| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
111,518 |
94,435 |
$12.93M |
| 00003 |
|
20,628 |
16,231 |
$3.62M |
| 99213 |
|
44,672 |
35,939 |
$221K |
| G0467 |
Fqhc visit, estab pt |
2,119 |
1,669 |
$71K |
| 92014 |
|
5,969 |
5,819 |
$38K |
| 99214 |
|
5,009 |
4,326 |
$20K |
| 98940 |
|
3,260 |
2,236 |
$9K |
| 99393 |
|
1,051 |
934 |
$8K |
| 99212 |
|
3,646 |
3,285 |
$7K |
| 99392 |
|
1,371 |
1,275 |
$6K |
| 99394 |
|
700 |
632 |
$6K |
| 98941 |
|
3,131 |
2,128 |
$5K |
| 0012A |
|
96 |
52 |
$5K |
| 99391 |
|
1,191 |
1,123 |
$4K |
| 0031A |
|
65 |
38 |
$3K |
| 99000 |
|
1,942 |
1,742 |
$2K |
| 0053A |
|
32 |
31 |
$1K |
| 92551 |
|
3,021 |
2,748 |
$1K |
| 90686 |
|
1,779 |
1,630 |
$1K |
| 0011A |
|
34 |
34 |
$1K |
| 85018 |
|
3,687 |
3,353 |
$1K |
| V2020 |
Vision svcs frames purchases |
3,156 |
3,135 |
$1K |
| 0071A |
|
15 |
13 |
$951.00 |
| 81025 |
|
1,153 |
1,073 |
$914.61 |
| 92340 |
|
2,392 |
2,373 |
$736.82 |
| 90677 |
|
342 |
338 |
$568.00 |
| 92015 |
|
6,160 |
6,132 |
$453.76 |
| 99173 |
|
2,903 |
2,638 |
$402.46 |
| 81005 |
|
1,565 |
1,201 |
$388.31 |
| J3490 |
Drugs unclassified injection |
13 |
12 |
$385.88 |
| 90723 |
|
911 |
863 |
$373.93 |
| 90648 |
|
1,248 |
1,172 |
$273.30 |
| 90670 |
|
891 |
827 |
$216.86 |
| 92341 |
|
212 |
211 |
$171.72 |
| 81003 |
|
1,696 |
1,367 |
$154.95 |
| 99215 |
Prolong outpt/office vis |
119 |
111 |
$143.53 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
27 |
27 |
$142.65 |
| 90633 |
|
665 |
615 |
$117.00 |
| 83655 |
|
87 |
78 |
$112.52 |
| 90680 |
|
832 |
789 |
$92.25 |
| 90734 |
|
292 |
262 |
$80.03 |
| 92004 |
|
28 |
27 |
$71.00 |
| 3074F |
|
3,776 |
3,494 |
$62.44 |
| 90700 |
|
59 |
57 |
$49.42 |
| 90651 |
|
376 |
347 |
$45.00 |
| G9920 |
Scrning perf and negative |
20 |
19 |
$29.00 |
| 90472 |
|
229 |
226 |
$28.85 |
| 90471 |
|
338 |
334 |
$26.75 |
| 90710 |
|
123 |
113 |
$18.00 |
| 83036 |
|
44 |
42 |
$16.40 |
| 87880 |
|
51 |
51 |
$10.10 |
| 90715 |
|
113 |
101 |
$9.00 |
| 99381 |
|
44 |
43 |
$9.00 |
| 2001F |
|
8,303 |
7,035 |
$4.03 |
| G8752 |
Sys bp less 140 |
4,262 |
3,918 |
$0.00 |
| 3078F |
|
3,371 |
3,118 |
$0.00 |
| Z6400 |
|
775 |
772 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
291 |
271 |
$0.00 |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
256 |
160 |
$0.00 |
| 99395 |
|
67 |
64 |
$0.00 |
| 3050F |
|
154 |
123 |
$0.00 |
| 3077F |
|
305 |
283 |
$0.00 |
| 92012 |
|
28 |
25 |
$0.00 |
| 90791 |
|
40 |
39 |
$0.00 |
| 90713 |
|
29 |
27 |
$0.00 |
| 90832 |
|
139 |
121 |
$0.00 |
| 4004F |
|
766 |
726 |
$0.00 |
| 90707 |
|
73 |
70 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
133 |
132 |
$0.00 |
| 87804 |
|
13 |
13 |
$0.00 |
| 3046F |
|
30 |
26 |
$0.00 |
| Z6300 |
|
15 |
15 |
$0.00 |
| 99396 |
|
13 |
12 |
$0.00 |
| Z6500 |
|
12 |
12 |
$0.00 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,717 |
1,078 |
$0.00 |
| 3008F |
|
8,302 |
7,036 |
$0.00 |
| 3048F |
|
1,511 |
1,265 |
$0.00 |
| Z1034 |
|
3,349 |
2,619 |
$0.00 |
| 1036F |
|
8,038 |
6,824 |
$0.00 |
| 1111F |
|
7,181 |
6,325 |
$0.00 |
| Z6410 |
|
685 |
640 |
$0.00 |
| 3079F |
|
1,191 |
1,126 |
$0.00 |
| G8754 |
Dias bp less 90 |
4,589 |
4,192 |
$0.00 |
| V2784 |
Lens polycarb or equal |
1,822 |
923 |
$0.00 |
| 3049F |
|
738 |
619 |
$0.00 |
| 3075F |
|
300 |
285 |
$0.00 |
| 90716 |
|
68 |
64 |
$0.00 |
| 90656 |
|
173 |
170 |
$0.00 |
| 90744 |
|
15 |
15 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
41 |
39 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 86580 |
|
21 |
14 |
$0.00 |
| 90688 |
|
93 |
87 |
$0.00 |
| D1206 |
|
54 |
54 |
$0.00 |
| Z6406 |
|
211 |
211 |
$0.00 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
105 |
79 |
$0.00 |
| 3080F |
|
14 |
12 |
$0.00 |
| Z6402 |
|
27 |
27 |
$0.00 |
| V2100 |
Lens spher single plano 4.00 |
23 |
16 |
$0.00 |
| Z1032 |
|
16 |
16 |
$0.00 |