| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
570,743 |
485,028 |
$98.12M |
| 00003 |
|
139,678 |
106,774 |
$31.95M |
| G0467 |
Fqhc visit, estab pt |
104,956 |
85,963 |
$5.51M |
| G9012 |
Other specified case mgmt |
17,341 |
8,431 |
$2.37M |
| 97810 |
|
113,516 |
56,868 |
$604K |
| 92014 |
|
36,749 |
33,474 |
$574K |
| 98940 |
|
20,526 |
10,340 |
$514K |
| 90834 |
|
7,069 |
3,127 |
$403K |
| 99213 |
|
806,785 |
595,762 |
$350K |
| G9008 |
Mccd,phys coor-care ovrsght |
6,037 |
4,998 |
$291K |
| 92004 |
|
18,718 |
18,145 |
$259K |
| 90832 |
|
4,329 |
1,576 |
$190K |
| 90791 |
|
1,292 |
802 |
$162K |
| 99214 |
|
154,152 |
117,441 |
$122K |
| 77067 |
|
25,568 |
25,519 |
$115K |
| 98941 |
|
4,173 |
2,159 |
$97K |
| 99212 |
|
274,896 |
205,339 |
$87K |
| 0001A |
|
1,521 |
1,456 |
$79K |
| 0002A |
|
1,151 |
1,148 |
$73K |
| 0124A |
|
2,950 |
2,730 |
$71K |
| 0064A |
|
1,139 |
1,124 |
$71K |
| 0054A |
|
1,096 |
1,075 |
$62K |
| V2020 |
Vision svcs frames purchases |
31,832 |
31,368 |
$53K |
| 92340 |
|
29,509 |
29,078 |
$48K |
| 0004A |
|
776 |
769 |
$46K |
| 0012A |
|
681 |
680 |
$45K |
| 0011A |
|
882 |
789 |
$44K |
| 0134A |
|
1,054 |
1,047 |
$43K |
| 77063 |
|
18,816 |
18,770 |
$34K |
| 0031A |
|
512 |
506 |
$31K |
| 97811 |
|
110,510 |
55,606 |
$29K |
| 0072A |
|
410 |
410 |
$26K |
| 0071A |
|
387 |
384 |
$25K |
| G9920 |
Scrning perf and negative |
29,723 |
24,618 |
$23K |
| 76641 |
|
5,824 |
4,352 |
$21K |
| 90837 |
|
215 |
125 |
$20K |
| 77066 |
Tomosynthesis, mammo |
2,645 |
2,633 |
$20K |
| 0074A |
|
271 |
271 |
$18K |
| 0154A |
|
256 |
255 |
$17K |
| 77065 |
Tomosynthesis, mammo |
2,885 |
2,803 |
$16K |
| 90750 |
|
7,281 |
5,380 |
$15K |
| 76856 |
|
5,559 |
5,547 |
$15K |
| 0081A |
|
211 |
211 |
$14K |
| 76705 |
|
7,216 |
7,181 |
$14K |
| 76830 |
|
5,129 |
5,117 |
$13K |
| 76700 |
|
6,025 |
6,012 |
$13K |
| 0082A |
|
178 |
178 |
$12K |
| 90471 |
|
199,290 |
167,269 |
$10K |
| 93306 |
|
1,536 |
1,522 |
$9K |
| 96110 |
|
17,694 |
12,623 |
$9K |
| 99393 |
|
23,708 |
19,571 |
$9K |
| 76642 |
|
3,005 |
2,910 |
$9K |
| 99394 |
|
18,587 |
14,853 |
$9K |
| 90651 |
|
8,030 |
6,684 |
$9K |
| G0466 |
Fqhc visit new patient |
167 |
167 |
$9K |
| 99215 |
Prolong outpt/office vis |
5,857 |
4,436 |
$9K |
| 71046 |
|
8,661 |
8,491 |
$8K |
| 0083A |
|
114 |
113 |
$8K |
| 76536 |
|
2,615 |
2,602 |
$7K |
| 90688 |
|
50,980 |
43,097 |
$7K |
| G0279 |
Tomosynthesis, mammo |
2,488 |
2,478 |
$7K |
| 77080 |
