| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
20,192 |
17,273 |
$532K |
| 99213 |
|
468,373 |
423,578 |
$502K |
| 59425 |
|
2,224 |
1,675 |
$115K |
| G2025 |
Dis site tele svcs rhc/fqhc |
5,447 |
4,652 |
$69K |
| J7307 |
Etonogestrel implant system |
102 |
100 |
$66K |
| 99212 |
|
162,875 |
150,985 |
$66K |
| 99214 |
|
108,515 |
101,852 |
$49K |
| 59409 |
|
76 |
75 |
$41K |
| 90832 |
|
83,141 |
54,496 |
$27K |
| J7298 |
Mirena, 52 mg |
25 |
25 |
$22K |
| 99238 |
|
548 |
541 |
$20K |
| 88141 |
|
320 |
133 |
$16K |
| 11981 |
|
79 |
79 |
$15K |
| 58300 |
|
99 |
94 |
$15K |
| 99401 |
|
18,392 |
16,450 |
$14K |
| 99203 |
|
783 |
781 |
$14K |
| 93000 |
|
539 |
528 |
$13K |
| G9920 |
Scrning perf and negative |
14,340 |
14,128 |
$13K |
| H1003 |
Prenatal at risk education |
2,360 |
2,018 |
$10K |
| U0003 |
Cov-19 amp prb hgh thruput |
125 |
119 |
$9K |
| 90834 |
|
8,436 |
5,842 |
$9K |
| 92014 |
|
5,380 |
5,352 |
$9K |
| J3490 |
Drugs unclassified injection |
136 |
133 |
$8K |
| 92250 |
|
3,211 |
3,208 |
$7K |
| 99460 |
|
150 |
150 |
$7K |
| G0470 |
Fqhc visit, mh estab pt |
220 |
148 |
$6K |
| 99215 |
Prolong outpt/office vis |
1,482 |
1,400 |
$5K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
510 |
509 |
$5K |
| 96110 |
|
15,192 |
14,597 |
$5K |
| 99211 |
|
10,149 |
9,476 |
$5K |
| 76815 |
|
217 |
158 |
$4K |
| T1015 |
Clinic service |
93 |
89 |
$4K |
| 59025 |
|
782 |
388 |
$4K |
| 90686 |
|
38,536 |
37,537 |
$3K |
| 99000 |
|
53,592 |
49,408 |
$3K |
| 98940 |
|
14,653 |
9,886 |
$3K |
| 71046 |
|
166 |
166 |
$3K |
| 81025 |
|
9,387 |
8,657 |
$3K |
| 99231 |
|
97 |
93 |
$2K |
| 98941 |
|
31,605 |
19,587 |
$2K |
| 81002 |
|
18,984 |
14,937 |
$2K |
| 96156 |
|
22,705 |
22,045 |
$2K |
| S9445 |
Pt education noc individ |
5,581 |
4,411 |
$2K |
| 99394 |
|
9,718 |
9,513 |
$2K |
| 90791 |
|
5,405 |
5,084 |
$2K |
| 90471 |
|
37,267 |
36,867 |
$1K |
| 99393 |
|
12,695 |
12,469 |
$1K |
| 97803 |
|
12,527 |
11,489 |
$1K |
| 59430 |
|
495 |
457 |
$1K |
| G0442 |
Annual alcohol screen 15 min |
4,976 |
4,866 |
$1K |
| 99204 |
|
191 |
190 |
$1K |
| 92586 |
|
16 |
16 |
$1K |
| 83036 |
|
4,503 |
4,448 |
$1K |
| 90715 |
|
896 |
895 |
$974.88 |
| 99462 |
|
38 |
36 |
$967.65 |
| 80061 |
|
302 |
302 |
$886.40 |
| 90677 |
|
76 |
76 |
$807.60 |
| 92552 |
|
11,386 |
10,861 |
$692.62 |
| 90670 |
|
2,308 |
2,276 |
$672.00 |
