| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
521,904 |
366,865 |
$87.36M |
| 00003 |
|
99,219 |
69,590 |
$20.35M |
| G0467 |
Fqhc visit, estab pt |
8,132 |
5,592 |
$298K |
| 0001A |
|
6,779 |
3,734 |
$298K |
| 0002A |
|
6,422 |
3,550 |
$287K |
| 0012A |
|
5,027 |
2,990 |
$218K |
| 99213 |
|
455,958 |
277,562 |
$203K |
| 90834 |
|
14,738 |
8,612 |
$195K |
| 0011A |
|
5,415 |
3,198 |
$182K |
| 98941 |
|
46,800 |
26,352 |
$110K |
| 90832 |
|
9,471 |
5,898 |
$97K |
| 0064A |
|
1,997 |
1,358 |
$81K |
| 0004A |
|
1,414 |
1,001 |
$64K |
| 0031A |
|
1,303 |
746 |
$60K |
| 0071A |
|
1,213 |
669 |
$53K |
| 90791 |
|
2,446 |
1,555 |
$49K |
| 0072A |
|
972 |
594 |
$42K |
| 99214 |
|
41,770 |
34,311 |
$21K |
| 98940 |
|
8,449 |
5,755 |
$20K |
| 0124A |
|
359 |
357 |
$15K |
| 0013A |
|
334 |
202 |
$15K |
| 99203 |
|
15,348 |
11,709 |
$13K |
| 0134A |
|
286 |
284 |
$12K |
| 92004 |
|
6,578 |
6,488 |
$11K |
| G9920 |
Scrning perf and negative |
4,831 |
3,670 |
$10K |
| 0034A |
|
184 |
102 |
$8K |
| 90837 |
|
449 |
250 |
$6K |
| 0003A |
|
114 |
73 |
$5K |
| S9455 |
Diabetic management program, |
149 |
122 |
$4K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
1,794 |
1,786 |
$4K |
| 99212 |
|
31,305 |
19,657 |
$3K |
| G2025 |
Dis site tele svcs rhc/fqhc |
975 |
712 |
$2K |
| 92014 |
|
10,302 |
10,197 |
$2K |
| 99204 |
|
2,692 |
2,295 |
$2K |
| 0074A |
|
38 |
37 |
$1K |
| S9445 |
Pt education noc individ |
49 |
44 |
$1K |
| 99202 |
|
3,523 |
2,666 |
$1K |
| 90688 |
|
7,746 |
7,154 |
$1K |
| 92015 |
|
17,010 |
16,715 |
$1K |
| V2020 |
Vision svcs frames purchases |
155 |
152 |
$1K |
| G9919 |
Scrn nd pos nd prov of rec |
349 |
271 |
$928.00 |
| 0154A |
|
15 |
15 |
$897.55 |
| 91322 |
|
25 |
19 |
$875.52 |
| 0112A |
|
16 |
16 |
$831.00 |
| 99391 |
|
3,198 |
2,756 |
$827.20 |
| J3420 |
Vitamin b12 injection |
929 |
753 |
$768.00 |
| J3490 |
Drugs unclassified injection |
166 |
166 |
$750.30 |
| 81025 |
|
7,268 |
6,318 |
$707.09 |
| 92340 |
|
260 |
259 |
$639.84 |
| 99396 |
|
2,161 |
1,729 |
$620.55 |
| 90715 |
|
2,700 |
2,397 |
$536.42 |
| 99394 |
|
3,004 |
2,837 |
$396.22 |
| 90670 |
|
1,703 |
1,580 |
$362.00 |
| 90480 |
|
119 |
115 |
$360.00 |
| 90732 |
|
109 |
109 |
$240.00 |
| 99393 |
|
4,376 |
4,149 |
$227.90 |
| 99243 |
|
487 |
484 |
$214.20 |
| 90686 |
|
5,497 |
5,133 |
$210.74 |
| 99395 |
|
2,084 |
1,788 |
$209.86 |
| 92551 |
|
13,199 |
12,048 |
$207.16 |
| 99392 |
|
3,709 |
3,460 |
$194.35 |
| 99381 |
