| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
289,854 |
249,631 |
$20.37M |
| G0466 |
Fqhc visit new patient |
13,922 |
13,820 |
$1.17M |
| G0470 |
Fqhc visit, mh estab pt |
8,338 |
4,310 |
$600K |
| 59426 |
|
699 |
689 |
$579K |
| 99213 |
|
174,638 |
155,224 |
$428K |
| J1050 |
Medroxyprogesterone acetate |
3,827 |
3,815 |
$252K |
| 90651 |
|
4,900 |
4,857 |
$162K |
| 99000 |
|
15,074 |
14,630 |
$131K |
| J7307 |
Etonogestrel implant system |
202 |
200 |
$113K |
| 99214 |
|
34,413 |
32,925 |
$99K |
| 99392 |
|
12,579 |
12,497 |
$89K |
| 99391 |
|
12,412 |
12,217 |
$67K |
| 59425 |
|
110 |
110 |
$54K |
| 99393 |
|
9,182 |
9,137 |
$44K |
| 0012A |
|
1,191 |
1,191 |
$43K |
| 90471 |
|
41,361 |
40,868 |
$36K |
| 0011A |
|
1,090 |
1,089 |
$35K |
| 99212 |
|
23,112 |
21,904 |
$34K |
| 90472 |
|
21,824 |
21,628 |
$34K |
| 99395 |
|
5,916 |
5,861 |
$33K |
| 91320 |
|
610 |
609 |
$26K |
| 99203 |
|
5,243 |
5,217 |
$25K |
| 90677 |
|
1,883 |
1,879 |
$24K |
| 99394 |
|
5,754 |
5,728 |
$21K |
| 99396 |
|
4,800 |
4,756 |
$20K |
| 0001A |
|
548 |
547 |
$19K |
| 99381 |
|
3,278 |
3,267 |
$19K |
| 90480 |
|
674 |
673 |
$19K |
| 0002A |
|
515 |
515 |
$18K |
| 0064A |
|
595 |
591 |
$18K |
| 59430 |
|
1,109 |
1,094 |
$17K |
| 96372 |
|
4,808 |
4,555 |
$16K |
| 90834 |
|
3,124 |
2,078 |
$13K |
| 90837 |
|
2,756 |
1,519 |
$12K |
| 90715 |
|
5,235 |
5,170 |
$12K |
| 0134A |
|
299 |
299 |
$11K |
| 90732 |
|
1,307 |
1,296 |
$10K |
| 87880 |
|
11,921 |
11,618 |
$10K |
| 90686 |
|
14,159 |
14,059 |
$10K |
| 90746 |
|
1,364 |
1,355 |
$9K |
| 87804 |
|
5,459 |
4,927 |
$8K |
| 0124A |
|
219 |
218 |
$8K |
| Q0091 |
Obtaining screen pap smear |
4,695 |
4,659 |
$8K |
| 0054A |
|
221 |
220 |
$7K |
| 87428 |
|
1,722 |
1,686 |
$7K |
| 0031A |
|
214 |
214 |
$7K |
| 90750 |
|
655 |
652 |
$7K |
| 0072A |
|
180 |
179 |
$6K |
| 0071A |
|
170 |
170 |
$6K |
| 90656 |
|
941 |
941 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
3,410 |
3,237 |
$6K |
| J7298 |
Mirena, 52 mg |
12 |
12 |
$5K |
| 0004A |
|
140 |
140 |
$5K |
| 83655 |
|
4,676 |
4,640 |
$5K |
| 99383 |
|
649 |
647 |
$5K |
| 80305 |
|
3,566 |
3,099 |
$4K |
| 99204 |
|
430 |
427 |
$4K |
| 99385 |
|
428 |
424 |
$4K |
| 99202 |
|
1,205 |
1,186 |
$4K |
| 0052A |
|
96 |
96 |
$4K |
| 90632 |
|
729 |
725 |
$3K |
| 90474 |
|
6,185 |
6,145 |
$3K |
| 83036 |