| 99391 |
|
1,847 |
1,827 |
$515.10 |
| 97026 |
|
2,621 |
2,041 |
$507.40 |
| 81003 |
|
475 |
430 |
$430.68 |
| 85018 |
|
44,333 |
43,262 |
$393.42 |
| 99202 |
|
468 |
467 |
$379.08 |
| 97802 |
|
660 |
645 |
$377.44 |
| 80053 |
|
237 |
236 |
$347.62 |
| 96372 |
|
827 |
740 |
$344.48 |
| 99392 |
|
7,846 |
7,738 |
$333.55 |
| 80050 |
|
42 |
42 |
$276.88 |
| J1050 |
Medroxyprogesterone acetate |
669 |
350 |
$231.00 |
| 90662 |
|
180 |
179 |
$198.04 |
| 90698 |
|
624 |
613 |
$183.00 |
| 92551 |
|
31,585 |
31,104 |
$177.86 |
| 87804 |
|
2,408 |
2,385 |
$176.91 |
| 83655 |
|
81 |
81 |
$136.76 |
| 87811 |
|
666 |
660 |
$124.14 |
| 90672 |
|
1,642 |
1,640 |
$117.00 |
| 99070 |
|
4,579 |
4,359 |
$100.37 |
| 85025 |
|
89 |
88 |
$83.12 |
| 86703 |
|
1,173 |
1,140 |
$76.72 |
| 87426 |
|
3,474 |
3,411 |
$70.66 |
| G0447 |
Behavior counsel obesity 15m |
19,272 |
17,960 |
$67.56 |
| 90785 |
|
1,097 |
953 |
$53.76 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
62 |
53 |
$44.50 |
| 92015 |
|
6,987 |
6,892 |
$31.96 |
| S9452 |
Nutrition class |
7,381 |
7,210 |
$25.23 |
| U0005 |
Infec agen detec ampli probe |
56 |
54 |
$25.00 |
| 88142 |
|
162 |
158 |
$18.13 |
| 82043 |
|
53 |
53 |
$15.24 |
| 82570 |
|
53 |
53 |
$13.80 |
| G8510 |
Scr dep neg, no plan reqd |
58,290 |
55,361 |
$11.74 |
| J1885 |
Ketorolac tromethamine inj |
88 |
85 |
$10.54 |
| 82947 |
|
4,628 |
4,391 |
$6.54 |
| 97810 |
|
5,603 |
3,555 |
$5.73 |
| 96127 |
|
4,427 |
3,854 |
$4.76 |
| 90472 |
|
8,196 |
8,155 |
$3.90 |
| 99173 |
|
43,247 |
42,217 |
$2.30 |
| A4267 |
Male condom |
12 |
12 |
$0.36 |
| G8431 |
Pos clin depres scrn f/u doc |
7,839 |
4,854 |
$0.03 |
| S9451 |
Exercise class |
6,517 |
6,406 |
$0.00 |
| 3074F |
|
26,889 |
25,196 |
$0.00 |
| 3008F |
|
7,871 |
7,660 |
$0.00 |
| 36415 |
|
74,894 |
72,596 |
$0.00 |
| 3079F |
|
5,089 |
4,887 |
$0.00 |
| 3075F |
|
1,875 |
1,833 |
$0.00 |
| 1126F |
|
300 |
298 |
$0.00 |
| 99441 |
|
2,065 |
1,946 |
$0.00 |
| H0049 |
Alcohol/drug screening |
675 |
659 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
486 |
405 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
5,733 |
5,432 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
1,336 |
1,273 |
$0.00 |
| 90688 |
|
2,799 |
2,566 |
$0.00 |
| 36416 |
|
1,157 |
1,157 |
$0.00 |
| 90620 |
|
242 |
242 |
$0.00 |
| 1170F |
|
58 |
58 |
$0.00 |
| 86580 |
|
81 |
71 |
