| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
|
125,663 |
107,655 |
$22.46M |
| T1015 |
Clinic visit/encounter, all-inclusive |
121,218 |
96,598 |
$18.63M |
| 99213 |
|
28,524 |
23,702 |
$396K |
| 99212 |
|
27,607 |
23,258 |
$267K |
| 99214 |
|
9,971 |
8,289 |
$131K |
| 59425 |
|
2,613 |
1,830 |
$109K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
1,705 |
1,439 |
$106K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
11,253 |
8,221 |
$77K |
| 90834 |
|
5,281 |
4,103 |
$58K |
| J3490 |
Unclassified drugs |
1,496 |
1,249 |
$47K |
| 90791 |
|
2,210 |
1,965 |
$45K |
| 90832 |
|
4,881 |
4,328 |
$44K |
| 99215 |
Prolong outpt/office vis |
3,222 |
2,215 |
$21K |
| 99393 |
|
440 |
438 |
$14K |
| 59430 |
|
957 |
927 |
$14K |
| 81025 |
|
18,977 |
16,594 |
$13K |
| 99392 |
|
386 |
382 |
$12K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
5,047 |
3,802 |
$12K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
63 |
63 |
$10K |
| 81000 |
|
13,038 |
9,988 |
$10K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,403 |
1,323 |
$9K |
| 99394 |
|
251 |
250 |
$9K |
| 99391 |
|
307 |
296 |
$8K |
| H1000 |
Prenatal care, at-risk assessment |
725 |
716 |
$8K |
| 99000 |
|
29,660 |
20,463 |
$8K |
| 92551 |
|
1,065 |
1,053 |
$8K |
| 11981 |
|
62 |
62 |
$6K |
| 0064A |
|
116 |
116 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
175 |
158 |
$4K |
| 90686 |
|
1,944 |
1,883 |
$4K |
| 85018 |
|
2,752 |
2,688 |
$4K |
| 90670 |
|
356 |
342 |
$3K |
| 83036 |
|
1,872 |
1,459 |
$2K |
| 81002 |
|
21,002 |
16,939 |
$2K |
| 0004A |
|
59 |
59 |
$2K |
| 90649 |
|
277 |
276 |
$2K |
| 90723 |
|
266 |
259 |
$2K |
| 0054A |
|
43 |
43 |
$2K |
| 82948 |
|
1,084 |
969 |
$1K |
| 96150 |
|
65 |
64 |
$1K |
| 96156 |
|
5,796 |
5,676 |
$1K |
| 99173 |
|
1,147 |
1,137 |
$1K |
| 90734 |
|
176 |
175 |
$1K |
| 99203 |
|
19 |
15 |
$1K |
| 90715 |
|
1,256 |
998 |
$1K |
| 87880 |
|
188 |
187 |
$953.17 |
| 93000 |
|
90 |
84 |
$857.84 |
| 99401 |
|
711 |
679 |
$845.12 |
| 90710 |
|
120 |
118 |
$828.00 |
| 90633 |
|
188 |
186 |
$738.00 |
| 96151 |
|
99 |
96 |
$640.90 |
| 99383 |
|
12 |
12 |
$597.08 |
| 90837 |
|
90 |
69 |
$588.12 |
| 86580 |
|
239 |
236 |
$582.68 |
| 90681 |
|
130 |
120 |
$558.00 |
| 90674 |
|
90 |
90 |
$538.50 |
| 90656 |
|
331 |
258 |
$375.90 |
| 81003 |
|
5,245 |
3,243 |
$303.97 |
| 59025 |
|
874 |
371 |
$298.20 |
| 90700 |
|
46 |
46 |
$243.00 |
| 90696 |
|
40 |
40 |
$216.00 |
| 97802 |
|
263 |
254 |
$215.25 |
| 3074F |
|
55,694 |
40,650 |
$151.14 |
| 90471 |
|
2,060 |
1,641 |
$118.38 |
| H2000 |
Comprehensive multidisciplinary evaluation |
315 |
254 |
$110.52 |
| 96372 |
|
833 |
611 |
$100.50 |
| 97803 |
|
308 |
297 |
$64.36 |
| 82962 |
|
2,289 |
1,827 |
$53.64 |
| 99211 |
|
320 |
318 |
$50.89 |
| S9452 |
Nutrition classes, non-physician provider, per session |
189 |
179 |
$46.94 |
| 87210 |
|
13 |
13 |
$42.64 |
| 90647 |
|
241 |
229 |
$18.00 |
| 90472 |
|
22 |
13 |
$15.00 |
| 96127 |
|
3,745 |
3,478 |
$9.62 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
587 |
583 |
$5.79 |
| 1036F |
|
28,413 |
16,391 |
$0.04 |
| 1159F |
|
12,462 |
7,800 |
$0.01 |
| 3078F |
|
53,538 |
39,377 |
$0.01 |
| 1160F |
|
12,467 |
7,801 |
$0.01 |
| 3079F |
|
5,430 |
4,031 |
$0.01 |
| 3075F |
|
2,247 |
1,750 |
$0.01 |
| 83026 |
|
777 |
775 |
$0.00 |
| Z6308 |
|
571 |
571 |
$0.00 |
| Z6304 |
|
1,952 |
1,951 |
$0.00 |
| 3077F |
|
1,405 |
1,130 |
$0.00 |
| 99201 |
|
26 |
26 |
$0.00 |
| Z6414 |
|
625 |
568 |
$0.00 |
| 90460 |
|
31 |
30 |
$0.00 |
| Z6200 |
|
1,214 |
1,204 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,488 |
1,477 |
$0.00 |
| Z6400 |
|
2,642 |
2,634 |
$0.00 |
| Z6300 |
|
1,956 |
1,949 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
114 |
114 |
$0.00 |
| Z6208 |
|
82 |
82 |
$0.00 |
| 3725F |
|
800 |
515 |
$0.00 |
| G9920 |
Screening performed and negative |
12 |
12 |
$0.00 |
| 99395 |
|
47 |
40 |
$0.00 |
| 1017 |
|
122 |
115 |
$0.00 |
| 99396 |
|
53 |
53 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
14 |
13 |
$0.00 |
| Z1034 |
|
21,756 |
17,358 |
$0.00 |
| Z6204 |
|
1,019 |
1,012 |
$0.00 |
| Z1032 |
|
2,420 |
2,420 |
$0.00 |
| Z6410 |
|
9,720 |
7,387 |
$0.00 |
| Z6406 |
|
1,118 |
1,117 |
$0.00 |
| 1034F |
|
461 |
256 |
$0.00 |
| Z1038 |
|
621 |
606 |
$0.00 |
| 85013 |
|
1,405 |
1,384 |
$0.00 |
| Z6402 |
|
1,124 |
1,094 |
$0.00 |
| 99202 |
|
202 |
163 |
$0.00 |
| 3052F |
|
12 |
12 |
$0.00 |
| 90620 |
|
18 |
17 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
35 |
34 |
$0.00 |
| 90651 |
|
26 |
26 |
$0.00 |
| 3080F |
|
16 |
16 |
$0.00 |