| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
122,689 |
110,149 |
$13.04M |
| 00003 |
|
11,261 |
9,414 |
$1.94M |
| 99213 |
|
71,110 |
59,451 |
$199K |
| G0467 |
Fqhc visit, estab pt |
1,910 |
1,723 |
$45K |
| 99212 |
|
11,896 |
10,344 |
$24K |
| 99392 |
|
2,238 |
2,032 |
$13K |
| 90832 |
|
9,869 |
8,623 |
$11K |
| 99393 |
|
1,237 |
1,122 |
$7K |
| 99391 |
|
1,480 |
1,367 |
$7K |
| 99214 |
|
2,526 |
2,246 |
$6K |
| 98940 |
|
2,441 |
1,718 |
$5K |
| 99394 |
|
749 |
697 |
$4K |
| 0012A |
|
89 |
56 |
$4K |
| H1001 |
Antepartum management |
52 |
37 |
$4K |
| 99203 |
|
503 |
468 |
$3K |
| 90791 |
|
1,407 |
1,360 |
$3K |
| 99000 |
|
4,309 |
3,865 |
$3K |
| 81005 |
|
1,512 |
1,090 |
$2K |
| 0011A |
|
65 |
42 |
$2K |
| 92014 |
|
4,085 |
4,050 |
$2K |
| G2025 |
Dis site tele svcs rhc/fqhc |
119 |
114 |
$2K |
| 0031A |
|
34 |
22 |
$2K |
| 85018 |
|
5,802 |
5,366 |
$2K |
| 90686 |
|
2,038 |
1,854 |
$2K |
| 90792 |
|
429 |
417 |
$1K |
| V2020 |
Vision svcs frames purchases |
2,576 |
2,535 |
$1K |
| 99381 |
|
286 |
267 |
$1K |
| 92551 |
|
3,704 |
3,402 |
$1K |
| 92340 |
|
2,018 |
1,988 |
$775.60 |
| 3074F |
|
4,970 |
4,689 |
$650.27 |
| 90723 |
|
1,412 |
1,309 |
$543.40 |
| 90834 |
|
475 |
432 |
$492.88 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
36 |
36 |
$492.84 |
| 90633 |
|
1,049 |
942 |
$483.35 |
| 83655 |
|
662 |
604 |
$451.35 |
| 92015 |
|
4,835 |
4,797 |
$418.18 |
| 81003 |
|
1,056 |
835 |
$385.05 |
| 99382 |
|
18 |
13 |
$343.40 |
| 92004 |
|
550 |
545 |
$319.50 |
| 92341 |
|
360 |
354 |
$314.82 |
| 90677 |
|
267 |
261 |
$284.00 |
| 90680 |
|
1,036 |
965 |
$262.14 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
51 |
49 |
$238.50 |
| J3490 |
Drugs unclassified injection |
12 |
12 |
$210.72 |
| 99202 |
|
163 |
153 |
$164.64 |
| 90696 |
|
126 |
112 |
$139.24 |
| 99173 |
|
2,921 |
2,688 |
$82.42 |
| 90700 |
|
200 |
181 |
$73.68 |
| 1111F |
|
10,036 |
9,114 |
$72.58 |
| 81025 |
|
252 |
221 |
$69.16 |
| 90648 |
|
1,837 |
1,693 |
$56.25 |
| 90670 |
|
1,641 |
1,496 |
$47.25 |
| 90651 |
|
574 |
510 |
$27.00 |
| 90734 |
|
398 |
358 |
$9.00 |
| 90620 |
|
26 |
25 |
$9.00 |
| 99177 |
|
121 |
111 |
$7.50 |
| 97813 |
|
171 |
132 |
$5.21 |
| 97814 |
|
170 |
131 |
$5.21 |
| G8752 |
Sys bp less 140 |
5,914 |
5,575 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
256 |
244 |
$0.00 |
| 3050F |
|
462 |
398 |
$0.00 |
| 3078F |
|
4,126 |
3,907 |
$0.00 |
| 3077F |
|
256 |
244 |
$0.00 |
| 90707 |
|
231 |
210 |
$0.00 |
| 90715 |
|
130 |
124 |
$0.00 |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
403 |
240 |
$0.00 |
| 92012 |
|
69 |
69 |
$0.00 |
| 99395 |
|
31 |
29 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
170 |
169 |
$0.00 |
| 97811 |
|
14 |
13 |
$0.00 |
| 90472 |
|
207 |
206 |
$0.00 |
| Z6400 |
|
72 |
71 |
$0.00 |
| 90710 |
|
98 |
87 |
$0.00 |
| 97810 |
|
14 |
13 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
187 |
168 |
$0.00 |
| 87880 |
|
16 |
16 |
$0.00 |
| 87804 |
|
20 |
20 |
$0.00 |
| 4004F |
|
31 |
28 |
$0.00 |
| V2784 |
Lens polycarb or equal |
1,534 |
775 |
$0.00 |
| 3008F |
|
13,033 |
11,626 |
$0.00 |
| 2001F |
|
13,033 |
11,626 |
$0.00 |
| 1036F |
|
9,671 |
8,590 |
$0.00 |
| 3049F |
|
764 |
654 |
$0.00 |
| 3079F |
|
1,497 |
1,439 |
$0.00 |
| V2100 |
Lens spher single plano 4.00 |
386 |
257 |
$0.00 |
| Z1034 |
|
2,727 |
2,063 |
$0.00 |
| G8754 |
Dias bp less 90 |
6,146 |
5,786 |
$0.00 |
| 3048F |
|
1,775 |
1,569 |
$0.00 |
| 3075F |
|
399 |
384 |
$0.00 |
| 90716 |
|
268 |
241 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
434 |
356 |
$0.00 |
| 90656 |
|
184 |
184 |
$0.00 |
| Z6410 |
|
664 |
653 |
$0.00 |
| 90471 |
|
296 |
294 |
$0.00 |
| 90474 |
|
53 |
52 |
$0.00 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,782 |
1,040 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
119 |
116 |
$0.00 |
| 97026 |
|
191 |
145 |
$0.00 |
| 90381 |
|
25 |
25 |
$0.00 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
88 |
66 |
$0.00 |
| 3044F |
|
31 |
27 |
$0.00 |
| 83036 |
|
27 |
26 |
$0.00 |
| 3080F |
|
58 |
57 |
$0.00 |
| 86580 |
|
31 |
28 |
$0.00 |
| V2782 |
Lens, 1.54-1.65 p/1.60-1.79g |
30 |
14 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |