| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
237,107 |
210,416 |
$37.91M |
| 99213 |
|
186,243 |
154,342 |
$602K |
| 00003 |
|
574 |
574 |
$147K |
| 99394 |
|
3,534 |
3,107 |
$127K |
| 99214 |
|
31,449 |
27,597 |
$121K |
| 99391 |
|
4,716 |
4,228 |
$112K |
| 0001A |
|
2,154 |
1,265 |
$110K |
| 99393 |
|
4,331 |
3,830 |
$104K |
| 99392 |
|
4,606 |
4,078 |
$92K |
| 0012A |
|
1,754 |
1,022 |
$90K |
| 0011A |
|
1,680 |
967 |
$85K |
| 0002A |
|
1,636 |
979 |
$83K |
| G0467 |
Fqhc visit, estab pt |
1,881 |
1,516 |
$73K |
| 99212 |
|
41,538 |
35,399 |
$62K |
| 90677 |
|
1,566 |
1,301 |
$56K |
| 90739 |
|
1,807 |
1,624 |
$55K |
| 99396 |
|
4,363 |
3,850 |
$46K |
| 90686 |
|
12,790 |
12,215 |
$38K |
| 99215 |
Prolong outpt/office vis |
834 |
676 |
$28K |
| 96110 |
|
862 |
716 |
$27K |
| 99395 |
|
2,566 |
2,342 |
$21K |
| 99203 |
|
2,568 |
2,466 |
$20K |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,482 |
1,303 |
$20K |
| 90715 |
|
3,727 |
3,223 |
$18K |
| 92551 |
|
2,027 |
1,423 |
$15K |
| 90651 |
|
3,095 |
2,690 |
$14K |
| 99202 |
|
3,573 |
3,292 |
$13K |
| 85018 |
|
15,493 |
14,202 |
$12K |
| J3490 |
Drugs unclassified injection |
531 |
465 |
$11K |
| H1001 |
Antepartum management |
801 |
613 |
$11K |
| 90670 |
|
2,892 |
2,721 |
$10K |
| 90471 |
|
16,511 |
15,212 |
$9K |
| 0064A |
|
166 |
111 |
$9K |
| 90656 |
|
1,703 |
1,320 |
$9K |
| G9920 |
Scrning perf and negative |
4,157 |
3,366 |
$8K |
| 90734 |
|
1,510 |
1,322 |
$8K |
| 87811 |
|
1,911 |
1,314 |
$7K |
| 99243 |
|
647 |
407 |
$7K |
| 90633 |
|
1,782 |
1,553 |
$7K |
| 83655 |
|
1,418 |
1,225 |
$6K |
| 90680 |
|
1,496 |
1,442 |
$6K |
| 90698 |
|
1,596 |
1,532 |
$6K |
| 83036 |
|
8,923 |
8,279 |
$6K |
| 99349 |
|
1,259 |
1,076 |
$4K |
| 99386 |
|
478 |
470 |
$4K |
| 0071A |
|
73 |
41 |
$4K |
| H1003 |
Prenatal at risk education |
787 |
608 |
$3K |
| 0004A |
|
60 |
39 |
$3K |
| 90744 |
|
956 |
911 |
$3K |
| 87426 |
|
3,430 |
3,175 |
$3K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
1,383 |
1,237 |
$3K |
| 0134A |
|
59 |
59 |
$3K |
| 90750 |
|
118 |
116 |
$3K |
| 90480 |
|
714 |
617 |
$3K |
| 99244 |
|
212 |
138 |
$3K |
| 73630 |
|
1,356 |
1,080 |
$3K |
| 85999 |
|
859 |
833 |
$3K |
| 91320 |
|
237 |
209 |
$2K |
| 90710 |
|
575 |
545 |
$2K |
| 90662 |
|
371 |
350 |
$2K |
| G0468 |