|
3,411 |
3,405 |
$6K |
| 92551 |
|
52,312 |
43,374 |
$6K |
| 91320 |
|
4,124 |
3,516 |
$5K |
| 90677 |
|
1,617 |
1,331 |
$5K |
| 92341 |
|
2,021 |
1,977 |
$5K |
| 0173A |
|
69 |
69 |
$5K |
| 76770 |
|
1,670 |
1,661 |
$4K |
| 90472 |
|
36,518 |
31,031 |
$4K |
| 90480 |
|
8,564 |
7,307 |
$4K |
| 99392 |
|
18,573 |
15,803 |
$4K |
| 90662 |
|
5,739 |
4,934 |
$4K |
| 0034A |
|
50 |
50 |
$3K |
| 72110 |
|
1,829 |
1,821 |
$3K |
| 99391 |
|
8,670 |
7,419 |
$3K |
| 71045 |
|
3,978 |
3,956 |
$3K |
| 73562 |
|
3,334 |
2,380 |
$2K |
| 90792 |
|
124 |
102 |
$2K |
| 99401 |
|
4,239 |
3,619 |
$2K |
| 97802 |
|
1,070 |
933 |
$2K |
| G0470 |
Fqhc visit, mh estab pt |
515 |
400 |
$2K |
| 69210 |
|
2,911 |
1,936 |
$2K |
| 92511 |
|
2,399 |
1,593 |
$2K |
| 99232 |
|
325 |
143 |
$2K |
| 90756 |
|
5,841 |
5,471 |
$2K |
| 97813 |
|
8,908 |
5,140 |
$2K |
| 91322 |
|
1,410 |
1,255 |
$2K |
| 99396 |
|
3,422 |
3,277 |
$2K |
| 99238 |
|
412 |
363 |
$2K |
| G2025 |
Dis site tele svcs rhc/fqhc |
9,347 |
8,660 |
$2K |
| 95004 |
|
908 |
500 |
$1K |
| 0052A |
|
18 |
18 |
$1K |
| 99395 |
|
3,197 |
2,473 |
$1K |
| 72050 |
|
669 |
666 |
$1K |
| 93000 |
|
1,502 |
1,305 |
$1K |
| 99173 |
|
51,615 |
42,995 |
$869.10 |
| 99460 |
|
253 |
231 |
$779.36 |
| 90686 |
|
49,115 |
41,361 |
$777.87 |
| 90620 |
|
3,778 |
3,077 |
$755.44 |
| 73030 |
|
770 |
683 |
$745.25 |
| G0506 |
Comp asses care plan ccm svc |
151 |
69 |
$681.49 |
| 91200 |
|
1,859 |
1,217 |
$676.03 |
| 92015 |
|
1,229 |
1,090 |
$670.53 |
| S9452 |
Nutrition class |
913 |
903 |
$646.92 |
| 92012 |
|
567 |
451 |
$635.20 |
| H1003 |
Prenatal at risk education |
1,245 |
1,024 |
$599.50 |
| 99188 |
|
9,517 |
8,218 |
$575.42 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
55 |
52 |
$550.94 |
| 99204 |
|
359 |
261 |
$549.76 |
| 96156 |
|
1,567 |
1,343 |
$541.22 |
| 90715 |
|
2,439 |
2,072 |
$481.72 |
| 59409 |
|
27 |
27 |
$465.36 |
| 76706 |
|
171 |
171 |
$394.07 |
| 99442 |
|
2,645 |
1,726 |
$375.42 |
| 82962 |
|
13,699 |
9,983 |
$363.34 |
| 73610 |
|
184 |
165 |
$342.71 |
| 93018 |
|
1,110 |
1,104 |
$336.47 |
| 90670 |
|
4,989 |
4,521 |
$328.00 |
| 90739 |
|
594 |
535 |
$303.00 |
| 93350 |
|
385 |
383 |
$291.30 |
| 73630 |
|
339 |
292 |
$284.14 |
| D7140 |
|
105 |
93 |
$266.50 |
| 83036 |
|
117,481 |
116,800 |
$263.06 |
| 90656 |
|
4,200 |
3,308 |
$229.80 |
| 93320 |
|
412 |
408 |
$208.19 |
| 97803 |
|
78 |
77 |
$206.80 |
| 72100 |
|
162 |
159 |
$195.83 |
| 99462 |
|
42 |
