| Code | Description | Claims | Beneficiaries | Total Paid |
| G0467 |
Fqhc visit, estab pt |
279,245 |
224,499 |
$20.23M |
| G0470 |
Fqhc visit, mh estab pt |
47,112 |
25,887 |
$3.48M |
| G0468 |
Fqhc visit, ippe or awv |
34,472 |
34,250 |
$2.40M |
| D0140 |
|
26,047 |
24,687 |
$2.31M |
| D7140 |
|
17,660 |
9,701 |
$1.72M |
| D2392 |
|
12,149 |
9,572 |
$1.63M |
| G0466 |
Fqhc visit new patient |
16,538 |
16,287 |
$1.33M |
| D1110 |
|
14,931 |
14,810 |
$1.30M |
| D2391 |
|
11,633 |
8,265 |
$1.21M |
| 59426 |
|
1,170 |
1,168 |
$1.09M |
| D0150 |
|
12,957 |
12,864 |
$1.05M |
| D0120 |
|
17,343 |
17,244 |
$958K |
| D1351 |
|
33,565 |
7,881 |
$860K |
| D1120 |
|
18,034 |
17,989 |
$720K |
| D2393 |
|
4,371 |
3,881 |
$687K |
| D0210 |
|
12,127 |
11,925 |
$641K |
| 99213 |
|
150,440 |
133,721 |
$531K |
| D1206 |
|
20,861 |
20,817 |
$527K |
| D7210 |
|
3,305 |
2,643 |
$488K |
| G0469 |
Fqhc visit, mh new pt |
5,462 |
5,372 |
$416K |
| 99214 |
|
81,556 |
75,593 |
$412K |
| D2331 |
|
2,733 |
2,141 |
$313K |
| D0999 |
|
2,326 |
1,935 |
$302K |
| D2335 |
|
1,956 |
1,642 |
$294K |
| J7307 |
Etonogestrel implant system |
322 |
315 |
$258K |
| D2332 |
|
2,016 |
1,657 |
$254K |
| J1050 |
Medroxyprogesterone acetate |
5,028 |
4,977 |
$252K |
| D0220 |
|
17,060 |
16,524 |
$221K |
| D2330 |
|
2,297 |
1,728 |
$217K |
| D0274 |
|
7,622 |
7,577 |
$200K |
| D5110 |
|
251 |
249 |
$190K |
| D2394 |
|
992 |
934 |
$170K |
| D0191 |
|
9,593 |
9,580 |
$168K |
| D4355 |
|
1,088 |
1,081 |
$146K |
| D0330 |
|
3,183 |
3,155 |
$121K |
| H0004 |
Alcohol and/or drug services |
15,770 |
8,749 |
$103K |
| 99392 |
|
11,820 |
11,790 |
$101K |
| D4910 |
|
958 |
957 |
$98K |
| D0272 |
|
4,767 |
4,748 |
$97K |
| 99391 |
|
11,390 |
11,203 |
$80K |
| D0270 |
|
7,760 |
7,566 |
$78K |
| 99402 |
|
1,047 |
876 |
$77K |
| 90651 |
|
4,044 |
4,026 |
$75K |
| 99393 |
|
7,927 |
7,894 |
$53K |
| 90834 |
|
11,446 |
7,812 |
$47K |
| 90471 |
|
41,814 |
41,404 |
$45K |
| D0145 |
|
1,501 |
1,494 |
$43K |
| D5120 |
|
79 |
79 |
$43K |
| D1354 |
|
2,891 |
1,930 |
$43K |
| D2940 |
|
472 |
446 |
$41K |
| D0230 |
|
7,275 |
4,437 |
$41K |
| 90472 |
|
21,117 |
20,961 |
$40K |
| 99001 |
|
3,936 |
3,876 |
$37K |
| 99395 |
|
5,176 |
5,116 |
$32K |
| 99396 |
|
3,881 |
3,809 |
$31K |
| 90832 |
|
14,286 |
9,141 |
$30K |
| 59430 |
|
1,159 |
1,153 |
$27K |
| 97110 |
|
11,135 |
3,579 |
$27K |
| 0001A |
|
786 |
781 |
$25K |
| 99381 |
|
3,088 |
3,082 |
