| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
335,590 |
224,146 |
$25.09M |
| G0470 |
Fqhc visit, mh estab pt |
75,620 |
46,707 |
$5.49M |
| G0466 |
Fqhc visit new patient |
17,366 |
16,986 |
$1.53M |
| 99214 |
|
98,452 |
83,709 |
$577K |
| G0469 |
Fqhc visit, mh new pt |
7,381 |
7,264 |
$551K |
| 99213 |
|
137,546 |
115,003 |
$551K |
| J1050 |
Medroxyprogesterone acetate |
3,582 |
3,549 |
$271K |
| 90834 |
|
24,213 |
16,216 |
$140K |
| 90651 |
|
3,994 |
3,967 |
$131K |
| 90837 |
|
12,548 |
7,439 |
$121K |
| H0031 |
Mh health assess by non-md |
10,134 |
9,881 |
$90K |
| 97110 |
|
36,733 |
10,160 |
$79K |
| 99392 |
|
6,526 |
6,493 |
$66K |
| 99393 |
|
6,758 |
6,732 |
$53K |
| 99391 |
|
6,688 |
6,318 |
$47K |
| 90791 |
|
5,021 |
4,866 |
$46K |
| 59426 |
|
66 |
65 |
$44K |
| 90832 |
|
8,603 |
6,676 |
$42K |
| 99212 |
|
14,738 |
13,952 |
$40K |
| H0004 |
Alcohol and/or drug services |
18,271 |
16,539 |
$39K |
| 97140 |
|
20,668 |
6,975 |
$36K |
| 97530 |
|
8,363 |
3,500 |
$34K |
| 99395 |
|
4,286 |
4,244 |
$29K |
| 90471 |
|
27,012 |
26,652 |
$29K |
| 99396 |
|
3,093 |
3,073 |
$29K |
| 90472 |
|
12,489 |
12,378 |
$28K |
| 99394 |
|
4,119 |
4,105 |
$25K |
| 90480 |
|
945 |
944 |
$24K |
| 90460 |
|
4,983 |
4,966 |
$18K |
| 90792 |
|
1,476 |
1,469 |
$18K |
| 96372 |
|
12,663 |
11,431 |
$17K |
| 97161 |
|
3,410 |
3,346 |
$16K |
| 90686 |
|
13,927 |
13,823 |
$15K |
| 99203 |
|
3,649 |
3,628 |
$15K |
| D7140 |
|
177 |
55 |
$15K |
| 80305 |
|
11,376 |
6,880 |
$15K |
| 99204 |
|
2,071 |
2,057 |
$13K |
| D1120 |
|
347 |
340 |
$13K |
| D1206 |
|
512 |
504 |
$12K |
| D0191 |
|
794 |
787 |
$12K |
| 91320 |
|
687 |
686 |
$12K |
| 99381 |
|
1,655 |
1,633 |
$11K |
| 99385 |
|
1,484 |
1,472 |
$11K |
| 99215 |
Prolong outpt/office vis |
1,427 |
1,391 |
$9K |
| 90677 |
|
892 |
891 |
$9K |
| 99000 |
|
706 |
699 |
$8K |
| 90715 |
|
4,023 |
3,986 |
$8K |
| 59425 |
|
13 |
13 |
$8K |
| 81025 |
|
8,427 |
8,182 |
$7K |
| 83036 |
|
7,047 |
6,995 |
$7K |
| 90716 |
|
4,687 |
4,665 |
$7K |
| 98927 |
|
1,864 |
1,453 |
$7K |
| 99383 |
|
1,028 |
1,021 |
$6K |
| 99442 |
|
953 |
907 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
3,287 |
2,992 |
$6K |
| 99384 |
|
928 |
919 |
$6K |
| 87880 |
|
3,400 |
3,351 |
$5K |
| 90636 |
|
718 |
712 |
$5K |
| 87636 |
|
216 |
215 |
$5K |
| 97166 |
|
880 |
868 |
$5K |
| Q0091 |
Obtaining screen pap smear |
2,202 |
2,177 |
$5K |
| 82962 |
|
11,259 |
10,085 |
$4K |
| 85018 |
|
13,515 |
13,437 |
$4K |
| 90670 |
|
5,441 |
5,426 |
$4K |
| 97035 |
|
3,816 |
1,584 |
$3K |
| 99382 |
|
334 |
331 |
$3K |
| 90707 |
|
4,229 |
4,210 |
$3K |
| 97014 |
|
3,729 |
1,518 |
$3K |
| 90656 |
|
620 |
620 |
$3K |
| 99386 |
|
442 |
435 |
$3K |
| 92551 |
|
4,044 |
4,025 |
$3K |
| 99202 |
|
1,024 |
1,017 |
$3K |
| 99441 |
|
878 |
832 |
$3K |
| 90732 |
|
288 |
284 |
$3K |
| 90632 |
|
477 |
471 |
$3K |
| 81002 |
|
8,876 |
8,547 |
$3K |
