| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
237,342 |
187,673 |
$53.54M |
| 00003 |
|
23,271 |
19,099 |
$7.44M |
| H2015 |
Comp comm supp svc, 15 min |
3,038 |
2,674 |
$1.02M |
| H2017 |
Psysoc rehab svc, per 15 min |
2,003 |
1,680 |
$478K |
| H2010 |
Comprehensive med svc 15 min |
1,185 |
1,156 |
$292K |
| T1017 |
Targeted case management |
1,630 |
1,156 |
$287K |
| 0011A |
|
2,448 |
1,284 |
$125K |
| 90832 |
|
38,943 |
21,832 |
$114K |
| 0012A |
|
2,021 |
1,054 |
$106K |
| H0032 |
Mh svc plan dev by non-md |
192 |
192 |
$93K |
| 99213 |
|
63,043 |
54,543 |
$93K |
| 99214 |
|
39,130 |
34,372 |
$91K |
| 90791 |
|
5,128 |
4,064 |
$65K |
| 0064A |
|
898 |
483 |
$47K |
| G2025 |
Dis site tele svcs rhc/fqhc |
2,658 |
2,266 |
$46K |
| G0467 |
Fqhc visit, estab pt |
2,354 |
2,113 |
$41K |
| 99212 |
|
27,892 |
23,545 |
$37K |
| D9430 |
|
852 |
721 |
$21K |
| 0031A |
|
405 |
239 |
$20K |
| 0002A |
|
342 |
180 |
$18K |
| 90792 |
|
1,556 |
1,342 |
$18K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
1,527 |
1,522 |
$18K |
| 0001A |
|
327 |
171 |
$17K |
| 0071A |
|
278 |
147 |
$15K |
| 98941 |
|
9,870 |
6,720 |
$14K |
| 0004A |
|
226 |
123 |
$12K |
| 0072A |
|
195 |
101 |
$10K |
| 90834 |
|
1,442 |
718 |
$9K |
| 90837 |
|
202 |
147 |
$7K |
| 0054A |
|
129 |
68 |
$7K |
| G0470 |
Fqhc visit, mh estab pt |
129 |
117 |
$5K |
| 98940 |
|
5,323 |
3,444 |
$4K |
| 99215 |
Prolong outpt/office vis |
2,087 |
1,911 |
$4K |
| 99203 |
|
1,437 |
1,376 |
$4K |
| 99204 |
|
804 |
759 |
$3K |
| 0051A |
|
40 |
20 |
$2K |
| D0220 |
|
116 |
112 |
$2K |
| D4910 |
|
24 |
24 |
$2K |
| 0052A |
|
32 |
16 |
$2K |
| 99000 |
|
6,494 |
6,060 |
$2K |
| D0230 |
|
22 |
22 |
$1K |
| D0150 |
|
28 |
28 |
$1K |
| 90899 |
|
95 |
81 |
$1K |
| 80305 |
|
1,437 |
1,204 |
$1K |
| 99202 |
|
698 |
678 |
$1K |
| 96156 |
|
2,083 |
2,043 |
$970.22 |
| 0134A |
|
14 |
14 |
$921.25 |
| 0124A |
|
15 |
15 |
$904.50 |
| D0274 |
|
21 |
21 |
$840.00 |
| D0120 |
|
25 |
25 |
$700.00 |
| 92551 |
|
1,338 |
1,304 |
$521.68 |
| 90686 |
|
434 |
423 |
$514.09 |
| G9920 |
Scrning perf and negative |
655 |
584 |
$426.59 |
| 90471 |
|
1,197 |
1,160 |
$304.32 |
| 90677 |
|
28 |
27 |
$287.29 |
| 96110 |
|
413 |
406 |
$237.80 |
| 90715 |
|
150 |
147 |
$237.66 |
| 96160 |
|
1,731 |
1,680 |
$220.90 |
| 90651 |
|
50 |
49 |
$215.00 |
| H0014 |