|
7,617 |
7,579 |
$3K |
| 0051A |
|
86 |
86 |
$3K |
| 90670 |
|
9,450 |
9,393 |
$3K |
| 90682 |
|
620 |
620 |
$3K |
| 98960 |
|
357 |
264 |
$3K |
| 90791 |
|
262 |
253 |
$2K |
| 87426 |
|
669 |
664 |
$2K |
| 99382 |
|
239 |
239 |
$2K |
| J1030 |
Methylprednisolone 40 mg inj |
230 |
226 |
$2K |
| 87807 |
|
2,142 |
2,097 |
$2K |
| 90460 |
|
1,106 |
1,091 |
$2K |
| 90832 |
|
491 |
388 |
$2K |
| J2930 |
Methylprednisolone injection |
517 |
501 |
$2K |
| 99215 |
Prolong outpt/office vis |
404 |
399 |
$2K |
| 81003 |
|
13,748 |
13,216 |
$2K |
| 99188 |
|
2,372 |
2,366 |
$2K |
| 59025 |
|
842 |
438 |
$2K |
| 85018 |
|
7,684 |
7,612 |
$1K |
| 90716 |
|
2,779 |
2,763 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
1,079 |
1,026 |
$1K |
| 99384 |
|
171 |
167 |
$996.96 |
| G9002 |
Mccd,maintenance rate |
9,319 |
8,293 |
$903.68 |
| J2920 |
Methylprednisolone injection |
216 |
213 |
$742.61 |
| 99211 |
|
567 |
520 |
$599.23 |
| 99406 |
|
793 |
782 |
$591.84 |
| 90707 |
|
2,792 |
2,775 |
$505.32 |
| 94640 |
|
825 |
812 |
$498.52 |
| 90734 |
|
3,438 |
3,412 |
$497.50 |
| 0013A |
|
16 |
16 |
$492.05 |
| J1040 |
Methylprednisolone 80 mg inj |
47 |
40 |
$464.75 |
| 93000 |
|
747 |
738 |
$425.51 |
| 90621 |
|
1,595 |
1,592 |
$422.52 |
| 99386 |
|
74 |
74 |
$351.30 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
498 |
496 |
$347.29 |
| 17110 |
|
84 |
76 |
$311.83 |
| J1100 |
Dexamethasone sodium phos |
357 |
355 |
$190.12 |
| H0031 |
Mh health assess by non-md |
15 |
13 |
$182.42 |
| 99496 |
|
12 |
12 |
$178.92 |
| 96160 |
|
12 |
12 |
$152.78 |
| 69209 |
|
274 |
268 |
$152.09 |
| Q3014 |
Telehealth facility fee |
15 |
13 |
$143.40 |
| 82962 |
|
724 |
714 |
$142.66 |
| 98926 |
|
186 |
163 |
$127.58 |
| 86580 |
|
104 |
95 |
$109.72 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
183 |
182 |
$108.13 |
| J1010 |
Inj, methylpred acetate 1 mg |
13 |
13 |
$107.20 |
| J3420 |
Vitamin b12 injection |
59 |
50 |
$106.68 |
| 99201 |
|
81 |
81 |
$75.47 |
| 11982 |
|
29 |
29 |
$66.56 |
| 98967 |
|
1,319 |
1,230 |
$56.47 |
| 99441 |
|
63 |
59 |
$55.44 |
| 98925 |
|
29 |
26 |
$52.89 |
| 87210 |
|
138 |
135 |
$51.06 |
| 92228 |
|
28 |
28 |
$50.84 |
| 99442 |
|
19 |
19 |
$46.35 |
| 58300 |
|
40 |
39 |
$41.40 |
| 94010 |
|
42 |
42 |
$31.30 |
| 96127 |
|
137 |
136 |
$31.28 |
| G0008 |
Admin influenza virus vac |
