| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
208,306 |
164,554 |
$37.64M |
| 99213 |
|
52,113 |
46,144 |
$24K |
| G0467 |
Fqhc visit, estab pt |
6,172 |
5,100 |
$19K |
| 99214 |
|
65,293 |
60,072 |
$15K |
| 99212 |
|
3,535 |
3,206 |
$2K |
| 36415 |
|
5,827 |
5,623 |
$2K |
| 83036 |
|
3,259 |
3,224 |
$1K |
| 81003 |
|
2,904 |
2,780 |
$845.67 |
| G0008 |
Admin influenza virus vac |
164 |
162 |
$787.43 |
| 90471 |
|
7,496 |
7,236 |
$781.05 |
| 90686 |
|
3,955 |
3,858 |
$715.35 |
| 36416 |
|
4,792 |
4,654 |
$670.32 |
| 80305 |
|
3,779 |
2,816 |
$523.27 |
| 99203 |
|
1,877 |
1,846 |
$424.27 |
| 99202 |
|
513 |
507 |
$380.38 |
| 90670 |
|
2,289 |
2,241 |
$325.41 |
| 87804 |
|
558 |
553 |
$294.48 |
| 3044F |
|
1,997 |
1,816 |
$283.14 |
| 87880 |
|
750 |
733 |
$214.11 |
| G2025 |
Dis site tele svcs rhc/fqhc |
191 |
181 |
$190.31 |
| 96372 |
|
1,431 |
1,332 |
$155.34 |
| 1160F |
|
24,020 |
19,499 |
$127.95 |
| 90460 |
|
5,931 |
5,803 |
$116.76 |
| 90732 |
|
283 |
281 |
$105.19 |
| 81025 |
|
1,127 |
1,097 |
$85.34 |
| 90833 |
|
3,760 |
3,486 |
$74.54 |
| 3046F |
|
578 |
507 |
$62.53 |
| 99215 |
Prolong outpt/office vis |
1,964 |
1,853 |
$59.36 |
| 90715 |
|
1,258 |
1,234 |
$53.90 |
| 90674 |
|
455 |
453 |
$44.07 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
13 |
13 |
$43.10 |
| 87086 |
|
66 |
65 |
$40.70 |
| 88142 |
|
858 |
853 |
$39.99 |
| 1159F |
|
16,246 |
14,864 |
$37.69 |
| 3008F |
|
17,325 |
15,784 |
$37.69 |
| 82962 |
|
28 |
25 |
$32.15 |
| 99443 |
|
1,070 |
984 |
$19.46 |
| 3078F |
|
8,145 |
7,611 |
$17.75 |
| 3074F |
|
9,975 |
9,277 |
$16.16 |
| 4040F |
|
2,722 |
2,450 |
$14.44 |
| 3048F |
|
1,444 |
1,315 |
$14.22 |
| 3077F |
|
1,934 |
1,801 |
$12.06 |
| 3079F |
|
4,108 |
3,874 |
$11.01 |
| 3075F |
|
1,701 |
1,618 |
$9.47 |
| 3014F |
|
805 |
737 |
$9.17 |
| 3080F |
|
1,279 |
1,193 |
$8.93 |
| 90461 |
|
6,535 |
3,714 |
$8.66 |
| 3017F |
|
1,428 |
1,300 |
$6.25 |
| 90734 |
|
508 |
501 |
$4.33 |
| 90649 |
|
867 |
851 |
$4.33 |
| 3050F |
|
604 |
550 |
$4.06 |
| 85025 |
|
33 |
33 |
$3.97 |
| 3060F |
|
452 |
400 |
$3.95 |
| 96110 |
|
990 |
979 |
$3.47 |
| 99392 |
|
3,185 |
3,143 |
$3.46 |
| 99393 |
|
2,408 |
2,378 |
$3.28 |
| 3015F |
|
1,694 |
1,547 |
$2.92 |
| 3049F |
|
920 |
822 |
$2.92 |
| 3051F |
|
308 |
277 |
$2.68 |
| 99394 |
|
1,416 |
1,402 |
$0.00 |
| 90472 |
|
1,024 |
1,016 |
$0.00 |
| 4274F |
|
1,105 |
1,047 |
$0.00 |
| 99391 |
|
3,589 |
3,276 |
$0.00 |
| 90473 |
|
15 |
15 |
