| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
30,263 |
23,614 |
$3.60M |
| H2020 |
Therapeutic behavioral services, per diem |
17,958 |
9,686 |
$1.71M |
| D0999 |
|
1,409 |
1,090 |
$149K |
| 99051 |
|
566 |
478 |
$7K |
| D0210 |
|
252 |
159 |
$713.94 |
| D0150 |
|
300 |
198 |
$656.08 |
| 99214 |
|
6,682 |
5,037 |
$211.65 |
| 3079F |
|
1,110 |
988 |
$150.00 |
| 3074F |
|
1,365 |
1,167 |
$125.00 |
| 3078F |
|
926 |
798 |
$80.00 |
| D7140 |
|
283 |
84 |
$79.07 |
| 99213 |
|
15,705 |
12,679 |
$71.85 |
| 3044F |
|
190 |
178 |
$70.00 |
| 3077F |
|
372 |
328 |
$40.00 |
| 99212 |
|
3,039 |
2,533 |
$39.92 |
| 3075F |
|
376 |
344 |
$35.00 |
| 83036 |
|
1,442 |
1,063 |
$19.41 |
| D0220 |
|
153 |
130 |
$13.00 |
| 99211 |
|
196 |
176 |
$0.00 |
| 90853 |
|
3,037 |
814 |
$0.00 |
| 1159F |
|
1,156 |
972 |
$0.00 |
| 99204 |
|
285 |
234 |
$0.00 |
| 96160 |
|
169 |
155 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
437 |
400 |
$0.00 |
| 90832 |
|
1,406 |
768 |
$0.00 |
| 99396 |
|
300 |
278 |
$0.00 |
| 4004F |
|
162 |
153 |
$0.00 |
| 99442 |
|
69 |
39 |
$0.00 |
| 81025 |
|
997 |
668 |
$0.00 |
| 80305 |
|
877 |
454 |
$0.00 |
| 87880 |
|
98 |
78 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,734 |
1,519 |
$0.00 |
| 81003 |
|
1,116 |
818 |
$0.00 |
| 99395 |
|
331 |
278 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
165 |
151 |
$0.00 |
| 99201 |
|
48 |
46 |
$0.00 |
| 90791 |
|
392 |
282 |
$0.00 |
| 87804 |
|
552 |
211 |
$0.00 |
| 90715 |
|
31 |
28 |
$0.00 |
| 82947 |
|
244 |
187 |
$0.00 |
| 99203 |
|
46 |
43 |
$0.00 |
| 99173 |
|
35 |
31 |
$0.00 |
| D1110 |
|
13 |
13 |
$0.00 |
| 90473 |
|
29 |
28 |
$0.00 |
| D1120 |
|
34 |
25 |
$0.00 |
| 90837 |
|
17 |
12 |
$0.00 |
| 87905 |
|
14 |
13 |
$0.00 |
| 90672 |
|
32 |
31 |
$0.00 |
| 36415 |
|
7,453 |
6,407 |
$0.00 |
| 1126F |
|
1,464 |
1,311 |
$0.00 |
| 2001F |
|
8,006 |
6,833 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,455 |
1,263 |
$0.00 |
| 90471 |
|
983 |
865 |
$0.00 |
| 96372 |
|
198 |
155 |
$0.00 |
| 3080F |
|
183 |
160 |
$0.00 |
| 90834 |
|
4,658 |
2,763 |
$0.00 |
| 90686 |
|
715 |
645 |
$0.00 |
| 3008F |
|
8,005 |
6,835 |
$0.00 |
| 1036F |
|
3,147 |
2,504 |
$0.00 |
| 85018 |
|
88 |
73 |
$0.00 |
| 99202 |
|
92 |
81 |
$0.00 |
| 1111F |
|
1,597 |
1,297 |
$0.00 |
| 3049F |
|
16 |
15 |
$0.00 |
| 99174 |
|
28 |
16 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
104 |
92 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
28 |
26 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
289 |
247 |
$0.00 |
| 87426 |
|
939 |
545 |
$0.00 |
| 3048F |
|
257 |
242 |
$0.00 |
| 92551 |
|
49 |
39 |
$0.00 |
| D0140 |
|
157 |
133 |
$0.00 |
| 90792 |
|
586 |
368 |
$0.00 |
| 93000 |
|
140 |
119 |
$0.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
302 |
219 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
106 |
89 |
$0.00 |
| 99385 |
|
41 |
26 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
52 |
40 |
$0.00 |
| 88142 |
|
37 |
27 |
$0.00 |
| 1034F |
|
18 |
15 |
$0.00 |
| 1125F |
|
423 |
377 |
$0.00 |
| 36416 |
|
44 |
38 |
$0.00 |
| D0120 |
|
39 |
27 |
$0.00 |