| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
26,630 |
24,258 |
$1.99M |
| G0466 |
Fqhc visit new patient |
3,901 |
3,894 |
$303K |
| G0470 |
Fqhc visit, mh estab pt |
2,240 |
1,364 |
$176K |
| 99000 |
|
9,425 |
9,067 |
$84K |
| 99213 |
|
20,259 |
18,821 |
$45K |
| 87636 |
|
3,671 |
3,548 |
$22K |
| 87635 |
|
1,074 |
1,049 |
$19K |
| 99214 |
|
4,868 |
4,736 |
$12K |
| 99203 |
|
1,799 |
1,799 |
$5K |
| 87880 |
|
4,578 |
4,476 |
$4K |
| J2360 |
Orphenadrine injection |
279 |
267 |
$3K |
| 81003 |
|
2,961 |
2,880 |
$3K |
| 99204 |
|
586 |
585 |
$3K |
| 99202 |
|
1,243 |
1,241 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
1,141 |
1,088 |
$2K |
| 81025 |
|
1,418 |
1,380 |
$2K |
| 91322 |
|
17 |
17 |
$2K |
| 90471 |
|
501 |
500 |
$1K |
| 96372 |
|
1,957 |
1,869 |
$800.85 |
| 90837 |
|
305 |
155 |
$744.69 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
261 |
260 |
$727.46 |
| J0696 |
Ceftriaxone sodium injection |
573 |
557 |
$660.40 |
| 0124A |
|
43 |
43 |
$657.58 |
| 90832 |
|
883 |
624 |
$630.73 |
| 98966 |
|
119 |
104 |
$606.75 |
| 90480 |
|
30 |
30 |
$508.00 |
| 99212 |
|
524 |
519 |
$442.90 |
| 87804 |
|
538 |
528 |
$425.01 |
| 90472 |
|
39 |
39 |
$391.51 |
| 99406 |
|
808 |
771 |
$259.31 |
| 99215 |
Prolong outpt/office vis |
73 |
73 |
$174.15 |
| 90834 |
|
100 |
81 |
$122.43 |
| 99394 |
|
83 |
83 |
$101.00 |
| 99384 |
|
12 |
12 |
$101.00 |
| 96156 |
|
73 |
71 |
$82.92 |
| 90714 |
|
12 |
12 |
$56.02 |
| 83036 |
|
444 |
444 |
$54.97 |
| Q0091 |
Obtaining screen pap smear |
13 |
13 |
$50.32 |
| 82947 |
|
386 |
384 |
$19.70 |
| G2025 |
Dis site tele svcs rhc/fqhc |
12 |
12 |
$19.45 |
| 36416 |
|
620 |
616 |
$11.37 |
| 92551 |
|
118 |
116 |
$5.73 |
| 87210 |
|
12 |
12 |
$4.82 |
| 90791 |
|
141 |
141 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
521 |
512 |
$0.00 |
| 99392 |
|
14 |
14 |
$0.00 |
| 99395 |
|
12 |
12 |
$0.00 |
| 94760 |
|
8,457 |
8,127 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
1,064 |
1,051 |
$0.00 |
| 96110 |
|
29 |
29 |
$0.00 |
| G0008 |
Admin influenza virus vac |
27 |
27 |
$0.00 |
| 94640 |
|
13 |
13 |
$0.00 |