| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0020 |
Alcohol and/or drug services |
1,784,667 |
64,917 |
$17.70M |
| T1017 |
Targeted case management |
23,517 |
16,177 |
$4.21M |
| 90832 |
|
58,327 |
44,308 |
$4.15M |
| G0467 |
Fqhc visit, estab pt |
56,101 |
49,320 |
$3.61M |
| H0048 |
Spec coll non-blood:a/d test |
57,906 |
18,935 |
$2.74M |
| 90834 |
|
23,758 |
19,204 |
$2.12M |
| H2030 |
Mh clubhouse svc, per 15 min |
61,056 |
6,386 |
$1.94M |
| 99402 |
|
20,629 |
17,828 |
$1.62M |
| 99212 |
|
28,781 |
28,218 |
$1.59M |
| 90837 |
|
13,435 |
10,166 |
$1.54M |
| H0004 |
Alcohol and/or drug services |
5,343 |
2,835 |
$1.08M |
| 99213 |
|
25,280 |
23,257 |
$726K |
| 59426 |
|
579 |
533 |
$721K |
| G0470 |
Fqhc visit, mh estab pt |
14,290 |
9,150 |
$620K |
| H0038 |
Self-help/peer svc per 15min |
3,783 |
1,876 |
$579K |
| D0140 |
|
5,250 |
5,120 |
$474K |
| 96372 |
|
6,312 |
5,573 |
$425K |
| D1110 |
|
4,875 |
4,868 |
$409K |
| 99214 |
|
18,211 |
16,987 |
$382K |
| D7140 |
|
5,485 |
3,137 |
$379K |
| D0120 |
|
6,090 |
6,082 |
$352K |
| D2392 |
|
2,251 |
1,924 |
$294K |
| D2391 |
|
2,125 |
1,673 |
$224K |
| D0150 |
|
2,692 |
2,683 |
$202K |
| G0466 |
Fqhc visit new patient |
2,989 |
2,946 |
$193K |
| H1000 |
Prenatal care atrisk assessm |
2,203 |
2,186 |
$185K |
| H0001 |
Alcohol and/or drug assess |
1,507 |
1,505 |
$170K |
| D1120 |
|
3,507 |
3,505 |
$140K |
| H0006 |
Alcohol and/or drug services |
1,061 |
313 |
$118K |
| D1206 |
|
4,683 |
4,682 |
$114K |
| 90853 |
|
3,002 |
1,397 |
$108K |
| D0210 |
|
2,753 |
2,412 |
$96K |
| H0003 |
Alcohol and/or drug screenin |
555 |
555 |
$92K |
| H2000 |
Comp multidisipln evaluation |
881 |
869 |
$89K |
| H0049 |
Alcohol/drug screening |
1,755 |
987 |
$88K |
| 92014 |
|
2,122 |
2,122 |
$81K |
| D0274 |
|
3,230 |
3,222 |
$76K |
| 99203 |
|
1,004 |
997 |
$75K |
| J1050 |
Medroxyprogesterone acetate |
1,079 |
1,041 |
$66K |
| T1012 |
Alcohol/substance abuse skil |
246 |
122 |
$58K |
| D1351 |
|
2,083 |
595 |
$58K |
| H0015 |
Alcohol and/or drug services |
502 |
108 |
$51K |
| D0220 |
|
5,416 |
5,289 |
$49K |
| V2100 |
Lens spher single plano 4.00 |
1,979 |
1,963 |
$47K |
| V2020 |
Vision svcs frames purchases |
2,357 |
2,336 |
$47K |
| 99392 |
|
3,136 |
3,078 |
$41K |
| D0272 |
|
1,798 |
1,793 |
$40K |
| D4355 |
|
253 |
253 |
$34K |
| 92004 |
|
776 |
776 |
$34K |
| D0330 |
|
1,032 |
1,028 |
$32K |
| D2393 |
|
242 |
218 |
$32K |
| T1023 |
Program intake assessment |
485 |
483 |
$31K |
| 99215 |
Prolong outpt/office vis |
212 |
211 |
$25K |
| 99391 |
|
2,515 |
2,445 |
$25K |
| 99202 |
|
405 |
392 |
$23K |
| 99395 |
|
1,642 |
1,604 |
$21K |
| 99394 |
|
1,600 |
1,556 |
$20K |
| 99393 |
|
1,901 |
1,855 |
$20K |
| 90472 |
|
5,503 |
5,365 |
$20K |
| D0240 |
|
972 |
502 |
$20K |
| D2331 |
|
168 |
135 |
$19K |
| 90471 |
|
10,333 |
10,047 |
$18K |
| G2067 |
Med assist tx meth wk |
156 |
123 |
$15K |
| 90651 |
|
798 |
776 |
$15K |
| V2784 |
Lens polycarb or equal |
2,398 |
2,366 |
$14K |
| D4910 |
|
180 |
180 |
$14K |
| J7307 |
Etonogestrel implant system |
14 |
12 |
$11K |
| V2200 |
Lens spher bifoc plano 4.00d |
388 |
385 |
$11K |
| 59425 |
|
14 |
14 |
$10K |
| 99211 |
|
272 |
271 |
$10K |
| G9007 |
Mccd, sch team conf |
660 |
611 |
$9K |
| G9002 |