32 |
$179.68 |
| 93248 |
|
246 |
231 |
$166.52 |
| 96152 |
|
407 |
382 |
$159.18 |
| 99203 |
|
1,190 |
1,084 |
$151.18 |
| 99202 |
|
677 |
586 |
$149.59 |
| 90746 |
|
113 |
113 |
$121.66 |
| 3074F |
|
263,282 |
232,647 |
$105.00 |
| 87635 |
|
10,189 |
9,860 |
$102.62 |
| 90732 |
|
423 |
378 |
$102.00 |
| 72040 |
|
118 |
118 |
$88.84 |
| 93016 |
|
79 |
79 |
$82.53 |
| 97814 |
|
8,917 |
5,144 |
$71.20 |
| 3078F |
|
299,760 |
264,149 |
$70.00 |
| 72072 |
|
36 |
35 |
$52.72 |
| 96372 |
|
367 |
269 |
$51.98 |
| 96150 |
|
157 |
80 |
$45.48 |
| 73130 |
|
54 |
41 |
$42.98 |
| 20550 |
|
21 |
12 |
$39.15 |
| 74018 |
|
212 |
208 |
$35.38 |
| 94640 |
|
751 |
480 |
$32.73 |
| 93227 |
|
149 |
148 |
$31.63 |
| 90714 |
|
163 |
141 |
$28.87 |
| 94010 |
|
35 |
27 |
$22.08 |
| 71047 |
|
13 |
13 |
$19.60 |
| J3301 |
Triamcinolone acet inj nos |
131 |
84 |
$14.69 |
| 93325 |
|
411 |
408 |
$14.18 |
| 95115 |
|
750 |
217 |
$12.57 |
| 86580 |
|
3,867 |
3,607 |
$4.13 |
| 85025 |
|
47,391 |
46,423 |
$0.00 |
| 85018 |
|
5,253 |
5,245 |
$0.00 |
| 3075F |
|
61,441 |
56,389 |
$0.00 |
| 9213 |
|
209 |
200 |
$0.00 |
| 81001 |
|
44,906 |
43,852 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
191 |
188 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
67,241 |
66,740 |
$0.00 |
| 3008F |
|
129,501 |
98,069 |
$0.00 |
| 1125F |
|
2,103 |
1,539 |
$0.00 |
| 90689 |
|
167 |
149 |
$0.00 |
| 86707 |
|
3,280 |
3,277 |
$0.00 |
| 3079F |
|
57,212 |
52,128 |
$0.00 |
| 90647 |
|
966 |
966 |
$0.00 |
| 85027 |
|
67,715 |
67,468 |
$0.00 |
| 97112 |
|
4,839 |
2,608 |
$0.00 |
| D0210 |
|
177 |
177 |
$0.00 |
| 90723 |
|
1,026 |
992 |
$0.00 |
| 1126F |
|
11,233 |
6,965 |
$0.00 |
| 80053 |
|
92,634 |
91,668 |
$0.00 |
| 90716 |
|
171 |
136 |
$0.00 |
| 90619 |
|
1,354 |
1,113 |
$0.00 |
| G0008 |
Admin influenza virus vac |
8,496 |
7,377 |
$0.00 |
| 87651 |
|
3,274 |
3,229 |
$0.00 |
| 83090 |
|
93 |
93 |
$0.00 |
| 86901 |
|
1,770 |
1,763 |
$0.00 |
| 87517 |
|
10,756 |
10,724 |
$0.00 |
| 3351F |
|
7,310 |
5,985 |
$0.00 |
| 97014 |
|
1,009 |
566 |
$0.00 |
| 86706 |
|
22,756 |
22,724 |
$0.00 |
| 90744 |
|
1,514 |
1,444 |
$0.00 |
| 99000 |
|
113,193 |
105,754 |
$0.00 |
| H0049 |
Alcohol/drug screening |
11,651 |
9,662 |
$0.00 |
| 36415 |
|
219,725 |
211,182 |
$0.00 |
| 97140 |
|
5,863 |
2,860 |
$0.00 |
| 84443 |
|
83,643 |
83,317 |
$0.00 |
| 91301 |
|
269 |
150 |
$0.00 |
| 82043 |
|
45,785 |
45,709 |
$0.00 |
| 90680 |
|
794 |
794 |
$0.00 |
| 83550 |
