| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
46,045 |
32,339 |
$6.28M |
| 99213 |
|
199,286 |
161,931 |
$4.35M |
| 00003 |
|
18,673 |
8,762 |
$3.47M |
| 99214 |
|
54,200 |
49,389 |
$1.90M |
| 99212 |
|
39,800 |
33,798 |
$570K |
| 98941 |
|
32,560 |
21,349 |
$491K |
| G0467 |
Fqhc visit, estab pt |
6,912 |
5,384 |
$415K |
| 90834 |
|
13,348 |
9,759 |
$297K |
| 90837 |
|
6,666 |
5,022 |
$226K |
| 99203 |
|
4,599 |
4,422 |
$211K |
| 87428 |
|
4,339 |
3,792 |
$186K |
| 87811 |
|
5,881 |
4,896 |
$159K |
| 99394 |
|
3,610 |
3,234 |
$141K |
| 99393 |
|
3,943 |
3,706 |
$141K |
| 90688 |
|
9,546 |
9,168 |
$134K |
| 90832 |
|
7,322 |
5,476 |
$126K |
| 0012A |
|
2,427 |
1,371 |
$111K |
| 90471 |
|
30,471 |
28,965 |
$108K |
| 99202 |
|
3,237 |
3,192 |
$97K |
| 99392 |
|
2,565 |
2,425 |
$90K |
| 0001A |
|
1,939 |
1,041 |
$89K |
| 98940 |
|
5,481 |
3,654 |
$85K |
| 0002A |
|
1,779 |
944 |
$84K |
| 99204 |
|
1,301 |
1,272 |
$82K |
| 90715 |
|
3,142 |
3,025 |
$73K |
| G2025 |
Dis site tele svcs rhc/fqhc |
802 |
691 |
$68K |
| 0011A |
|
1,951 |
1,382 |
$65K |
| 0064A |
|
1,395 |
783 |
$61K |
| 92551 |
|
7,379 |
6,938 |
$55K |
| 90651 |
|
1,419 |
1,351 |
$50K |
| 90791 |
|
1,629 |
1,532 |
$41K |
| 0072A |
|
614 |
319 |
$29K |
| 85018 |
|
18,069 |
16,762 |
$28K |
| 99173 |
|
10,975 |
10,183 |
$27K |
| 99391 |
|
835 |
814 |
$27K |
| 0071A |
|
602 |
312 |
$27K |
| J3490 |
Drugs unclassified injection |
237 |
235 |
$27K |
| 90686 |
|
3,146 |
2,880 |
$25K |
| 90620 |
|
375 |
366 |
$22K |
| 90732 |
|
263 |
263 |
$21K |
| 87880 |
|
3,524 |
3,447 |
$20K |
| 99215 |
Prolong outpt/office vis |
379 |
356 |
$19K |
| 0004A |
|
407 |
211 |
$19K |
| 90670 |
|
1,273 |
1,238 |
$18K |
| J3420 |
Vitamin b12 injection |
3,887 |
3,330 |
$16K |
| 99395 |
|
215 |
190 |
$15K |
| 87804 |
|
1,962 |
1,909 |
$15K |
| 90472 |
|
4,569 |
4,192 |
$14K |
| 90746 |
|
198 |
198 |
$13K |
| 82962 |
|
10,597 |
8,838 |
$13K |
| 93000 |
|
475 |
472 |
$13K |
| 81003 |
|
12,867 |
11,157 |
$12K |
| 90734 |
|
1,035 |
1,000 |
$10K |
| 99396 |
|
213 |
171 |
$10K |
| 90792 |
|
78 |
78 |
$9K |
| 81025 |
|
3,607 |
3,379 |
$8K |
| 90658 |
|
630 |
541 |
$7K |
| 90833 |
|
147 |
129 |
$6K |
| 0003A |
|
92 |
52 |
$4K |
| 96156 |
|
322 |
275 |
$4K |
| 71046 |
|
165 |
165 |
$4K |
| 99201 |
|
154 |
149 |
$4K |
| 96372 |
|
4,889 |
4,102 |
$4K |
| 90707 |
|
130 |
129 |
$4K |
| 0054A |
|
72 |
46 |
$3K |
| 86580 |
|
1,169 |
1,126 |
$3K |
| 90633 |
|
486 |
460 |
$3K |
| 0013A |
|
73 |
47 |
$3K |
| 94640 |
|
271 |
240 |
$3K |
| 90680 |
|
328 |
321 |
$3K |
| 90698 |
|
369 |
358 |
$3K |
| 90716 |
|
103 |
102 |
$3K |
| H1003 |
Prenatal at risk education |
162 |
118 |
$3K |
| 90662 |
|
120 |
113 |
$3K |
| 90710 |
|
304 |
293 |
$3K |
| 0124A |
|
37 |
37 |
$2K |
| 72100 |
|
80 |
80 |
$2K |
| 83036 |
|
329 |
317 |
$2K |
| 90648 |
|
208 |
204 |
$2K |
| 97803 |
|
124 |
99 |
$2K |
| 90656 |
|
338 |
298 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
345 |
330 |
$1K |
| 99401 |
|
88 |
79 |
$1K |
| 99384 |
|
27 |
27 |
$1K |
| 87400 |
|
303 |
284 |
$1K |
| 90696 |
|
171 |
169 |
$1K |
| 99383 |
|
30 |
30 |
$1K |
| 90744 |
|
139 |
135 |
$1K |
| 0031A |
|
28 |
16 |
$976.00 |
| 90759 |
|
12 |
12 |
$837.52 |
| 11721 |
|
27 |
27 |
$784.16 |
| 90700 |
|
81 |
80 |
$699.75 |
| 90677 |
|
35 |
27 |
$691.20 |
| 90685 |
|
82 |
81 |
$667.80 |
| 73562 |
|
25 |
24 |
$555.48 |
| H1001 |
Antepartum management |
12 |
12 |
$531.52 |
| 87426 |
|
14 |
14 |
$503.47 |
| 97802 |
|
26 |
24 |
$319.35 |
| 90474 |
|
107 |
107 |
$315.79 |
| 90674 |
|
110 |
90 |
$295.41 |
| 88142 |
|
15 |
15 |
$235.67 |
| 90619 |
|
74 |
51 |
$225.00 |
| 87807 |
|
45 |
45 |
$210.49 |
| 99211 |
|
13 |
13 |
$149.58 |
| Q0091 |
Obtaining screen pap smear |
24 |
24 |
$112.95 |
| J3301 |
Triamcinolone acet inj nos |
12 |
12 |
$93.17 |
| 90672 |
|
18 |
17 |
$36.00 |
| J7613 |
Albuterol non-comp unit |
196 |
181 |
$21.51 |
| J1050 |
Medroxyprogesterone acetate |
58 |
29 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
14 |
14 |
$0.00 |
| Z6204 |
|
53 |
41 |
$0.00 |
| G0008 |
Admin influenza virus vac |
83 |
79 |
$0.00 |