| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
180,498 |
157,621 |
$11.84M |
| G0470 |
Fqhc visit, mh estab pt |
56,348 |
32,793 |
$3.59M |
| G0466 |
Fqhc visit new patient |
12,107 |
11,861 |
$959K |
| D0140 |
|
9,148 |
8,914 |
$826K |
| D7140 |
|
8,988 |
5,349 |
$699K |
| D0120 |
|
13,094 |
13,087 |
$688K |
| D2391 |
|
4,429 |
3,348 |
$447K |
| D2392 |
|
3,047 |
2,632 |
$412K |
| D1110 |
|
4,921 |
4,920 |
$387K |
| D1120 |
|
9,570 |
9,569 |
$379K |
| 99213 |
|
60,197 |
54,902 |
$312K |
| D1206 |
|
12,194 |
12,191 |
$299K |
| 99214 |
|
45,914 |
42,468 |
$285K |
| D1351 |
|
8,343 |
2,436 |
$225K |
| D0150 |
|
2,763 |
2,758 |
$224K |
| D2930 |
|
844 |
599 |
$163K |
| D0210 |
|
2,906 |
2,859 |
$132K |
| 90834 |
|
21,434 |
14,416 |
$122K |
| 99392 |
|
11,544 |
11,499 |
$111K |
| D0272 |
|
4,694 |
4,689 |
$99K |
| D0274 |
|
4,472 |
4,466 |
$95K |
| S0621 |
Routine ophthalmological exa |
12,647 |
12,134 |
$92K |
| 90837 |
|
11,208 |
7,314 |
$91K |
| D0330 |
|
2,374 |
2,364 |
$89K |
| 99393 |
|
10,676 |
10,650 |
$85K |
| D0220 |
|
8,682 |
8,473 |
$84K |
| D1354 |
|
4,008 |
1,815 |
$77K |
| G2023 |
Specimen collect covid-19 |
4,219 |
3,744 |
$73K |
| 99391 |
|
9,239 |
9,030 |
$72K |
| G9002 |
Mccd,maintenance rate |
3,209 |
3,111 |
$68K |
| 99394 |
|
7,230 |
7,212 |
$64K |
| 0001A |
|
1,779 |
1,777 |
$63K |
| 90472 |
|
18,041 |
17,827 |
$62K |
| 0002A |
|
1,621 |
1,618 |
$60K |
| D0240 |
|
2,833 |
1,520 |
$58K |
| D4355 |
|
422 |
421 |
$56K |
| 92014 |
|
6,622 |
6,548 |
$52K |
| 90832 |
|
12,619 |
10,224 |
$49K |
| 0071A |
|
1,363 |
1,360 |
$48K |
| 99000 |
|
4,129 |
4,013 |
$46K |
| 90471 |
|
29,217 |
28,922 |
$45K |
| 99212 |
|
14,355 |
13,547 |
$44K |
| D2330 |
|
436 |
316 |
$43K |
| D2331 |
|
373 |
289 |
$43K |
| 0072A |
|
1,133 |
1,132 |
$42K |
| D2150 |
|
298 |
256 |
$37K |
| G9007 |
Mccd, sch team conf |
3,406 |
3,312 |
$36K |
| D2393 |
|
222 |
208 |
$36K |
| J1050 |
Medroxyprogesterone acetate |
516 |
500 |
$27K |
| 99442 |
|
1,272 |
1,111 |
$27K |
| 90791 |
|
2,279 |
2,218 |
$23K |
| D4910 |
|
247 |
247 |
$22K |
| 0031A |
|
638 |
638 |
$21K |
| 0004A |
|
570 |
570 |
$21K |
| 0012A |
|
597 |
597 |
$21K |
| D0145 |
|
570 |
569 |
$21K |
| 0011A |
|
685 |
685 |
$20K |
| S0620 |
Routine ophthalmological exa |
3,253 |
3,127 |
$20K |
| 92015 |
|
13,097 |
12,949 |
$20K |
| 90480 |
|
753 |
753 |
$20K |
| 99381 |
|
2,258 |
2,253 |
$18K |
| D2140 |
|
201 |
147 |
$18K |
| 96110 |
|
9,398 |
7,432 |
$17K |
| 0054A |
|
493 |
493 |
$16K |
| D7111 |
|
240 |
185 |
$16K |