|
1,446 |
1,438 |
$0.00 |
| 86803 |
|
29,145 |
29,082 |
$0.00 |
| 82306 |
|
68,079 |
68,008 |
$0.00 |
| 86762 |
|
2,313 |
2,311 |
$0.00 |
| 82105 |
|
13,932 |
13,911 |
$0.00 |
| 82746 |
|
2,249 |
2,243 |
$0.00 |
| 85651 |
|
4,340 |
4,301 |
$0.00 |
| 87350 |
|
4,418 |
4,414 |
$0.00 |
| 87340 |
|
27,769 |
27,683 |
$0.00 |
| 80048 |
|
50,418 |
50,079 |
$0.00 |
| 99441 |
|
96 |
76 |
$0.00 |
| 83690 |
|
24 |
24 |
$0.00 |
| 97010 |
|
3,373 |
1,863 |
$0.00 |
| 86850 |
|
1,306 |
1,296 |
$0.00 |
| Z6204 |
|
294 |
286 |
$0.00 |
| 90698 |
|
780 |
780 |
$0.00 |
| 86592 |
|
8,626 |
8,587 |
$0.00 |
| 84999 |
|
5,658 |
5,639 |
$0.00 |
| G0156 |
Hhcp-svs of aide,ea 15 min |
8,713 |
906 |
$0.00 |
| 86692 |
|
729 |
727 |
$0.00 |
| 84270 |
|
37 |
37 |
$0.00 |
| G0328 |
Fecal blood scrn immunoassay |
3,272 |
3,270 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
942 |
886 |
$0.00 |
| V2784 |
Lens polycarb or equal |
409 |
409 |
$0.00 |
| 82607 |
|
3,571 |
3,567 |
$0.00 |
| 84153 |
|
8,229 |
8,210 |
$0.00 |
| 3080F |
|
1,248 |
1,162 |
$0.00 |
| 86317 |
|
4,795 |
4,760 |
$0.00 |
| 82950 |
|
1,867 |
1,860 |
$0.00 |
| 87430 |
|
584 |
574 |
$0.00 |
| 82728 |
|
9,074 |
9,044 |
$0.00 |
| 87591 |
|
7,631 |
7,594 |
$0.00 |
| 96151 |
|
42 |
42 |
$0.00 |
| 85730 |
|
1,093 |
1,082 |
$0.00 |
| 84480 |
|
983 |
974 |
$0.00 |
| 87086 |
|
74 |
74 |
$0.00 |
| 86704 |
|
20,078 |
20,034 |
$0.00 |
| 1111F |
|
922 |
899 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
121 |
78 |
$0.00 |
| 97162 |
|
243 |
243 |
$0.00 |
| 90674 |
|
1,124 |
908 |
$0.00 |
| 90474 |
|
101 |
92 |
$0.00 |
| 86140 |
|
2,317 |
2,301 |
$0.00 |
| T1016 |
Case management |
834 |
541 |
$0.00 |
| S5126 |
Attendant care service /diem |
1,882 |
355 |
$0.00 |
| Z6402 |
|
80 |
78 |
$0.00 |
| D0602 |
|
82 |
82 |
$0.00 |
| 90697 |
|
215 |
132 |
$0.00 |
| Z6410 |
|
385 |
347 |
$0.00 |
| 90696 |
|
158 |
155 |
$0.00 |
| 97165 |
|
51 |
51 |
$0.00 |
| 99406 |
|
13 |
12 |
$0.00 |
| 88142 |
|
31 |
31 |
$0.00 |
| 99385 |
|
88 |
81 |
$0.00 |
| 87389 |
|
2,499 |
2,494 |
$0.00 |
| 95117 |
|
176 |
55 |
$0.00 |
| G0202 |
Scr mammo bi incl cad |
92 |
92 |
$0.00 |
| 84402 |
|
51 |
50 |
$0.00 |
| 99386 |
|
12 |
12 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
14 |
12 |
$0.00 |
| 99070 |
|
177 |
169 |
$0.00 |
| 83001 |
|
409 |
408 |
$0.00 |
| G0283 |
Elec stim other than wound |
634 |
350 |
$0.00 |
| 1157F |
|
198 |
137 |
$0.00 |
| 87637 |
|
1,332 |
1,306 |
$0.00 |
| 82040 |
|
111 |
111 |
$0.00 |
| 91303 |
|
20 |
20 |
$0.00 |
| 1000F |
|
48 |
42 |
$0.00 |
| 91306 |
|
48 |
38 |
$0.00 |
| 91307 |
|
34 |
33 |
$0.00 |
| 84436 |
|
145 |
144 |
$0.00 |
| T1028 |
Home environment assessment |
221 |
215 |
$0.00 |
| 83002 |
|
169 |
169 |
$0.00 |
| 97535 |
|
146 |
119 |
$0.00 |
| 87088 |
|
74 |
74 |
$0.00 |
| 2023F |
|
126 |
109 |
$0.00 |
| 91319 |
|
177 |
132 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
362 |
250 |
$0.00 |
| 87490 |
|
61 |
60 |
$0.00 |
| 87661 |
|
226 |
224 |
$0.00 |
| 83021 |
|
296 |
293 |
$0.00 |
| S5175 |
Laundry serv,ext,prof,/order |
447 |
170 |
$0.00 |
| 86376 |
|
117 |
117 |
$0.00 |
| 84132 |
|
62 |
62 |
$0.00 |
| D1330 |
|
324 |
324 |
$0.00 |
| G0439 |
Ppps, subseq visit |
169 |
160 |
$0.00 |
| 87807 |
|
180 |
179 |
$0.00 |
| S9977 |
Meals per diem |
2,084 |
401 |
$0.00 |
| D0120 |
|
133 |
133 |
$0.00 |
| S9445 |
Pt education noc individ |
22 |
13 |
$0.00 |
| Z6406 |
|
336 |
324 |
$0.00 |
| 83498 |
|
43 |
43 |
$0.00 |
| 80069 |
|
185 |
184 |
$0.00 |
| 91318 |
|
203 |
134 |
$0.00 |
| D0603 |
|
60 |
60 |
$0.00 |
| D0601 |
|
83 |
83 |
$0.00 |
| 87590 |
|
15 |
15 |
$0.00 |
| D1206 |
|
107 |
107 |
$0.00 |
| 83735 |
|
107 |
106 |
$0.00 |
| 82784 |
|
76 |
76 |
$0.00 |
| 59430 |
|
30 |
30 |
$0.00 |
| D1310 |
|
285 |
285 |
$0.00 |
| D0150 |
|
175 |
175 |
$0.00 |
| 0471 |
|
71 |
71 |
$0.00 |
| 3052F |
|
65 |
61 |
$0.00 |
| 83520 |
|
13 |
13 |
$0.00 |
| 3044F |
|
2,235 |
2,232 |
$0.00 |
| Z6404 |
|
110 |
109 |
$0.00 |
| 97166 |
|
46 |
46 |
$0.00 |
| 20610 |
|
18 |
14 |
$0.00 |
| D0230 |
|
120 |
120 |
$0.00 |
| 96380 |
|
26 |
16 |
$0.00 |
| 90632 |
|
16 |
16 |
$0.00 |
| 84300 |
|
38 |
38 |
$0.00 |
| 83921 |
|
98 |
98 |
$0.00 |
| D2392 |
|
17 |
12 |
$0.00 |
| 97750 |
|
50 |
50 |
$0.00 |
| 86255 |
|
25 |
25 |
$0.00 |
| 82951 |
|
67 |
66 |
$0.00 |
| 83615 |
|
12 |
12 |
$0.00 |
| 91305 |
|
56 |
46 |
$0.00 |
| 87636 |
|
15 |
15 |
$0.00 |
| 93040 |
|
12 |
12 |
$0.00 |
| 7810 |
|
14 |
14 |
$0.00 |
| A4648 |
Implantable tissue marker |
27 |
26 |
$0.00 |
| 73502 |
|
15 |
13 |
$0.00 |
| 86225 |
|
25 |
25 |
$0.00 |
| 92002 |
|
32 |
16 |
$0.00 |
| 71020 |
|
210 |
208 |
$0.00 |
| 99384 |
|
14 |
12 |
$0.00 |
| 82670 |
|
14 |
14 |
$0.00 |
| 82525 |
|
12 |
12 |
$0.00 |
| 58100 |
|
21 |
12 |
$0.00 |
| 86038 |
|
1,837 |
1,824 |
$0.00 |
| 87210 |
|
531 |
530 |
$0.00 |
| 1160F |
|
38,895 |
28,184 |
$0.00 |
| 85610 |
|
2,894 |
2,756 |
$0.00 |
| Z6308 |
|
800 |
605 |
