| Code | Description | Claims | Beneficiaries | Total Paid |
| D0999 |
|
58,276 |
43,419 |
$14.83M |
| 99213 |
|
47,206 |
23,118 |
$7.38M |
| 99214 |
|
32,643 |
17,707 |
$5.14M |
| T1015 |
Clinic service |
41,646 |
11,916 |
$3.31M |
| T1017 |
Targeted case management |
7,512 |
3,294 |
$1.52M |
| 99406 |
|
9,866 |
3,891 |
$1.19M |
| 90832 |
|
7,477 |
3,551 |
$1.14M |
| D1206 |
|
18,986 |
15,795 |
$370K |
| 90834 |
|
2,941 |
1,043 |
$335K |
| D7140 |
|
3,405 |
1,092 |
$265K |
| 1036F |
|
4,320 |
3,572 |
$218K |
| G0467 |
Fqhc visit, estab pt |
8,822 |
5,162 |
$167K |
| 99212 |
|
734 |
470 |
$162K |
| D1110 |
|
4,372 |
3,703 |
$158K |
| D0145 |
|
6,856 |
5,544 |
$137K |
| 1034F |
|
2,201 |
1,845 |
$135K |
| H0031 |
Mh health assess by non-md |
581 |
410 |
$131K |
| 99204 |
|
1,226 |
687 |
$127K |
| 1159F |
|
7,378 |
6,061 |
$124K |
| 90674 |
|
1,859 |
843 |
$116K |
| D0190 |
|
11,338 |
9,242 |
$114K |
| 99203 |
|
1,295 |
580 |
$114K |
| D0150 |
|
2,887 |
2,367 |
$98K |
| D0120 |
|
5,487 |
4,640 |
$95K |
| D4910 |
|
1,420 |
1,142 |
$80K |
| D1120 |
|
2,912 |
2,451 |
$78K |
| 1160F |
|
7,376 |
6,060 |
$77K |
| D0140 |
|
2,129 |
1,725 |
$67K |
| D0210 |
|
1,257 |
1,040 |
$65K |
| 90791 |
|
957 |
602 |
$58K |
| 83036 |
|
3,435 |
1,920 |
$53K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
3,813 |
2,753 |
$32K |
| D0274 |
|
1,677 |
1,398 |
$31K |
| 99215 |
Prolong outpt/office vis |
120 |
111 |
$29K |
| D0220 |
|
2,808 |
2,308 |
$28K |
| G8418 |
Calc bmi blw low param f/u |
700 |
652 |
$27K |
| H0002 |
Alcohol and/or drug screenin |
2,017 |
1,384 |
$21K |
| D9230 |
|
1,702 |
1,221 |
$20K |
| 99396 |
|
78 |
39 |
$19K |
| 2000F |
|
7,977 |
6,548 |
$18K |
| 97802 |
|
29,313 |
12,963 |
$17K |
| 96127 |
|
17,640 |
8,878 |
$17K |
| D4341 |
|
72 |
17 |
$16K |
| D2150 |
|
179 |
118 |
$16K |
| 99211 |
|
68 |
58 |
$13K |
| 2001F |
|
7,747 |
6,409 |
$13K |
| H0025 |
Alcohol and/or drug preventi |
75 |
33 |
$11K |
| D1351 |
|
466 |
146 |
$10K |
| 90471 |
|
1,972 |
1,055 |
$10K |
| D2392 |
|
294 |
193 |
$9K |
| 4010F |
|
1,394 |
1,072 |
$8K |
| D0272 |
|
615 |
543 |
$7K |
| G8510 |
Scr dep neg, no plan reqd |
14,979 |
8,621 |
$6K |
| D2391 |
|
112 |
77 |
$6K |
| 80305 |
|
408 |
166 |
$6K |
| 90715 |
|
116 |
42 |
$5K |
| 93000 |
|
104 |
52 |
$5K |
| 90732 |
|
25 |
12 |
$5K |
| G8431 |
Pos clin depres scrn f/u doc |
7,730 |
4,214 |
$4K |
| J3301 |
Triamcinolone acet inj nos |
65 |
24 |
$4K |
| 4274F |
|
1,050 |
850 |
$3K |
| 36415 |
|
254 |
196 |
$3K |
| G0470 |
Fqhc visit, mh estab pt |
204 |
76 |
$3K |
| 92004 |
|
284 |
121 |
$3K |
| 1170F |
|
132 |
123 |
$2K |
| H0039 |
Asser com tx face-face/15min |
13 |
13 |
$2K |
| 81025 |
|
45 |
27 |
$1K |
| 1125F |
|
412 |
289 |
$1K |
| 4037F |
|
55 |
53 |
$1K |
| D4346 |
|
12 |
12 |
$1K |
| 3074F |
|
9,093 |
6,909 |
$958.51 |
| G8417 |
Calc bmi abv up param f/u |
4,447 |
3,733 |
$863.66 |
| 2010F |
|
8,272 |
6,781 |
$781.12 |
| 81002 |
|
204 |
159 |
$753.54 |
| 3075F |
|
1,260 |
1,080 |
$636.80 |
| 87811 |
|
133 |
97 |
$630.18 |
| D0240 |
|
32 |
26 |
$559.13 |
| 85610 |
|
51 |
12 |
$386.08 |
| 3078F |
|
3,109 |
2,680 |
$315.09 |
| 87804 |
|
25 |
12 |
$193.04 |
| D4342 |
|
322 |
170 |
$156.00 |
| 90472 |
|
36 |
28 |
$22.60 |
| D1354 |
|
1,369 |
322 |
$4.42 |
| J1885 |
Ketorolac tromethamine inj |
344 |
192 |
$2.79 |
| J2001 |
Lidocaine injection |
301 |
101 |
$0.09 |
| J7620 |
Albuterol ipratrop non-comp |
35 |
12 |
$0.09 |
| G8420 |
Calc bmi norm parameters |
1,076 |
899 |
$0.00 |
| 3079F |
|
3,262 |
2,782 |
$0.00 |
| 3008F |
|
7,819 |
6,477 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |
| 96372 |
|
212 |
187 |
$0.00 |
| 90686 |
|
54 |
32 |
$0.00 |
| 3080F |
|
435 |
359 |
$0.00 |
| 82044 |
|
26 |
26 |
$0.00 |
| 87635 |
|
135 |
105 |
$0.00 |
| 3044F |
|
14 |
12 |
$0.00 |
| 82043 |
|
14 |
13 |
$0.00 |
| 1126F |
|
63 |
41 |
$0.00 |
| D0170 |
|
24 |
24 |
$0.00 |
| 96110 |
|
12 |
12 |
$0.00 |
| 3077F |
|
377 |
298 |
$0.00 |
| 4004F |
|
217 |
194 |
$0.00 |
| 97810 |
|
103 |
56 |
$0.00 |
| 4040F |
|
13 |
12 |
$0.00 |
| 87502 |
|
30 |
13 |
$0.00 |
| G0444 |
Depression screen annual |
61 |
55 |
$0.00 |