| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
162,698 |
140,077 |
$26.91M |
| 00003 |
|
59,436 |
54,135 |
$15.11M |
| 99212 |
|
54,690 |
45,037 |
$271K |
| 99213 |
|
71,479 |
58,048 |
$168K |
| 99394 |
|
3,961 |
3,316 |
$142K |
| 99391 |
|
5,926 |
5,162 |
$132K |
| 99393 |
|
4,701 |
4,006 |
$115K |
| 99392 |
|
5,060 |
4,440 |
$100K |
| 99214 |
|
16,034 |
13,351 |
$90K |
| 90834 |
|
2,990 |
2,017 |
$62K |
| G0467 |
Fqhc visit, estab pt |
1,032 |
879 |
$58K |
| H1001 |
Antepartum management |
3,954 |
2,657 |
$49K |
| J3490 |
Drugs unclassified injection |
645 |
523 |
$36K |
| 96110 |
|
1,024 |
741 |
$26K |
| 90686 |
|
7,329 |
6,749 |
$26K |
| 90791 |
|
463 |
344 |
$20K |
| 99396 |
|
1,890 |
1,600 |
$19K |
| 90715 |
|
3,497 |
2,975 |
$18K |
| 99395 |
|
2,166 |
1,923 |
$18K |
| 92551 |
|
2,292 |
1,710 |
$18K |
| 90832 |
|
486 |
270 |
$15K |
| 90651 |
|
2,731 |
2,262 |
$13K |
| 85018 |
|
14,233 |
13,022 |
$12K |
| 90677 |
|
1,195 |
827 |
$11K |
| H1003 |
Prenatal at risk education |
2,078 |
1,698 |
$11K |
| 90739 |
|
381 |
332 |
$10K |
| 99401 |
|
2,624 |
1,960 |
$9K |
| 90670 |
|
2,882 |
2,640 |
$9K |
| S9445 |
Pt education noc individ |
1,655 |
1,292 |
$8K |
| 83655 |
|
1,959 |
1,678 |
$8K |
| 99202 |
|
981 |
967 |
$7K |
| 90656 |
|
1,619 |
1,198 |
$7K |
| 99381 |
|
619 |
545 |
$6K |
| 0001A |
|
382 |
300 |
$6K |
| 90633 |
|
1,874 |
1,624 |
$6K |
| 90680 |
|
2,002 |
1,769 |
$6K |
| G2025 |
Dis site tele svcs rhc/fqhc |
497 |
425 |
$6K |
| 90698 |
|
1,858 |
1,689 |
$5K |
| 90734 |
|
1,070 |
936 |
$5K |
| 90471 |
|
10,901 |
9,928 |
$5K |
| H1000 |
Prenatal care atrisk assessm |
123 |
123 |
$5K |
| G9920 |
Scrning perf and negative |
2,495 |
1,586 |
$5K |
| 99204 |
|
433 |
309 |
$4K |
| 59430 |
|
219 |
204 |
$4K |
| 90688 |
|
3,153 |
3,137 |
$4K |
| 99203 |
|
455 |
445 |
$4K |
| 90658 |
|
418 |
384 |
$3K |
| 85999 |
|
1,123 |
1,069 |
$3K |
| 36415 |
|
1,074 |
997 |
$3K |
| 99386 |
|
276 |
252 |
$3K |
| 0002A |
|
52 |
27 |
$3K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
931 |
834 |
$3K |
| 83036 |
|
3,199 |
2,862 |
$3K |
| 90744 |
|
1,099 |
999 |
$2K |
| 96372 |
|
1,658 |
1,401 |
$2K |
| 99173 |
|
2,286 |
1,682 |
$2K |
| 81025 |
|
4,936 |
4,468 |
$2K |
| 90671 |
|
439 |
367 |
$2K |
| 99205 |
Prolong outpt/office vis |
16 |
12 |
$1K |
| 99215 |
Prolong outpt/office vis |
111 |
82 |
$1K |
| 99385 |
|
89 |
78 |
$1K |
| 90649 |
|
127 |
124 |
$1K |
| 90697 |
|
1,328 |
1,010 |
$1K |
| 81002 |
|
19,845 |
12,956 |
$1K |
| 90710 |
|
316 |
298 |
$954.00 |
| 90681 |
|
236 |
158 |
$909.00 |
| 97803 |
|
365 |
326 |
$849.41 |
| 90716 |
|
450 |
394 |
$846.00 |
| 90472 |
|
1,039 |
938 |
$767.80 |
| 90696 |
|
270 |
257 |
$765.00 |
| 90707 |
|
387 |
327 |
$603.00 |
| H2000 |
Comp multidisipln evaluation |
226 |
174 |
$555.06 |
| 96156 |
|
922 |
874 |
$529.84 |
| J1050 |
Medroxyprogesterone acetate |
821 |
755 |
$383.75 |
| 99211 |
|
803 |
768 |
$364.18 |
| 82962 |
|
1,388 |
1,137 |
$340.57 |
| G2012 |
Brief check in by md/qhp |
27 |
24 |
$336.96 |
| 90662 |
|
47 |
42 |
$295.72 |
| 87635 |
|
141 |
141 |
$266.30 |
