| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
283,643 |
232,367 |
$60.33M |
| D9999 |
|
57,931 |
52,607 |
$12.40M |
| 99213 |
|
186,557 |
154,342 |
$4.94M |
| D0999 |
|
18,135 |
16,948 |
$4.59M |
| S0280 |
Medical home, initial plan |
39,155 |
38,071 |
$1.59M |
| 99214 |
|
64,289 |
58,854 |
$1.25M |
| G0467 |
Fqhc visit, estab pt |
20,100 |
17,133 |
$606K |
| 99212 |
|
5,375 |
4,957 |
$242K |
| D1206 |
|
44,375 |
41,456 |
$154K |
| D0120 |
|
30,991 |
30,428 |
$129K |
| D1120 |
|
24,252 |
23,774 |
$128K |
| 87428 |
|
12,780 |
12,156 |
$125K |
| D2392 |
|
8,819 |
6,506 |
$86K |
| 87880 |
|
25,352 |
24,337 |
$84K |
| 99202 |
|
3,378 |
3,189 |
$75K |
| D1110 |
|
14,210 |
13,914 |
$71K |
| D7140 |
|
9,265 |
6,218 |
$57K |
| 99391 |
|
7,211 |
6,879 |
$54K |
| D1351 |
|
26,618 |
8,234 |
$51K |
| 99203 |
|
2,162 |
2,021 |
$32K |
| 36415 |
|
50,289 |
47,224 |
$30K |
| D0150 |
|
9,135 |
8,900 |
$29K |
| 99392 |
|
6,469 |
6,354 |
$28K |
| D0274 |
|
10,418 |
10,173 |
$28K |
| D0272 |
|
11,926 |
11,677 |
$25K |
| 87430 |
|
6,457 |
6,027 |
$25K |
| D0140 |
|
10,587 |
10,294 |
$24K |
| D2391 |
|
3,834 |
3,151 |
$22K |
| 87637 |
|
436 |
417 |
$22K |
| D0330 |
|
8,509 |
8,261 |
$22K |
| 87426 |
|
3,754 |
3,642 |
$22K |
| 99204 |
|
249 |
243 |
$21K |
| 99309 |
|
1,914 |
1,785 |
$20K |
| D0210 |
|
2,471 |
2,416 |
$18K |
| D1999 |
|
73 |
67 |
$17K |
| 87804 |
|
6,538 |
3,794 |
$16K |
| 99393 |
|
2,846 |
2,787 |
$14K |
| 99394 |
|
2,224 |
2,171 |
$13K |
| 2010F |
|
11,881 |
9,878 |
$11K |
| D0220 |
|
14,897 |
14,329 |
$11K |
| 80053 |
|
14,845 |
14,322 |
$10K |
| 83036 |
|
18,220 |
17,735 |
$9K |
| 81003 |
|
15,630 |
11,702 |
$9K |
| 80061 |
|
11,696 |
11,380 |
$7K |
| D0145 |
|
4,356 |
4,278 |
$6K |
| 90471 |
|
8,927 |
8,662 |
$6K |
| 96372 |
|
4,652 |
4,283 |
$6K |
| D2930 |
|
683 |
574 |
$6K |
| 3078F |
|
9,184 |
7,719 |
$6K |
| 84443 |
|
7,803 |
7,578 |
$5K |
| 3074F |
|
8,059 |
6,840 |
$5K |
| 90834 |
|
1,473 |
1,088 |
$5K |
| 96110 |
|
7,697 |
7,519 |
$5K |
| 96127 |
|
2,781 |
2,573 |
$5K |
| 80050 |
|
2,850 |
2,769 |
$5K |
| 85025 |
|
8,001 |
7,646 |
$5K |
| 87276 |
|
1,792 |
1,728 |
$5K |
| 94760 |
|
1,612 |
1,540 |
$4K |
| D2150 |
|
533 |
370 |
$4K |
| 90686 |
|
5,487 |
5,351 |
$4K |
| 59430 |
|
232 |
214 |
$4K |
| 99395 |
|
1,547 |
1,487 |
$4K |
| 2000F |
|
10,195 |
8,503 |
$4K |
| 90837 |
|
1,059 |
664 |
$4K |
| 87275 |
|
1,811 |
1,746 |
$4K |
| 3044F |
|
1,111 |
1,087 |
$3K |
| D0603 |
|
7,834 |
7,633 |
$3K |
| 87491 |
|
5,676 |
4,742 |
$3K |
| 87591 |
|
5,501 |
4,593 |
$3K |
| 3075F |
|
2,021 |
1,877 |
$3K |
| 3079F |
|
1,909 |
1,785 |
$3K |
| 1036F |
|
7,388 |
6,157 |
$2K |
| D2393 |
|
206 |
182 |
$2K |
| D0240 |
|
2,116 |
1,584 |
$2K |
| 81025 |
|
4,914 |
4,646 |
$2K |
| G0470 |
Fqhc visit, mh estab pt |
72 |
