |
Dexamethasone sodium phos |
47 |
40 |
$23.19 |
| J3301 |
Triamcinolone acet inj nos |
31 |
26 |
$22.20 |
| 86580 |
|
17 |
17 |
$16.97 |
| 90681 |
|
51 |
51 |
$9.00 |
| 90647 |
|
15 |
15 |
$9.00 |
| 90471 |
|
172 |
169 |
$8.84 |
| 82962 |
|
63 |
62 |
$2.40 |
| T1014 |
Telehealth transmit, per min |
39 |
31 |
$0.50 |
| G8752 |
Sys bp less 140 |
8,565 |
7,809 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
559 |
544 |
$0.00 |
| 3050F |
|
751 |
679 |
$0.00 |
| 3078F |
|
5,712 |
5,244 |
$0.00 |
| Z6400 |
|
259 |
258 |
$0.00 |
| 3077F |
|
560 |
545 |
$0.00 |
| 90715 |
|
174 |
155 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
110 |
104 |
$0.00 |
| 80305 |
|
34 |
28 |
$0.00 |
| 90472 |
|
80 |
78 |
$0.00 |
| A4550 |
Surgical trays |
27 |
26 |
$0.00 |
| 59025 |
|
69 |
13 |
$0.00 |
| 0900 |
|
16 |
15 |
$0.00 |
| 90700 |
|
15 |
13 |
$0.00 |
| 90707 |
|
19 |
15 |
$0.00 |
| G8754 |
Dias bp less 90 |
9,033 |
8,226 |
$0.00 |
| 3008F |
|
19,285 |
17,200 |
$0.00 |
| 3048F |
|
2,639 |
2,420 |
$0.00 |
| 3049F |
|
1,471 |
1,346 |
$0.00 |
| 3079F |
|
2,824 |
2,643 |
$0.00 |
| 2001F |
|
19,287 |
17,201 |
$0.00 |
| Z1034 |
|
5,708 |
4,053 |
$0.00 |
| 1036F |
|
15,587 |
13,903 |
$0.00 |
| 1034F |
|
736 |
652 |
$0.00 |
| 90680 |
|
373 |
351 |
$0.00 |
| 90716 |
|
55 |
51 |
$0.00 |
| 3044F |
|
95 |
94 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
212 |
207 |
$0.00 |
| 99384 |
|
28 |
28 |
$0.00 |
| Z6410 |
|
252 |
248 |
$0.00 |
| Z1032 |
|
253 |
253 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
419 |
406 |
$0.00 |
| Z1038 |
|
91 |
91 |
$0.00 |
| 3080F |
|
115 |
112 |
$0.00 |
| J2001 |
Lidocaine injection |
24 |
24 |
$0.00 |
| G0008 |
Admin influenza virus vac |
13 |
12 |
$0.00 |
| 11730 |
|
32 |
13 |
$0.00 |