| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
49,934 |
40,223 |
$6.83M |
| 99214 |
|
10,850 |
9,503 |
$1.52M |
| D0999 |
|
4,723 |
3,957 |
$681K |
| 90837 |
|
3,428 |
2,055 |
$468K |
| 99212 |
|
3,620 |
3,252 |
$419K |
| 90832 |
|
1,619 |
1,378 |
$180K |
| G0467 |
Fqhc visit, estab pt |
9,222 |
7,017 |
$178K |
| 90853 |
|
1,083 |
566 |
$153K |
| 99203 |
|
943 |
934 |
$147K |
| 90834 |
|
1,339 |
871 |
$145K |
| 99394 |
|
750 |
748 |
$126K |
| 99392 |
|
562 |
562 |
$91K |
| 99202 |
|
596 |
589 |
$89K |
| 99391 |
|
534 |
519 |
$85K |
| 99393 |
|
443 |
443 |
$74K |
| 90791 |
|
564 |
543 |
$70K |
| T1023 |
Program intake assessment |
399 |
396 |
$56K |
| 99204 |
|
204 |
202 |
$31K |
| 99395 |
|
145 |
145 |
$23K |
| 90792 |
|
158 |
156 |
$22K |
| G0470 |
Fqhc visit, mh estab pt |
829 |
472 |
$13K |
| 99396 |
|
75 |
75 |
$12K |
| 95117 |
|
79 |
45 |
$12K |
| J7307 |
Etonogestrel implant system |
25 |
25 |
$11K |
| 99384 |
|
57 |
57 |
$10K |
| 90863 |
|
93 |
86 |
$9K |
| T1007 |
Treatment plan development |
62 |
56 |
$9K |
| 0013A |
|
50 |
50 |
$8K |
| 99383 |
|
37 |
37 |
$6K |
| 0002A |
|
46 |
45 |
$6K |
| 80305 |
|
1,070 |
958 |
$6K |
| H0049 |
Alcohol/drug screening |
97 |
97 |
$6K |
| 0012A |
|
31 |
31 |
$5K |
| 0001A |
|
47 |
47 |
$5K |
| 99215 |
Prolong outpt/office vis |
29 |
29 |
$4K |
| H0050 |
Alcohol/drug service 15 min |
36 |
36 |
$4K |
| 0004A |
|
17 |
17 |
$3K |
| 96372 |
|
401 |
365 |
$3K |
| 99442 |
|
28 |
21 |
$3K |
| G2025 |
Dis site tele svcs rhc/fqhc |
45 |
45 |
$3K |
| 90471 |
|
947 |
934 |
$3K |
| H0038 |
Self-help/peer svc per 15min |
14 |
13 |
$2K |
| 80307 |
|
6,619 |
5,256 |
$2K |
| 90688 |
|
1,039 |
1,032 |
$1K |
| Q3014 |
Telehealth facility fee |
24 |
24 |
$1K |
| 87811 |
|
111 |
108 |
$1K |
| 0094A |
|
13 |
12 |
$941.98 |
| 81002 |
|
2,335 |
1,997 |
$898.07 |
| 99000 |
|
118 |
116 |
$741.72 |
| 90715 |
|
359 |
346 |
$729.32 |
| 87880 |
|
922 |
906 |
$667.58 |
| 83036 |
|
1,300 |
1,282 |
$648.73 |
| D1110 |
|
27 |
27 |
$573.64 |
| 36415 |
|
5,332 |
5,068 |
$545.64 |
| J1050 |
Medroxyprogesterone acetate |
108 |
106 |
$390.55 |
| 20553 |
|
37 |
29 |
$383.70 |
| 81025 |
|
1,102 |
1,053 |
$333.02 |
| 90670 |
|
398 |
398 |
$315.26 |
| 93000 |
|
321 |
318 |
$221.14 |
| 85610 |
|
542 |
395 |
$219.67 |
| 1220F |
|
297 |
287 |
$201.78 |
| 3008F |
|
1,610 |
1,415 |
$201.78 |
| 1111F |
|
14 |
13 |
$201.78 |
| 0003A |
|
12 |
12 |
$120.00 |
| 11981 |
|
12 |
12 |
$106.60 |
| 90746 |
|
65 |
65 |
$92.34 |
| 86580 |
|
133 |
130 |
$60.00 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
192 |
144 |
$49.80 |
| 85018 |
|
133 |
122 |
$39.53 |
| J1885 |
Ketorolac tromethamine inj |
92 |
80 |
$38.08 |
| G0008 |
Admin influenza virus vac |
86 |
84 |
$30.52 |
| 90734 |
|
116 |
116 |
$13.89 |
| 90732 |
|
30 |
15 |
$4.69 |
| 90633 |
|
155 |
155 |
$1.00 |
| 90723 |
|
41 |
41 |
$1.00 |
| 90686 |
|
367 |
367 |
$0.31 |
| 90651 |
|
17 |
17 |
$0.02 |
| 90648 |
|
51 |
51 |
$0.00 |
| 4001F |
|
259 |
211 |
$0.00 |
| 82948 |
|
84 |
76 |
$0.00 |
| 3351F |
|
279 |
270 |
$0.00 |
| 3074F |
|
29 |
29 |
$0.00 |
| 4010F |
|
104 |
99 |
$0.00 |
| 0005A |
|
15 |
15 |
$0.00 |