| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
672,157 |
471,303 |
$93.01M |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
37,362 |
28,525 |
$1.18M |
| G2025 |
Dis site tele svcs rhc/fqhc |
7,105 |
5,508 |
$320K |
| G0467 |
Fqhc visit, estab pt |
17,772 |
14,116 |
$219K |
| 99213 |
|
147,891 |
125,812 |
$139K |
| 99214 |
|
92,696 |
77,156 |
$134K |
| 82962 |
|
24,406 |
21,516 |
$64K |
| 99212 |
|
46,389 |
40,476 |
$47K |
| 99442 |
|
50,704 |
41,768 |
$45K |
| 90834 |
|
59,898 |
35,781 |
$44K |
| G0470 |
Fqhc visit, mh estab pt |
2,337 |
1,620 |
$42K |
| 90832 |
|
39,869 |
25,362 |
$18K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
148 |
95 |
$7K |
| 90853 |
|
17,996 |
6,963 |
$5K |
| 99443 |
|
4,476 |
3,809 |
$3K |
| 98967 |
|
1,345 |
897 |
$2K |
| 99211 |
|
4,000 |
3,651 |
$1K |
| 98968 |
|
2,118 |
1,200 |
$941.99 |
| 81002 |
|
18,914 |
15,031 |
$941.37 |
| 83036 |
|
10,414 |
9,612 |
$768.63 |
| G0466 |
Fqhc visit new patient |
59 |
55 |
$717.09 |
| 90791 |
|
5,463 |
4,713 |
$680.49 |
| 99215 |
Prolong outpt/office vis |
1,926 |
1,737 |
$663.96 |
| 90792 |
|
1,132 |
1,029 |
$587.60 |
| 97803 |
|
4,347 |
3,999 |
$395.69 |
| 85018 |
|
34,741 |
32,507 |
$345.31 |
| 99201 |
|
315 |
298 |
$288.26 |
| G0439 |
Ppps, subseq visit |
532 |
466 |
$174.80 |
| 11721 |
|
292 |
272 |
$129.23 |
| Q0091 |
Obtaining screen pap smear |
715 |
682 |
$126.50 |
| 99203 |
|
1,726 |
1,586 |
$124.82 |
| 90837 |
|
3,555 |
1,966 |
$92.51 |
| 81025 |
|
9,506 |
8,692 |
$50.26 |
| 99396 |
|
1,719 |
1,642 |
$49.73 |
| 99397 |
|
18 |
12 |
$35.32 |
| 0011A |
|
305 |
298 |
$13.23 |
| 90471 |
|
15,820 |
15,136 |
$10.00 |
| 1036F |
|
59,463 |
49,016 |
$0.00 |
| 3074F |
|
68,766 |
58,168 |
$0.00 |
| 1126F |
|
60,780 |
52,754 |
$0.00 |
| 96127 |
|
29,295 |
27,607 |
$0.00 |
| 96372 |
|
1,495 |
1,394 |
$0.00 |
| 84703 |
|
5,806 |
5,394 |
$0.00 |
| 99000 |
|
1,122 |
1,063 |
$0.00 |
| 1125F |
|
12,694 |
9,707 |
$0.00 |
| 3079F |
|
20,884 |
18,358 |
$0.00 |
| 90723 |
|
2,515 |
2,429 |
$0.00 |
| 92551 |
|
12,818 |
12,391 |
$0.00 |
| 90651 |
|
2,331 |
2,262 |
$0.00 |
| 96110 |
|
5,610 |
4,921 |
$0.00 |
| 90686 |
|
24,120 |
22,939 |
$0.00 |
| 90647 |
|
2,634 |
2,488 |
$0.00 |
| 1034F |
|
5,949 |
5,138 |
$0.00 |
| 97802 |
|
3,489 |
3,304 |
$0.00 |
| 90716 |
|
1,606 |
1,459 |
$0.00 |
| 3080F |
|
1,872 |
1,705 |
$0.00 |
| 87590 |
|
2,499 |
2,387 |
$0.00 |
| 1170F |
|
5,364 |
4,749 |
$0.00 |
| 3075F |
|
9,378 |
8,392 |
$0.00 |
| 90847 |
|
2,426 |
1,669 |
$0.00 |
| 87490 |
|
2,501 |
2,391 |
$0.00 |
| 99202 |
|
346 |
325 |
$0.00 |
| 90677 |
|
1,220 |
1,178 |
$0.00 |
| 91301 |
|
649 |
632 |
$0.00 |
| 90619 |
|
440 |
431 |
$0.00 |
| 90696 |
|
26 |
24 |
$0.00 |
| 90656 |
|
3,152 |
3,034 |
$0.00 |
| 90620 |
|
352 |
333 |
$0.00 |
| 87635 |
|
