| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
50,769 |
44,802 |
$2.64M |
| G0470 |
Fqhc visit, mh estab pt |
11,445 |
7,802 |
$683K |
| 99213 |
|
23,982 |
22,468 |
$319K |
| 99214 |
|
12,603 |
12,160 |
$247K |
| G0466 |
Fqhc visit new patient |
3,966 |
3,933 |
$231K |
| 59426 |
|
241 |
236 |
$195K |
| J1050 |
Medroxyprogesterone acetate |
1,962 |
1,952 |
$139K |
| 59430 |
|
551 |
548 |
$46K |
| 90834 |
|
3,159 |
2,350 |
$46K |
| 99212 |
|
5,115 |
4,700 |
$42K |
| 90832 |
|
3,169 |
2,716 |
$40K |
| 90837 |
|
1,849 |
1,352 |
$35K |
| 99204 |
|
878 |
874 |
$21K |
| 90791 |
|
581 |
580 |
$18K |
| 99203 |
|
850 |
843 |
$15K |
| 90471 |
|
2,680 |
2,661 |
$14K |
| 99395 |
|
517 |
517 |
$14K |
| 92014 |
|
1,293 |
1,286 |
$13K |
| 96372 |
|
3,092 |
2,893 |
$13K |
| 99000 |
|
2,643 |
2,580 |
$12K |
| H0004 |
Alcohol and/or drug services |
1,328 |
1,239 |
$10K |
| 90472 |
|
874 |
871 |
$9K |
| 97110 |
|
990 |
360 |
$8K |
| S0621 |
Routine ophthalmological exa |
627 |
624 |
$8K |
| 81025 |
|
2,600 |
2,530 |
$7K |
| 83036 |
|
2,234 |
2,214 |
$7K |
| 96160 |
|
1,323 |
1,309 |
$7K |
| 76816 |
|
272 |
260 |
$7K |
| 99392 |
|
190 |
190 |
$6K |
| 90686 |
|
1,023 |
1,018 |
$6K |
| 76830 |
|
319 |
315 |
$5K |
| 90792 |
|
120 |
120 |
$5K |
| 76805 |
|
103 |
103 |
$5K |
| 99202 |
|
413 |
407 |
$5K |
| 90651 |
|
24 |
24 |
$4K |
| 90715 |
|
233 |
233 |
$4K |
| 59025 |
|
557 |
292 |
$4K |
| 82962 |
|
3,519 |
3,264 |
$4K |
| 99391 |
|
255 |
248 |
$4K |
| 92015 |
|
1,324 |
1,308 |
$3K |
| 76817 |
|
73 |
70 |
$3K |
| 96127 |
|
1,862 |
1,855 |
$2K |
| 91320 |
|
20 |
20 |
$2K |
| 99396 |
|
29 |
29 |
$2K |
| 99394 |
|
43 |
42 |
$1K |
| 0064A |
|
59 |
59 |
$1K |
| 90460 |
|
277 |
277 |
$1K |
| 90656 |
|
92 |
92 |
$1K |
| 81003 |
|
1,556 |
1,526 |
$1K |
| 90677 |
|
83 |
83 |
$1K |
| H0001 |
Alcohol and/or drug assess |
139 |
131 |
$1K |
| 97162 |
|
72 |
72 |
$1K |
| S0620 |
Routine ophthalmological exa |
87 |
87 |
$1K |
| 99393 |
|
40 |
40 |
$897.16 |
| 90847 |
|
60 |
49 |
$727.65 |
| 87880 |
|
93 |
93 |
$679.38 |
| 90480 |
|
21 |
21 |
$611.03 |
| J1885 |
Ketorolac tromethamine inj |
617 |
551 |
$601.45 |
| 99385 |
|
12 |
12 |
$551.49 |
| 87636 |
|
15 |
15 |
$472.40 |
| 0011A |
|
12 |
12 |
$340.65 |
| 97161 |
|
37 |
37 |
$320.55 |
| 97140 |
|
61 |
42 |
$310.50 |
| V2020 |