Alcohol and/or drug services |
493 |
339 |
$192.50 |
| 99173 |
|
1,528 |
1,492 |
$171.97 |
| 99392 |
|
173 |
169 |
$148.82 |
| 99393 |
|
214 |
212 |
$109.63 |
| 90698 |
|
19 |
18 |
$108.85 |
| 90656 |
|
74 |
74 |
$106.16 |
| 98942 |
|
175 |
140 |
$105.35 |
| 99205 |
Prolong outpt/office vis |
125 |
123 |
$82.70 |
| 99391 |
|
41 |
39 |
$68.68 |
| 99383 |
|
18 |
17 |
$54.83 |
| 97026 |
|
720 |
556 |
$42.92 |
| 90744 |
|
17 |
16 |
$35.00 |
| 90670 |
|
79 |
75 |
$27.00 |
| 90648 |
|
41 |
39 |
$18.00 |
| 90723 |
|
14 |
12 |
$18.00 |
| 85018 |
|
397 |
390 |
$17.89 |
| 83655 |
|
42 |
42 |
$10.63 |
| G8510 |
Scr dep neg, no plan reqd |
54,681 |
46,038 |
$9.32 |
| 90460 |
|
1,511 |
1,493 |
$8.24 |
| 81002 |
|
92 |
88 |
$4.30 |
| G8431 |
Pos clin depres scrn f/u doc |
1,872 |
1,725 |
$0.79 |
| S9451 |
Exercise class |
9,435 |
9,036 |
$0.19 |
| 1125F |
|
385 |
363 |
$0.05 |
| S9452 |
Nutrition class |
13,541 |
12,823 |
$0.05 |
| 1159F |
|
55,223 |
46,813 |
$0.04 |
| 99396 |
|
80 |
80 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 97813 |
|
373 |
299 |
$0.00 |
| 97810 |
|
197 |
171 |
$0.00 |
| 90472 |
|
79 |
79 |
$0.00 |
| 99394 |
|
186 |
186 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 97811 |
|
197 |
171 |
$0.00 |
| 90461 |
|
203 |
202 |
$0.00 |
| 3078F |
|
714 |
690 |
$0.00 |
| 90750 |
|
14 |
14 |
$0.00 |
| 90633 |
|
56 |
56 |
$0.00 |
| 95004 |
|
33 |
33 |
$0.00 |
| 87880 |
|
59 |
59 |
$0.00 |
| 96165 |
|
32 |
32 |
$0.00 |
| 3085F |
|
149 |
145 |
$0.00 |
| 4064F |
|
26 |
26 |
$0.00 |
| 4004F |
|
48 |
38 |
$0.00 |
| 99395 |
|
12 |
12 |
$0.00 |
| 87804 |
|
14 |
14 |
$0.00 |
| 99211 |
|
12 |
12 |
$0.00 |
| 36415 |
|
7,101 |
6,931 |
$0.00 |
| 3008F |
|
14,507 |
13,712 |
$0.00 |
| G9664 |
Taking statin or rec'd order |
6,550 |
5,499 |
$0.00 |
| 3074F |
|
878 |
847 |
$0.00 |
| 97814 |
|
316 |
250 |
$0.00 |
| 3075F |
|
26 |
26 |
$0.00 |
| 3351F |
|
258 |
241 |
$0.00 |
| 90688 |
|
92 |
92 |
$0.00 |
| 36416 |
|
69 |
66 |
$0.00 |
| 1000F |
|
78 |
69 |
$0.00 |
| 3079F |
|
197 |
190 |
$0.00 |
| 1126F |
|
18 |
17 |
$0.00 |
| 2023F |
|
52 |
52 |
$0.00 |
| H0049 |
Alcohol/drug screening |
35 |
34 |
$0.00 |
| 3354F |
|
30 |
29 |
$0.00 |
| 96127 |
|
30 |
30 |
$0.00 |
| G0008 |
Admin influenza virus vac |
47 |
47 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 83036 |
|
28 |
28 |
$0.00 |