Mccd,maintenance rate |
585 |
511 |
$9K |
| D0145 |
|
236 |
236 |
$7K |
| 96127 |
|
12,648 |
11,295 |
$7K |
| D2330 |
|
65 |
51 |
$6K |
| D0230 |
|
1,048 |
422 |
$6K |
| 90686 |
|
6,282 |
6,158 |
$6K |
| 99396 |
|
551 |
536 |
$6K |
| D1354 |
|
275 |
128 |
$5K |
| 90632 |
|
546 |
533 |
$5K |
| 90746 |
|
512 |
504 |
$5K |
| 90715 |
|
988 |
968 |
$4K |
| 90620 |
|
432 |
420 |
$4K |
| 99204 |
|
209 |
209 |
$4K |
| 59430 |
|
160 |
145 |
$3K |
| 96110 |
|
1,991 |
1,490 |
$3K |
| Q0091 |
Obtaining screen pap smear |
1,119 |
1,073 |
$3K |
| 83036 |
|
2,430 |
2,387 |
$3K |
| G0101 |
Ca screen;pelvic/breast exam |
1,223 |
1,164 |
$3K |
| H2011 |
Crisis interven svc, 15 min |
42 |
36 |
$3K |
| D0270 |
|
386 |
385 |
$3K |
| 90791 |
|
298 |
293 |
$3K |
| H0005 |
Alcohol and/or drug services |
61 |
48 |
$3K |
| 90707 |
|
545 |
534 |
$3K |
| 81025 |
|
2,315 |
2,160 |
$3K |
| 0001A |
|
99 |
99 |
$2K |
| 0124A |
|
151 |
151 |
$2K |
| 0004A |
|
82 |
82 |
$2K |
| 0054A |
|
65 |
65 |
$2K |
| G2025 |
Dis site tele svcs rhc/fqhc |
623 |
508 |
$2K |
| V2410 |
Lens variab asphericity sing |
140 |
138 |
$1K |
| 99381 |
|
160 |
158 |
$1K |
| 90714 |
|
286 |
281 |
$1K |
| 99442 |
|
101 |
82 |
$1K |
| 90670 |
|
1,936 |
1,900 |
$929.49 |
| 82962 |
|
1,793 |
1,593 |
$797.84 |
| 81002 |
|
2,065 |
1,872 |
$784.74 |
| G2078 |
Take-home meth |
52 |
27 |
$601.32 |
| 98966 |
|
851 |
574 |
$567.50 |
| 90473 |
|
736 |
717 |
$456.32 |
| 0071A |
|
13 |
13 |
$454.20 |
| 90716 |
|
285 |
272 |
$408.78 |
| 99242 |
|
64 |
64 |
$399.36 |
| 85018 |
|
805 |
758 |
$342.12 |
| 0051A |
|
14 |
14 |
$337.77 |
| 90656 |
|
84 |
83 |
$290.55 |
| 92551 |
|
162 |
161 |
$241.82 |
| 87880 |
|
218 |
213 |
$217.33 |
| 90734 |
|
529 |
515 |
$128.85 |
| 98967 |
|
31 |
24 |
$72.04 |
| 90688 |
|
114 |
109 |
$53.52 |
| 87428 |
|
18 |
18 |
$51.24 |
| 93000 |
|
49 |
43 |
$47.55 |
| 87811 |
|
29 |
29 |
$34.26 |
| 36415 |
|
92 |
92 |
$32.40 |
| 82043 |
|
39 |
39 |
$28.68 |
| 99177 |
|
29 |
29 |
$16.00 |
| 90474 |
|
14 |
12 |
$15.00 |
| 96160 |
|
18 |
18 |
$5.74 |
| 90700 |
|
1,141 |
1,110 |
$0.00 |
| 3077F |
|
1,395 |
1,311 |
$0.00 |
| 90633 |
|
807 |
788 |
$0.00 |
| 90681 |
|
709 |
692 |
$0.00 |
| 90713 |
|
559 |
543 |
$0.00 |
| 3078F |
|
1,253 |
1,233 |
$0.00 |
| 90710 |
|
53 |
52 |
$0.00 |
| 3045F |
|
38 |
38 |
$0.00 |
| G0444 |
Depression screen annual |
164 |
163 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
958 |
881 |
$0.00 |
| 91300 |
|
218 |
213 |
$0.00 |
| 99173 |
|
78 |
78 |
$0.00 |
| 91312 |
|
149 |
149 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
43 |
43 |
$0.00 |
| 97803 |
|
32 |
30 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| 90723 |
|
830 |
819 |
$0.00 |
| 3079F |
|
1,800 |
1,744 |
$0.00 |
| 3074F |
|
1,816 |
1,781 |
$0.00 |
| 90647 |
|
1,440 |
1,408 |
$0.00 |
| S0281 |
Medical home, maintenance |
8,147 |
5,700 |
$0.00 |
| 3075F |
|
832 |
814 |
$0.00 |
| 3044F |
|
1,058 |
1,044 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
2,229 |
2,104 |
$0.00 |
| 3080F |
|
1,030 |
970 |
$0.00 |
| 91307 |
|
28 |
27 |
$0.00 |
| G0008 |
Admin influenza virus vac |
165 |
165 |
$0.00 |
| 90677 |
|
97 |
96 |
$0.00 |
| 91305 |
|
124 |
122 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| 90680 |
|
38 |
38 |
$0.00 |