| 96127 |
|
26,594 |
24,803 |
$16K |
| 99215 |
Prolong outpt/office vis |
1,233 |
1,206 |
$12K |
| 0124A |
|
582 |
582 |
$11K |
| 90792 |
|
685 |
675 |
$11K |
| 92004 |
|
1,144 |
1,125 |
$10K |
| 99395 |
|
842 |
804 |
$10K |
| 99204 |
|
910 |
902 |
$8K |
| H0004 |
Alcohol and/or drug services |
6,726 |
4,078 |
$8K |
| 99382 |
|
645 |
642 |
$7K |
| G2025 |
Dis site tele svcs rhc/fqhc |
3,564 |
2,644 |
$7K |
| 0052A |
|
207 |
207 |
$7K |
| 90686 |
|
18,103 |
17,987 |
$7K |
| 0081A |
|
217 |
217 |
$7K |
| 0051A |
|
197 |
196 |
$7K |
| 87880 |
|
3,990 |
3,900 |
$7K |
| 92551 |
|
8,047 |
8,035 |
$6K |
| 0154A |
|
254 |
254 |
$6K |
| D0230 |
|
1,036 |
549 |
$6K |
| 90473 |
|
6,725 |
6,704 |
$6K |
| 99203 |
|
940 |
922 |
$6K |
| 99443 |
|
190 |
173 |
$6K |
| 99383 |
|
690 |
686 |
$5K |
| 98966 |
|
2,613 |
2,358 |
$5K |
| 0082A |
|
134 |
134 |
$5K |
| 99001 |
|
529 |
500 |
$4K |
| 83036 |
|
3,489 |
3,387 |
$4K |
| 96372 |
|
2,959 |
2,777 |
$4K |
| 98960 |
|
201 |
178 |
$4K |
| 92340 |
|
1,090 |
878 |
$4K |
| D3220 |
|
31 |
28 |
$4K |
| 92133 |
|
1,783 |
1,748 |
$3K |
| D9310 |
|
332 |
301 |
$3K |
| 91320 |
|
266 |
266 |
$3K |
| D0270 |
|
448 |
444 |
$3K |
| Q0091 |
Obtaining screen pap smear |
981 |
935 |
$3K |
| D1510 |
|
13 |
12 |
$3K |
| 87428 |
|
637 |
627 |
$3K |
| 83655 |
|
1,753 |
1,749 |
$3K |
| D2335 |
|
16 |
14 |
$2K |
| 90715 |
|
2,780 |
2,767 |
$2K |
| G0512 |
Cocm by rhc/fqhc 60 min mo |
25 |
25 |
$2K |
| 98967 |
|
257 |
230 |
$2K |
| 90670 |
|
6,545 |
6,534 |
$1K |
| 85018 |
|
4,501 |
4,488 |
$1K |
| 99202 |
|
266 |
224 |
$1K |
| D7210 |
|
13 |
13 |
$1K |
| 90746 |
|
165 |
164 |
$1K |
| 92083 |
|
288 |
279 |
$1K |
| 81025 |
|
1,122 |
1,075 |
$1K |
| 90656 |
|
635 |
635 |
$1K |
| 92134 |
|
453 |
450 |
$985.10 |
| 99177 |
|
4,522 |
4,517 |
$971.39 |
| 90632 |
|
84 |
84 |
$930.61 |
| 92552 |
|
806 |
800 |
$906.13 |
| 90677 |
|
1,445 |
1,445 |
$894.12 |
| 0173A |
|
32 |
32 |
$879.69 |
| 81002 |
|
2,315 |
2,232 |
$872.30 |
| 92341 |
|
315 |
269 |
$849.46 |
| 87811 |
|
272 |
268 |
$829.92 |
| 99441 |
|
91 |
89 |
$564.67 |
| 0073A |
|
19 |
19 |
$525.52 |
| 71046 |
|
121 |
113 |
$511.41 |
| 99396 |
|
57 |
57 |
$449.45 |
| 0074A |
|
50 |
50 |
$375.30 |
| 98961 |
|
31 |
31 |
$293.97 |
| 82962 |
|
557 |
522 |
$289.96 |
| 0121A |
|
28 |
28 |
$239.88 |
| 92250 |
|
39 |
39 |
$234.75 |
| 90714 |
|
55 |
55 |
$163.60 |
| 85610 |
|
97 |
51 |
$157.28 |
| 97110 |
|
383 |
251 |
$120.61 |
| 0171A |
|
14 |
14 |
$119.94 |
| G0101 |
Ca screen;pelvic/breast exam |
65 |
65 |