$24K |
| 90739 |
|
1,743 |
1,737 |
$24K |
| 90480 |
|
917 |
915 |
$24K |
| 86328 |
|
2,961 |
2,919 |
$23K |
| 90632 |
|
4,086 |
4,069 |
$23K |
| 99394 |
|
4,877 |
4,855 |
$22K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,309 |
1,292 |
$22K |
| G0512 |
Cocm by rhc/fqhc 60 min mo |
274 |
274 |
$22K |
| 0002A |
|
579 |
579 |
$21K |
| 99495 |
|
2,513 |
2,465 |
$21K |
| H0031 |
Mh health assess by non-md |
1,946 |
1,939 |
$20K |
| 99203 |
|
3,818 |
3,784 |
$20K |
| 92012 |
|
3,116 |
3,063 |
$19K |
| 96160 |
|
5,494 |
5,461 |
$19K |
| 0012A |
|
523 |
522 |
$18K |
| 99204 |
|
1,914 |
1,906 |
$18K |
| 96372 |
|
5,018 |
4,753 |
$17K |
| 90791 |
|
2,651 |
2,639 |
$17K |
| 92002 |
|
2,714 |
2,602 |
$16K |
| 0011A |
|
557 |
553 |
$16K |
| H2011 |
Crisis interven svc, 15 min |
1,646 |
1,582 |
$15K |
| 91320 |
|
598 |
596 |
$15K |
| 99212 |
|
6,730 |
6,377 |
$15K |
| 99215 |
Prolong outpt/office vis |
2,005 |
1,961 |
$14K |
| 90715 |
|
5,535 |
5,484 |
$14K |
| 90686 |
|
16,682 |
16,597 |
$13K |
| D2740 |
|
20 |
17 |
$12K |
| 90837 |
|
3,060 |
2,183 |
$11K |
| 0124A |
|
456 |
452 |
$11K |
| 92015 |
|
8,837 |
8,663 |
$9K |
| 59425 |
|
14 |
14 |
$9K |
| 0053A |
|
345 |
345 |
$9K |
| H2000 |
Comp multidisipln evaluation |
106 |
97 |
$9K |
| 59025 |
|
3,687 |
1,366 |
$8K |
| 97140 |
|
6,235 |
2,370 |
$8K |
| 99202 |
|
2,264 |
2,242 |
$7K |
| 87880 |
|
6,164 |
6,042 |
$7K |
| V2020 |
Vision svcs frames purchases |
453 |
430 |
$7K |
| 0071A |
|
198 |
198 |
$7K |
| 0051A |
|
210 |
208 |
$6K |
| 0031A |
|
172 |
171 |
$6K |
| 99383 |
|
511 |
510 |
$5K |
| 83036 |
|
7,118 |
7,078 |
$5K |
| 0072A |
|
135 |
135 |
$5K |
| 97161 |
|
1,185 |
1,161 |
$5K |
| 0013A |
|
126 |
126 |
$4K |
| 81025 |
|
5,799 |
5,649 |
$4K |
| 90656 |
|
978 |
974 |
$4K |
| 0052A |
|
128 |
128 |
$4K |
| 87635 |
|
867 |
853 |
$4K |
| 90474 |
|
5,839 |
5,825 |
$4K |
| 97112 |
|
1,796 |
678 |
$4K |
| 0003A |
|
122 |
122 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
2,271 |
2,126 |
$4K |
| 90746 |
|
682 |
675 |
$3K |
| 99382 |
|
346 |
346 |
$3K |
| 99385 |
|
426 |
421 |
$3K |
| D2950 |
|
19 |
17 |
$3K |
| 76805 |
|
128 |
128 |
$3K |
| 92250 |
|
1,627 |
1,625 |
$3K |
| 96110 |
|
3,394 |
3,387 |
$3K |
| 90732 |
|
345 |
342 |
$3K |
| 90792 |
|
161 |
161 |
$3K |
| 0054A |
|
111 |
111 |
$3K |
| Q3014 |
Telehealth facility fee |
651 |
618 |
$3K |
| 96130 |
|
236 |
235 |
$3K |
| 90620 |
|
606 |
604 |
$2K |
| 97530 |
|