| 90619 |
|
548 |
389 |
$216.00 |
| 90700 |
|
173 |
166 |
$135.00 |
| 90687 |
|
78 |
60 |
$72.00 |
| 99384 |
|
14 |
13 |
$65.78 |
| S9452 |
Nutrition class |
24 |
24 |
$58.87 |
| 99000 |
|
1,354 |
1,174 |
$58.08 |
| 90380 |
|
56 |
44 |
$45.00 |
| 90480 |
|
133 |
96 |
$40.00 |
| 97802 |
|
15 |
14 |
$33.66 |
| T1013 |
Sign lang/oral interpreter |
80 |
78 |
$29.04 |
| 87804 |
|
143 |
142 |
$17.53 |
| 90381 |
|
77 |
55 |
$9.00 |
| 80053 |
|
13 |
12 |
$7.48 |
| 87880 |
|
524 |
519 |
$5.99 |
| 36416 |
|
1,385 |
1,134 |
$4.26 |
| 94640 |
|
151 |
137 |
$1.97 |
| J1885 |
Ketorolac tromethamine inj |
42 |
25 |
$1.70 |
| 3079F |
|
3,689 |
3,476 |
$0.00 |
| Z6406 |
|
2,452 |
1,930 |
$0.00 |
| 1126F |
|
10,809 |
9,622 |
$0.00 |
| 1125F |
|
2,023 |
1,962 |
$0.00 |
| 3351F |
|
5,407 |
4,287 |
$0.00 |
| 99441 |
|
152 |
139 |
$0.00 |
| 1111F |
|
1,661 |
1,592 |
$0.00 |
| Z1038 |
|
339 |
319 |
$0.00 |
| 0501F |
|
566 |
324 |
$0.00 |
| 3074F |
|
6,946 |
6,074 |
$0.00 |
| Z1034 |
|
7,050 |
4,677 |
$0.00 |
| 3075F |
|
2,042 |
1,938 |
$0.00 |
| 3080F |
|
615 |
582 |
$0.00 |
| Z1032 |
|
810 |
802 |
$0.00 |
| 3353F |
|
586 |
519 |
$0.00 |
| 3044F |
|
447 |
426 |
$0.00 |
| Z6410 |
|
1,145 |
985 |
$0.00 |
| 3008F |
|
706 |
686 |
$0.00 |
| 0500F |
|
208 |
190 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
1,222 |
1,069 |
$0.00 |
| Z6204 |
|
217 |
211 |
$0.00 |
| 96151 |
|
69 |
66 |
$0.00 |
| Z6402 |
|
64 |
64 |
$0.00 |
| 0503F |
|
115 |
94 |
$0.00 |
| 3352F |
|
129 |
112 |
$0.00 |
| G0439 |
Ppps, subseq visit |
51 |
51 |
$0.00 |
| G9226 |
3 comp foot exam completed |
233 |
226 |
$0.00 |
| 93000 |
|
56 |
54 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
78 |
78 |
$0.00 |
| G0328 |
Fecal blood scrn immunoassay |
96 |
94 |
$0.00 |
| 88720 |
|
41 |
28 |
$0.00 |
| 90792 |
|
19 |
19 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
1,078 |
1,025 |
$0.00 |
| 90474 |
|
40 |
40 |
$0.00 |
| 98962 |
|
109 |
49 |
$0.00 |
| 1159F |
|
10,413 |
9,479 |
$0.00 |
| 59425 |
|
741 |
423 |
$0.00 |
| 0502F |
|
8,612 |
5,405 |
$0.00 |
| 90648 |
|
140 |
140 |
$0.00 |
| 3078F |
|
7,949 |
6,988 |
$0.00 |
| 90460 |
|
14,190 |
12,948 |
$0.00 |
| Z6414 |
|
98 |
85 |
$0.00 |
| Z6400 |
|
2,751 |
2,362 |
$0.00 |
| 91300 |
|
284 |
282 |
$0.00 |
| 3077F |
|
3,203 |
2,992 |
$0.00 |
| 3046F |
|
177 |
161 |
$0.00 |
| A4550 |
Surgical trays |
218 |
158 |
$0.00 |
| 90461 |
|
9,729 |
7,169 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
52 |
52 |
$0.00 |
| Z6300 |
|
64 |
64 |
$0.00 |
| 0124A |
|
96 |
96 |
$0.00 |
| 1160F |
|
12,768 |
11,506 |
$0.00 |
| 91312 |
|
96 |
96 |
$0.00 |
| 90473 |
|
100 |
63 |
$0.00 |
| Z6200 |
|
67 |
66 |
$0.00 |
| 3051F |
|
59 |
59 |
$0.00 |
| 1158F |
|
3,230 |
2,754 |
$0.00 |
| J7610 |
Albuterol comp con |
88 |
47 |
$0.00 |
| 3045F |
|
50 |
43 |
$0.00 |
| 90746 |
|
12 |
12 |
$0.00 |
| Z6304 |
|
77 |
75 |
$0.00 |
| 91320 |
|
39 |
27 |
$0.00 |
| Z6208 |
|
16 |
16 |
$0.00 |
| 98960 |
|
118 |
118 |
$0.00 |
| Z6308 |
|
29 |
28 |
$0.00 |
| 0521 |
|
55 |
30 |
$0.00 |
| 99201 |
|
16 |
16 |
$0.00 |
| 99442 |
|
13 |
13 |
$0.00 |