$108.15 |
| 99384 |
|
26 |
26 |
$99.37 |
| 90688 |
|
117 |
117 |
$89.20 |
| 94640 |
|
83 |
79 |
$81.60 |
| 93000 |
|
27 |
27 |
$57.06 |
| 99211 |
|
33 |
33 |
$51.52 |
| 69209 |
|
33 |
33 |
$46.00 |
| 94010 |
|
15 |
15 |
$31.70 |
| 90672 |
|
1,449 |
1,449 |
$26.88 |
| 92227 |
|
16 |
16 |
$19.82 |
| G0008 |
Admin influenza virus vac |
461 |
455 |
$14.00 |
| J1885 |
Ketorolac tromethamine inj |
12 |
12 |
$12.31 |
| 96160 |
|
39 |
39 |
$11.30 |
| G0444 |
Depression screen annual |
1,552 |
1,530 |
$1.26 |
| 90707 |
|
2,997 |
2,993 |
$0.00 |
| 99605 |
|
137 |
137 |
$0.00 |
| 90710 |
|
1,394 |
1,394 |
$0.00 |
| 3077F |
|
2,800 |
2,607 |
$0.00 |
| 90713 |
|
887 |
885 |
$0.00 |
| 90734 |
|
3,758 |
3,748 |
$0.00 |
| 90633 |
|
4,013 |
4,011 |
$0.00 |
| T1017 |
Targeted case management |
128 |
106 |
$0.00 |
| 91300 |
|
3,909 |
3,550 |
$0.00 |
| 90700 |
|
2,949 |
2,946 |
$0.00 |
| 3078F |
|
3,208 |
3,069 |
$0.00 |
| G9920 |
Scrning perf and negative |
3,965 |
3,878 |
$0.00 |
| 91308 |
|
362 |
341 |
$0.00 |
| 3046F |
|
273 |
265 |
$0.00 |
| 99173 |
|
1,178 |
1,170 |
$0.00 |
| 90687 |
|
96 |
95 |
$0.00 |
| 91312 |
|
590 |
590 |
$0.00 |
| 3045F |
|
148 |
146 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
56 |
56 |
$0.00 |
| 99051 |
|
65 |
65 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
12 |
12 |
$0.00 |
| 3051F |
|
52 |
50 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
14 |
14 |
$0.00 |
| 97161 |
|
25 |
25 |
$0.00 |
| 0151A |
|
22 |
22 |
$0.00 |
| 90647 |
|
6,008 |
6,002 |
$0.00 |
| 94760 |
|
4,677 |
4,194 |
$0.00 |
| 90723 |
|
5,980 |
5,972 |
$0.00 |
| 3079F |
|
3,478 |
3,350 |
$0.00 |
| 90620 |
|
1,926 |
1,925 |
$0.00 |
| 3044F |
|
1,246 |
1,212 |
$0.00 |
| 90651 |
|
4,283 |
4,276 |
$0.00 |
| 3074F |
|
3,629 |
3,487 |
$0.00 |
| Q3014 |
Telehealth facility fee |
46 |
44 |
$0.00 |
| 3075F |
|
2,174 |
2,103 |
$0.00 |
| 90680 |
|
5,223 |
5,215 |
$0.00 |
| 91301 |
|
1,228 |
1,219 |
$0.00 |
| 90696 |
|
1,298 |
1,290 |
$0.00 |
| 91305 |
|
1,000 |
979 |
$0.00 |
| 91303 |
|
620 |
620 |
$0.00 |
| 90716 |
|
3,023 |
3,019 |
$0.00 |
| 3080F |
|
1,874 |
1,746 |
$0.00 |
| 91307 |
|
2,612 |
2,446 |
$0.00 |
| 91315 |
|
276 |
276 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
456 |
455 |
$0.00 |
| 99607 |
|
129 |
98 |
$0.00 |
| 91317 |
|
138 |
138 |
$0.00 |
| 2023F |
|
154 |
154 |
$0.00 |
| 91318 |
|
203 |
203 |
$0.00 |
| 91319 |
|
192 |
192 |
$0.00 |
| 99606 |
|
12 |
12 |
$0.00 |
| 94761 |
|
26 |
25 |
$0.00 |
| 3052F |
|
14 |
14 |
$0.00 |
| 90660 |
|
18 |
18 |
$0.00 |