| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
470,671 |
363,239 |
$101.21M |
| 00003 |
|
56,865 |
49,242 |
$15.94M |
| G0467 |
Fqhc visit, estab pt |
4,700 |
4,103 |
$496K |
| 99213 |
|
208,313 |
179,744 |
$482K |
| 99214 |
|
77,202 |
69,369 |
$218K |
| G9012 |
Other specified case mgmt |
13,121 |
7,094 |
$192K |
| 90832 |
|
10,944 |
6,860 |
$137K |
| 99212 |
|
69,969 |
60,625 |
$86K |
| 0012A |
|
3,318 |
2,337 |
$78K |
| 99215 |
Prolong outpt/office vis |
10,753 |
8,976 |
$68K |
| 99203 |
|
13,535 |
13,304 |
$46K |
| 0011A |
|
3,034 |
2,523 |
$40K |
| 0002A |
|
921 |
517 |
$38K |
| G0468 |
Fqhc visit, ippe or awv |
364 |
363 |
$38K |
| 0001A |
|
986 |
576 |
$37K |
| G9008 |
Mccd,phys coor-care ovrsght |
13,936 |
8,094 |
$29K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
2,742 |
2,598 |
$24K |
| 99392 |
|
11,868 |
11,397 |
$22K |
| 0064A |
|
725 |
502 |
$22K |
| 98940 |
|
22,388 |
15,341 |
$18K |
| 0013A |
|
423 |
248 |
$17K |
| 90791 |
|
523 |
470 |
$14K |
| 99393 |
|
7,394 |
6,863 |
$14K |
| 11721 |
|
2,882 |
2,828 |
$13K |
| 59425 |
|
1,682 |
1,354 |
$13K |
| 99202 |
|
7,557 |
7,454 |
$12K |
| 3074F |
|
92,108 |
79,013 |
$12K |
| 3078F |
|
85,144 |
73,759 |
$12K |
| 90834 |
|
1,429 |
965 |
$11K |
| 99204 |
|
3,830 |
3,789 |
$10K |
| 92551 |
|
20,010 |
18,804 |
$10K |
| 99391 |
|
8,613 |
8,362 |
$10K |
| 99394 |
|
4,756 |
4,423 |
$9K |
| 0071A |
|
245 |
147 |
$9K |
| 96110 |
|
8,288 |
8,171 |
$8K |
| 0003A |
|
139 |
88 |
$5K |
| 90686 |
|
9,239 |
9,045 |
$5K |
| 92004 |
|
347 |
336 |
$5K |
| 98941 |
|
3,280 |
2,355 |
$5K |
| 99383 |
|
2,767 |
2,721 |
$5K |
| 90715 |
|
4,956 |
4,917 |
$5K |
| 90471 |
|
35,779 |
35,395 |
$4K |
| 0004A |
|
125 |
116 |
$4K |
| 90658 |
|
4,200 |
4,166 |
$3K |
| H1001 |
Antepartum management |
247 |
206 |
$3K |
| 93000 |
|
1,491 |
1,430 |
$3K |
| 83036 |
|
18,281 |
16,566 |
$3K |
| 82948 |
|
19,821 |
17,795 |
$3K |
| 3079F |
|
34,575 |
30,936 |
$3K |
| T2051 |
Support broker waiver/diem |
28 |
12 |
$3K |
| 11056 |
|
622 |
611 |
$2K |
| G0466 |
Fqhc visit new patient |
28 |
28 |
$2K |
| G9920 |
Scrning perf and negative |
2,287 |
2,248 |
$2K |
| 88142 |
|
4,426 |
3,912 |
$2K |
| 83655 |
|
5,099 |
4,926 |
$2K |
| G0447 |
Behavior counsel obesity 15m |
908 |
866 |
$2K |
| 99384 |
|
1,928 |
1,908 |
$2K |
| 3075F |
|
20,111 |
18,322 |
$2K |
| 90633 |
|
5,279 |
5,217 |
$1K |
| 99395 |
|
1,707 |
1,679 |
$1K |
| 90651 |
|
4,315 |
4,232 |
$1K |
| 90647 |
|
6,208 |
6,135 |
$1K |
| 85018 |
|
16,690 |
16,254 |
$1K |
| 99173 |
|
30,034 |
