| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
27,118 |
22,074 |
$2.05M |
| 00003 |
|
8,120 |
5,058 |
$1.25M |
| 99213 |
|
13,127 |
11,642 |
$37K |
| 99214 |
|
6,683 |
5,970 |
$27K |
| 92081 |
|
2,108 |
2,040 |
$7K |
| 83036 |
|
4,196 |
4,086 |
$2K |
| 90686 |
|
2,112 |
2,013 |
$2K |
| 99000 |
|
7,682 |
7,072 |
$2K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
102 |
102 |
$2K |
| 99395 |
|
190 |
177 |
$1K |
| 36415 |
|
5,349 |
5,074 |
$1K |
| 90670 |
|
174 |
150 |
$1K |
| 99392 |
|
129 |
119 |
$987.94 |
| G2025 |
Dis site tele svcs rhc/fqhc |
67 |
65 |
$907.02 |
| 92551 |
|
1,826 |
1,783 |
$886.83 |
| 99203 |
|
47 |
42 |
$637.29 |
| 99391 |
|
29 |
25 |
$484.04 |
| 81001 |
|
549 |
512 |
$471.21 |
| 99212 |
|
2,564 |
2,347 |
$450.42 |
| 99393 |
|
211 |
196 |
$448.56 |
| 90714 |
|
429 |
406 |
$421.45 |
| 90471 |
|
3,915 |
3,721 |
$416.96 |
| 90707 |
|
233 |
219 |
$414.81 |
| 99401 |
|
48 |
39 |
$398.60 |
| 90716 |
|
196 |
184 |
$371.44 |
| 90688 |
|
96 |
96 |
$331.08 |
| S9452 |
Nutrition class |
11,054 |
10,067 |
$302.98 |
| S9451 |
Exercise class |
8,024 |
7,443 |
$234.80 |
| 90739 |
|
156 |
148 |
$219.79 |
| 99442 |
|
3,740 |
3,429 |
$199.50 |
| 90472 |
|
1,124 |
1,069 |
$181.90 |
| 81025 |
|
232 |
197 |
$162.63 |
| H1003 |
Prenatal at risk education |
16 |
14 |
$133.28 |
| 90662 |
|
89 |
84 |
$132.60 |
| 90633 |
|
46 |
39 |
$117.32 |
| 82962 |
|
797 |
735 |
$76.00 |
| 96160 |
|
171 |
168 |
$72.90 |
| 90460 |
|
1,220 |
1,165 |
$72.90 |
| 87340 |
|
62 |
49 |
$63.84 |
| H0049 |
Alcohol/drug screening |
1,812 |
1,792 |
$55.80 |
| 99443 |
|
769 |
748 |
$50.00 |
| 99394 |
|
164 |
161 |
$49.90 |
| 87804 |
|
42 |
36 |
$35.40 |
| 3044F |
|
1,635 |
1,621 |
$28.80 |
| 90647 |
|
17 |
12 |
$27.00 |
| 3074F |
|
2,301 |
2,188 |
$19.20 |
| 90655 |
|
15 |
15 |
$18.71 |
| 90734 |
|
56 |
54 |
$18.00 |
| 3078F |
|
1,882 |
1,796 |
$10.80 |
| 90651 |
|
71 |
70 |
$9.00 |
| 90620 |
|
14 |
13 |
$9.00 |
| 90732 |
|
16 |
12 |
$9.00 |
| 3079F |
|
1,063 |
1,031 |
$9.00 |
| 3075F |
|
515 |
507 |
$5.10 |
| 3725F |
|
824 |
820 |
$2.10 |
| 1036F |
|
1,301 |
1,301 |
$2.10 |
| 96151 |
|
430 |
426 |
$2.00 |
| 81003 |
|
71 |
68 |
$1.96 |
| 3008F |
|
1,090 |
1,090 |
$1.80 |
| 1000F |
|
515 |
515 |
$1.80 |
| 90461 |
|
218 |
195 |
$0.00 |
| 80061 |
|
3,898 |
3,842 |
$0.00 |
| 82570 |
|
99 |
97 |
$0.00 |
| 84439 |
|
72 |
72 |
$0.00 |
| 87491 |
|
336 |
295 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
395 |
395 |
$0.00 |
| 99408 |
|
372 |
372 |
$0.00 |
| 99396 |
|
46 |
42 |
$0.00 |
| 80074 |
|
13 |
13 |
$0.00 |
| 87660 |
|
31 |
24 |
$0.00 |
| 1033F |
|
572 |
572 |
$0.00 |
| 83655 |
|
41 |
40 |
$0.00 |
| 91312 |
|
30 |
30 |
$0.00 |
| 3045F |
|
28 |
25 |
$0.00 |
| 90715 |
|
77 |
76 |
$0.00 |
| 86480 |
|
148 |
141 |
$0.00 |
| 90658 |
|
46 |
46 |
$0.00 |
| 90750 |
|
51 |
51 |
$0.00 |
| 3077F |
|
92 |
89 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
46 |
46 |
$0.00 |
| S9470 |
Nutritional counseling, diet |
20 |
20 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| 91320 |
|
35 |
35 |
$0.00 |
| 1032F |
|
13 |
13 |
$0.00 |
| 3046F |
|
13 |
13 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$0.00 |
| 82274 |
|
20 |
20 |
$0.00 |
| 80053 |
|
3,922 |
3,836 |
$0.00 |
| 84443 |
|
2,730 |
2,679 |
$0.00 |
| 87591 |
|
350 |
308 |
$0.00 |
| 86592 |
|
155 |
135 |
$0.00 |
| 82306 |
|
2,592 |
2,547 |
$0.00 |
| 96156 |
|
671 |
671 |
$0.00 |
| 85025 |
|
3,053 |
2,979 |
$0.00 |
| 84436 |
|
44 |
41 |
$0.00 |
| 86701 |
|
31 |
30 |
$0.00 |
| 99441 |
|
1,049 |
998 |
$0.00 |
| 87510 |
|
31 |
24 |
$0.00 |
| 82043 |
|
270 |
262 |
$0.00 |
| 1031F |
|
1,278 |
1,278 |
$0.00 |
| 90656 |
|
155 |
155 |
$0.00 |
| 87389 |
|
322 |
285 |
$0.00 |
| 85018 |
|
380 |
369 |
$0.00 |
| 87480 |
|
31 |
24 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
280 |
280 |
$0.00 |
| 81000 |
|
69 |
68 |
$0.00 |
| Z5220 |
|
27 |
27 |
$0.00 |
| 82728 |
|
14 |
12 |
$0.00 |
| 86580 |
|
12 |
12 |
$0.00 |
| 87635 |
|
99 |
97 |
$0.00 |
| 87086 |
|
29 |
26 |
$0.00 |
| 87088 |
|
16 |
13 |
$0.00 |
| 87490 |
|
27 |
27 |
$0.00 |
| 86803 |
|
101 |
88 |
$0.00 |
| 87426 |
|
18 |
18 |
$0.00 |
| 85027 |
|
47 |
47 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
88 |
81 |
$0.00 |
| Z1034 |
|
36 |
25 |
$0.00 |
| 96110 |
|
43 |
39 |
$0.00 |
| G0008 |
Admin influenza virus vac |
46 |
46 |
$0.00 |
| 86593 |
|
60 |
44 |
$0.00 |
| 90480 |
|
52 |
52 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
19 |
19 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
20 |
20 |
$0.00 |
| 88142 |
|
45 |
37 |
$0.00 |