367 |
360 |
$0.00 |
| 0064A |
|
35 |
34 |
$0.00 |
| 93000 |
|
74 |
61 |
$0.00 |
| 96161 |
|
255 |
231 |
$0.00 |
| 0012A |
|
371 |
356 |
$0.00 |
| 0241U |
|
659 |
630 |
$0.00 |
| 36415 |
|
103 |
101 |
$0.00 |
| 90674 |
|
134 |
130 |
$0.00 |
| 59430 |
|
317 |
281 |
$0.00 |
| 3044F |
|
316 |
298 |
$0.00 |
| 99457 |
|
41 |
38 |
$0.00 |
| 87800 |
|
255 |
231 |
$0.00 |
| 36416 |
|
225 |
220 |
$0.00 |
| 0001A |
|
299 |
298 |
$0.00 |
| 90480 |
|
12 |
12 |
$0.00 |
| 94640 |
|
13 |
12 |
$0.00 |
| 83986 |
|
136 |
133 |
$0.00 |
| 99381 |
|
27 |
27 |
$0.00 |
| 87426 |
|
142 |
138 |
$0.00 |
| G0008 |
Admin influenza virus vac |
465 |
429 |
$0.00 |
| 99383 |
|
65 |
61 |
$0.00 |
| A9150 |
Misc/exper non-prescript dru |
28 |
26 |
$0.00 |
| 0503F |
|
138 |
125 |
$0.00 |
| J3490 |
Drugs unclassified injection |
15 |
15 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
13 |
12 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
31 |
28 |
$0.00 |
| 99384 |
|
15 |
14 |
$0.00 |
| 3078F |
|
61,332 |
52,194 |
$0.00 |
| 1159F |
|
93,330 |
78,164 |
$0.00 |
| 90461 |
|
12,247 |
11,556 |
$0.00 |
| 90460 |
|
36,680 |
34,463 |
$0.00 |
| 99173 |
|
13,901 |
13,426 |
$0.00 |
| 90713 |
|
74 |
70 |
$0.00 |
| 83655 |
|
8,275 |
7,592 |
$0.00 |
| 87880 |
|
8,116 |
7,745 |
$0.00 |
| 99391 |
|
6,732 |
6,208 |
$0.00 |
| G0468 |
Fqhc visit, ippe or awv |
37 |
37 |
$0.00 |
| 90633 |
|
2,464 |
2,220 |
$0.00 |
| 1160F |
|
93,322 |
78,163 |
$0.00 |
| 90670 |
|
3,210 |
3,050 |
$0.00 |
| 59425 |
|
5,184 |
3,670 |
$0.00 |
| 99392 |
|
7,459 |
6,860 |
$0.00 |
| 3077F |
|
6,595 |
5,832 |
$0.00 |
| S9480 |
Intensive outpatient psychia |
17,154 |
3,695 |
$0.00 |
| 99393 |
|
6,294 |
6,060 |
$0.00 |
| 90472 |
|
3,289 |
3,212 |
$0.00 |
| 90715 |
|
385 |
366 |
$0.00 |
| 59426 |
|
3,641 |
2,163 |
$0.00 |
| 99395 |
|
731 |
695 |
$0.00 |
| 99394 |
|
3,625 |
3,442 |
$0.00 |
| 90707 |
|
962 |
906 |
$0.00 |
| 90681 |
|
638 |
616 |
$0.00 |
| 90846 |
|
654 |
454 |
$0.00 |
| H0015 |
Alcohol and/or drug services |
5,808 |
1,562 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
3,116 |
2,965 |
$0.00 |
| 81003 |
|
12,353 |
9,107 |
$0.00 |
| 87804 |
|
724 |
705 |
$0.00 |
| 99204 |
|
299 |
283 |
$0.00 |
| 0124A |
|
88 |
81 |
$0.00 |
| 80102 |
|
86 |
63 |
$0.00 |
| 91312 |
|
114 |
100 |
$0.00 |
| 3046F |
|
13 |
13 |
$0.00 |
| 91300 |
|
614 |
558 |
$0.00 |
| 0002A |
|
272 |
267 |
$0.00 |
| 90734 |
|
273 |
268 |
$0.00 |
| 90678 |
|
46 |
45 |
$0.00 |
| 93005 |
|
40 |
38 |
$0.00 |
| 90473 |
|
219 |
210 |
$0.00 |
| 4004F |
|
141 |
129 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90687 |
|
12 |
12 |
$0.00 |
| 87210 |
|
26 |
26 |
$0.00 |
| A4550 |
Surgical trays |
12 |
12 |
$0.00 |
| 80101 |
|
15 |
13 |
$0.00 |
| 99382 |
|
16 |
14 |
$0.00 |
| 90700 |
|
14 |
12 |
$0.00 |