| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
257,128 |
215,176 |
$31.74M |
| 00003 |
|
14,212 |
12,109 |
$2.50M |
| G9012 |
Other specified case mgmt |
16,216 |
8,668 |
$675K |
| 99213 |
|
199,774 |
132,644 |
$437K |
| 90832 |
|
37,404 |
12,300 |
$413K |
| G0467 |
Fqhc visit, estab pt |
8,225 |
7,454 |
$379K |
| 99212 |
|
135,896 |
85,928 |
$307K |
| 92004 |
|
12,492 |
10,052 |
$226K |
| V2020 |
Vision svcs frames purchases |
17,099 |
12,814 |
$117K |
| 99202 |
|
1,630 |
1,460 |
$102K |
| 92014 |
|
6,206 |
4,653 |
$89K |
| 99214 |
|
53,426 |
40,357 |
$72K |
| 92340 |
|
13,037 |
9,669 |
$63K |
| 92015 |
|
23,937 |
18,510 |
$56K |
| G9008 |
Mccd,phys coor-care ovrsght |
3,486 |
1,588 |
$41K |
| 90791 |
|
1,256 |
877 |
$35K |
| J3490 |
Drugs unclassified injection |
1,077 |
812 |
$27K |
| 92341 |
|
3,491 |
2,667 |
$26K |
| 92002 |
|
2,189 |
1,602 |
$24K |
| 92012 |
|
2,333 |
1,660 |
$22K |
| 92133 |
|
1,562 |
1,208 |
$22K |
| 92250 |
|
1,362 |
1,150 |
$21K |
| 90686 |
|
25,643 |
18,550 |
$19K |
| 0124A |
|
732 |
532 |
$17K |
| 0011A |
|
345 |
190 |
$14K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
1,574 |
1,534 |
$13K |
| 99000 |
|
101,702 |
80,577 |
$13K |
| 0012A |
|
292 |
172 |
$12K |
| 99203 |
|
1,105 |
915 |
$12K |
| 0134A |
|
519 |
383 |
$10K |
| 81025 |
|
7,011 |
5,895 |
$9K |
| S4993 |
Contraceptive pills for bc |
368 |
368 |
$7K |
| 0054A |
|
255 |
249 |
$7K |
| S9445 |
Pt education noc individ |
507 |
507 |
$6K |
| 92083 |
|
693 |
532 |
$6K |
| 90670 |
|
2,594 |
1,759 |
$6K |
| 99395 |
|
5,750 |
4,015 |
$6K |
| 99385 |
|
2,257 |
1,801 |
$5K |
| 90734 |
|
3,161 |
2,051 |
$5K |
| 86703 |
|
360 |
359 |
$4K |
| G0469 |
Fqhc visit, mh new pt |
90 |
64 |
$4K |
| 90651 |
|
4,692 |
3,126 |
$4K |
| 0519 |
|
48 |
40 |
$4K |
| 0064A |
|
212 |
212 |
$4K |
| G0470 |
Fqhc visit, mh estab pt |
41 |
36 |
$4K |
| 99396 |
|
10,989 |
8,180 |
$4K |
| 91320 |
|
877 |
658 |
$4K |
| 90480 |
|
1,606 |
1,212 |
$3K |
| 90471 |
|
31,773 |
25,802 |
$3K |
| 90715 |
|
4,702 |
3,615 |
$3K |
| 90620 |
|
2,831 |
1,686 |
$3K |
| 99204 |
|
351 |
307 |
$3K |
| 90688 |
|
168 |
168 |
$3K |
| 99386 |
|
1,522 |
1,319 |
$3K |
| 99394 |
|
6,377 |
4,047 |
$2K |
| 90846 |
|
142 |
96 |
$2K |
| 99393 |
|
6,288 |
4,082 |
$2K |
| 99392 |
|
5,602 |
3,569 |
$2K |
| D1206 |
|
1,397 |
1,126 |
$2K |
| 92551 |
|
18,436 |
11,935 |
