| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
181,633 |
135,586 |
$22.00M |
| 99213 |
|
192,539 |
145,322 |
$2.72M |
| 99214 |
|
62,028 |
53,219 |
$1.20M |
| G0467 |
Fqhc visit, estab pt |
17,364 |
12,314 |
$532K |
| 99396 |
|
6,454 |
6,298 |
$216K |
| 99395 |
|
3,062 |
3,025 |
$215K |
| 99215 |
Prolong outpt/office vis |
3,804 |
3,586 |
$158K |
| H1001 |
Antepartum management |
2,151 |
1,442 |
$125K |
| 99212 |
|
7,245 |
6,253 |
$105K |
| 99203 |
|
2,206 |
2,199 |
$102K |
| 90656 |
|
3,202 |
3,191 |
$55K |
| 59425 |
|
936 |
560 |
$45K |
| 99394 |
|
1,055 |
1,054 |
$40K |
| 92552 |
|
3,847 |
3,840 |
$31K |
| 99393 |
|
960 |
960 |
$30K |
| 90834 |
|
1,627 |
1,305 |
$29K |
| 90715 |
|
1,119 |
1,100 |
$27K |
| 90792 |
|
1,400 |
1,202 |
$21K |
| 90732 |
|
225 |
225 |
$16K |
| 99392 |
|
475 |
474 |
$12K |
| J3490 |
Drugs unclassified injection |
260 |
236 |
$11K |
| 0270 |
|
1,070 |
1,012 |
$11K |
| 99204 |
|
154 |
154 |
$9K |
| G2025 |
Dis site tele svcs rhc/fqhc |
555 |
417 |
$7K |
| 99173 |
|
3,559 |
3,553 |
$6K |
| 90686 |
|
1,664 |
1,628 |
$5K |
| 93000 |
|
243 |
240 |
$5K |
| 0250 |
|
430 |
420 |
$4K |
| 81002 |
|
1,827 |
1,746 |
$3K |
| 99391 |
|
98 |
96 |
$3K |
| 90791 |
|
70 |
62 |
$3K |
| J3420 |
Vitamin b12 injection |
1,399 |
895 |
$3K |
| 90649 |
|
409 |
394 |
$3K |
| 94760 |
|
2,985 |
2,414 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
858 |
797 |
$2K |
| 99202 |
|
62 |
62 |
$2K |
| 85018 |
|
1,645 |
1,628 |
$2K |
| H1000 |
Prenatal care atrisk assessm |
12 |
12 |
$2K |
| 90685 |
|
260 |
239 |
$2K |
| 90734 |
|
254 |
248 |
$2K |
| 90471 |
|
2,545 |
2,522 |
$1K |
| G0470 |
Fqhc visit, mh estab pt |
36 |
36 |
$1K |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$986.60 |
| 90714 |
|
45 |
41 |
$917.05 |
| 90670 |
|
184 |
182 |
$641.34 |
| G0466 |
Fqhc visit new patient |
24 |
24 |
$521.39 |
| J0696 |
Ceftriaxone sodium injection |
126 |
111 |
$479.06 |
| G0008 |
Admin influenza virus vac |
620 |
620 |
$474.80 |
| 90698 |
|
66 |
65 |
$302.00 |
| 90633 |
|
46 |
46 |
$243.00 |
| 84443 |
|
13 |
13 |
$193.07 |
| 99211 |
|
12 |
12 |
$115.20 |
| 90680 |
|
12 |
12 |
$98.40 |
| 90710 |
|
15 |
15 |
$90.00 |
| 85025 |
|
12 |
12 |
$81.55 |
| 82962 |
|
22 |
21 |
$32.00 |
| 90620 |
|
39 |
39 |
$1.81 |
| 90677 |
|
12 |
12 |
$1.80 |
| 90621 |
|
12 |
12 |
$0.55 |
| 3077F |
|
12 |
12 |
$0.00 |
| 99001 |
|
3,164 |
3,124 |
$0.00 |
| G0101 |
Ca screen;pelvic/breast exam |
385 |
384 |
$0.00 |
| T1101 |
|
623 |
547 |
$0.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
12 |
12 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
111 |
107 |
$0.00 |
| 3078F |
|
283 |
244 |
$0.00 |
| 0900 |
|
63 |
53 |
$0.00 |
| 99442 |
|
13 |
13 |
$0.00 |
| Z1034 |
|
1,904 |
1,387 |
$0.00 |
| 3075F |
|
254 |
238 |
$0.00 |
| Z7610 |
|
231 |
219 |
$0.00 |
| 3074F |
|
1,224 |
1,035 |
$0.00 |
| 3079F |
|
45 |
41 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
19 |
19 |
$0.00 |
| 36415 |
|
13 |
13 |
$0.00 |
| Z1038 |
|
26 |
26 |
$0.00 |
| Z1032 |
|
12 |
12 |
$0.00 |