| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
194,741 |
167,679 |
$27.56M |
| 00003 |
|
11,972 |
10,346 |
$2.15M |
| G0467 |
Fqhc visit, estab pt |
20,712 |
17,698 |
$683K |
| 92014 |
|
7,581 |
7,399 |
$226K |
| 99213 |
|
101,302 |
86,748 |
$216K |
| 76811 |
|
5,920 |
4,837 |
$193K |
| 99214 |
|
46,731 |
40,685 |
$117K |
| V2020 |
Vision svcs frames purchases |
7,102 |
7,096 |
$111K |
| G0466 |
Fqhc visit new patient |
2,121 |
1,820 |
$57K |
| 99203 |
|
2,341 |
1,544 |
$49K |
| 92015 |
|
8,037 |
8,029 |
$49K |
| 76805 |
|
2,673 |
2,121 |
$47K |
| 90791 |
|
1,351 |
1,115 |
$27K |
| 90834 |
|
1,901 |
1,522 |
$26K |
| 90832 |
|
2,995 |
2,415 |
$24K |
| 0001A |
|
320 |
310 |
$21K |
| 99212 |
|
14,545 |
13,004 |
$19K |
| 0002A |
|
259 |
257 |
$17K |
| 90837 |
|
298 |
256 |
$16K |
| 99391 |
|
2,284 |
1,938 |
$16K |
| 76815 |
|
1,275 |
1,045 |
$12K |
| 92004 |
|
388 |
379 |
$12K |
| 99392 |
|
2,703 |
2,493 |
$12K |
| 87426 |
|
1,976 |
1,729 |
$11K |
| 90651 |
|
1,454 |
1,353 |
$9K |
| 0011A |
|
143 |
126 |
$8K |
| 99395 |
|
1,648 |
1,579 |
$8K |
| 0071A |
|
123 |
122 |
$7K |
| 99215 |
Prolong outpt/office vis |
1,976 |
1,687 |
$7K |
| 90472 |
|
5,739 |
5,426 |
$7K |
| 0012A |
|
97 |
96 |
$6K |
| 76816 |
|
720 |
526 |
$6K |
| 99393 |
|
2,606 |
2,482 |
$6K |
| 0072A |
|
105 |
105 |
$5K |
| 0064A |
|
80 |
80 |
$5K |
| 90677 |
|
535 |
450 |
$5K |
| 92340 |
|
582 |
582 |
$5K |
| 0031A |
|
76 |
76 |
$5K |
| 99394 |
|
1,919 |
1,841 |
$5K |
| 99396 |
|
1,969 |
1,905 |
$4K |
| 92551 |
|
7,004 |
6,652 |
$4K |
| 0004A |
|
46 |
46 |
$3K |
| 90686 |
|
6,292 |
5,846 |
$3K |
| 0054A |
|
37 |
37 |
$2K |
| 0900 |
|
15 |
15 |
$2K |
| 77080 |
|
134 |
134 |
$2K |
| 90715 |
|
1,062 |
1,004 |
$2K |
| 77067 |
|
28 |
28 |
$2K |
| 0081A |
|
31 |
31 |
$2K |
| G2025 |
Dis site tele svcs rhc/fqhc |
3,546 |
3,095 |
$2K |
| 76942 |
|
586 |
311 |
$2K |
| 92341 |
|
152 |
152 |
$2K |
| 99173 |
|
6,502 |
6,034 |
$2K |
| 86403 |
|
1,941 |
1,852 |
$2K |
| 71046 |
|
227 |
223 |
$1K |
| 90670 |
|
1,608 |
1,389 |
$1K |
| 82947 |
|
5,355 |
4,745 |
$1K |
| 93000 |
|
456 |
444 |
$1K |
| 81025 |
|
4,747 |
4,265 |
$1K |
| 0082A |
|
17 |
17 |
$1K |
| 90648 |
|
1,812 |
1,555 |
$1K |
| 11720 |
|
590 |
502 |
$1K |
| 0052A |
|
15 |
15 |
$1K |
| 90471 |
|
13,765 |
13,440 |
$999.29 |
| 81003 |
|
12,895 |
9,352 |
$940.95 |
| 0051A |
|
15 |
15 |
$938.00 |
| 90688 |
|
905 |
879 |
$900.36 |
| 88142 |
|
663 |
640 |
$729.10 |
| 81000 |
|
3,391 |
2,755 |
$700.79 |
| 59025 |
|
993 |
555 |
$670.56 |
| 87804 |
