| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
203,444 |
173,568 |
$21.09M |
| 00003 |
|
21,070 |
18,917 |
$3.37M |
| 99213 |
|
68,501 |
55,057 |
$253K |
| G0467 |
Fqhc visit, estab pt |
2,307 |
1,925 |
$90K |
| 98940 |
|
16,125 |
11,008 |
$50K |
| 92014 |
|
6,946 |
6,737 |
$46K |
| 99214 |
|
7,890 |
6,743 |
$39K |
| 99212 |
|
15,165 |
13,795 |
$17K |
| 90791 |
|
3,957 |
3,403 |
$16K |
| 99392 |
|
2,411 |
2,209 |
$12K |
| 99394 |
|
1,228 |
1,091 |
$11K |
| 99393 |
|
1,688 |
1,518 |
$11K |
| 99203 |
|
1,087 |
1,013 |
$8K |
| H1001 |
Antepartum management |
133 |
80 |
$8K |
| 99391 |
|
1,873 |
1,792 |
$6K |
| 90832 |
|
11,067 |
7,479 |
$5K |
| 92004 |
|
889 |
878 |
$4K |
| 85018 |
|
8,618 |
7,796 |
$4K |
| G2025 |
Dis site tele svcs rhc/fqhc |
137 |
126 |
$3K |
| 90686 |
|
2,667 |
2,465 |
$2K |
| 99395 |
|
212 |
190 |
$2K |
| J3490 |
Drugs unclassified injection |
139 |
131 |
$2K |
| 92551 |
|
4,632 |
4,145 |
$2K |
| 99000 |
|
1,792 |
1,559 |
$2K |
| 0001A |
|
24 |
15 |
$1K |
| V2020 |
Vision svcs frames purchases |
3,719 |
3,676 |
$1K |
| 99381 |
|
416 |
398 |
$1K |
| 0012A |
|
24 |
15 |
$1K |
| 98941 |
|
72 |
62 |
$1K |
| 3074F |
|
6,660 |
6,081 |
$968.81 |
| 81005 |
|
2,167 |
1,451 |
$944.10 |
| 0054A |
|
23 |
23 |
$920.00 |
| 92340 |
|
2,761 |
2,731 |
$736.82 |
| 83655 |
|
1,243 |
1,151 |
$555.00 |
| 99396 |
|
46 |
42 |
$553.15 |
| 92015 |
|
7,875 |
7,844 |
$526.33 |
| 0011A |
|
18 |
16 |
$491.26 |
| 92341 |
|
550 |
545 |
$457.92 |
| 99173 |
|
4,585 |
4,107 |
$440.20 |
| 99204 |
|
13 |
13 |
$407.10 |
| 90792 |
|
639 |
553 |
$371.50 |
| 99202 |
|
80 |
75 |
$368.72 |
| 90471 |
|
833 |
831 |
$341.77 |
| 90633 |
|
1,027 |
949 |
$290.85 |
| 90723 |
|
1,534 |
1,468 |
$288.15 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
19 |
18 |
$260.11 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
37 |
37 |
$246.80 |
| 90472 |
|
593 |
591 |
$158.35 |
| 90715 |
|
189 |
169 |
$140.07 |
| 90651 |
|
466 |
418 |
$127.20 |
| 90648 |
|
1,928 |
1,823 |
$122.93 |
| S9445 |
Pt education noc individ |
13 |
12 |
$118.16 |
| Q0091 |
Obtaining screen pap smear |
58 |
55 |
$91.86 |
| 90700 |
|
190 |
170 |
$73.68 |
| 81003 |
|
2,332 |
1,617 |
$64.81 |
| 90734 |
|
415 |
370 |
$56.74 |
| 90670 |
|
1,792 |
1,699 |
$47.25 |
| 92012 |
|
339 |
329 |
$40.66 |
| 90680 |
|
1,274 |
1,231 |
$40.50 |
| 87624 |
|
29 |
26 |
$27.55 |
| 90710 |
|
201 |
178 |
$13.50 |
| 81025 |
|
99 |
88 |
$11.20 |
| 90696 |
|
175 |
153 |
$9.00 |
| 90716 |
|
272 |
255 |
$9.00 |
| 86580 |
|
13 |
12 |
$4.03 |
| G8752 |
Sys bp less 140 |
7,801 |
7,101 |
$0.00 |
| 3078F |
|
5,920 |
5,416 |
$0.00 |
| 3050F |
|
796 |
711 |
$0.00 |
| 3077F |
|
938 |
876 |
$0.00 |
| 90707 |
|
255 |
236 |
$0.00 |
| 92133 |
|
14 |
14 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
917 |
859 |
$0.00 |
| Z6400 |
|
725 |
724 |
$0.00 |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
413 |
246 |
$0.00 |
| 87804 |
|
71 |
71 |
$0.00 |
| 99201 |
|
49 |
48 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| 1111F |
|
12,225 |
10,846 |
$0.00 |
| 3048F |
|
2,152 |
1,917 |
$0.00 |
| G8754 |
Dias bp less 90 |
8,348 |
7,595 |
$0.00 |
| 3080F |
|
181 |
175 |
$0.00 |
| V2784 |
Lens polycarb or equal |
1,810 |
928 |
$0.00 |
| 1036F |
|
12,308 |
10,422 |
$0.00 |
| 3079F |
|
2,184 |
2,038 |
$0.00 |
| 3008F |
|
15,950 |
13,631 |
$0.00 |
| Z6410 |
|
1,022 |
854 |
$0.00 |
| 3049F |
|
1,369 |
1,223 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
307 |
292 |
$0.00 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
185 |
138 |
$0.00 |
| 2001F |
|
15,952 |
13,633 |
$0.00 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,834 |
1,092 |
$0.00 |
| Z1034 |
|
4,798 |
3,237 |
$0.00 |
| 90474 |
|
107 |
107 |
$0.00 |
| 90698 |
|
118 |
118 |
$0.00 |
| 90744 |
|
88 |
88 |
$0.00 |
| 3044F |
|
115 |
107 |
$0.00 |
| 3075F |
|
785 |
742 |
$0.00 |
| Z1032 |
|
184 |
184 |
$0.00 |
| V2100 |
Lens spher single plano 4.00 |
194 |
145 |
$0.00 |
| 90834 |
|
58 |
45 |
$0.00 |
| 90656 |
|
249 |
246 |
$0.00 |
| 90677 |
|
260 |
253 |
$0.00 |
| V2782 |
Lens, 1.54-1.65 p/1.60-1.79g |
64 |
31 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| Z1038 |
|
12 |
12 |
$0.00 |
| 87490 |
|
13 |
12 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
13 |
13 |
$0.00 |
| 87590 |
|
13 |
12 |
$0.00 |