28,414 |
$1K |
| 3044F |
|
7,440 |
6,706 |
$1K |
| J3490 |
Drugs unclassified injection |
114 |
113 |
$1K |
| 0072A |
|
105 |
99 |
$1K |
| H0043 |
Supported housing, per diem |
2,472 |
1,141 |
$980.12 |
| 81025 |
|
4,875 |
4,753 |
$972.27 |
| 99000 |
|
4,164 |
4,054 |
$968.42 |
| 90670 |
|
6,605 |
6,582 |
$901.36 |
| H1003 |
Prenatal at risk education |
958 |
822 |
$740.08 |
| 99205 |
Prolong outpt/office vis |
563 |
559 |
$736.83 |
| 3077F |
|
9,352 |
8,570 |
$713.81 |
| 81002 |
|
17,180 |
14,550 |
$704.19 |
| 99211 |
|
2,597 |
2,399 |
$604.16 |
| G0108 |
Diab manage trn per indiv |
60 |
60 |
$502.45 |
| 90746 |
|
246 |
242 |
$500.64 |
| 99396 |
|
2,539 |
2,474 |
$476.52 |
| 90723 |
|
7,311 |
7,233 |
$474.75 |
| 90710 |
|
2,246 |
2,238 |
$471.00 |
| 99201 |
|
836 |
831 |
$464.23 |
| 90472 |
|
15,989 |
15,789 |
$394.40 |
| 82274 |
|
2,548 |
2,365 |
$392.00 |
| 86318 |
|
148 |
143 |
$391.02 |
| 99401 |
|
673 |
628 |
$381.15 |
| S9445 |
Pt education noc individ |
199 |
176 |
$321.68 |
| 90460 |
|
16,421 |
15,463 |
$318.79 |
| 96156 |
|
387 |
385 |
$302.86 |
| 94640 |
|
671 |
620 |
$293.48 |
| 87624 |
|
4,946 |
4,300 |
$280.00 |
| 90700 |
|
2,202 |
2,191 |
$270.00 |
| 99381 |
|
2,623 |
2,587 |
$269.28 |
| 1159F |
|
133,814 |
118,384 |
$260.23 |
| 90677 |
|
1,124 |
1,070 |
$234.01 |
| 90716 |
|
2,167 |
2,156 |
$223.03 |
| 90685 |
|
146 |
146 |
$216.00 |
| 3080F |
|
5,200 |
4,870 |
$200.67 |
| 87491 |
|
2,542 |
2,144 |
$192.00 |
| 90681 |
|
3,234 |
3,207 |
$128.70 |
| 59430 |
|
14 |
14 |
$120.96 |
| 97802 |
|
174 |
174 |
$117.81 |
| H2016 |
Comp comm supp svc, per diem |
548 |
360 |
$100.00 |
| 90461 |
|
9,312 |
8,886 |
$73.57 |
| 86580 |
|
1,404 |
1,357 |
$66.49 |
| 90688 |
|
38 |
38 |
$63.00 |
| 90707 |
|
2,036 |
2,022 |
$54.00 |
| 87635 |
|
2,080 |
1,935 |
$52.44 |
| 97803 |
|
98 |
98 |
$50.46 |
| 99382 |
|
1,599 |
1,594 |
$46.66 |
| 92250 |
|
105 |
105 |
$42.13 |
| 86328 |
|
106 |
106 |
$40.00 |
| 82947 |
|
788 |
726 |
$31.32 |
| 99366 |
|
166 |
166 |
$30.54 |
| 99402 |
|
159 |
130 |
$25.58 |
| 4010F |
|
3,068 |
2,829 |
$25.03 |
| 90620 |
|
1,204 |
1,188 |
$18.00 |
| S9452 |
Nutrition class |
59 |
59 |
$16.82 |
| 87210 |
|
51 |
51 |
$14.24 |
| G8510 |
Scr dep neg, no plan reqd |
26,984 |
23,391 |
$13.99 |
| G2012 |
Brief check in by md/qhp |
36,949 |
35,270 |
$13.17 |
| 90696 |
|
1,221 |
1,219 |
$9.00 |
| 90734 |
|
1,486 |
1,463 |
$9.00 |
| 77067 |
|
3,768 |
3,449 |
$0.26 |
| 3061F |
|
2,210 |
2,074 |
$0.20 |
| 2022F |
|
1,767 |
1,627 |
$0.19 |
| G8431 |