$0.00 |
| 94760 |
|
4,548 |
4,209 |
$0.00 |
| 97814 |
|
1,135 |
849 |
$0.00 |
| 90651 |
|
2,041 |
1,975 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
396 |
243 |
$0.00 |
| 1000F |
|
80 |
79 |
$0.00 |
| 1125F |
|
616 |
608 |
$0.00 |
| 90792 |
|
1,190 |
1,189 |
$0.00 |
| 90716 |
|
75 |
75 |
$0.00 |
| H1001 |
Antepartum management |
4,599 |
3,458 |
$0.00 |
| 3044F |
|
57 |
56 |
$0.00 |
| 3080F |
|
254 |
236 |
$0.00 |
| 87650 |
|
207 |
187 |
$0.00 |
| 90847 |
|
375 |
304 |
$0.00 |
| G0008 |
Admin influenza virus vac |
185 |
184 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 88720 |
|
175 |
118 |
$0.00 |
| G0443 |
Brief alcohol misuse counsel |
99 |
84 |
$0.00 |
| 87635 |
|
418 |
408 |
$0.00 |
| 90696 |
|
215 |
215 |
$0.00 |
| 0241U |
|
550 |
512 |
$0.00 |
| 0500F |
|
14 |
14 |
$0.00 |
| 99402 |
|
14 |
14 |
$0.00 |
| 2023F |
|
53 |
53 |
$0.00 |
| T1019 |
Personal care ser per 15 min |
38 |
37 |
$0.00 |
| 81005 |
|
242 |
172 |
$0.00 |
| 84443 |
|
32 |
32 |
$0.00 |
| 90697 |
|
227 |
227 |
$0.00 |
| 91301 |
|
132 |
132 |
$0.00 |
| 99443 |
|
162 |
149 |
$0.00 |
| 87428 |
|
205 |
204 |
$0.00 |
| G0439 |
Ppps, subseq visit |
85 |
85 |
$0.00 |
| 0011A |
|
147 |
147 |
$0.00 |
| 90619 |
|
216 |
215 |
$0.00 |
| G9012 |
Other specified case mgmt |
163 |
113 |
$0.00 |
| 0134A |
|
15 |
15 |
$0.00 |
| 90744 |
|
123 |
123 |
$0.00 |
| 90674 |
|
103 |
103 |
$0.00 |
| 0012A |
|
45 |
45 |
$0.00 |
| 96151 |
|
53 |
50 |
$0.00 |
| 90739 |
|
62 |
62 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 1220F |
|
33 |
33 |
$0.00 |
| G9664 |
Taking statin or rec'd order |
43 |
40 |
$0.00 |
| 90680 |
|
49 |
49 |
$0.00 |
| 87430 |
|
15 |
14 |
$0.00 |
| 0503F |
|
25 |
25 |
$0.00 |
| 0001A |
|
122 |
122 |
$0.00 |
| S0315 |
Disease management program |
13 |
13 |
$0.00 |
| 4010F |
|
15 |
13 |
$0.00 |
| J3420 |
Vitamin b12 injection |
15 |
15 |
$0.00 |
| G0123 |
Screen cerv/vag thin layer |
13 |
13 |
$0.00 |
| 99381 |
|
12 |
12 |
$0.00 |
| 71045 |
|
12 |
12 |
$0.00 |
| 72080 |
|
15 |
15 |
$0.00 |
| 90660 |
|
13 |
13 |
$0.00 |
| 82962 |
|
30 |
28 |
$0.00 |
| 57454 |
|
12 |
12 |
$0.00 |
| 72040 |
|
18 |
18 |
$0.00 |
| 1123F |
|
20 |
20 |
$0.00 |
| T1502 |
Medication admin visit |
12 |
12 |
$0.00 |
| 1159F |
|
126,421 |
115,959 |
$0.00 |
| 97813 |
|
2,418 |
1,910 |
$0.00 |
| 90460 |
|
20,977 |
20,865 |
$0.00 |
| 87880 |
|
1,524 |
1,511 |