Vision svcs frames purchases |
18 |
18 |
$281.80 |
| 92133 |
|
182 |
180 |
$267.75 |
| 92004 |
|
24 |
24 |
$263.88 |
| 95251 |
|
73 |
72 |
$204.97 |
| S0581 |
Nonstnd lens |
23 |
23 |
$203.70 |
| 92340 |
|
15 |
15 |
$202.10 |
| 82044 |
|
104 |
104 |
$198.87 |
| G2025 |
Dis site tele svcs rhc/fqhc |
40 |
29 |
$193.37 |
| 90853 |
|
49 |
29 |
$159.93 |
| 0134A |
|
13 |
13 |
$150.12 |
| 76815 |
|
38 |
32 |
$145.59 |
| 76801 |
|
12 |
12 |
$140.26 |
| 85018 |
|
110 |
104 |
$130.82 |
| 81001 |
|
40 |
39 |
$83.48 |
| 96110 |
|
13 |
13 |
$80.00 |
| 36416 |
|
1,003 |
939 |
$77.66 |
| 94640 |
|
12 |
12 |
$52.50 |
| 81002 |
|
28 |
28 |
$48.96 |
| 92134 |
|
29 |
28 |
$25.77 |
| 82570 |
|
14 |
14 |
$17.16 |
| 3008F |
|
8,112 |
7,475 |
$14.91 |
| 80305 |
|
12 |
12 |
$10.43 |
| G8417 |
Calc bmi abv up param f/u |
1,049 |
989 |
$0.03 |
| G8420 |
Calc bmi norm parameters |
196 |
192 |
$0.02 |
| G0270 |
Mnt subs tx for change dx |
382 |
378 |
$0.01 |
| G0447 |
Behavior counsel obesity 15m |
443 |
436 |
$0.01 |
| 90461 |
|
118 |
118 |
$0.00 |
| 3078F |
|
5,059 |
4,790 |
$0.00 |
| 0502F |
|
2,424 |
336 |
$0.00 |
| G0444 |
Depression screen annual |
1,020 |
987 |
$0.00 |
| 3045F |
|
98 |
97 |
$0.00 |
| 3051F |
|
80 |
78 |
$0.00 |
| 3077F |
|
1,013 |
969 |
$0.00 |
| 1160F |
|
2,594 |
2,445 |
$0.00 |
| 3046F |
|
135 |
134 |
$0.00 |
| 2022F |
|
121 |
120 |
$0.00 |
| 1159F |
|
294 |
286 |
$0.00 |
| 90670 |
|
24 |
24 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
59 |
57 |
$0.00 |
| 91313 |
|
23 |
23 |
$0.00 |
| 3351F |
|
1,296 |
1,293 |
$0.00 |
| 1125F |
|
83 |
77 |
$0.00 |
| S0281 |
Medical home, maintenance |
1,810 |
1,634 |
$0.00 |
| 3075F |
|
1,730 |
1,682 |
$0.00 |
| 3074F |
|
6,122 |
5,726 |
$0.00 |
| 0500F |
|
339 |
337 |
$0.00 |
| 3079F |
|
3,053 |
2,923 |
$0.00 |
| 3044F |
|
802 |
797 |
$0.00 |
| 3080F |
|
791 |
762 |
$0.00 |
| 3072F |
|
111 |
110 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
82 |
81 |
$0.00 |
| 1126F |
|
479 |
401 |
$0.00 |
| G0008 |
Admin influenza virus vac |
39 |
39 |
$0.00 |
| 2000F |
|
374 |
347 |
$0.00 |
| 91306 |
|
48 |
48 |
$0.00 |
| 91301 |
|
57 |
56 |
$0.00 |
| 90723 |
|
14 |
13 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |
| 2023F |
|
43 |
43 |
$0.00 |
| 3060F |
|
13 |
13 |
$0.00 |
| 90647 |
|
29 |
29 |
$0.00 |