841 |
839 |
$30.03 |
| 86308 |
|
37 |
36 |
$29.66 |
| G2025 |
Dis site tele svcs rhc/fqhc |
344 |
313 |
$18.41 |
| 90714 |
|
14 |
14 |
$15.00 |
| 98966 |
|
4,128 |
3,663 |
$8.83 |
| 36415 |
|
12 |
12 |
$7.09 |
| 82044 |
|
83 |
80 |
$6.15 |
| 91305 |
|
475 |
462 |
$1.07 |
| G9001 |
Mccd, initial rate |
555 |
553 |
$0.75 |
| 91303 |
|
214 |
214 |
$0.75 |
| 91313 |
|
302 |
302 |
$0.63 |
| 91306 |
|
596 |
593 |
$0.59 |
| 91312 |
|
208 |
207 |
$0.36 |
| 91301 |
|
2,333 |
2,309 |
$0.30 |
| 91307 |
|
438 |
407 |
$0.26 |
| 98968 |
|
65 |
60 |
$0.10 |
| 91300 |
|
1,206 |
1,155 |
$0.06 |
| 3078F |
|
51,530 |
48,301 |
$0.01 |
| 3074F |
|
57,663 |
53,748 |
$0.01 |
| 2028F |
|
988 |
981 |
$0.00 |
| 90461 |
|
293 |
288 |
$0.00 |
| 99051 |
|
2,956 |
2,860 |
$0.00 |
| 3077F |
|
10,649 |
10,064 |
$0.00 |
| 99173 |
|
4,949 |
4,933 |
$0.00 |
| 90633 |
|
5,630 |
5,600 |
$0.00 |
| 90700 |
|
2,722 |
2,716 |
$0.00 |
| 90685 |
|
148 |
140 |
$0.00 |
| 90681 |
|
1,143 |
1,134 |
$0.00 |
| 3046F |
|
1,357 |
1,351 |
$0.00 |
| 3051F |
|
567 |
567 |
$0.00 |
| 3725F |
|
37,392 |
35,715 |
$0.00 |
| 0502F |
|
877 |
198 |
$0.00 |
| 3045F |
|
283 |
282 |
$0.00 |
| 11981 |
|
25 |
25 |
$0.00 |
| 90710 |
|
2,521 |
2,506 |
$0.00 |
| G0444 |
Depression screen annual |
453 |
444 |
$0.00 |
| 90473 |
|
32 |
31 |
$0.00 |
| 69210 |
|
12 |
12 |
$0.00 |
| 91308 |
|
13 |
12 |
$0.00 |
| 90713 |
|
27 |
27 |
$0.00 |
| 90672 |
|
37 |
37 |
$0.00 |
| 3080F |
|
6,945 |
6,619 |
$0.00 |
| 90697 |
|
3,578 |
3,569 |
$0.00 |
| 90696 |
|
2,304 |
2,288 |
$0.00 |
| 3079F |
|
18,823 |
17,982 |
$0.00 |
| 90680 |
|
5,536 |
5,508 |
$0.00 |
| 90698 |
|
2,659 |
2,644 |
$0.00 |
| 36416 |
|
29 |
29 |
$0.00 |
| 90647 |
|
1,413 |
1,411 |
$0.00 |
| 3075F |
|
10,288 |
10,020 |
$0.00 |
| 3044F |
|
2,595 |
2,588 |
$0.00 |
| 3008F |
|
11,778 |
11,677 |
$0.00 |
| 1111F |
|
155 |
154 |
$0.00 |
| 11976 |
|
13 |
13 |
$0.00 |
| 90744 |
|
1,281 |
1,279 |
$0.00 |
| 90723 |
|
2,105 |
2,075 |
$0.00 |
| 3052F |
|
114 |
114 |
$0.00 |
| 2010F |
|
116 |
111 |
$0.00 |
| Q2039 |
Influenza virus vaccine, nos |
67 |
67 |
$0.00 |
| 2001F |
|
107 |
92 |
$0.00 |
| G9511 |
Idx evt dte phq>9 doc 12 mo |
37 |
37 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
25 |
25 |
$0.00 |
| 88720 |
|
13 |
12 |
$0.00 |
| H0038 |
Self-help/peer svc per 15min |
15 |
13 |
$0.00 |