|
86 |
69 |
$139.12 |
| 99384 |
|
141 |
133 |
$136.76 |
| 81003 |
|
16,699 |
12,360 |
$135.73 |
| 90716 |
|
119 |
119 |
$134.70 |
| 92250 |
|
1,635 |
1,564 |
$121.77 |
| 99383 |
|
277 |
258 |
$113.98 |
| 85018 |
|
13,192 |
12,194 |
$87.78 |
| 93000 |
|
226 |
188 |
$78.09 |
| 90647 |
|
1,165 |
1,079 |
$72.00 |
| 92133 |
|
170 |
159 |
$60.96 |
| 99173 |
|
13,477 |
12,354 |
$59.60 |
| H1001 |
Antepartum management |
108 |
72 |
$57.15 |
| 90723 |
|
634 |
566 |
$54.00 |
| 94640 |
|
118 |
111 |
$35.38 |
| 99401 |
|
306 |
285 |
$31.80 |
| 86580 |
|
745 |
707 |
$29.75 |
| 87880 |
|
3,712 |
3,517 |
$28.45 |
| 90685 |
|
121 |
120 |
$18.00 |
| 82962 |
|
2,646 |
2,097 |
$10.11 |
| 90644 |
|
137 |
137 |
$9.00 |
| 90681 |
|
310 |
226 |
$9.00 |
| 90633 |
|
566 |
564 |
$9.00 |
| 90707 |
|
139 |
139 |
$9.00 |
| 90710 |
|
78 |
74 |
$9.00 |
| 90649 |
|
724 |
709 |
$9.00 |
| 90621 |
|
46 |
46 |
$9.00 |
| 90696 |
|
72 |
68 |
$9.00 |
| 90471 |
|
338 |
337 |
$8.87 |
| J1885 |
Ketorolac tromethamine inj |
446 |
337 |
$5.38 |
| J0696 |
Ceftriaxone sodium injection |
13 |
13 |
$5.31 |
| 87811 |
|
14,335 |
12,874 |
$0.62 |
| 87428 |
|
1,433 |
1,202 |
$0.08 |
| 87426 |
|
989 |
823 |
$0.02 |
| 3725F |
|
62,450 |
47,978 |
$0.00 |
| 3078F |
|
59,454 |
47,824 |
$0.00 |
| 1160F |
|
33,234 |
25,347 |
$0.00 |
| D0270 |
|
929 |
917 |
$0.00 |
| Z6304 |
|
1,943 |
1,715 |
$0.00 |
| 3077F |
|
2,582 |
2,188 |
$0.00 |
| Z6414 |
|
64 |
64 |
$0.00 |
| D1120 |
|
2,315 |
2,304 |
$0.00 |
| 1159F |
|
33,242 |
25,351 |
$0.00 |
| D4341 |
|
672 |
380 |
$0.00 |
| S3000 |
Bilat dil retinal exam |
2,267 |
1,903 |
$0.00 |
| D2391 |
|
927 |
724 |
$0.00 |
| D9430 |
|
2,528 |
2,413 |
$0.00 |
| D0220 |
|
3,776 |
3,693 |
$0.00 |
| D0274 |
|
2,589 |
2,584 |
$0.00 |
| Z6300 |
|
838 |
833 |
$0.00 |
| Z6200 |
|
763 |
758 |
$0.00 |
| 90700 |
|
120 |
108 |
$0.00 |
| 90734 |
|
418 |
402 |
$0.00 |
| Z6400 |
|
1,455 |
1,439 |
$0.00 |
| 92134 |
|
47 |
41 |
$0.00 |
| G0468 |
Fqhc visit, ippe or awv |
28 |
28 |
$0.00 |
| D1110 |
|
773 |
764 |
$0.00 |
| Z6308 |
|
121 |
120 |
$0.00 |
| 92020 |
|
17 |
14 |
$0.00 |
| 11720 |
|
362 |
269 |
$0.00 |
| 90658 |
|
537 |
535 |
$0.00 |
| 91313 |
|
106 |
106 |
$0.00 |
| 91312 |
|
129 |
129 |
$0.00 |
| 90630 |
|
103 |
92 |
$0.00 |
| 99382 |
|
74 |
74 |
$0.00 |
| D2150 |
|
47 |
41 |
$0.00 |
| Z6208 |
|
67 |
66 |
$0.00 |
| L3040 |
Ft arch suprt premold longit |
206 |
142 |
$0.00 |
| H1003 |
Prenatal at risk education |
67 |
67 |