Pos clin depres scrn f/u doc |
1,697 |
1,445 |
$0.09 |
| 87426 |
|
436 |
432 |
$0.02 |
| 3046F |
|
2,004 |
1,886 |
$0.01 |
| 3051F |
|
1,470 |
1,403 |
$0.01 |
| 92134 |
|
128 |
127 |
$0.01 |
| 1126F |
|
74,228 |
64,497 |
$0.00 |
| 2033F |
|
1,968 |
1,834 |
$0.00 |
| D1206 |
|
2,462 |
2,436 |
$0.00 |
| SMGS0 |
|
418 |
409 |
$0.00 |
| 1111F |
|
996 |
940 |
$0.00 |
| D0230 |
|
2,345 |
2,332 |
$0.00 |
| Z6406 |
|
958 |
949 |
$0.00 |
| 36415 |
|
3,093 |
2,967 |
$0.00 |
| D0171 |
|
217 |
207 |
$0.00 |
| Z6410 |
|
7,073 |
6,271 |
$0.00 |
| 1125F |
|
36,270 |
31,544 |
$0.00 |
| D0120 |
|
2,443 |
2,427 |
$0.00 |
| Z1034 |
|
10,701 |
7,910 |
$0.00 |
| D0210 |
|
863 |
863 |
$0.00 |
| D0272 |
|
399 |
399 |
$0.00 |
| 99429 |
|
7,283 |
6,233 |
$0.00 |
| 90732 |
|
231 |
229 |
$0.00 |
| 92002 |
|
534 |
529 |
$0.00 |
| D0603 |
|
1,536 |
1,504 |
$0.00 |
| Z1032 |
|
1,442 |
1,436 |
$0.00 |
| Z6402 |
|
1,013 |
1,011 |
$0.00 |
| 99386 |
|
217 |
214 |
$0.00 |
| D1208 |
|
1,221 |
1,218 |
$0.00 |
| S8110 |
Peak expiratory flow rate (p |
184 |
176 |
$0.00 |
| 3008F |
|
5,299 |
4,986 |
$0.00 |
| 1036F |
|
1,869 |
1,758 |
$0.00 |
| 3066F |
|
125 |
123 |
$0.00 |
| D5899 |
|
516 |
277 |
$0.00 |
| D1310 |
|
1,768 |
1,735 |
$0.00 |
| G0439 |
Ppps, subseq visit |
74 |
74 |
$0.00 |
| D1330 |
|
1,528 |
1,498 |
$0.00 |
| 1101F |
|
334 |
270 |
$0.00 |
| 1170F |
|
3,672 |
3,433 |
$0.00 |
| 90698 |
|
147 |
147 |
$0.00 |
| S9451 |
Exercise class |
1,112 |
1,056 |
$0.00 |
| 90739 |
|
116 |
115 |
$0.00 |
| Z6204 |
|
971 |
961 |
$0.00 |
| D1351 |
|
221 |
73 |
$0.00 |
| H0049 |
Alcohol/drug screening |
252 |
252 |
$0.00 |
| T1016 |
Case management |
54 |
53 |
$0.00 |
| 3060F |
|
468 |
457 |
$0.00 |
| 36416 |
|
565 |
553 |
$0.00 |
| 90680 |
|
112 |
111 |
$0.00 |
| D0150 |
|
926 |
925 |
$0.00 |
| 99385 |
|
549 |
544 |
$0.00 |
| D0170 |
|
226 |
215 |
$0.00 |
| 0500F |
|
235 |
229 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
175 |
164 |
$0.00 |
| 1034F |
|
162 |
154 |
$0.00 |
| H0002 |
Alcohol and/or drug screenin |
1,771 |
1,670 |
$0.00 |
| Z1038 |
|
422 |
405 |
$0.00 |
| 3072F |
|
150 |
146 |
$0.00 |
| 3052F |
|
889 |
860 |
$0.00 |
| 82962 |
|
81 |
80 |
$0.00 |
| D2392 |
|
410 |
356 |
$0.00 |
| 11055 |
|
36 |
36 |
$0.00 |
| 90744 |
|
194 |
193 |
$0.00 |
| 91301 |
|
333 |
325 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
769 |
667 |
$0.00 |
| 0503F |
|
34 |
33 |
$0.00 |
| 0501F |
|
91 |
87 |
$0.00 |
| 90657 |
|
115 |
113 |
$0.00 |
| 90694 |
|
46 |
46 |
$0.00 |
| D1320 |
|
47 |
47 |
$0.00 |
| 98943 |
|
34 |
