| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
25,091 |
21,090 |
$2.82M |
| 00003 |
|
8,725 |
6,496 |
$1.60M |
| 90832 |
|
17,943 |
11,639 |
$1.09M |
| 99213 |
|
30,958 |
21,215 |
$698K |
| 90792 |
|
2,132 |
2,054 |
$380K |
| 99214 |
|
5,418 |
4,368 |
$354K |
| 99212 |
|
8,201 |
6,470 |
$354K |
| 90791 |
|
2,361 |
2,341 |
$314K |
| 98941 |
|
17,086 |
6,643 |
$276K |
| 90834 |
|
3,314 |
2,229 |
$267K |
| G9012 |
Other specified case mgmt |
6,441 |
3,986 |
$220K |
| 92012 |
|
9,985 |
8,645 |
$218K |
| 98942 |
|
12,662 |
4,453 |
$208K |
| V2020 |
Vision svcs frames purchases |
8,571 |
7,734 |
$153K |
| 98940 |
|
8,696 |
3,841 |
$140K |
| 90837 |
|
971 |
658 |
$118K |
| 92340 |
|
7,618 |
6,877 |
$71K |
| 92002 |
|
2,138 |
1,931 |
$61K |
| G0467 |
Fqhc visit, estab pt |
1,287 |
1,061 |
$38K |
| V2100 |
Lens spher single plano 4.00 |
2,850 |
2,488 |
$17K |
| 99211 |
|
376 |
352 |
$9K |
| G9008 |
Mccd,phys coor-care ovrsght |
8,708 |
4,582 |
$7K |
| 92014 |
|
39 |
39 |
$7K |
| V2744 |
Tint photochromatic lens/es |
382 |
344 |
$5K |
| 0012A |
|
110 |
110 |
$4K |
| V2784 |
Lens polycarb or equal |
1,273 |
1,160 |
$4K |
| 90686 |
|
1,257 |
989 |
$4K |
| 99202 |
|
106 |
79 |
$4K |
| 0011A |
|
105 |
101 |
$4K |
| 92015 |
|
479 |
468 |
$4K |
| V2200 |
Lens spher bifoc plano 4.00d |
305 |
277 |
$3K |
| 0013A |
|
70 |
70 |
$3K |
| 99393 |
|
606 |
432 |
$3K |
| 88141 |
|
53 |
30 |
$3K |
| 99201 |
|
46 |
45 |
$2K |
| 99394 |
|
515 |
356 |
$2K |
| 99000 |
|
1,379 |
1,115 |
$2K |
| 92551 |
|
1,904 |
1,405 |
$2K |
| 0001A |
|
43 |
43 |
$2K |
| 0002A |
|
42 |
42 |
$2K |
| 99392 |
|
262 |
192 |
$2K |
| 99395 |
|
79 |
68 |
$1K |
| 81025 |
|
513 |
461 |
$599.96 |
| 0004A |
|
13 |
12 |
$440.00 |
| 99391 |
|
40 |
25 |
$414.53 |
| 81002 |
|
702 |
559 |
$264.35 |
| 93000 |
|
17 |
17 |
$255.69 |
| 92341 |
|
34 |
28 |
$252.89 |
| 59425 |
|
79 |
58 |
$241.92 |
| 96156 |
|
883 |
644 |
$168.60 |
| 99215 |
Prolong outpt/office vis |
34 |
29 |
$124.82 |
| 90715 |
|
98 |
80 |
$122.32 |
| 87491 |
|
16 |
16 |
$62.34 |
| 87591 |
|
16 |
16 |
$62.14 |
| 90633 |
|
105 |
78 |
$45.00 |
| 90471 |
|
131 |
124 |
$44.60 |
| 84443 |
|
54 |
52 |
$32.16 |
| 99173 |
|
1,752 |
1,321 |
$27.54 |
| 80053 |
|
60 |
58 |
$20.22 |
| 85027 |
|
22 |
22 |
$11.87 |
| 83655 |
|
12 |
12 |
$10.52 |
| 83036 |
|
48 |
46 |
$8.45 |
| 3078F |
|
5,499 |
4,417 |
$0.00 |
| 99396 |
|
86 |
77 |
$0.00 |
| 96160 |
|
749 |
629 |
$0.00 |
| 90460 |
|
707 |
481 |
$0.00 |
| G0438 |
Ppps, initial visit |
416 |
327 |
$0.00 |
| 90670 |
|
65 |
51 |
$0.00 |
| 1159F |
|
20 |
17 |
$0.00 |
| 3077F |
|
435 |
331 |
$0.00 |
| 90461 |
|
192 |
130 |
$0.00 |
| 90710 |
|
78 |
50 |
$0.00 |
| 82570 |
|
17 |
17 |
$0.00 |
| 90734 |
|
75 |
52 |
$0.00 |
| 80061 |
|
41 |
41 |
$0.00 |
| 90648 |
|
26 |
24 |
$0.00 |
| G0402 |
Initial preventive exam |
43 |
30 |
$0.00 |
| 81003 |
|
21 |
21 |
$0.00 |
| G0439 |
Ppps, subseq visit |
2,134 |
1,400 |
$0.00 |
| 96110 |
|
88 |
54 |
$0.00 |
| 3074F |
|
5,768 |
4,601 |
$0.00 |
| 3008F |
|
894 |
892 |
$0.00 |
| 3075F |
|
803 |
626 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
1,420 |
1,069 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
1,816 |
1,543 |
$0.00 |
| 3079F |
|
1,796 |
1,452 |
$0.00 |
| H0049 |
Alcohol/drug screening |
858 |
651 |
$0.00 |
| 90651 |
|
175 |
127 |
$0.00 |
| 1220F |
|
166 |
154 |
$0.00 |
| 90620 |
|
199 |
136 |
$0.00 |
| Z1034 |
|
272 |
195 |
$0.00 |
| 36415 |
|
1,127 |
875 |
$0.00 |
| G0202 |
Scr mammo bi incl cad |
13 |
13 |
$0.00 |
| 82043 |
|
18 |
18 |
$0.00 |
| 3061F |
|
37 |
35 |
$0.00 |
| 3080F |
|
48 |
44 |
$0.00 |
| 85025 |
|
31 |
31 |
$0.00 |
| G0123 |
Screen cerv/vag thin layer |
205 |
158 |
$0.00 |
| 90677 |
|
14 |
13 |
$0.00 |
| 90723 |
|
13 |
12 |
$0.00 |
| 85018 |
|
51 |
51 |
$0.00 |
| 3351F |
|
135 |
127 |
$0.00 |
| 90696 |
|
43 |
26 |
$0.00 |
| 82306 |
|
32 |
32 |
$0.00 |
| 2001F |
|
14 |
13 |
$0.00 |
| 90732 |
|
13 |
13 |
$0.00 |