| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
55,540 |
47,493 |
$4.25M |
| G0470 |
Fqhc visit, mh estab pt |
13,051 |
8,757 |
$1.03M |
| G0466 |
Fqhc visit new patient |
3,674 |
3,650 |
$307K |
| J1050 |
Medroxyprogesterone acetate |
861 |
856 |
$62K |
| 99214 |
|
23,569 |
21,293 |
$53K |
| 99213 |
|
23,341 |
20,914 |
$30K |
| 90837 |
|
5,733 |
4,280 |
$14K |
| 0012A |
|
303 |
301 |
$11K |
| 0011A |
|
308 |
308 |
$11K |
| 90834 |
|
3,763 |
3,042 |
$7K |
| 99392 |
|
925 |
924 |
$6K |
| 99391 |
|
1,121 |
1,064 |
$6K |
| 99395 |
|
1,742 |
1,741 |
$5K |
| 99396 |
|
2,143 |
2,138 |
$5K |
| 99204 |
|
894 |
890 |
$4K |
| 0064A |
|
106 |
106 |
$4K |
| 90651 |
|
54 |
54 |
$4K |
| 99203 |
|
1,165 |
1,152 |
$3K |
| 90677 |
|
313 |
311 |
$3K |
| H0031 |
Mh health assess by non-md |
781 |
771 |
$3K |
| 87635 |
|
574 |
561 |
$3K |
| 90480 |
|
82 |
81 |
$2K |
| 90471 |
|
3,006 |
2,979 |
$2K |
| 90832 |
|
1,317 |
1,120 |
$2K |
| 80305 |
|
4,150 |
3,152 |
$2K |
| 90472 |
|
1,191 |
1,185 |
$2K |
| 99393 |
|
292 |
291 |
$2K |
| 96372 |
|
512 |
505 |
$1K |
| 90460 |
|
304 |
304 |
$1K |
| 90792 |
|
179 |
179 |
$1K |
| 99202 |
|
470 |
467 |
$968.23 |
| 90658 |
|
81 |
81 |
$918.12 |
| 91322 |
|
80 |
80 |
$720.00 |
| 90688 |
|
1,663 |
1,649 |
$665.47 |
| 87804 |
|
889 |
451 |
$613.77 |
| 83036 |
|
1,070 |
1,069 |
$597.01 |
| 98960 |
|
93 |
93 |
$583.90 |
| G0008 |
Admin influenza virus vac |
1,808 |
1,805 |
$566.42 |
| 90671 |
|
135 |
134 |
$492.47 |
| 90715 |
|
495 |
493 |
$479.91 |
| 81025 |
|
930 |
862 |
$466.16 |
| Q0091 |
Obtaining screen pap smear |
409 |
409 |
$421.14 |
| 0134A |
|
12 |
12 |
$356.26 |
| 99406 |
|
1,270 |
1,243 |
$333.74 |
| 87880 |
|
196 |
193 |
$285.49 |
| 81003 |
|
1,246 |
1,222 |
$229.11 |
| G0009 |
Admin pneumococcal vaccine |
310 |
310 |
$193.02 |
| H0004 |
Alcohol and/or drug services |
53 |
43 |
$156.59 |
| 99212 |
|
263 |
251 |
$148.36 |
| 99495 |
|
12 |
12 |
$132.27 |
| 99394 |
|
82 |
82 |
$68.33 |
| 98926 |
|
41 |
39 |
$25.95 |
| J1885 |
Ketorolac tromethamine inj |
12 |
12 |
$23.20 |
| 93000 |
|
63 |
63 |
$19.02 |
| 96127 |
|
1,727 |
1,606 |
$0.60 |
| G8431 |
Pos clin depres scrn f/u doc |
2,248 |
2,109 |
$0.00 |
| 82075 |
|
4,180 |
3,149 |
$0.00 |
| 90670 |
|
321 |
321 |
$0.00 |
| 90461 |
|
213 |
213 |
$0.00 |
| 90710 |
|
39 |
39 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| 90633 |
|
141 |
141 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90791 |
|
12 |
12 |
$0.00 |
| 99307 |
|
27 |
27 |
$0.00 |
| 90647 |
|
39 |
39 |
$0.00 |
| 90744 |
|
128 |
127 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
1,993 |
1,902 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
166 |
137 |
$0.00 |
| 91306 |
|
106 |
106 |
$0.00 |
| 90686 |
|
266 |
266 |
$0.00 |
| 90680 |
|
182 |
181 |
$0.00 |
| 90698 |
|
459 |
452 |
$0.00 |
| 91301 |
|
571 |
540 |
$0.00 |
| 90723 |
|
37 |
37 |
$0.00 |
| 98925 |
|
39 |
39 |
$0.00 |
| 3044F |
|
52 |
52 |
$0.00 |
| 90656 |
|
23 |
23 |
$0.00 |