1,202 |
825 |
$2K |
| 0081A |
|
69 |
69 |
$2K |
| 81002 |
|
7,364 |
7,143 |
$2K |
| 97162 |
|
337 |
337 |
$2K |
| 83655 |
|
1,344 |
1,343 |
$2K |
| 92004 |
|
325 |
321 |
$2K |
| 96127 |
|
4,465 |
4,290 |
$1K |
| 90619 |
|
1,307 |
1,305 |
$1K |
| 76816 |
|
82 |
78 |
$1K |
| S0621 |
Routine ophthalmological exa |
773 |
771 |
$1K |
| 94640 |
|
1,123 |
996 |
$1K |
| 1159F |
|
63,760 |
56,088 |
$1K |
| 93000 |
|
1,369 |
1,350 |
$1K |
| V2100 |
Lens spher single plano 4.00 |
52 |
50 |
$1K |
| 92340 |
|
565 |
511 |
$1K |
| S0620 |
Routine ophthalmological exa |
1,355 |
1,345 |
$888.25 |
| V2784 |
Lens polycarb or equal |
215 |
155 |
$852.00 |
| 11982 |
|
95 |
95 |
$811.15 |
| 99406 |
|
838 |
823 |
$697.68 |
| D3120 |
|
660 |
609 |
$665.60 |
| 90688 |
|
867 |
854 |
$624.40 |
| G2025 |
Dis site tele svcs rhc/fqhc |
574 |
499 |
$591.24 |
| 17110 |
|
208 |
172 |
$564.01 |
| 96101 |
|
121 |
116 |
$553.92 |
| 0154A |
|
18 |
17 |
$522.35 |
| 99205 |
Prolong outpt/office vis |
77 |
77 |
$462.96 |
| 82962 |
|
1,496 |
1,407 |
$418.67 |
| J0696 |
Ceftriaxone sodium injection |
624 |
593 |
$411.29 |
| 11721 |
|
170 |
170 |
$399.56 |
| 76817 |
|
26 |
25 |
$384.69 |
| 90734 |
|
2,110 |
2,089 |
$373.85 |
| 92341 |
|
270 |
245 |
$371.68 |
| 76801 |
|
24 |
24 |
$348.65 |
| 85018 |
|
1,338 |
1,337 |
$337.12 |
| 90707 |
|
2,306 |
2,300 |
$325.00 |
| 0121A |
|
45 |
45 |
$320.63 |
| 99384 |
|
102 |
102 |
$298.11 |
| V2200 |
Lens spher bifoc plano 4.00d |
17 |
16 |
$297.58 |
| 0151A |
|
16 |
16 |
$281.06 |
| 91322 |
|
13 |
13 |
$260.00 |
| 58300 |
|
43 |
42 |
$237.33 |
| 98926 |
|
107 |
91 |
$229.78 |
| 92014 |
|
141 |
141 |
$212.16 |
| 96381 |
|
63 |
63 |
$207.27 |
| 0171A |
|
13 |
13 |
$161.96 |
| 11981 |
|
93 |
92 |
$160.46 |
| J2930 |
Methylprednisolone injection |
25 |
24 |
$153.48 |
| 99386 |
|
12 |
12 |
$117.10 |
| 0073A |
|
13 |
13 |
$112.59 |
| 90716 |
|
2,288 |
2,283 |
$112.00 |
| 92228 |
|
105 |
105 |
$110.92 |
| 80305 |
|
151 |
140 |
$104.30 |
| 11055 |
|
26 |
25 |
$91.16 |
| 90714 |
|
63 |
61 |
$90.00 |
| 1160F |
|
176,276 |
154,847 |
$78.07 |
| 3078F |
|
81,974 |
75,654 |
$78.02 |
| 1032F |
|
65,416 |
57,874 |
$78.02 |
| 1035F |
|
3,461 |
3,047 |
$78.01 |
| 87400 |
|
22 |
22 |
$70.20 |
| 76830 |
|
28 |
28 |
$68.94 |
| 82044 |
|
122 |
121 |
$67.08 |
| 82570 |
|
140 |
139 |
$65.31 |
| 99201 |
|
13 |
13 |
$25.55 |
| 99606 |
|
17 |
17 |
$25.00 |
| 94760 |
|
5,673 |
5,349 |
$24.00 |
| D9230 |
|
2,980 |
2,661 |
$13.60 |
| 4010F |
|
26,238 |
21,984 |
$0.02 |
| 3008F |
|
87,584 |
82,931 |
$0.01 |
| 3074F |
|
100,109 |
91,452 |
$0.01 |
| 1036F |
|
48,723 |
43,529 |
$0.01 |
| 3052F |
|
508 |
508 |
$0.01 |
| 4000F |
|
40,475 |
35,709 |
$0.00 |
| 3075F |
|
16,932 |
16,359 |
$0.00 |
| 90696 |
|
2,033 |
2,030 |
$0.00 |
| 3044F |
|
2,375 |
2,368 |
$0.00 |
| 90647 |
|
4,876 |
4,863 |
$0.00 |
| 90680 |
|
5,908 |
5,899 |
$0.00 |
| 1031F |
|
10,083 |
9,314 |
$0.00 |
| 3079F |
|
36,422 |
34,413 |
$0.00 |
| 1157F |
|
5,972 |
5,494 |
$0.00 |
| 90677 |
|
1,250 |
1,250 |
$0.00 |
| 0500F |
|
1,262 |
1,254 |
$0.00 |
| 90697 |
|
3,279 |
3,276 |
$0.00 |
| G0008 |
Admin influenza virus vac |
498 |
498 |
$0.00 |
| 4037F |
|
5,214 |
5,200 |
$0.00 |
| 3080F |
|
12,358 |
11,568 |
$0.00 |
| 91307 |
|
475 |
462 |
$0.00 |
| 90381 |
|
38 |
38 |
$0.00 |
| 0503F |
|
1,187 |
1,133 |
$0.00 |
| 1034F |
|
42,178 |
36,647 |
$0.00 |
| 3072F |
|
214 |
214 |
$0.00 |
| 90723 |
|
4,122 |
4,113 |
$0.00 |
| 2023F |
|
180 |
180 |
$0.00 |
| 91305 |
|
826 |
823 |
$0.00 |
| 91303 |
|
153 |
152 |
$0.00 |
| 91301 |
|
1,106 |
1,089 |
$0.00 |
| 91317 |
|
20 |
19 |
$0.00 |
| 97014 |
|
24 |
14 |
$0.00 |
| 2000F |
|
9,416 |
7,814 |
$0.00 |
| 91318 |
|
56 |
56 |
$0.00 |
| 1111F |
|
44 |
44 |
$0.00 |
| D9995 |
|
266 |
260 |
$0.00 |
| 91315 |
|
35 |
34 |
$0.00 |
| 91319 |
|
13 |
13 |
$0.00 |
| 97802 |
|
14 |
12 |
$0.00 |
| 57454 |
|
14 |
14 |
$0.00 |
| 90633 |
|
5,519 |
5,499 |
$0.00 |
| 3077F |
|
13,714 |
12,783 |
$0.00 |
| 90700 |
|
2,308 |
2,301 |
$0.00 |
| 90710 |
|
2,499 |
2,498 |
$0.00 |
| 90670 |
|
7,934 |
7,918 |
$0.00 |
| 0502F |
|
12,671 |
2,378 |
$0.00 |
| 1033F |
|
588 |
519 |
$0.00 |
| 99051 |
|
625 |
619 |
$0.00 |
| 4040F |
|
1,945 |
1,942 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
654 |
653 |
$0.00 |
| 3051F |
|
921 |
920 |
$0.00 |
| 4004F |
|
36,146 |
32,190 |
$0.00 |
| 3046F |
|
1,392 |
1,386 |
$0.00 |
| 91312 |
|
472 |
470 |
$0.00 |
| 90687 |
|
99 |
98 |
$0.00 |
| 2028F |
|
1,531 |
1,523 |
$0.00 |
| 91308 |
|
98 |
96 |
$0.00 |
| 3045F |
|
43 |
43 |
$0.00 |
| 90713 |
|
84 |
84 |
$0.00 |
| G9920 |
Scrning perf and negative |
882 |
880 |
$0.00 |
| 91321 |
|
141 |
141 |
$0.00 |
| 4001F |
|
137 |
137 |
$0.00 |
| 91300 |
|
1,399 |
1,289 |
$0.00 |
| 80061 |
|
44 |
44 |
$0.00 |
| 90380 |
|
19 |
19 |
$0.00 |
| 82947 |
|
30 |
30 |
$0.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
24 |
24 |
$0.00 |