Fqhc visit, ippe or awv |
12 |
12 |
$2K |
| 87804 |
|
3,240 |
1,709 |
$2K |
| 90658 |
|
258 |
235 |
$2K |
| 96372 |
|
1,819 |
1,509 |
$2K |
| 81025 |
|
6,331 |
5,705 |
$2K |
| 90472 |
|
1,969 |
1,794 |
$2K |
| 91322 |
|
205 |
169 |
$2K |
| 90834 |
|
1,436 |
1,076 |
$2K |
| 99173 |
|
2,130 |
1,488 |
$2K |
| 99385 |
|
203 |
195 |
$2K |
| 90649 |
|
182 |
177 |
$1K |
| 90696 |
|
318 |
302 |
$1K |
| 87880 |
|
6,059 |
5,423 |
$1K |
| 81002 |
|
17,796 |
13,660 |
$1K |
| 90671 |
|
412 |
359 |
$1K |
| 0031A |
|
31 |
17 |
$1K |
| 71046 |
|
881 |
866 |
$1K |
| 99211 |
|
2,190 |
2,051 |
$1K |
| 99381 |
|
201 |
190 |
$973.27 |
| 99348 |
|
253 |
213 |
$961.02 |
| 0124A |
|
42 |
42 |
$938.00 |
| 92250 |
|
220 |
178 |
$714.00 |
| 90716 |
|
126 |
104 |
$712.00 |
| 82962 |
|
5,745 |
5,247 |
$620.69 |
| G0466 |
Fqhc visit new patient |
14 |
14 |
$614.76 |
| 90697 |
|
667 |
516 |
$522.00 |
| 99204 |
|
51 |
49 |
$473.34 |
| 36415 |
|
361 |
341 |
$451.90 |
| 87635 |
|
661 |
650 |
$451.02 |
| 73562 |
|
475 |
420 |
$407.47 |
| 90707 |
|
122 |
94 |
$360.00 |
| 99383 |
|
17 |
12 |
$353.65 |
| 97802 |
|
103 |
100 |
$328.15 |
| 90660 |
|
35 |
28 |
$268.63 |
| 90685 |
|
35 |
25 |
$243.00 |
| 90700 |
|
137 |
114 |
$243.00 |
| 96156 |
|
1,212 |
1,110 |
$210.25 |
| 73030 |
|
227 |
208 |
$209.20 |
| 72100 |
|
289 |
289 |
$199.29 |
| 97803 |
|
537 |
517 |
$193.43 |
| 90681 |
|
46 |
30 |
$126.00 |
| 99401 |
|
774 |
720 |
$84.10 |
| 90632 |
|
15 |
12 |
$76.31 |
| 90619 |
|
304 |
267 |
$72.00 |
| T1013 |
Sign lang/oral interpreter |
418 |
398 |
$67.76 |
| 36416 |
|
1,867 |
1,390 |
$66.67 |
| 76815 |
|
34 |
25 |
$62.95 |
| T1003 |
Lpn/lvn services up to 15min |
41 |
39 |
$62.94 |
| 73610 |
|
146 |
131 |
$62.85 |
| 90687 |
|
25 |
25 |
$54.00 |
| G8510 |
Scr dep neg, no plan reqd |
1,469 |
1,350 |
$53.50 |
| 99000 |
|
1,466 |
1,336 |
$44.53 |
| J1050 |
Medroxyprogesterone acetate |
102 |
98 |
$25.15 |
| 92228 |
|
42 |
42 |
$21.86 |
| J1885 |
Ketorolac tromethamine inj |
537 |
351 |
$16.73 |
| 90461 |
|
9,590 |
7,145 |
$14.57 |
| 86580 |
|
57 |
51 |
$12.99 |
| 90380 |
|
14 |
12 |
$9.00 |
| 90460 |
|
14,174 |
13,218 |
$8.40 |
| Z6400 |
|
1,595 |
1,243 |
$0.00 |
| 3078F |
|
14,942 |
13,267 |
$0.00 |
| 1160F |
|
25,021 |
23,554 |
$0.00 |
| 1159F |
|
22,591 |
21,207 |
$0.00 |
| 3046F |
|
842 |