69 |
$2K |
| D1208 |
|
721 |
705 |
$2K |
| 3077F |
|
1,492 |
1,375 |
$2K |
| 85018 |
|
11,076 |
10,793 |
$2K |
| 90792 |
|
636 |
615 |
$2K |
| 76805 |
|
241 |
229 |
$2K |
| D9230 |
|
3,718 |
3,435 |
$2K |
| 90661 |
|
791 |
756 |
$2K |
| 90472 |
|
2,358 |
1,849 |
$2K |
| 99308 |
|
96 |
79 |
$1K |
| 99396 |
|
1,111 |
1,096 |
$1K |
| 87210 |
|
4,062 |
3,860 |
$1K |
| 3008F |
|
20,664 |
17,260 |
$1K |
| 99238 |
|
773 |
697 |
$1K |
| D0230 |
|
3,611 |
1,932 |
$1K |
| 90460 |
|
17,531 |
7,798 |
$1K |
| 87389 |
|
4,080 |
3,973 |
$1K |
| 90677 |
|
1,239 |
1,184 |
$1K |
| 99381 |
|
330 |
318 |
$1K |
| 87635 |
|
409 |
394 |
$1K |
| J0561 |
Penicillin g benzathine inj |
77 |
75 |
$940.40 |
| 2001F |
|
11,533 |
9,623 |
$923.41 |
| 99000 |
|
2,590 |
2,497 |
$904.80 |
| 82306 |
|
1,731 |
1,685 |
$826.03 |
| J1885 |
Ketorolac tromethamine inj |
409 |
377 |
$772.92 |
| D0602 |
|
3,907 |
3,795 |
$705.00 |
| W0037 |
|
234 |
234 |
$702.00 |
| 3051F |
|
148 |
146 |
$700.00 |
| 1159F |
|
11,008 |
9,330 |
$671.54 |
| 99462 |
|
306 |
235 |
$665.46 |
| 36416 |
|
5,814 |
5,514 |
$648.49 |
| 3048F |
|
327 |
320 |
$641.96 |
| 83655 |
|
2,071 |
2,030 |
$641.16 |
| 85027 |
|
2,433 |
2,366 |
$625.84 |
| G2025 |
Dis site tele svcs rhc/fqhc |
49 |
48 |
$616.16 |
| 71046 |
|
1,416 |
1,369 |
$607.92 |
| 99460 |
|
552 |
529 |
$441.76 |
| 90715 |
|
1,591 |
1,543 |
$370.67 |
| 86803 |
|
2,290 |
2,236 |
$356.75 |
| 86592 |
|
2,661 |
2,574 |
$347.55 |
| 90832 |
|
238 |
219 |
$329.43 |
| 84439 |
|
988 |
960 |
$314.82 |
| 90480 |
|
351 |
342 |
$310.12 |
| 81002 |
|
2,058 |
1,076 |
$301.52 |
| 3052F |
|
75 |
75 |
$300.00 |
| 90474 |
|
179 |
172 |
$274.40 |
| 93005 |
|
193 |
190 |
$263.61 |
| 80307 |
|
851 |
690 |
$258.79 |
| 90791 |
|
221 |
209 |
$252.65 |
| 59025 |
|
1,733 |
645 |
$241.56 |
| 1125F |
|
531 |
496 |
$223.12 |
| 3050F |
|
113 |
112 |
$220.00 |
| 99318 |
|
44 |
33 |
$215.60 |
| 90461 |
|
5,020 |
3,960 |
$196.80 |
| 3049F |
|
151 |
149 |
$160.00 |
| 92551 |
|
12 |
12 |
$158.02 |
| 90647 |
|
780 |
722 |
$152.88 |
| 99215 |
Prolong outpt/office vis |
102 |
91 |
$149.61 |
| 99386 |
|
12 |
12 |
$149.61 |
| 87280 |
|
401 |
383 |
$147.62 |
| 81001 |
|
163 |
157 |
$130.36 |
| 82570 |
|
1,730 |
1,683 |
$128.43 |
| 82947 |
|
441 |
334 |
$128.43 |
| 82043 |
|
1,569 |
1,547 |
$128.43 |
| 87807 |
|
108 |
103 |
$124.75 |
| D0270 |
|
202 |
191 |
$119.03 |
| 99173 |
|
85 |
83 |
$99.56 |
| 82950 |
|
750 |
712 |
$66.50 |
| 94640 |
|
171 |
160 |
$66.48 |
| 73562 |
|
143 |
122 |
$47.91 |
| 80048 |
|
596 |
582 |
$44.70 |
| 90723 |
|
1,028 |
983 |
$32.76 |
| 90680 |
|
625 |
588 |
$32.76 |
| 82607 |
|
750 |
737 |
$21.40 |
| 72100 |
|
37 |
37 |
$18.54 |
| 74019 |
|
51 |
51 |
$14.71 |
| 1160F |
|
10,853 |
9,189 |
$3.29 |
| J0696 |
Ceftriaxone sodium injection |