$0.00 |
| 90837 |
|
3,163 |
1,762 |
$0.00 |
| 90832 |
|
3,943 |
2,630 |
$0.00 |
| 99173 |
|
716 |
707 |
$0.00 |
| 90633 |
|
27 |
27 |
$0.00 |
| 2022F |
|
624 |
558 |
$0.00 |
| 99188 |
|
1,028 |
989 |
$0.00 |
| 90685 |
|
375 |
355 |
$0.00 |
| 90653 |
|
52 |
52 |
$0.00 |
| 99395 |
|
397 |
390 |
$0.00 |
| 86703 |
|
687 |
686 |
$0.00 |
| 99204 |
|
666 |
661 |
$0.00 |
| 99396 |
|
273 |
269 |
$0.00 |
| 99442 |
|
728 |
718 |
$0.00 |
| 90791 |
|
1,152 |
1,147 |
$0.00 |
| H0031 |
Mh health assess by non-md |
43 |
43 |
$0.00 |
| 91312 |
|
13 |
13 |
$0.00 |
| 4004F |
|
171 |
166 |
$0.00 |
| 99177 |
|
96 |
96 |
$0.00 |
| 90710 |
|
146 |
145 |
$0.00 |
| 90746 |
|
56 |
55 |
$0.00 |
| 90672 |
|
166 |
163 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
329 |
327 |
$0.00 |
| 83655 |
|
246 |
245 |
$0.00 |
| 90853 |
|
1,222 |
492 |
$0.00 |
| 90785 |
|
31 |
29 |
$0.00 |
| 99211 |
|
100 |
97 |
$0.00 |
| 90836 |
|
13 |
13 |
$0.00 |
| 87210 |
|
26 |
26 |
$0.00 |
| 0124A |
|
12 |
12 |
$0.00 |
| S9470 |
Nutritional counseling, diet |
12 |
12 |
$0.00 |
| 1036F |
|
4,509 |
4,248 |
$0.00 |
| 90834 |
|
10,283 |
5,086 |
$0.00 |
| 2010F |
|
2,657 |
2,536 |
$0.00 |
| 99381 |
|
126 |
125 |
$0.00 |
| 2001F |
|
2,546 |
2,430 |
$0.00 |
| 2000F |
|
2,317 |
2,208 |
$0.00 |
| 3351F |
|
323 |
321 |
$0.00 |
| 99441 |
|
268 |
264 |
$0.00 |
| 3052F |
|
220 |
200 |
$0.00 |
| 86580 |
|
42 |
39 |
$0.00 |
| 86780 |
|
28 |
28 |
$0.00 |
| 90680 |
|
1,483 |
1,458 |
$0.00 |
| 99406 |
|
389 |
369 |
$0.00 |
| 99000 |
|
1,425 |
1,399 |
$0.00 |
| 3061F |
|
587 |
520 |
$0.00 |
| 90792 |
|
1,168 |
1,165 |
$0.00 |
| 1170F |
|
331 |
328 |
$0.00 |
| 90647 |
|
1,654 |
1,625 |
$0.00 |
| 1125F |
|
272 |
255 |
$0.00 |
| 87635 |
|
928 |
920 |
$0.00 |
| 86803 |
|
107 |
107 |
$0.00 |
| 1034F |
|
987 |
912 |
$0.00 |
| 85018 |
|
895 |
884 |
$0.00 |
| 1126F |
|
607 |
570 |
$0.00 |
| 4010F |
|
132 |
119 |
$0.00 |
| 90723 |
|
45 |
45 |
$0.00 |
| 90696 |
|
133 |
132 |
$0.00 |
| 4037F |
|
25 |
25 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
61 |
58 |
$0.00 |
| 90620 |
|
66 |
65 |
$0.00 |
| G9717 |
Doc pt dx bipol |
40 |
38 |
$0.00 |
| 87426 |
|
153 |
153 |
$0.00 |
| 4000F |
|
177 |
164 |
$0.00 |
| 1111F |
|
65 |
64 |
$0.00 |
| 99385 |
|
30 |
29 |
$0.00 |
| 90847 |
|
63 |
42 |
$0.00 |
| 76815 |
|
32 |
27 |
$0.00 |
| 90480 |
|
12 |
12 |
$0.00 |
| 81001 |
|
12 |
12 |
$0.00 |
| 94640 |
|
15 |
12 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
18 |
13 |
$0.00 |