|
1,659 |
1,593 |
$659.74 |
| 11721 |
|
270 |
218 |
$649.76 |
| 90680 |
|
934 |
795 |
$631.74 |
| 96110 |
|
30 |
30 |
$618.44 |
| 90723 |
|
487 |
430 |
$591.72 |
| 85018 |
|
4,654 |
4,438 |
$548.83 |
| 90734 |
|
932 |
884 |
$486.07 |
| 99381 |
|
86 |
83 |
$425.53 |
| 83036 |
|
562 |
551 |
$390.30 |
| J7321 |
Hyalgan supartz visco-3 dose |
599 |
358 |
$365.81 |
| 99204 |
|
18 |
12 |
$344.50 |
| 90633 |
|
879 |
785 |
$281.12 |
| 86580 |
|
1,215 |
1,168 |
$262.24 |
| 83655 |
|
529 |
508 |
$235.66 |
| 92250 |
|
57 |
57 |
$223.95 |
| 90620 |
|
285 |
277 |
$210.60 |
| 90750 |
|
65 |
63 |
$166.47 |
| 90756 |
|
108 |
106 |
$163.50 |
| 82950 |
|
406 |
382 |
$152.63 |
| 73630 |
|
71 |
69 |
$96.88 |
| J1030 |
Methylprednisolone 40 mg inj |
665 |
644 |
$78.10 |
| J1050 |
Medroxyprogesterone acetate |
444 |
423 |
$70.37 |
| 90674 |
|
100 |
98 |
$68.80 |
| 90700 |
|
392 |
333 |
$63.00 |
| 72110 |
|
14 |
14 |
$62.51 |
| 90685 |
|
12 |
12 |
$54.00 |
| 90656 |
|
508 |
471 |
$50.36 |
| 73560 |
|
17 |
14 |
$38.04 |
| 99188 |
|
17 |
15 |
$36.00 |
| 90474 |
|
338 |
317 |
$32.37 |
| 87590 |
|
94 |
90 |
$28.48 |
| 87490 |
|
93 |
89 |
$28.48 |
| 90713 |
|
113 |
94 |
$27.00 |
| 90710 |
|
53 |
49 |
$18.00 |
| 73565 |
|
14 |
14 |
$17.12 |
| J2001 |
Lidocaine injection |
1,242 |
882 |
$6.03 |
| 99000 |
|
17 |
17 |
$3.63 |
| 90460 |
|
461 |
459 |
$0.00 |
| 3077F |
|
50 |
50 |
$0.00 |
| 91321 |
|
394 |
343 |
$0.00 |
| 3078F |
|
582 |
578 |
$0.00 |
| 1159F |
|
981 |
966 |
$0.00 |
| 90736 |
|
12 |
12 |
$0.00 |
| 90678 |
|
49 |
49 |
$0.00 |
| 91322 |
|
123 |
107 |
$0.00 |
| 99397 |
|
38 |
38 |
$0.00 |
| 90658 |
|
38 |
38 |
$0.00 |
| 91320 |
|
12 |
12 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
101 |
101 |
$0.00 |
| 90707 |
|
31 |
30 |
$0.00 |
| 90461 |
|
39 |
39 |
$0.00 |
| G0470 |
Fqhc visit, mh estab pt |
13 |
12 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
14 |
13 |
$0.00 |
| 90716 |
|
109 |
101 |
$0.00 |
| 1126F |
|
546 |
543 |
$0.00 |
| 3079F |
|
120 |
119 |
$0.00 |
| 90647 |
|
176 |
142 |
$0.00 |
| 3074F |
|
591 |
586 |
$0.00 |
| 90480 |
|
578 |
552 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
25 |
25 |
$0.00 |
| 1125F |
|
57 |
56 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
15 |
15 |
$0.00 |
| 3075F |
|
38 |
38 |
$0.00 |
| J3420 |
Vitamin b12 injection |
43 |
43 |
$0.00 |
| 1170F |
|
21 |
21 |
$0.00 |
| 90792 |
|
13 |
13 |
$0.00 |
| G0008 |
Admin influenza virus vac |
32 |
32 |
$0.00 |
| 94640 |
|
21 |
20 |
$0.00 |
| 91307 |
|
43 |
43 |
$0.00 |