$0.00 |
| 97161 |
|
2,661 |
2,656 |
$0.00 |
| 3077F |
|
30,327 |
26,923 |
$0.00 |
| 84550 |
|
19,630 |
19,594 |
$0.00 |
| 90658 |
|
6,815 |
5,818 |
$0.00 |
| 84702 |
|
432 |
277 |
$0.00 |
| 85014 |
|
5,206 |
5,199 |
$0.00 |
| 83721 |
|
6,475 |
6,450 |
$0.00 |
| 97530 |
|
5,176 |
2,931 |
$0.00 |
| 83020 |
|
874 |
873 |
$0.00 |
| 90633 |
|
2,157 |
1,898 |
$0.00 |
| 82947 |
|
4,254 |
4,243 |
$0.00 |
| 90681 |
|
152 |
142 |
$0.00 |
| 1159F |
|
62,591 |
49,181 |
$0.00 |
| 86708 |
|
4,571 |
4,565 |
$0.00 |
| 84165 |
|
112 |
112 |
$0.00 |
| 86900 |
|
1,875 |
1,866 |
$0.00 |
| 84460 |
|
32,428 |
32,388 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
486 |
475 |
$0.00 |
| G0176 |
Opps/php/iop; activity thrpy |
4,068 |
1,027 |
$0.00 |
| Z6304 |
|
491 |
453 |
$0.00 |
| 90687 |
|
67 |
60 |
$0.00 |
| Z6208 |
|
445 |
441 |
$0.00 |
| 82465 |
|
12,950 |
12,939 |
$0.00 |
| 85007 |
|
469 |
456 |
$0.00 |
| 83037 |
|
1,757 |
1,353 |
$0.00 |
| 86003 |
|
576 |
572 |
$0.00 |
| 81002 |
|
483 |
474 |
$0.00 |
| 83718 |
|
13,007 |
12,995 |
$0.00 |
| 91313 |
|
349 |
345 |
$0.00 |
| 99211 |
|
1,029 |
766 |
$0.00 |
| 82565 |
|
1,385 |
1,382 |
$0.00 |
| 80061 |
|
129,006 |
128,733 |
$0.00 |
| 86735 |
|
1,105 |
1,104 |
$0.00 |
| 90734 |
|
2,520 |
1,960 |
$0.00 |
| 86696 |
|
62 |
62 |
$0.00 |
| T1001 |
Nursing assessment/evaluatn |
615 |
577 |
$0.00 |
| 84100 |
|
582 |
546 |
$0.00 |
| 87631 |
|
1,614 |
1,589 |
$0.00 |
| 83655 |
|
5,558 |
5,521 |
$0.00 |
| 86431 |
|
1,034 |
1,032 |
$0.00 |
| 83970 |
|
51 |
51 |
$0.00 |
| S9986 |
Not medically necessary svc |
262 |
242 |
$0.00 |
| 91300 |
|
359 |
300 |
$0.00 |
| 84439 |
|
15,572 |
15,438 |
$0.00 |
| 80076 |
|
17,491 |
17,378 |
$0.00 |
| 82570 |
|
46,085 |
45,959 |
$0.00 |
| 86480 |
|
14,557 |
14,511 |
$0.00 |
| 85044 |
|
154 |
154 |
$0.00 |
| 87491 |
|
7,882 |
7,841 |
$0.00 |
| 84450 |
|
1,941 |
1,930 |
$0.00 |
| 84146 |
|
227 |
227 |
$0.00 |
| 86765 |
|
1,409 |
1,408 |
$0.00 |
| 87338 |
|
629 |
624 |
$0.00 |
| 91312 |
|
1,778 |
1,575 |
$0.00 |
| 83540 |
|
1,373 |
1,365 |
$0.00 |
| 86703 |
|
12,698 |
12,673 |
$0.00 |
| 90648 |
|
1,181 |
870 |
$0.00 |
| 82248 |
|
226 |
213 |
$0.00 |
| 82274 |
|
36,463 |
36,382 |
$0.00 |
| Z6302 |
|
381 |
359 |
$0.00 |
| T2003 |
N-et; encounter/trip |
9,408 |
1,773 |
$0.00 |
| 86787 |
|
921 |
920 |
$0.00 |
| 3046F |
|
72 |
67 |
$0.00 |
| 84403 |
|
209 |
206 |
$0.00 |
| 97110 |
|
16,643 |
7,918 |
$0.00 |
| 81513 |
|
225 |
223 |
$0.00 |
| 84425 |
|
375 |
374 |
$0.00 |
| 86709 |
|
578 |
578 |
$0.00 |
| Z6300 |
|
325 |
276 |
$0.00 |
| 86200 |
|
57 |
57 |
$0.00 |
| Z6400 |
|
553 |
550 |
$0.00 |
| 87811 |
|
828 |
822 |
$0.00 |
| 84156 |
|
447 |
402 |
$0.00 |
| 97164 |
|
276 |
275 |
$0.00 |
| 81025 |
|
7,383 |
7,208 |
$0.00 |
| Z6414 |
|
192 |
186 |
$0.00 |
| 59426 |
|
1,181 |
1,165 |
$0.00 |
| 82627 |
|
68 |
68 |
$0.00 |
| Z6200 |
|
343 |
343 |
$0.00 |
| 82310 |
|
140 |
139 |
$0.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
250 |
250 |
$0.00 |
| 90710 |
|
166 |
163 |
$0.00 |
| 90685 |
|
120 |
120 |
$0.00 |
| 90473 |
|
333 |
333 |
$0.00 |
| Z6202 |
|
287 |
280 |
$0.00 |
| G0468 |
Fqhc visit, ippe or awv |
42 |
42 |
$0.00 |
| 87481 |
|
226 |
224 |
$0.00 |
| 84445 |
|
95 |
94 |
$0.00 |
| 74000 |
|
13 |
13 |
$0.00 |
| 87502 |
|
1,645 |
1,632 |
$0.00 |
| D1110 |
|
192 |
192 |
$0.00 |
| 83516 |
|
13 |
13 |
$0.00 |
| 3051F |
|
165 |
164 |
$0.00 |
| 82652 |
|
34 |
34 |
$0.00 |
| 90678 |
|
54 |
54 |
$0.00 |
| S5170 |
Homedelivered prepared meal |
578 |
93 |
$0.00 |
| 90707 |
|
141 |
119 |
$0.00 |
| 86705 |
|
109 |
109 |
$0.00 |
| 84207 |
|
107 |
107 |
$0.00 |
| D2391 |
|
36 |
31 |
$0.00 |
| A0130 |
Noner transport wheelch van |
1,065 |
132 |
$0.00 |
| 90700 |
|
39 |
39 |
$0.00 |
| D0330 |
|
37 |
37 |
$0.00 |
| 90655 |
|
33 |
33 |
$0.00 |
| 84630 |
|
26 |
26 |
$0.00 |
| S9470 |
Nutritional counseling, diet |
119 |
96 |
$0.00 |
| 91321 |
|
168 |
168 |
$0.00 |
| D0270 |
|
94 |
92 |
$0.00 |
| 87804 |
|
460 |
456 |
$0.00 |
| 84520 |
|
99 |
98 |
$0.00 |
| 71010 |
|
91 |
91 |
$0.00 |
| V2025 |
Eyeglasses delux frames |
166 |
166 |
$0.00 |
| 86677 |
|
12 |
12 |
$0.00 |
| 86790 |
|
22 |
22 |
$0.00 |
| 85045 |
|
77 |
77 |
$0.00 |
| 90671 |
|
59 |
51 |
$0.00 |
| D9430 |
|
107 |
103 |
$0.00 |
| G2211 |
Complex e/m visit add on |
13 |
13 |
$0.00 |
| H1002 |
Carecoordination prenatal |
54 |
54 |
$0.00 |
| D0274 |
|
86 |
86 |
$0.00 |
| D0145 |
|
12 |
12 |
$0.00 |
| 90679 |
|
14 |
14 |
$0.00 |
| G0204 |
Dx mammo incl cad bi |
13 |
13 |
$0.00 |
| 97168 |
|
60 |
60 |
$0.00 |
| 82172 |
|
103 |
102 |
$0.00 |
| 82397 |
|
26 |
26 |
$0.00 |
| 0003A |
|
13 |
12 |
$0.00 |
| 97150 |
|
39 |
34 |
$0.00 |
| D1120 |
|
102 |
102 |
$0.00 |
| 90460 |
|
80 |
72 |
$0.00 |
| 9212 |
|
26 |
26 |
$0.00 |
| D0220 |
|
82 |
81 |
$0.00 |
| 82977 |
|
12 |
12 |
$0.00 |
| 7811 |
|
13 |
13 |
$0.00 |
| 96158 |
|
27 |
26 |
$0.00 |
| D4910 |
|
13 |
13 |
$0.00 |
| 90621 |
|
26 |
13 |
$0.00 |