$0.00 |
| 3078F |
|
25,576 |
23,974 |
$0.00 |
| 96160 |
|
29,458 |
28,891 |
$0.00 |
| 99396 |
|
429 |
425 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
451 |
442 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
64 |
64 |
$0.00 |
| 99395 |
|
743 |
740 |
$0.00 |
| 99188 |
|
87 |
87 |
$0.00 |
| 90461 |
|
4,216 |
4,205 |
$0.00 |
| 90649 |
|
198 |
184 |
$0.00 |
| 11721 |
|
790 |
777 |
$0.00 |
| 90734 |
|
1,041 |
1,019 |
$0.00 |
| 85014 |
|
937 |
852 |
$0.00 |
| 90750 |
|
1,044 |
1,044 |
$0.00 |
| 82948 |
|
41 |
39 |
$0.00 |
| 92012 |
|
1,344 |
1,202 |
$0.00 |
| 99442 |
|
3,142 |
2,954 |
$0.00 |
| 97811 |
|
1,439 |
1,085 |
$0.00 |
| 99177 |
|
716 |
716 |
$0.00 |
| 90648 |
|
350 |
350 |
$0.00 |
| H1002 |
Carecoordination prenatal |
175 |
136 |
$0.00 |
| 0502F |
|
2,139 |
1,498 |
$0.00 |
| H1000 |
Prenatal care atrisk assessm |
216 |
213 |
$0.00 |
| 92081 |
|
156 |
138 |
$0.00 |
| 90833 |
|
809 |
724 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
228 |
223 |
$0.00 |
| 4145F |
|
263 |
259 |
$0.00 |
| 3077F |
|
1,445 |
1,371 |
$0.00 |
| 90837 |
|
627 |
438 |
$0.00 |
| 90710 |
|
646 |
634 |
$0.00 |
| 11056 |
|
12 |
12 |
$0.00 |
| 98942 |
|
759 |
557 |
$0.00 |
| 90633 |
|
737 |
736 |
$0.00 |
| S0316 |
Follow-up/reassessment |
264 |
201 |
$0.00 |
| 1160F |
|
888 |
874 |
$0.00 |
| 98960 |
|
74 |
65 |
$0.00 |
| 90707 |
|
121 |
121 |
$0.00 |
| 3046F |
|
27 |
27 |
$0.00 |
| 90621 |
|
24 |
24 |
$0.00 |
| 1158F |
|
79 |
73 |
$0.00 |
| A4550 |
Surgical trays |
27 |
27 |
$0.00 |
| 90687 |
|
139 |
139 |
$0.00 |
| 90685 |
|
64 |
64 |
$0.00 |
| 11719 |
|
13 |
13 |
$0.00 |
| 90746 |
|
155 |
155 |
$0.00 |
| 11720 |
|
12 |
12 |
$0.00 |
| G0397 |
Alcohol/subs interv >30 min |
41 |
40 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
12 |
12 |
$0.00 |
| 3016F |
|
36 |
35 |
$0.00 |
| 73130 |
|
12 |
12 |
$0.00 |
| 90611 |
|
16 |
16 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 91300 |
|
93 |
92 |
$0.00 |
| 76805 |
|
28 |
27 |
$0.00 |
| 99201 |
|
379 |
292 |
$0.00 |
| G0438 |
Ppps, initial visit |
44 |
44 |
$0.00 |
| 73562 |
|
14 |
14 |
$0.00 |
| 11750 |
|
26 |
24 |
$0.00 |
| 90846 |
|
76 |
64 |
$0.00 |
| 59426 |
|
75 |
55 |
$0.00 |
| 0002A |
|
12 |
12 |
$0.00 |
| 3725F |
|
36 |
35 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |
| M1016 |
Pt dx meop or sur steri |
14 |
14 |
$0.00 |
| 90714 |
|
16 |
16 |
$0.00 |