$0.00 |
| D2940 |
|
14 |
12 |
$0.00 |
| 92341 |
|
13 |
13 |
$0.00 |
| 92083 |
|
15 |
15 |
$0.00 |
| 99201 |
|
47 |
25 |
$0.00 |
| G0466 |
Fqhc visit new patient |
12 |
12 |
$0.00 |
| 99244 |
|
14 |
14 |
$0.00 |
| 97803 |
|
12 |
12 |
$0.00 |
| 91300 |
|
195 |
188 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
17 |
13 |
$0.00 |
| D2140 |
|
18 |
13 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 99499 |
|
15 |
15 |
$0.00 |
| 90746 |
|
12 |
12 |
$0.00 |
| 76514 |
|
12 |
12 |
$0.00 |
| 71046 |
|
29 |
29 |
$0.00 |
| 3074F |
|
61,927 |
49,608 |
$0.00 |
| 3075F |
|
11,056 |
9,800 |
$0.00 |
| 1036F |
|
71,905 |
52,624 |
$0.00 |
| 1126F |
|
46,836 |
38,855 |
$0.00 |
| D0230 |
|
15,892 |
3,825 |
$0.00 |
| 3079F |
|
15,645 |
13,603 |
$0.00 |
| 1034F |
|
4,939 |
3,563 |
$0.00 |
| D0150 |
|
1,697 |
1,684 |
$0.00 |
| D1206 |
|
397 |
390 |
$0.00 |
| 83036 |
|
2,135 |
2,095 |
$0.00 |
| 90677 |
|
321 |
318 |
$0.00 |
| D1208 |
|
2,429 |
2,417 |
$0.00 |
| 1125F |
|
12,990 |
10,659 |
$0.00 |
| 96372 |
|
174 |
148 |
$0.00 |
| D1310 |
|
145 |
144 |
$0.00 |
| D0120 |
|
3,234 |
3,195 |
$0.00 |
| 3008F |
|
82,007 |
64,193 |
$0.00 |
| 36415 |
|
651 |
628 |
$0.00 |
| D2392 |
|
1,175 |
955 |
$0.00 |
| 3080F |
|
696 |
601 |
$0.00 |
| 99385 |
|
83 |
62 |
$0.00 |
| 1035F |
|
1,186 |
860 |
$0.00 |
| Z6204 |
|
1,091 |
1,021 |
$0.00 |
| Z6406 |
|
1,743 |
1,544 |
$0.00 |
| 96156 |
|
278 |
263 |
$0.00 |
| Z1034 |
|
2,082 |
1,180 |
$0.00 |
| D0603 |
|
2,271 |
2,271 |
$0.00 |
| 92227 |
|
304 |
266 |
$0.00 |
| D0210 |
|
1,236 |
1,227 |
$0.00 |
| G9226 |
3 comp foot exam completed |
781 |
604 |
$0.00 |
| 90697 |
|
445 |
440 |
$0.00 |
| Z6402 |
|
626 |
622 |
$0.00 |
| 90792 |
|
90 |
90 |
$0.00 |
| 91303 |
|
34 |
29 |
$0.00 |
| 99495 |
|
103 |
82 |
$0.00 |
| 90620 |
|
99 |
90 |
$0.00 |
| 90656 |
|
445 |
441 |
$0.00 |
| D2393 |
|
57 |
55 |
$0.00 |
| 29540 |
|
18 |
12 |
$0.00 |
| 97802 |
|
24 |
24 |
$0.00 |
| 91307 |
|
145 |
139 |
$0.00 |
| D0272 |
|
96 |
96 |
$0.00 |
| 99496 |
|
146 |
129 |
$0.00 |
| 90619 |
|
107 |
107 |
$0.00 |
| D7140 |
|
59 |
37 |
$0.00 |
| D0602 |
|
140 |
139 |
$0.00 |
| D1351 |
|
256 |
108 |
$0.00 |
| 96151 |
|
35 |
32 |
$0.00 |
| 36416 |
|
39 |
39 |
$0.00 |
| 99070 |
|
82 |
48 |
$0.00 |
| 90657 |
|
27 |
25 |
$0.00 |
| 91301 |
|
56 |
54 |
$0.00 |
| V2100 |
Lens spher single plano 4.00 |
12 |
12 |
$0.00 |
| 91306 |
|
222 |
220 |
$0.00 |
| Z1032 |
|
27 |
27 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |