| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
155,427 |
100,811 |
$22.31M |
| D0999 |
|
74,879 |
46,036 |
$6.92M |
| H2020 |
Ther behav svc, per diem |
34,501 |
15,695 |
$3.70M |
| D7140 |
|
28,434 |
10,007 |
$93K |
| D0150 |
|
16,764 |
11,276 |
$40K |
| D0330 |
|
12,515 |
8,546 |
$36K |
| D0140 |
|
12,912 |
8,732 |
$22K |
| D1110 |
|
6,216 |
4,549 |
$21K |
| D0220 |
|
14,285 |
9,070 |
$7K |
| D0120 |
|
4,325 |
3,227 |
$6K |
| D0210 |
|
1,012 |
710 |
$4K |
| D0274 |
|
10,360 |
7,114 |
$3K |
| D7210 |
|
1,036 |
393 |
$3K |
| D2392 |
|
528 |
314 |
$3K |
| 99051 |
|
1,192 |
807 |
$2K |
| 99213 |
|
106,994 |
68,761 |
$1K |
| D0272 |
|
1,337 |
948 |
$1K |
| 98960 |
|
10,088 |
5,991 |
$994.07 |
| D2391 |
|
119 |
65 |
$744.36 |
| D2393 |
|
80 |
54 |
$373.91 |
| 3079F |
|
1,309 |
959 |
$140.00 |
| 3077F |
|
748 |
571 |
$100.00 |
| 3080F |
|
543 |
379 |
$85.00 |
| 0064A |
|
145 |
57 |
$74.16 |
| 3046F |
|
181 |
108 |
$50.00 |
| 3074F |
|
118 |
98 |
$45.00 |
| D0230 |
|
142 |
27 |
$37.26 |
| 0012A |
|
292 |
242 |
$37.08 |
| 3075F |
|
386 |
271 |
$35.00 |
| 3078F |
|
48 |
45 |
$15.00 |
| 3044F |
|
74 |
51 |
$10.00 |
| J1050 |
Medroxyprogesterone acetate |
1,664 |
1,283 |
$0.01 |
| 99386 |
|
217 |
127 |
$0.00 |
| 87801 |
|
1,615 |
1,263 |
$0.00 |
| 99214 |
|
19,349 |
14,111 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
1,578 |
1,221 |
$0.00 |
| D1206 |
|
5,422 |
4,205 |
$0.00 |
| D0171 |
|
526 |
470 |
$0.00 |
| 97802 |
|
6,816 |
4,827 |
$0.00 |
| 81000 |
|
5,074 |
3,375 |
$0.00 |
| 87661 |
|
1,719 |
1,321 |
$0.00 |
| 92551 |
|
4,505 |
3,318 |
$0.00 |
| 1036F |
|
1,433 |
1,187 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
6,324 |
4,555 |
$0.00 |
| 99406 |
|
3,583 |
2,649 |
$0.00 |
| 87389 |
|
648 |
527 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
647 |
456 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
73 |
54 |
$0.00 |
| 83036 |
|
510 |
358 |
$0.00 |
| 85018 |
|
3,900 |
2,796 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
8,360 |
5,873 |
$0.00 |
| 90656 |
|
1,231 |
770 |
$0.00 |
| D1330 |
|
5,933 |
4,264 |
$0.00 |
| 90792 |
|
4,641 |
2,367 |
$0.00 |
| D1310 |
|
2,443 |
1,557 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
4,485 |
3,691 |
$0.00 |
| 99202 |
|
380 |
314 |
$0.00 |
| D0603 |
|
8,233 |
5,998 |
$0.00 |
| G9717 |
Doc pt dx bipol |
196 |
157 |
$0.00 |
| 87591 |
|
3,340 |
2,570 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
1,243 |
983 |
$0.00 |
| G8754 |
Dias bp less 90 |
3,794 |
2,891 |
$0.00 |
| 96372 |
|
180 |
133 |
$0.00 |
| 80371 |
|
1,152 |
839 |
$0.00 |
| 90680 |
|
246 |
190 |
$0.00 |
| G9906 |
Pt recv tbco cess interv |
545 |
428 |
$0.00 |
| 99385 |
|
365 |
242 |
$0.00 |
| 91301 |
|
624 |
470 |
$0.00 |
| 3017F |
|
595 |
423 |
$0.00 |
| 82962 |
|
1,499 |
996 |
$0.00 |
| 80367 |
|
1,135 |
840 |
$0.00 |
| G8734 |
Doc neg eld req |
41 |
25 |
$0.00 |
| 88142 |
|
264 |
240 |
$0.00 |
| 90471 |
|
2,238 |
1,535 |
$0.00 |
| 96110 |
|
1,655 |
1,243 |
$0.00 |
| 87624 |
|
130 |
95 |
$0.00 |
| D0602 |
|
1,351 |
730 |
$0.00 |
| 90723 |
|
250 |
209 |
$0.00 |
| 80358 |
|
1,135 |
840 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
228 |
198 |
$0.00 |
| G8433 |
Scr for dep not cpt doc rsn |
208 |
180 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
63 |
56 |
$0.00 |
| 80368 |
|
1,194 |
841 |
$0.00 |
| D0601 |
|
341 |
257 |
$0.00 |
| 90686 |
|
292 |
238 |
$0.00 |
| G9908 |
No pt tbco cess interv rng |
13 |
13 |
$0.00 |
| 90732 |
|
35 |
31 |
$0.00 |
| 80357 |
|
1,134 |
838 |
$0.00 |
| 81001 |
|
572 |
362 |
$0.00 |
| 80341 |
|
1,133 |
839 |
$0.00 |
| 90834 |
|
641 |
276 |
$0.00 |
| 82677 |
|
12 |
12 |
$0.00 |
| 80359 |
|
1,133 |
839 |
$0.00 |
| 90651 |
|
442 |
326 |
$0.00 |
| 80353 |
|
1,132 |
838 |
$0.00 |
| 82105 |
|
12 |
12 |
$0.00 |
| 96127 |
|
41 |
26 |
$0.00 |
| 87635 |
|
395 |
92 |
$0.00 |
| 86803 |
|
73 |
51 |
$0.00 |
| 82043 |
|
22 |
13 |
$0.00 |
| 90620 |
|
49 |
33 |
$0.00 |
| G8950 |
Pre-htn or htn doc, f/u indc |
52 |
47 |
$0.00 |
| 90660 |
|
70 |
55 |
$0.00 |
| 4010F |
|
95 |
40 |
$0.00 |
| 0011A |
|
238 |
194 |
$0.00 |
| 91306 |
|
46 |
12 |
$0.00 |
| 90696 |
|
46 |
27 |
$0.00 |
| 1005F |
|
26 |
15 |
$0.00 |
| 90657 |
|
38 |
12 |
$0.00 |
| 76815 |
|
28 |
15 |
$0.00 |
| D1351 |
|
146 |
55 |
$0.00 |
| D1208 |
|
12 |
12 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 87086 |
|
15 |
15 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
4,594 |
3,727 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
1,034 |
751 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
2,143 |
1,637 |
$0.00 |
| 90832 |
|
16,566 |
8,662 |
$0.00 |
| 88175 |
|
1,483 |
1,172 |
$0.00 |
| 99173 |
|
4,041 |
2,763 |
$0.00 |
| G8752 |
Sys bp less 140 |
3,985 |
3,011 |
$0.00 |
| 81025 |
|
4,196 |
3,310 |
$0.00 |
| 87798 |
|
1,586 |
1,260 |
$0.00 |
| 80364 |
|
1,132 |
838 |
$0.00 |
| 99392 |
|
1,270 |
960 |
$0.00 |
| 80348 |
|
1,132 |
836 |
$0.00 |
| 99204 |
|
1,726 |
1,340 |
$0.00 |
| 80365 |
|
1,135 |
840 |
$0.00 |
| 81003 |
|
6,518 |
3,475 |
$0.00 |
| 90791 |
|
11,187 |
4,612 |
$0.00 |
| 80377 |
|
1,133 |
839 |
$0.00 |
| 99203 |
|
1,520 |
1,173 |
$0.00 |
| G0470 |
Fqhc visit, mh estab pt |
143 |
116 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
754 |
526 |
$0.00 |
| 99396 |
|
686 |
506 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
2,372 |
1,927 |
$0.00 |
| 80373 |
|
1,133 |
839 |
$0.00 |
| 90863 |
|
4,348 |
3,345 |
$0.00 |
| 80355 |
|
1,132 |
838 |
$0.00 |
| D0270 |
|
3,875 |
2,832 |
$0.00 |
| 99212 |
|
9,805 |
6,969 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
13,866 |
8,838 |
$0.00 |
| 87491 |
|
908 |
701 |
$0.00 |
| 90460 |
|
1,008 |
645 |
$0.00 |
| 83655 |
|
566 |
402 |
$0.00 |
| 99394 |
|
1,456 |
1,089 |
$0.00 |
| 90837 |
|
1,425 |
762 |
$0.00 |
| 80372 |
|
1,146 |
839 |
$0.00 |
| 90472 |
|
572 |
464 |
$0.00 |
| 80331 |
|
1,131 |
836 |
$0.00 |
| D4341 |
|
1,670 |
754 |
$0.00 |
| D0191 |
|
297 |
254 |
$0.00 |
| 4004F |
|
1,070 |
558 |
$0.00 |
| 99395 |
|
443 |
352 |
$0.00 |
| 90670 |
|
759 |
629 |
$0.00 |
| 80326 |
|
1,134 |
839 |
$0.00 |
| 80370 |
|
1,191 |
841 |
$0.00 |
| 90648 |
|
507 |
418 |
$0.00 |
| 3725F |
|
1,351 |
793 |
$0.00 |
| G8482 |
Flu immunize order/admin |
519 |
397 |
$0.00 |
| 4013F |
|
86 |
70 |
$0.00 |
| 80334 |
|
1,133 |
839 |
$0.00 |
| 99393 |
|
2,093 |
1,534 |
$0.00 |
| D0145 |
|
990 |
642 |
$0.00 |
| 90633 |
|
607 |
448 |
$0.00 |
| D1120 |
|
2,944 |
2,295 |
$0.00 |
| 90734 |
|
331 |
247 |
$0.00 |
| 80307 |
|
1,194 |
841 |
$0.00 |
| 90655 |
|
291 |
214 |
$0.00 |
| 83992 |
|
1,132 |
838 |
$0.00 |
| 99401 |
|
312 |
270 |
$0.00 |
| 90658 |
|
346 |
233 |
$0.00 |
| G9899 |
Scrn mam perf rslts doc |
559 |
382 |
$0.00 |
| G0030 |
Pt scr tob & cess int |
757 |
658 |
$0.00 |
| D4910 |
|
80 |
64 |
$0.00 |
| 90715 |
|
212 |
134 |
$0.00 |
| G8484 |
Flu immunize no admin |
107 |
89 |
$0.00 |
| 80366 |
|
1,137 |
842 |
$0.00 |
| 99391 |
|
473 |
365 |
$0.00 |
| 99382 |
|
179 |
173 |
$0.00 |
| 80360 |
|
1,132 |
838 |
$0.00 |
| 90661 |
|
354 |
234 |
$0.00 |
| G8731 |
Pain neg no plan |
28 |
13 |
$0.00 |
| 80344 |
|
1,132 |
838 |
$0.00 |
| D9110 |
|
185 |
74 |
$0.00 |
| 80337 |
|
1,133 |
839 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
234 |
175 |
$0.00 |
| 80354 |
|
1,134 |
839 |
$0.00 |
| 80338 |
|
1,132 |
837 |
$0.00 |
| 90461 |
|
335 |
212 |
$0.00 |
| 80361 |
|
1,133 |
839 |
$0.00 |
| 80346 |
|
1,134 |
840 |
$0.00 |
| 90833 |
|
437 |
347 |
$0.00 |
| 86336 |
|
12 |
12 |
$0.00 |
| 87804 |
|
72 |
60 |
$0.00 |
| G8730 |
Pain doc pos and plan |
47 |
17 |
$0.00 |
| 90700 |
|
20 |
12 |
$0.00 |
| 87880 |
|
41 |
25 |
$0.00 |
| 90710 |
|
64 |
40 |
$0.00 |
| 90707 |
|
18 |
12 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
204 |
129 |
$0.00 |
| 84702 |
|
12 |
12 |
$0.00 |
| 97803 |
|
14 |
13 |
$0.00 |