| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
169,149 |
142,824 |
$32.49M |
| 00003 |
|
17,690 |
13,119 |
$4.66M |
| G9012 |
Other specified case mgmt |
6,424 |
5,344 |
$469K |
| 99213 |
|
129,994 |
92,196 |
$174K |
| 97810 |
|
21,903 |
8,398 |
$147K |
| 97811 |
|
19,606 |
8,083 |
$121K |
| 77067 |
|
2,601 |
1,963 |
$80K |
| 90834 |
|
2,089 |
825 |
$78K |
| 99214 |
|
23,407 |
17,455 |
$48K |
| G0467 |
Fqhc visit, estab pt |
1,794 |
1,566 |
$44K |
| 0011A |
|
979 |
820 |
$43K |
| 0002A |
|
555 |
554 |
$37K |
| 0001A |
|
528 |
527 |
$35K |
| 92004 |
|
3,984 |
3,905 |
$30K |
| 99393 |
|
2,822 |
2,107 |
$28K |
| 90791 |
|
497 |
350 |
$27K |
| 90832 |
|
2,593 |
1,227 |
$26K |
| 0012A |
|
416 |
387 |
$25K |
| 99394 |
|
2,375 |
1,799 |
$25K |
| 99392 |
|
1,832 |
1,269 |
$22K |
| 76700 |
|
883 |
661 |
$20K |
| 0031A |
|
292 |
291 |
$19K |
| 92551 |
|
7,020 |
5,329 |
$19K |
| 77063 |
|
2,054 |
1,546 |
$17K |
| 96110 |
|
1,569 |
1,187 |
$17K |
| 0064A |
|
262 |
262 |
$17K |
| 90688 |
|
5,130 |
4,226 |
$14K |
| 99212 |
|
14,307 |
9,170 |
$12K |
| 0124A |
|
177 |
177 |
$11K |
| 0134A |
|
187 |
187 |
$11K |
| 90739 |
|
147 |
98 |
$8K |
| 0054A |
|
110 |
110 |
$7K |
| 99490 |
Ccm add 20min |
516 |
516 |
$7K |
| 0004A |
|
104 |
104 |
$7K |
| 71046 |
|
866 |
650 |
$7K |
| G9920 |
Scrning perf and negative |
1,920 |
1,754 |
$6K |
| 90756 |
|
613 |
529 |
$5K |
| 90670 |
|
513 |
356 |
$5K |
| 90471 |
|
17,482 |
15,187 |
$4K |
| 99391 |
|
259 |
142 |
$4K |
| 77080 |
|
375 |
272 |
$4K |
| 0071A |
|
43 |
43 |
$3K |
| 76641 |
|
113 |
86 |
$3K |
| 90662 |
|
1,284 |
1,079 |
$3K |
| 0072A |
|
40 |
40 |
$3K |
| 90651 |
|
991 |
764 |
$3K |
| 90472 |
|
2,389 |
2,173 |
$2K |
| 90750 |
|
219 |
176 |
$2K |
| 72110 |
|
189 |
138 |
$2K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
955 |
789 |
$2K |
| 90746 |
|
49 |
42 |
$2K |
| 90620 |
|
204 |
171 |
$2K |
| 92014 |
|
2,170 |
2,166 |
$2K |
| 99204 |
|
208 |
135 |
$1K |
| 73562 |
|
187 |
99 |
$1K |
| 90715 |
|
245 |
202 |
$1K |
| 76770 |
|
56 |
41 |
$1K |
| 99203 |
|
157 |
111 |
$930.80 |
| 90732 |
|
52 |
31 |
$873.00 |
| 0034A |
|
12 |
12 |
$804.00 |
| 99215 |
Prolong outpt/office vis |
215 |
149 |
$707.51 |
| 77065 |
Tomosynthesis, mammo |
16 |
12 |
$627.34 |
| 76705 |
|
37 |
27 |
$623.71 |
| 76830 |
|
35 |
26 |
$586.26 |
| G0008 |
Admin influenza virus vac |
1,435 |
1,215 |
$578.05 |
| 76856 |
|
35 |
26 |
$570.65 |
| G9008 |
Mccd,phys coor-care ovrsght |
1,646 |
1,228 |
$530.93 |
| 99384 |
|
43 |
36 |
$507.64 |
| 93000 |
|
219 |
175 |
$480.89 |
| G0279 |
Tomosynthesis, mammo |
37 |
26 |
$460.70 |
| 90480 |
|
234 |
208 |
$449.25 |
| 99396 |
|
172 |
156 |
$410.26 |
| 76642 |
|
13 |
13 |
$383.88 |
| G0439 |
Ppps, subseq visit |
143 |
85 |
$347.70 |
| 99442 |
|
186 |
157 |
$301.71 |
| 91322 |
|
18 |
15 |
$298.11 |
| 90658 |
|
823 |
697 |
$284.43 |
| 90734 |
|
366 |
256 |
$212.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
48 |
48 |
$208.80 |
| 99406 |
|
54 |
27 |
$200.25 |
| 90686 |
|
1,897 |
1,582 |
$156.15 |
| 90716 |
|
21 |
12 |
$122.00 |
| 99202 |
|
93 |
68 |
$63.63 |
| 90698 |
|
332 |
196 |
$60.00 |
| 90677 |
|
39 |
36 |
$54.80 |
| 91320 |
|
57 |
55 |
$46.97 |
| V2020 |
Vision svcs frames purchases |
4,425 |
4,424 |
$42.62 |
| 90474 |
|
47 |
39 |
$40.10 |
| 98940 |
|
45 |
27 |
$39.92 |
| 94640 |
|
14 |
14 |
$22.90 |
| 83036 |
|
215 |
182 |
$22.45 |
| 90633 |
|
240 |
157 |
$19.84 |
| 99173 |
|
5,946 |
5,303 |
$7.24 |
| 83037 |
|
125 |
110 |
$5.48 |
| 90689 |
|
657 |
533 |
$2.00 |
| 82962 |
|
17 |
14 |
$1.80 |
| D1206 |
|
45 |
45 |
$0.00 |
| D0603 |
|
24 |
24 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
1,997 |
1,987 |
$0.00 |
| 3074F |
|
17,889 |
14,303 |
$0.00 |
| 3079F |
|
4,703 |
3,923 |
$0.00 |
| 3008F |
|
17,050 |
13,591 |
$0.00 |
| 3075F |
|
5,270 |
4,314 |
$0.00 |
| 3044F |
|
112 |
64 |
$0.00 |
| 2023F |
|
178 |
166 |
$0.00 |
| H0049 |
Alcohol/drug screening |
512 |
509 |
$0.00 |
| 3351F |
|
1,435 |
1,207 |
$0.00 |
| 1125F |
|
570 |
456 |
$0.00 |
| 1126F |
|
2,998 |
2,360 |
$0.00 |
| 3080F |
|
175 |
142 |
$0.00 |
| 90744 |
|
99 |
66 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
13 |
13 |
$0.00 |
| D0210 |
|
48 |
48 |
$0.00 |
| 90619 |
|
250 |
231 |
$0.00 |
| 90680 |
|
84 |
51 |
$0.00 |
| 90656 |
|
187 |
177 |
$0.00 |
| 99383 |
|
28 |
26 |
$0.00 |
| 91301 |
|
110 |
70 |
$0.00 |
| D1330 |
|
57 |
57 |
$0.00 |
| 90674 |
|
59 |
58 |
$0.00 |
| D9995 |
|
199 |
196 |
$0.00 |
| D2392 |
|
16 |
13 |
$0.00 |
| G0202 |
Scr mammo bi incl cad |
27 |
27 |
$0.00 |
| D0999 |
|
514 |
507 |
$0.00 |
| D0120 |
|
37 |
37 |
$0.00 |
| 1170F |
|
174 |
107 |
$0.00 |
| D1310 |
|
88 |
88 |
$0.00 |
| D9999 |
|
315 |
312 |
$0.00 |
| 1101F |
|
88 |
88 |
$0.00 |
| D0150 |
|
54 |
54 |
$0.00 |
| D0230 |
|
43 |
43 |
$0.00 |
| 1000F |
|
23 |
16 |
$0.00 |
| 1111F |
|
62 |
44 |
$0.00 |
| 92340 |
|
4,102 |
4,102 |
$0.00 |
| 3078F |
|
22,336 |
17,589 |
$0.00 |
| 3077F |
|
4,188 |
3,282 |
$0.00 |
| 1160F |
|
8,991 |
7,511 |
$0.00 |
| 90687 |
|
1,081 |
1,003 |
$0.00 |
| 1159F |
|
11,780 |
9,599 |
$0.00 |
| 90736 |
|
54 |
54 |
$0.00 |
| 92341 |
|
302 |
302 |
$0.00 |
| 1003F |
|
97 |
97 |
$0.00 |
| 1090F |
|
95 |
95 |
$0.00 |
| 2014F |
|
78 |
78 |
$0.00 |
| 90672 |
|
21 |
19 |
$0.00 |
| 92015 |
|
305 |
305 |
$0.00 |
| 3288F |
|
177 |
106 |
$0.00 |
| 1494F |
|
79 |
79 |
$0.00 |
| D9430 |
|
536 |
528 |
$0.00 |
| Z6300 |
|
14 |
14 |
$0.00 |
| 99188 |
|
251 |
244 |
$0.00 |
| D0274 |
|
30 |
30 |
$0.00 |
| 99395 |
|
35 |
32 |
$0.00 |
| Z6308 |
|
12 |
12 |
$0.00 |
| 90710 |
|
17 |
12 |
$0.00 |
| 99211 |
|
99 |
99 |
$0.00 |
| D1120 |
|
45 |
45 |
$0.00 |
| 99397 |
|
14 |
14 |
$0.00 |
| 1158F |
|
144 |
80 |
$0.00 |
| 87502 |
|
42 |
21 |
$0.00 |
| 90460 |
|
30 |
30 |
$0.00 |
| D1110 |
|
42 |
42 |
$0.00 |
| D0270 |
|
13 |
13 |
$0.00 |