811 |
$0.00 |
| Z6304 |
|
1,660 |
1,492 |
$0.00 |
| 99442 |
|
536 |
519 |
$0.00 |
| 0502F |
|
5,094 |
3,118 |
$0.00 |
| 3077F |
|
5,482 |
5,058 |
$0.00 |
| Z6200 |
|
361 |
361 |
$0.00 |
| 3051F |
|
448 |
440 |
$0.00 |
| 91312 |
|
28 |
28 |
$0.00 |
| G0444 |
Depression screen annual |
30 |
30 |
$0.00 |
| 59425 |
|
40 |
33 |
$0.00 |
| 73130 |
|
36 |
30 |
$0.00 |
| 2024F |
|
104 |
103 |
$0.00 |
| 1158F |
|
929 |
888 |
$0.00 |
| 3045F |
|
230 |
204 |
$0.00 |
| 98960 |
|
88 |
87 |
$0.00 |
| 73110 |
|
14 |
12 |
$0.00 |
| 90791 |
|
155 |
139 |
$0.00 |
| Z6300 |
|
140 |
140 |
$0.00 |
| 85610 |
|
19 |
12 |
$0.00 |
| 99242 |
|
13 |
12 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
18 |
12 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
53 |
53 |
$0.00 |
| 99397 |
|
13 |
12 |
$0.00 |
| 91313 |
|
12 |
12 |
$0.00 |
| 90648 |
|
27 |
27 |
$0.00 |
| Z6202 |
|
16 |
16 |
$0.00 |
| 0521 |
|
60 |
33 |
$0.00 |
| 90473 |
|
17 |
14 |
$0.00 |
| 1125F |
|
5,602 |
5,489 |
$0.00 |
| Z6402 |
|
140 |
140 |
$0.00 |
| 3079F |
|
5,429 |
5,089 |
$0.00 |
| 1126F |
|
11,512 |
10,530 |
$0.00 |
| Z6406 |
|
959 |
896 |
$0.00 |
| 1111F |
|
1,448 |
1,331 |
$0.00 |
| Z1034 |
|
2,076 |
1,513 |
$0.00 |
| G9226 |
3 comp foot exam completed |
683 |
681 |
$0.00 |
| 3075F |
|
3,594 |
3,447 |
$0.00 |
| 3052F |
|
287 |
280 |
$0.00 |
| 90792 |
|
24 |
24 |
$0.00 |
| 3074F |
|
11,975 |
10,605 |
$0.00 |
| 3352F |
|
257 |
249 |
$0.00 |
| 1170F |
|
134 |
84 |
$0.00 |
| 3044F |
|
921 |
895 |
$0.00 |
| 3080F |
|
1,146 |
1,101 |
$0.00 |
| 3351F |
|
7,035 |
5,716 |
$0.00 |
| Z6204 |
|
1,038 |
997 |
$0.00 |
| 3353F |
|
955 |
864 |
$0.00 |
| 3008F |
|
726 |
702 |
$0.00 |
| 0501F |
|
358 |
218 |
$0.00 |
| 99241 |
|
192 |
184 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
1,807 |
1,620 |
$0.00 |
| G0439 |
Ppps, subseq visit |
207 |
206 |
$0.00 |
| 93000 |
|
283 |
282 |
$0.00 |
| 3354F |
|
13 |
13 |
$0.00 |
| 99443 |
|
38 |
37 |
$0.00 |
| G0328 |
Fecal blood scrn immunoassay |
112 |
106 |
$0.00 |
| 72040 |
|
49 |
48 |
$0.00 |
| 98962 |
|
186 |
116 |
$0.00 |
| 0500F |
|
61 |
55 |
$0.00 |
| 91301 |
|
25 |
25 |
$0.00 |
| Z1032 |
|
29 |
28 |
$0.00 |
| 98967 |
|
13 |
12 |
$0.00 |
| 90381 |
|
18 |
12 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
14 |
12 |
$0.00 |
| 0503F |
|
13 |
12 |
$0.00 |