| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
192,363 |
150,990 |
$64.06M |
| G0470 |
Fqhc visit, mh estab pt |
32,498 |
22,514 |
$9.92M |
| 99214 |
|
98,521 |
88,157 |
$1.70M |
| 99213 |
|
81,215 |
69,100 |
$1.04M |
| 90832 |
|
42,559 |
29,309 |
$832K |
| 99215 |
Prolong outpt/office vis |
9,832 |
9,098 |
$326K |
| 90834 |
|
11,328 |
7,477 |
$190K |
| 90837 |
|
7,637 |
4,136 |
$189K |
| 90791 |
|
2,784 |
2,488 |
$175K |
| 97811 |
|
5,121 |
3,408 |
$161K |
| 90750 |
|
1,046 |
1,045 |
$160K |
| 99212 |
|
12,876 |
10,943 |
$125K |
| 90677 |
|
429 |
429 |
$115K |
| 99211 |
|
8,779 |
6,641 |
$108K |
| 80305 |
|
9,166 |
5,499 |
$94K |
| G0442 |
Annual alcohol screen 15 min |
4,857 |
4,853 |
$90K |
| 99203 |
|
1,383 |
1,380 |
$88K |
| 97810 |
|
9,838 |
6,558 |
$87K |
| 90739 |
|
592 |
586 |
$85K |
| 90792 |
|
1,003 |
1,001 |
$77K |
| 90686 |
|
3,116 |
3,112 |
$68K |
| 99204 |
|
918 |
918 |
$62K |
| 90732 |
|
459 |
459 |
$47K |
| 90715 |
|
1,332 |
1,331 |
$45K |
| 99396 |
|
1,026 |
1,025 |
$43K |
| 0001A |
|
1,138 |
634 |
$35K |
| 0002A |
|
960 |
538 |
$31K |
| 83036 |
|
2,748 |
2,723 |
$25K |
| 99205 |
Prolong outpt/office vis |
359 |
358 |
$24K |
| 90833 |
|
748 |
691 |
$23K |
| 0031A |
|
647 |
346 |
$20K |
| 93000 |
|
734 |
716 |
$18K |
| 90682 |
|
284 |
283 |
$16K |
| 99395 |
|
157 |
157 |
$15K |
| 71046 |
|
536 |
530 |
$14K |
| 90746 |
|
214 |
214 |
$14K |
| 87428 |
|
216 |
212 |
$13K |
| 91320 |
|
97 |
97 |
$12K |
| 90662 |
|
163 |
163 |
$10K |
| H0049 |
Alcohol/drug screening |
297 |
297 |
$10K |
| 99202 |
|
186 |
186 |
$9K |
| 0064A |
|
180 |
180 |
$8K |
| 0004A |
|
187 |
187 |
$8K |
| 0012A |
|
263 |
151 |
$8K |
| 0011A |
|
291 |
158 |
$7K |
| 90656 |
|
249 |
249 |
$6K |
| 91322 |
|
37 |
37 |
$5K |
| 90480 |
|
111 |
111 |
$4K |
| G9920 |
Scrning perf and negative |
142 |
142 |
$4K |
| 81025 |
|
1,389 |
1,078 |
$4K |
| 90688 |
|
178 |
175 |
$4K |
| G0443 |
Brief alcohol misuse counsel |
172 |
171 |
$4K |
| 90679 |
|
13 |
13 |
$4K |
| 82947 |
|
957 |
883 |
$3K |
| 90736 |
|
12 |
12 |
$2K |
| 90632 |
|
43 |
43 |
$2K |
| 86580 |
|
386 |
378 |
$2K |
| 0054A |
|
32 |
32 |
$2K |
| 90636 |
|
15 |
15 |
$2K |
| 87811 |
|
50 |
50 |
$2K |
| 0134A |
|
25 |
25 |
$2K |
| 82962 |
|
693 |
621 |
$2K |
| 98926 |
|
27 |
26 |
$2K |
| 99385 |
|
12 |
12 |
$2K |
| 99070 |
|
629 |
365 |
$1K |
| H0050 |
Alcohol/drug service 15 min |
21 |
21 |
$1K |
| 73030 |
|
51 |
49 |
$1K |
| 90707 |
|
17 |
17 |
$1K |
| 0124A |
|
15 |
15 |
$1K |
| 90734 |
|
13 |
13 |
$813.00 |
| 90853 |
|
39 |
18 |
$692.52 |
| G9919 |
Scrn nd pos nd prov of rec |
19 |
19 |
$551.00 |
| J0561 |
Penicillin g benzathine inj |
15 |
12 |
$360.00 |
| 86780 |
|
27 |
27 |
$314.01 |
| J1030 |
Methylprednisolone 40 mg inj |
26 |
26 |
$300.34 |
| 99406 |
|
12 |
12 |
$171.82 |
| 87804 |
|
18 |
18 |
$162.36 |
| 81003 |
|
80 |
77 |
$157.50 |
| J1885 |
Ketorolac tromethamine inj |
28 |
26 |
$157.10 |
| J0696 |
Ceftriaxone sodium injection |
12 |
12 |
$77.40 |
| G2025 |
Dis site tele svcs rhc/fqhc |
616 |
575 |
$72.29 |
| 81002 |
|
16 |
16 |
$35.04 |
| 99441 |
|
469 |
426 |
$0.00 |
| 99443 |
|
1,376 |
1,267 |
$0.00 |
| 99442 |
|
1,371 |
1,271 |
$0.00 |
| 91300 |
|
23 |
23 |
$0.00 |