28 |
25 |
$0.31 |
| D7210 |
|
34 |
28 |
$0.18 |
| 1126F |
|
636 |
555 |
$0.08 |
| J7613 |
Albuterol non-comp unit |
134 |
124 |
$0.07 |
| J1050 |
Medroxyprogesterone acetate |
1,508 |
1,450 |
$0.00 |
| 90473 |
|
374 |
354 |
$0.00 |
| 90633 |
|
474 |
466 |
$0.00 |
| 85610 |
|
351 |
291 |
$0.00 |
| 0004A |
|
62 |
62 |
$0.00 |
| 90710 |
|
115 |
111 |
$0.00 |
| 3046F |
|
289 |
283 |
$0.00 |
| 4040F |
|
1,451 |
1,244 |
$0.00 |
| 86318 |
|
135 |
128 |
$0.00 |
| 85014 |
|
330 |
315 |
$0.00 |
| 4274F |
|
2,837 |
2,298 |
$0.00 |
| 90746 |
|
31 |
30 |
$0.00 |
| 86900 |
|
18 |
14 |
$0.00 |
| 87400 |
|
66 |
61 |
$0.00 |
| D1354 |
|
33 |
15 |
$0.00 |
| 0124A |
|
165 |
162 |
$0.00 |
| 90750 |
|
125 |
124 |
$0.00 |
| 91320 |
|
312 |
307 |
$0.00 |
| 90734 |
|
99 |
99 |
$0.00 |
| 4004F |
|
1,273 |
1,187 |
$0.00 |
| D2140 |
|
62 |
51 |
$0.00 |
| 90700 |
|
217 |
213 |
$0.00 |
| 90707 |
|
258 |
255 |
$0.00 |
| 0054A |
|
13 |
13 |
$0.00 |
| 83540 |
|
25 |
24 |
$0.00 |
| 73630 |
|
12 |
12 |
$0.00 |
| 82565 |
|
66 |
65 |
$0.00 |
| 80074 |
|
28 |
28 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| G0506 |
Comp asses care plan ccm svc |
22,817 |
22,537 |
$0.00 |
| 99439 |
|
3,439 |
3,409 |
$0.00 |
| G2065 |
Clin mang h risk dx 30 |
1,013 |
970 |
$0.00 |
| 90716 |
|
273 |
269 |
$0.00 |
| 4010F |
|
1,513 |
1,335 |
$0.00 |
| 99426 |
|
420 |
417 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
5,762 |
5,651 |
$0.00 |
| G2058 |
Ccm add 20min |
648 |
583 |
$0.00 |
| 81000 |
|
759 |
711 |
$0.00 |
| H0038 |
Self-help/peer svc per 15min |
2,418 |
2,395 |
$0.00 |
| 82951 |
|
155 |
152 |
$0.00 |
| 90651 |
|
182 |
182 |
$0.00 |
| 82728 |
|
104 |
101 |
$0.00 |
| 4037F |
|
891 |
867 |
$0.00 |
| 90688 |
|
110 |
110 |
$0.00 |
| S0281 |
Medical home, maintenance |
309 |
307 |
$0.00 |
| 99385 |
|
33 |
31 |
$0.00 |
| 3080F |
|
692 |
647 |
$0.00 |
| 3352F |
|
205 |
199 |
$0.00 |
| 0031A |
|
57 |
56 |
$0.00 |
| 0134A |
|
24 |
24 |
$0.00 |
| 86762 |
|
18 |
14 |
$0.00 |
| 3353F |
|
71 |
69 |
$0.00 |
| D0601 |
|
286 |
283 |
$0.00 |
| 1034F |
|
2,317 |
1,998 |
$0.00 |
| 76816 |
|
52 |
51 |
$0.00 |
| 99384 |
|
29 |
26 |
$0.00 |
| 0011A |
|
96 |
95 |
$0.00 |
| G0008 |
Admin influenza virus vac |
53 |
51 |
$0.00 |
| 87340 |
|
114 |
107 |
$0.00 |
| 3351F |
|
1,772 |
1,590 |
$0.00 |
| D1353 |
|
314 |
168 |
$0.00 |
| 0001A |
|
61 |
61 |
$0.00 |
| 3061F |
|
13 |
13 |
$0.00 |
| 92229 |
|
18 |
18 |
$0.00 |
| 90732 |
|
13 |
13 |
$0.00 |
| 82040 |
|
15 |
14 |
$0.00 |
| 99383 |
|
75 |
73 |
$0.00 |
| 90620 |
|
58 |
55 |
$0.00 |
| 90696 |
|
119 |
118 |
$0.00 |
| 93000 |
|
34 |
32 |
$0.00 |
| 90381 |
|
27 |
18 |
$0.00 |
| 86850 |
|
18 |
14 |
$0.00 |
| 99406 |
|
31 |
28 |
$0.00 |
| 86901 |
|
18 |
14 |
$0.00 |
| 87086 |
|
20 |
16 |
$0.00 |
| 0051A |
|
12 |
12 |
$0.00 |