| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
264,364 |
233,043 |
$67.14M |
| 00003 |
|
46,767 |
38,459 |
$14.97M |
| G0467 |
Fqhc visit, estab pt |
10,282 |
9,390 |
$1.16M |
| G9008 |
Mccd,phys coor-care ovrsght |
2,863 |
2,173 |
$369K |
| G9012 |
Other specified case mgmt |
3,145 |
2,645 |
$179K |
| 98940 |
|
1,336 |
896 |
$96K |
| 99213 |
|
92,788 |
82,975 |
$42K |
| 99212 |
|
18,190 |
15,686 |
$35K |
| 92004 |
|
2,579 |
2,146 |
$25K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
1,260 |
1,254 |
$10K |
| G0466 |
Fqhc visit new patient |
32 |
31 |
$8K |
| 92014 |
|
2,073 |
1,644 |
$8K |
| 87491 |
|
9,176 |
8,410 |
$6K |
| 87811 |
|
136 |
131 |
$6K |
| 87591 |
|
9,509 |
8,450 |
$6K |
| 98941 |
|
23 |
18 |
$5K |
| 87635 |
|
2,725 |
2,515 |
$5K |
| 99214 |
|
22,241 |
20,922 |
$4K |
| 0013A |
|
66 |
66 |
$4K |
| 92015 |
|
5,341 |
4,225 |
$2K |
| 86701 |
|
7,016 |
6,501 |
$2K |
| 99401 |
|
1,203 |
1,117 |
$1K |
| 99203 |
|
1,753 |
1,724 |
$689.11 |
| 81025 |
|
8,732 |
7,680 |
$493.50 |
| 99402 |
|
221 |
211 |
$405.32 |
| 90791 |
|
356 |
329 |
$384.24 |
| J3490 |
Drugs unclassified injection |
850 |
815 |
$339.47 |
| 87808 |
|
7,199 |
6,993 |
$278.66 |
| 88175 |
|
3,523 |
3,441 |
$272.29 |
| 87624 |
|
3,138 |
3,069 |
$246.40 |
| 97802 |
|
2,331 |
2,089 |
$209.42 |
| 87661 |
|
2,686 |
2,628 |
$167.97 |
| 92002 |
|
390 |
341 |
$147.60 |
| 99202 |
|
2,873 |
2,764 |
$126.91 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
3,966 |
3,741 |
$118.39 |
| 99490 |
Ccm add 20min |
14 |
14 |
$93.48 |
| 99391 |
|
1,047 |
982 |
$90.42 |
| 92012 |
|
309 |
259 |
$81.32 |
| 92250 |
|
1,304 |
1,098 |
$75.84 |
| 99394 |
|
2,911 |
2,826 |
$54.28 |
| 99204 |
|
698 |
660 |
$51.67 |
| 99393 |
|
3,919 |
3,825 |
$43.85 |
| 11721 |
|
1,211 |
1,194 |
$33.17 |
| J0696 |
Ceftriaxone sodium injection |
435 |
416 |
$28.76 |
| 97803 |
|
2,054 |
1,894 |
$23.50 |
| 80053 |
|
521 |
502 |
$21.52 |
| 92551 |
|
4,006 |
3,922 |
$21.12 |
| 81000 |
|
12,450 |
10,194 |
$21.10 |
| 96372 |
|
1,968 |
1,655 |
$18.75 |
| 87390 |
|
6,803 |
6,314 |
$16.50 |
| 82728 |
|
14 |
14 |
$11.95 |
| 87905 |
|
6,975 |
6,784 |
$11.94 |
| G8510 |
Scr dep neg, no plan reqd |
5,381 |
5,144 |
$10.71 |
| 83036 |
|
4,316 |
4,223 |
$8.54 |
| 90471 |
|
13,046 |
11,004 |
$8.08 |
| 87804 |
|
1,071 |
1,055 |
$6.64 |
| 82962 |
|
8,290 |
7,684 |
$6.00 |
| 83540 |
|
58 |
58 |
$5.66 |
| 85025 |
|
537 |
500 |
$5.35 |
| 81001 |
|
342 |
338 |
$5.34 |
| 82570 |
|
70 |
70 |
$5.13 |
| 99173 |
|
3,242 |
3,176 |
$4.58 |
| G8734 |
Doc neg eld req |
73 |
72 |
$0.00 |
| 86580 |
|
1,539 |
1,438 |
$0.00 |
| 90686 |
|
3,013 |
2,980 |
$0.00 |
| 84443 |
|
293 |
292 |
$0.00 |
| 86762 |
|
668 |
650 |
$0.00 |
| G0108 |
Diab manage trn per indiv |
1,011 |
483 |
$0.00 |
| 3079F |
|
5,698 |
5,535 |
$0.00 |
| 90651 |
|
924 |
910 |
$0.00 |
| 3075F |
|
2,632 |
2,573 |
$0.00 |
| 1170F |
|
73 |
72 |
$0.00 |
| 3074F |
|
20,896 |
19,319 |
$0.00 |
| Z6204 |
|
467 |
464 |
$0.00 |
| 11730 |
|
550 |
442 |
$0.00 |
| 87625 |
|
3,093 |
3,028 |
$0.00 |
| 90677 |
|
155 |
153 |
$0.00 |
| 97014 |
|
225 |
90 |
$0.00 |
| 11001 |
|
124 |
99 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
497 |
466 |
$0.00 |
| Z1034 |
|
1,283 |
941 |
$0.00 |
| 80055 |
|
667 |
650 |
$0.00 |
| 3080F |
|
416 |
401 |
$0.00 |
| Z6410 |
|
173 |
147 |
$0.00 |
| 90680 |
|
222 |
221 |
$0.00 |
| 97010 |
|
443 |
195 |
$0.00 |
| 90696 |
|
89 |
89 |
$0.00 |
| 99383 |
|
227 |
224 |
$0.00 |
| 90698 |
|
1,023 |
1,009 |
$0.00 |
| 86592 |
|
390 |
387 |
$0.00 |
| 99386 |
|
300 |
291 |
$0.00 |
| 87389 |
|
311 |
310 |
$0.00 |
| 29540 |
|
363 |
299 |
$0.00 |
| 83550 |
|
55 |
55 |
$0.00 |
| 90620 |
|
148 |
148 |
$0.00 |
| 90744 |
|
373 |
372 |
$0.00 |
| 11732 |
|
280 |
271 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
24 |
20 |
$0.00 |
| 82043 |
|
69 |
69 |
$0.00 |
| 96156 |
|
797 |
720 |
$0.00 |
| 1111F |
|
198 |
191 |
$0.00 |
| 94760 |
|
45 |
43 |
$0.00 |
| Z6404 |
|
28 |
27 |
$0.00 |
| Z6406 |
|
113 |
112 |
$0.00 |
| G0439 |
Ppps, subseq visit |
443 |
432 |
$0.00 |
| 99384 |
|
236 |
230 |
$0.00 |
| 99381 |
|
43 |
39 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
43 |
42 |
$0.00 |
| 97162 |
|
26 |
26 |
$0.00 |
| 1125F |
|
73 |
72 |
$0.00 |
| 99385 |
|
283 |
270 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
13 |
13 |
$0.00 |
| 80048 |
|
15 |
14 |
$0.00 |
| 86803 |
|
15 |
15 |
$0.00 |
| Z6402 |
|
149 |
147 |
$0.00 |
| 90674 |
|
105 |
99 |
$0.00 |
| 87086 |
|
28 |
28 |
$0.00 |
| 3072F |
|
48 |
25 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
17 |
17 |
$0.00 |
| 87088 |
|
12 |
12 |
$0.00 |
| Z1032 |
|
23 |
23 |
$0.00 |
| Z1038 |
|
12 |
12 |
$0.00 |
| 2022F |
|
667 |
612 |
$0.00 |
| 99392 |
|
2,427 |
2,357 |
$0.00 |
| Z6300 |
|
153 |
151 |
$0.00 |
| 1160F |
|
130 |
128 |
$0.00 |
| 11422 |
|
491 |
439 |
$0.00 |
| 90734 |
|
932 |
917 |
$0.00 |
| Z6200 |
|
111 |
111 |
$0.00 |
| 3078F |
|
20,828 |
19,397 |
$0.00 |
| 90700 |
|
37 |
37 |
$0.00 |
| 99201 |
|
712 |
681 |
$0.00 |
| 90633 |
|
862 |
846 |
$0.00 |
| 1158F |
|
126 |
124 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
1,060 |
1,036 |
$0.00 |
| 90460 |
|
787 |
772 |
$0.00 |
| Z6400 |
|
665 |
658 |
$0.00 |
| 3077F |
|
3,269 |
3,202 |
$0.00 |
| 90756 |
|
117 |
116 |
$0.00 |
| 90670 |
|
1,411 |
1,383 |
$0.00 |
| 2028F |
|
453 |
425 |
$0.00 |
| 90715 |
|
631 |
624 |
$0.00 |
| Z6500 |
|
25 |
25 |
$0.00 |
| 90710 |
|
504 |
502 |
$0.00 |
| Z6308 |
|
34 |
32 |
$0.00 |
| 99395 |
|
547 |
540 |
$0.00 |
| 86900 |
|
397 |
392 |
$0.00 |
| Z6304 |
|
105 |
105 |
$0.00 |
| 87880 |
|
807 |
799 |
$0.00 |
| 1494F |
|
73 |
72 |
$0.00 |
| 1159F |
|
129 |
127 |
$0.00 |
| 11423 |
|
252 |
234 |
$0.00 |
| Z6208 |
|
34 |
32 |
$0.00 |
| G0444 |
Depression screen annual |
74 |
73 |
$0.00 |
| 99211 |
|
759 |
513 |
$0.00 |
| 99396 |
|
532 |
531 |
$0.00 |
| 11421 |
|
292 |
237 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
925 |
837 |
$0.00 |
| 99080 |
|
436 |
418 |
$0.00 |
| P3001 |
Screening pap smear by phys |
118 |
117 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
153 |
150 |
$0.00 |
| 80061 |
|
440 |
436 |
$0.00 |
| G0438 |
Ppps, initial visit |
285 |
278 |
$0.00 |
| 97110 |
|
459 |
204 |
$0.00 |
| 99382 |
|
41 |
40 |
$0.00 |
| 96167 |
|
247 |
225 |
$0.00 |
| 90472 |
|
175 |
172 |
$0.00 |
| 11056 |
|
39 |
39 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
163 |
162 |
$0.00 |
| 99387 |
|
95 |
92 |
$0.00 |
| 11420 |
|
48 |
43 |
$0.00 |
| G0127 |
Trim nail(s) |
89 |
89 |
$0.00 |
| 98960 |
|
31 |
15 |
$0.00 |
| 90750 |
|
29 |
28 |
$0.00 |
| Z6414 |
|
82 |
80 |
$0.00 |
| 11000 |
|
29 |
26 |
$0.00 |
| 90649 |
|
26 |
26 |
$0.00 |
| G0402 |
Initial preventive exam |
28 |
28 |
$0.00 |
| 84155 |
|
17 |
14 |
$0.00 |
| 11057 |
|
14 |
14 |
$0.00 |
| 80076 |
|
13 |
12 |
$0.00 |