| 97032 |
|
3,233 |
1,278 |
$2K |
| 90853 |
|
2,258 |
1,022 |
$2K |
| 99406 |
|
18,420 |
15,579 |
$2K |
| G2025 |
Dis site tele svcs rhc/fqhc |
3,348 |
2,581 |
$2K |
| D0140 |
|
43 |
41 |
$2K |
| 90620 |
|
791 |
791 |
$2K |
| 90746 |
|
296 |
296 |
$2K |
| 90474 |
|
2,527 |
2,342 |
$1K |
| 99443 |
|
229 |
219 |
$1K |
| 98960 |
|
115 |
111 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
1,274 |
1,223 |
$1K |
| 83655 |
|
507 |
507 |
$1K |
| 97112 |
|
440 |
261 |
$1K |
| 90714 |
|
334 |
334 |
$747.43 |
| J1040 |
Methylprednisolone 80 mg inj |
68 |
62 |
$707.99 |
| 90734 |
|
1,892 |
1,881 |
$631.55 |
| J1030 |
Methylprednisolone 40 mg inj |
73 |
68 |
$620.91 |
| 92552 |
|
252 |
251 |
$533.36 |
| 90619 |
|
1,128 |
1,124 |
$528.60 |
| 97124 |
|
245 |
153 |
$485.96 |
| 98926 |
|
110 |
97 |
$359.50 |
| 90847 |
|
44 |
39 |
$306.05 |
| 99201 |
|
216 |
215 |
$288.33 |
| 92250 |
|
95 |
95 |
$270.02 |
| 97033 |
|
64 |
24 |
$245.49 |
| 94640 |
|
213 |
203 |
$233.95 |
| 96110 |
|
195 |
193 |
$193.20 |
| D0220 |
|
14 |
13 |
$190.40 |
| 96127 |
|
597 |
589 |
$187.05 |
| 97164 |
|
88 |
85 |
$177.20 |
| 90713 |
|
2,477 |
2,469 |
$158.28 |
| 90685 |
|
1,410 |
1,397 |
$109.05 |
| J1071 |
Inj testosterone cypionate |
20 |
12 |
$90.60 |
| 90688 |
|
26 |
26 |
$89.20 |
| 96160 |
|
267 |
265 |
$81.76 |
| 92567 |
|
142 |
142 |
$80.05 |
| J1010 |
Inj, methylpred acetate 1 mg |
13 |
13 |
$67.60 |
| 96161 |
|
226 |
218 |
$58.86 |
| 59025 |
|
155 |
57 |
$55.87 |
| 99051 |
|
23,232 |
21,413 |
$50.00 |
| 69209 |
|
29 |
28 |
$39.60 |
| 86580 |
|
45 |
40 |
$36.04 |
| 90700 |
|
3,334 |
3,326 |
$13.50 |
| 93000 |
|
13 |
13 |
$9.51 |
| 36415 |
|
13 |
13 |
$8.10 |
| 90723 |
|
3,550 |
3,539 |
$0.00 |
| 3079F |
|
3,283 |
3,011 |
$0.00 |
| S0281 |
Medical home, maintenance |
9,417 |
7,241 |
$0.00 |
| 90647 |
|
4,727 |
4,714 |
$0.00 |
| G0008 |
Admin influenza virus vac |
413 |
413 |
$0.00 |
| 90696 |
|
1,376 |
1,369 |
$0.00 |
| 90744 |
|
289 |
289 |
$0.00 |
| 3074F |
|
9,762 |
8,531 |
$0.00 |
| 3044F |
|
511 |
510 |
$0.00 |
| 91318 |
|
59 |
59 |
$0.00 |
| 2023F |
|
83 |
83 |
$0.00 |
| 3080F |
|
1,024 |
947 |
$0.00 |
| J2001 |
Lidocaine injection |
126 |
122 |
$0.00 |
| 0501F |
|
77 |
75 |
$0.00 |
| 3052F |
|
52 |
52 |
$0.00 |
| 3075F |
|
1,780 |
1,671 |
$0.00 |
| 90680 |
|
80 |
80 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
17 |
17 |
$0.00 |
| 90697 |
|
110 |
110 |
$0.00 |
| 99496 |
|
12 |
12 |
$0.00 |
| 91319 |
|
114 |
114 |
$0.00 |
| 3077F |
|
1,027 |
944 |
$0.00 |
| 90633 |
|
4,234 |
4,219 |
$0.00 |
| 99173 |
|
4,348 |
4,326 |
$0.00 |
| 3051F |
|
132 |
130 |
$0.00 |
| 90461 |
|
2,309 |
2,307 |
$0.00 |
| 0502F |
|
408 |
333 |
$0.00 |
| 90681 |
|
2,483 |
2,476 |
$0.00 |
| 69210 |
|
42 |
41 |
$0.00 |
| 3078F |
|
8,245 |
7,336 |
$0.00 |
| 81003 |
|
13 |
13 |
$0.00 |
| 3046F |
|
220 |
219 |
$0.00 |
| 90710 |
|
113 |
113 |
$0.00 |
| 99401 |
|
29 |
28 |
$0.00 |