$2K |
| 91322 |
|
354 |
295 |
$2K |
| 90633 |
|
2,636 |
1,737 |
$2K |
| A4267 |
Male condom |
893 |
888 |
$1K |
| G0466 |
Fqhc visit new patient |
12 |
12 |
$1K |
| 0071A |
|
23 |
23 |
$1K |
| D0210 |
|
523 |
433 |
$1K |
| 90716 |
|
839 |
566 |
$1K |
| 0074A |
|
21 |
21 |
$1K |
| D1310 |
|
1,753 |
1,509 |
$966.00 |
| 83036 |
|
13,776 |
10,236 |
$896.01 |
| 76514 |
|
236 |
205 |
$874.81 |
| D4341 |
|
579 |
282 |
$840.00 |
| D0150 |
|
310 |
236 |
$832.00 |
| 0081A |
|
17 |
17 |
$800.00 |
| 0072A |
|
29 |
29 |
$750.00 |
| 90698 |
|
730 |
492 |
$738.88 |
| 90472 |
|
5,680 |
4,846 |
$680.46 |
| D0120 |
|
533 |
462 |
$680.00 |
| 97802 |
|
2,542 |
2,540 |
$661.10 |
| 90744 |
|
607 |
409 |
$649.05 |
| 92082 |
|
62 |
59 |
$628.58 |
| 82948 |
|
11,947 |
8,695 |
$621.87 |
| 99391 |
|
2,148 |
1,459 |
$616.68 |
| 90710 |
|
579 |
381 |
$616.00 |
| 90834 |
|
57 |
29 |
$606.60 |
| G0468 |
Fqhc visit, ippe or awv |
13 |
13 |
$582.01 |
| 99173 |
|
45,146 |
32,328 |
$573.14 |
| 93000 |
|
1,655 |
1,205 |
$570.15 |
| 90746 |
|
907 |
890 |
$566.48 |
| 92134 |
|
42 |
41 |
$556.69 |
| D1351 |
|
64 |
14 |
$555.00 |
| 0521 |
|
15 |
15 |
$552.15 |
| D1208 |
|
1,022 |
885 |
$533.40 |
| 99382 |
|
82 |
55 |
$466.60 |
| 90707 |
|
596 |
430 |
$458.88 |
| 85018 |
|
19,806 |
12,545 |
$448.48 |
| D4910 |
|
242 |
215 |
$390.00 |
| 94760 |
|
3,093 |
2,483 |
$371.88 |
| D1120 |
|
156 |
141 |
$355.50 |
| 99383 |
|
192 |
137 |
$325.68 |
| D1110 |
|
255 |
218 |
$324.00 |
| D0220 |
|
481 |
397 |
$287.00 |
| 90677 |
|
660 |
505 |
$269.20 |
| 81002 |
|
7,786 |
5,196 |
$257.69 |
| 96110 |
|
1,401 |
873 |
$242.90 |
| 3044F |
|
4,510 |
3,367 |
$220.59 |
| 90750 |
|
3,518 |
3,040 |
$187.87 |
| 87430 |
|
1,352 |
1,241 |
$162.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
257 |
244 |
$154.96 |
| 90700 |
|
488 |
306 |
$152.74 |
| 99384 |
|
127 |
102 |
$130.24 |
| D0145 |
|
17 |
15 |
$124.00 |
| 90681 |
|
562 |
415 |
$121.79 |
| 90696 |
|
454 |
291 |
$106.72 |
| 90685 |
|
21 |
17 |
$100.00 |
| D0603 |
|
224 |
211 |
$90.00 |
| D0274 |
|
137 |
113 |
$64.80 |
| 99201 |
|
177 |
163 |
$60.92 |
| D0140 |
|
112 |
97 |
$46.20 |
| 90460 |
|
23,289 |
14,403 |
$40.40 |
| H1002 |
Carecoordination prenatal |
99 |
99 |
$33.30 |
| D0602 |
|
44 |
39 |
$30.00 |
| Q0091 |
Obtaining screen pap smear |
9,147 |
6,238 |
$23.49 |
| 3045F |
|
631 |
605 |
$23.49 |
| D2391 |
