| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
225,342 |
185,318 |
$28.42M |
| 00003 |
|
40,832 |
32,461 |
$6.99M |
| G0467 |
Fqhc visit, estab pt |
14,852 |
10,878 |
$192K |
| 99213 |
|
169,583 |
114,519 |
$133K |
| G9920 |
Scrning perf and negative |
8,640 |
6,910 |
$119K |
| 98940 |
|
8,942 |
5,191 |
$90K |
| 87426 |
|
6,415 |
4,368 |
$55K |
| 81002 |
|
6,900 |
4,944 |
$46K |
| 81025 |
|
1,929 |
1,744 |
$35K |
| 59425 |
|
1,320 |
915 |
$35K |
| 99212 |
|
50,774 |
33,527 |
$33K |
| 99392 |
|
16,158 |
11,815 |
$25K |
| 99391 |
|
11,397 |
8,933 |
$24K |
| 99214 |
|
32,687 |
19,991 |
$22K |
| 87811 |
|
1,545 |
1,194 |
$12K |
| 99393 |
|
12,676 |
9,344 |
$9K |
| 87428 |
|
2,285 |
1,360 |
$9K |
| 85018 |
|
37,251 |
28,146 |
$8K |
| 99203 |
|
432 |
397 |
$7K |
| 99394 |
|
7,632 |
5,597 |
$6K |
| 90686 |
|
15,921 |
11,735 |
$6K |
| J1050 |
Medroxyprogesterone acetate |
159 |
154 |
$6K |
| H1003 |
Prenatal at risk education |
450 |
419 |
$5K |
| 92551 |
|
22,703 |
16,982 |
$4K |
| G2025 |
Dis site tele svcs rhc/fqhc |
2,073 |
1,476 |
$4K |
| 96110 |
|
1,969 |
1,835 |
$4K |
| 98941 |
|
414 |
261 |
$4K |
| 99173 |
|
17,958 |
13,325 |
$3K |
| 90670 |
|
9,838 |
7,179 |
$2K |
| 99381 |
|
764 |
620 |
$2K |
| Q0091 |
Obtaining screen pap smear |
178 |
174 |
$2K |
| 99243 |
|
38 |
38 |
$1K |
| 90647 |
|
6,702 |
4,886 |
$1K |
| 99396 |
|
31 |
29 |
$1K |
| 99215 |
Prolong outpt/office vis |
23 |
22 |
$1K |
| 90680 |
|
7,612 |
6,050 |
$1K |
| 90697 |
|
2,289 |
2,149 |
$944.55 |
| J7307 |
Etonogestrel implant system |
12 |
12 |
$935.16 |
| 90715 |
|
815 |
649 |
$929.02 |
| J3420 |
Vitamin b12 injection |
4,759 |
3,601 |
$894.90 |
| 90688 |
|
1,034 |
931 |
$820.86 |
| 90723 |
|
6,701 |
4,939 |
$797.27 |
| 83655 |
|
4,649 |
3,675 |
$687.65 |
| 90633 |
|
5,148 |
3,729 |
$598.47 |
| 87804 |
|
6,374 |
5,246 |
$557.17 |
| 90381 |
|
71 |
64 |
$553.92 |
| 87880 |
|
6,184 |
5,238 |
$535.07 |
| 99395 |
|
15 |
13 |
$532.80 |
| H1001 |
Antepartum management |
13 |
12 |
$517.44 |
| 83036 |
|
2,614 |
2,070 |
$378.64 |
| 99174 |
|
6,791 |
5,404 |
$367.07 |
| S9445 |
Pt education noc individ |
13 |
12 |
$353.22 |
| 99188 |
|
1,929 |
1,896 |
$275.85 |
| 86580 |
|
1,354 |
1,151 |
$267.05 |
| 90791 |
|
1,003 |
990 |
$256.16 |
| 90619 |
|
477 |
469 |
$211.64 |
| 90834 |
|
728 |
602 |
$201.48 |
| J3301 |
Triamcinolone acet inj nos |
615 |
481 |
$167.07 |
| 90651 |
|
2,515 |
1,940 |
$127.97 |
| 88720 |
|
460 |
261 |
$112.14 |
| 99211 |
|
2,474 |
1,205 |
$100.01 |
| 90474 |
|
25 |
25 |
$72.00 |
| 90671 |
|
287 |
275 |
$63.90 |
| 82947 |
|
126 |
92 |
$63.63 |
| 87420 |
|
901 |
765 |
$48.32 |
| 92227 |
|
69 |
68 |
$43.83 |
| 90716 |
|
782 |
550 |
$40.91 |
| 90707 |
|
359 |
267 |
$36.45 |
| 90685 |
|
122 |
96 |
$36.00 |
| 93000 |
|
30 |
29 |
$28.41 |
| J1750 |
Inj iron dextran |
121 |
70 |
$21.78 |
| J1100 |
Dexamethasone sodium phos |
816 |
603 |
$18.56 |
| 90710 |
|
579 |
408 |
$17.92 |
| 90734 |
|
1,075 |
723 |
$17.92 |
| 90662 |
|
150 |
134 |
$13.76 |
| 94640 |
|
202 |
158 |
$13.40 |
| 90696 |
|
497 |
340 |
$4.46 |
| 90700 |
|
597 |
378 |
$4.46 |
| J1885 |
Ketorolac tromethamine inj |
472 |
315 |
$1.28 |
| G0008 |
Admin influenza virus vac |
198 |
180 |
$0.00 |
| 3074F |
|
2,993 |
2,637 |
$0.00 |
| 3079F |
|
979 |
914 |
$0.00 |
| 3080F |
|
249 |
233 |
$0.00 |
| 3075F |
|
490 |
475 |
$0.00 |
| Z1034 |
|
1,524 |
1,129 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
133 |
73 |
$0.00 |
| 90620 |
|
220 |
177 |
$0.00 |
| 90471 |
|
30 |
30 |
$0.00 |
| Z1032 |
|
84 |
84 |
$0.00 |
| 90656 |
|
234 |
234 |
$0.00 |
| 99000 |
|
35 |
32 |
$0.00 |
| Z6410 |
|
63 |
55 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
21 |
13 |
$0.00 |
| 3078F |
|
2,962 |
2,634 |
$0.00 |
| 3077F |
|
630 |
587 |
$0.00 |
| Z6400 |
|
396 |
394 |
$0.00 |
| 90832 |
|
426 |
351 |
$0.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
73 |
73 |
$0.00 |
| 90653 |
|
29 |
29 |
$0.00 |
| 17110 |
|
34 |
13 |
$0.00 |
| G0468 |
Fqhc visit, ippe or awv |
12 |
12 |
$0.00 |
| 99244 |
|
13 |
12 |
$0.00 |