| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
176,769 |
144,782 |
$28.77M |
| 0521 |
|
328,501 |
134,558 |
$1.69M |
| 0636 |
|
27,625 |
16,006 |
$448K |
| 0761 |
|
7,408 |
6,823 |
$102K |
| 0301 |
|
9,284 |
9,035 |
$29K |
| 0771 |
|
5,124 |
4,738 |
$23K |
| 99396 |
|
2,929 |
2,847 |
$17K |
| 98940 |
|
18,292 |
10,538 |
$17K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
380 |
380 |
$12K |
| 0770 |
|
6,786 |
6,726 |
$10K |
| 90750 |
|
352 |
329 |
$7K |
| 0412 |
|
236 |
219 |
$6K |
| 99395 |
|
3,060 |
2,993 |
$6K |
| 98941 |
|
8,980 |
6,060 |
$6K |
| 83036 |
|
4,431 |
4,125 |
$6K |
| 0309 |
|
949 |
863 |
$5K |
| 99213 |
|
57,492 |
50,906 |
$5K |
| 0300 |
|
246 |
215 |
$3K |
| 0306 |
|
191 |
189 |
$2K |
| 99385 |
|
873 |
843 |
$2K |
| 99460 |
|
69 |
48 |
$2K |
| 0071A |
|
81 |
48 |
$2K |
| 0011A |
|
157 |
105 |
$2K |
| 0124A |
|
48 |
33 |
$2K |
| 99214 |
|
9,400 |
8,807 |
$1K |
| 0900 |
|
10,268 |
6,507 |
$1K |
| 0632 |
|
30 |
30 |
$1K |
| 0012A |
|
34 |
34 |
$986.00 |
| 99386 |
|
135 |
131 |
$975.81 |
| 96127 |
|
631 |
499 |
$865.13 |
| 90834 |
|
10,116 |
5,817 |
$764.02 |
| 0307 |
|
741 |
676 |
$737.34 |
| 87635 |
|
79 |
72 |
$504.00 |
| 90480 |
|
29 |
17 |
$480.00 |
| 90662 |
|
439 |
439 |
$480.00 |
| G0467 |
Fqhc visit, estab pt |
340 |
318 |
$466.00 |
| 90677 |
|
141 |
120 |
$378.18 |
| 0004A |
|
19 |
13 |
$360.00 |
| 99188 |
|
2,472 |
2,459 |
$331.26 |
| 82274 |
|
73 |
73 |
$325.37 |
| 90715 |
|
452 |
447 |
$303.72 |
| 0064A |
|
18 |
13 |
$280.00 |
| 93000 |
|
114 |
114 |
$264.80 |
| 85018 |
|
7,161 |
6,272 |
$210.89 |
| 90656 |
|
463 |
454 |
$188.81 |
| 99212 |
|
5,052 |
4,618 |
$171.30 |
| 90619 |
|
196 |
173 |
$171.00 |
| 90832 |
|
2,665 |
2,077 |
$164.42 |
| 0001A |
|
19 |
13 |
$153.00 |
| 99051 |
|
4,617 |
4,522 |
$150.00 |
| 99203 |
|
305 |
301 |
$146.26 |
| 99406 |
|
15 |
13 |
$102.48 |
| 90686 |
|
5,787 |
5,376 |
$94.21 |
| 93005 |
|
12 |
12 |
$58.83 |
| 0271 |
|
241 |
215 |
$54.24 |
| G0008 |
Admin influenza virus vac |
651 |
648 |
$43.92 |
| 90471 |
|
2,317 |
2,231 |
$41.98 |
| 83655 |
|
109 |
91 |
$23.84 |
| 99173 |
|
5,598 |
5,537 |
$11.41 |
| 81000 |
|
449 |
437 |
$0.00 |
| 90651 |
|
765 |
686 |
$0.00 |
| 90716 |
|
614 |
544 |
$0.00 |
| 90723 |
|
625 |
548 |
$0.00 |
| 90792 |
|
259 |
248 |
$0.00 |
| 90620 |
|
375 |
359 |
$0.00 |
| 90680 |
|
408 |
364 |
$0.00 |
| 90647 |
|
724 |
634 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,038 |
932 |
$0.00 |
| 96110 |
|
137 |
136 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
9,167 |
8,676 |
$0.00 |
| G0439 |
Ppps, subseq visit |
1,109 |
1,107 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
234 |
234 |
$0.00 |
| 20610 |
|
119 |
113 |
$0.00 |
| 96372 |
|
165 |
149 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
76 |
57 |
$0.00 |
| J3490 |
Drugs unclassified injection |
152 |
96 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
27 |
27 |
$0.00 |
| 90696 |
|
42 |
42 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
32 |
27 |
$0.00 |
| 99381 |
|
13 |
13 |
$0.00 |
| 99384 |
|
14 |
14 |
$0.00 |
| 92552 |
|
5,463 |
5,434 |
$0.00 |
| 90837 |
|
555 |
395 |
$0.00 |
| 99391 |
|
844 |
799 |
$0.00 |
| 90472 |
|
156 |
135 |
$0.00 |
| 99392 |
|
2,112 |
2,004 |
$0.00 |
| 87880 |
|
30 |
30 |
$0.00 |
| 90670 |
|
945 |
836 |
$0.00 |
| 99442 |
|
292 |
247 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
3,521 |
3,042 |
$0.00 |
| 90707 |
|
609 |
539 |
$0.00 |
| 99393 |
|
2,245 |
2,146 |
$0.00 |
| 90700 |
|
84 |
82 |
$0.00 |
| 90791 |
|
618 |
559 |
$0.00 |
| 69209 |
|
16 |
14 |
$0.00 |
| 99394 |
|
1,828 |
1,755 |
$0.00 |
| 90734 |
|
441 |
440 |
$0.00 |
| 2028F |
|
32 |
32 |
$0.00 |
| 90633 |
|
580 |
529 |
$0.00 |
| 94375 |
|
65 |
64 |
$0.00 |
| 87804 |
|
57 |
57 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
26 |
26 |
$0.00 |
| G0470 |
Fqhc visit, mh estab pt |
640 |
377 |
$0.00 |
| 81025 |
|
14 |
14 |
$0.00 |
| G0468 |
Fqhc visit, ippe or awv |
41 |
41 |
$0.00 |
| 20600 |
|
12 |
12 |
$0.00 |