30 |
$0.00 |
| 90656 |
|
70 |
70 |
$0.00 |
| 80055 |
|
96 |
93 |
$0.00 |
| 99243 |
|
57 |
56 |
$0.00 |
| 94010 |
|
155 |
144 |
$0.00 |
| 3014F |
|
52 |
46 |
$0.00 |
| D7140 |
|
20 |
15 |
$0.00 |
| 82270 |
|
73 |
73 |
$0.00 |
| 90674 |
|
16 |
16 |
$0.00 |
| 99443 |
|
77 |
68 |
$0.00 |
| D0602 |
|
26 |
26 |
$0.00 |
| 76801 |
|
15 |
14 |
$0.00 |
| 80053 |
|
12 |
12 |
$0.00 |
| 81001 |
|
12 |
12 |
$0.00 |
| 45378 |
|
13 |
13 |
$0.00 |
| HTD4 |
|
15 |
15 |
$0.00 |
| 85025 |
|
12 |
12 |
$0.00 |
| 87490 |
|
12 |
12 |
$0.00 |
| 88174 |
|
12 |
12 |
$0.00 |
| 96161 |
|
12 |
12 |
$0.00 |
| 1160F |
|
131,407 |
116,056 |
$0.00 |
| D9993 |
|
1,728 |
1,695 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
768 |
739 |
$0.00 |
| 92012 |
|
298 |
297 |
$0.00 |
| D0190 |
|
1,798 |
1,777 |
$0.00 |
| 99408 |
|
1,854 |
1,850 |
$0.00 |
| D0270 |
|
252 |
249 |
$0.00 |
| Z6400 |
|
2,492 |
2,447 |
$0.00 |
| Z6304 |
|
967 |
956 |
$0.00 |
| 92015 |
|
1,723 |
1,708 |
$0.00 |
| D0220 |
|
2,949 |
2,921 |
$0.00 |
| 90736 |
|
176 |
176 |
$0.00 |
| 2026F |
|
881 |
828 |
$0.00 |
| 3725F |
|
3,210 |
3,086 |
$0.00 |
| Z6414 |
|
758 |
654 |
$0.00 |
| 87880 |
|
170 |
166 |
$0.00 |
| 0502F |
|
3,253 |
2,536 |
$0.00 |
| D1120 |
|
989 |
988 |
$0.00 |
| Z6300 |
|
1,109 |
1,107 |
$0.00 |
| D9110 |
|
130 |
125 |
$0.00 |
| 90713 |
|
532 |
531 |
$0.00 |
| PROP5 |
|
168 |
164 |
$0.00 |
| VSY5 |
|
2,086 |
1,889 |
$0.00 |
| D1110 |
|
423 |
422 |
$0.00 |
| G0470 |
Fqhc visit, mh estab pt |
15 |
12 |
$0.00 |
| 90648 |
|
1,067 |
1,062 |
$0.00 |
| Z6200 |
|
1,108 |
1,106 |
$0.00 |
| Z6500 |
|
407 |
403 |
$0.00 |
| 2028F |
|
984 |
969 |
$0.00 |
| 90649 |
|
319 |
318 |
$0.00 |
| D0274 |
|
1,181 |
1,181 |
$0.00 |
| D4341 |
|
681 |
331 |
$0.00 |
| D9996 |
|
953 |
904 |
$0.00 |
| Z6208 |
|
277 |
277 |
$0.00 |
| H0050 |
Alcohol/drug service 15 min |
253 |
248 |
$0.00 |
| D9430 |
|
1,105 |
1,048 |
$0.00 |
| Z6308 |
|
252 |
252 |
$0.00 |
| 90750 |
|
62 |
61 |
$0.00 |
| 1158F |
|
161 |
153 |
$0.00 |
| CAR01 |
|
13 |
13 |
$0.00 |
| D0350 |
|
1,010 |
960 |
$0.00 |
| 99499 |
|
108 |
107 |
$0.00 |
| 99242 |
|
43 |
40 |
$0.00 |
| 92225 |
|
27 |
16 |
$0.00 |
| T1017 |
Targeted case management |
79 |
79 |
$0.00 |
| 11750 |
|
13 |
13 |
$0.00 |
| 99442 |
|
51 |
48 |
$0.00 |
| D2391 |
|
286 |
225 |
$0.00 |
| 90837 |
|
14 |
14 |
$0.00 |
| D0145 |
|
55 |
55 |
$0.00 |
| 3015F |
|
28 |
26 |
$0.00 |
| 90655 |
|
100 |
100 |
$0.00 |
| G0438 |
Ppps, initial visit |
19 |
19 |
$0.00 |
| D1354 |
|
35 |
34 |
$0.00 |
| 80305 |
|
18 |
18 |
$0.00 |