|
17 |
12 |
$10.00 |
| 86580 |
|
182 |
180 |
$9.99 |
| 87804 |
|
345 |
217 |
$8.76 |
| G9007 |
Mccd, sch team conf |
82 |
74 |
$0.27 |
| 3074F |
|
5,780 |
4,207 |
$0.00 |
| 90656 |
|
2,891 |
2,136 |
$0.00 |
| 90697 |
|
850 |
583 |
$0.00 |
| D0002 |
|
5,040 |
4,174 |
$0.00 |
| D1330 |
|
3,392 |
2,816 |
$0.00 |
| 3075F |
|
1,256 |
928 |
$0.00 |
| 99441 |
|
308 |
280 |
$0.00 |
| 96156 |
|
393 |
392 |
$0.00 |
| 2033F |
|
229 |
200 |
$0.00 |
| D0001 |
|
274 |
274 |
$0.00 |
| 90739 |
|
137 |
134 |
$0.00 |
| 1170F |
|
190 |
108 |
$0.00 |
| 3079F |
|
1,341 |
998 |
$0.00 |
| 1126F |
|
549 |
331 |
$0.00 |
| 90674 |
|
15 |
15 |
$0.00 |
| 1123F |
|
472 |
292 |
$0.00 |
| 3052F |
|
320 |
240 |
$0.00 |
| 90747 |
|
39 |
39 |
$0.00 |
| S9452 |
Nutrition class |
28 |
28 |
$0.00 |
| 2023F |
|
234 |
215 |
$0.00 |
| 99381 |
|
90 |
71 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
28 |
28 |
$0.00 |
| Z6204 |
|
28 |
28 |
$0.00 |
| 3080F |
|
31 |
25 |
$0.00 |
| G0008 |
Admin influenza virus vac |
47 |
46 |
$0.00 |
| 1125F |
|
97 |
63 |
$0.00 |
| Z6406 |
|
28 |
28 |
$0.00 |
| 59430 |
|
31 |
17 |
$0.00 |
| 58100 |
|
16 |
13 |
$0.00 |
| 1111F |
|
20 |
12 |
$0.00 |
| 1159F |
|
4,278 |
3,141 |
$0.00 |
| 1158F |
|
474 |
293 |
$0.00 |
| 3051F |
|
1,253 |
928 |
$0.00 |
| D9993 |
|
1,803 |
1,569 |
$0.00 |
| 99401 |
|
83 |
83 |
$0.00 |
| 3077F |
|
972 |
744 |
$0.00 |
| 94729 |
|
43 |
42 |
$0.00 |
| 3078F |
|
7,093 |
5,246 |
$0.00 |
| 1160F |
|
2,003 |
1,558 |
$0.00 |
| 3046F |
|
1,550 |
1,165 |
$0.00 |
| 90461 |
|
7,154 |
4,440 |
$0.00 |
| 99442 |
|
338 |
292 |
$0.00 |
| 97803 |
|
2,062 |
2,046 |
$0.00 |
| H1003 |
Prenatal at risk education |
492 |
483 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
322 |
247 |
$0.00 |
| 96152 |
|
475 |
266 |
$0.00 |
| 90648 |
|
167 |
110 |
$0.00 |
| 0502F |
|
65 |
31 |
$0.00 |
| 96160 |
|
40 |
40 |
$0.00 |
| D4381 |
|
461 |
240 |
$0.00 |
| 90662 |
|
421 |
386 |
$0.00 |
| 87880 |
|
169 |
97 |
$0.00 |
| Z6400 |
|
153 |
152 |
$0.00 |
| 90756 |
|
139 |
139 |
$0.00 |
| 87210 |
|
13 |
13 |
$0.00 |
| 99397 |
|
259 |
218 |
$0.00 |
| Z6500 |
|
28 |
28 |
$0.00 |
| 90713 |
|
17 |
14 |
$0.00 |
| Z6304 |
|
28 |
28 |
$0.00 |
| D0190 |
|
29 |
29 |
$0.00 |
| 2026F |
|
15 |
14 |
$0.00 |
| 2022F |
|
59 |
47 |
$0.00 |
| 90672 |
|
27 |
17 |
$0.00 |
| 0004A |
|
35 |
35 |
$0.00 |
| D0270 |
|
13 |
13 |
$0.00 |