| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
260,789 |
220,723 |
$94.54M |
| 00003 |
|
14,742 |
11,545 |
$6.67M |
| 99213 |
|
195,670 |
123,976 |
$1.31M |
| 99214 |
|
56,865 |
39,098 |
$563K |
| G0467 |
Fqhc visit, estab pt |
9,143 |
7,982 |
$481K |
| D1120 |
|
15,925 |
9,118 |
$451K |
| D1310 |
|
15,926 |
10,627 |
$398K |
| G9012 |
Other specified case mgmt |
3,121 |
1,476 |
$318K |
| 90651 |
|
2,110 |
1,655 |
$317K |
| 92014 |
|
11,976 |
8,685 |
$315K |
| 90834 |
|
5,814 |
2,310 |
$252K |
| D1206 |
|
18,729 |
10,885 |
$198K |
| D2392 |
|
4,852 |
2,507 |
$197K |
| D0120 |
|
14,519 |
8,513 |
$166K |
| 90746 |
|
3,167 |
2,583 |
$157K |
| G8510 |
Scr dep neg, no plan reqd |
27,586 |
18,169 |
$136K |
| H0049 |
Alcohol/drug screening |
18,015 |
12,616 |
$129K |
| D1351 |
|
4,191 |
1,191 |
$126K |
| 99211 |
|
6,639 |
6,300 |
$117K |
| 90791 |
|
928 |
641 |
$100K |
| D2391 |
|
2,728 |
1,411 |
$99K |
| D0274 |
|
6,713 |
4,161 |
$94K |
| 99401 |
|
7,723 |
5,116 |
$81K |
| 92015 |
|
12,813 |
9,039 |
$76K |
| D1354 |
|
3,389 |
898 |
$75K |
| J3490 |
Drugs unclassified injection |
1,960 |
1,682 |
$73K |
| 98941 |
|
7,718 |
4,732 |
$73K |
| D0220 |
|
9,292 |
5,618 |
$71K |
| 90750 |
|
995 |
813 |
$68K |
| D0230 |
|
24,551 |
9,814 |
$68K |
| D7140 |
|
1,812 |
877 |
$65K |
| 99392 |
|
7,594 |
4,966 |
$63K |
| D0140 |
|
2,419 |
1,623 |
$62K |
| 90677 |
|
2,046 |
1,346 |
$61K |
| 90471 |
|
59,925 |
44,187 |
$57K |
| D0603 |
|
9,635 |
6,995 |
$56K |
| 90837 |
|
719 |
354 |
$55K |
| D0272 |
|
7,643 |
4,371 |
$54K |
| G2025 |
Dis site tele svcs rhc/fqhc |
2,875 |
2,661 |
$51K |
| D2940 |
|
1,222 |
515 |
$47K |
| 92012 |
|
1,359 |
948 |
$43K |
| 99393 |
|
5,022 |
3,168 |
$41K |
| 99391 |
|
6,296 |
4,502 |
$39K |
| 81025 |
|
13,624 |
10,710 |
$36K |
| D0150 |
|
1,799 |
1,120 |
$36K |
| 90847 |
|
278 |
259 |
$34K |
| 81002 |
|
27,115 |
15,651 |
$34K |
| 90686 |
|
15,731 |
10,948 |
$32K |
| D4341 |
|
564 |
238 |
$31K |
| D4910 |
|
601 |
435 |
$30K |
| D9430 |
|
1,978 |
1,201 |
$30K |
| 90756 |
|
1,496 |
1,108 |
$30K |
| 90715 |
|
1,583 |
1,084 |
$28K |
| J7307 |
Etonogestrel implant system |
48 |
48 |
$27K |
| D9230 |
|
1,418 |
743 |
$27K |
| 90688 |
|
4,096 |
3,426 |
$26K |
| D2930 |
|
411 |
179 |
$26K |
| 11976 |
|
374 |
231 |
$26K |
| 97803 |
|
1,944 |
1,875 |
$24K |
| D1320 |
|
1,805 |
1,246 |
$21K |
| 99212 |
|
7,674 |
4,976 |
$20K |
| 90658 |
|
1,136 |
905 |
$20K |
| 96156 |
|
1,500 |
1,493 |
$20K |
| 96372 |
|
818 |
699 |
$19K |
| H1003 |
Prenatal at risk education |
1,789 |
1,393 |
$19K |
| 99000 |
|
48,429 |
37,431 |
$19K |
| 96158 |
|
1,254 |
1,243 |
$18K |
| D0330 |
|
873 |
539 |
$17K |
| S9445 |
Pt education noc individ |
1,861 |
1,419 |
$17K |
| D1110 |
|
477 |
338 |
$17K |
| 90832 |
|
331 |
249 |
$17K |
| 11981 |
|
72 |
72 |
$16K |
| D0145 |
|
1,091 |
627 |
$15K |
| 96110 |
|
472 |
308 |
$15K |
| D1352 |
|
532 |
262 |
$13K |
| 92250 |
|
419 |
313 |
$13K |
| 97802 |
|
546 |
541 |
$13K |
| 99394 |
|
1,248 |
785 |
$13K |
| 90670 |
|
3,134 |
2,334 |
$11K |
| 92551 |
|
16,746 |
10,635 |
$11K |
| 90648 |
|
2,737 |
2,066 |
$11K |
| G8431 |
Pos clin depres scrn f/u doc |
927 |
587 |
$9K |
| 99396 |
|
551 |
422 |
$9K |
| D0350 |
|
2,931 |
1,938 |
$9K |
| 90472 |
|
18,947 |
14,453 |
$8K |
| 92228 |
|
325 |
325 |
$8K |
| S9452 |
Nutrition class |
625 |
623 |
$8K |
| 99395 |
|
514 |
362 |
$7K |
| 96159 |
|
491 |
489 |
$7K |
| 99203 |
|
629 |
394 |
$7K |
| 90685 |
|
558 |
556 |
$6K |
| V2784 |
Lens polycarb or equal |
190 |
95 |
$6K |
| 90633 |
|
1,830 |
1,406 |
$6K |
| D0270 |
|
1,156 |
765 |
$5K |
| 90480 |
|
775 |
719 |
$5K |
| V2020 |
Vision svcs frames purchases |
219 |
214 |
$5K |
| G0101 |
Ca screen;pelvic/breast exam |
49 |
49 |
$4K |
| 90723 |
|
994 |
753 |
$4K |
| 76817 |
|
250 |
158 |
$4K |
| 96151 |
|
297 |
280 |
$4K |
| 99215 |
Prolong outpt/office vis |
408 |
234 |
$4K |
| 99429 |
|
144 |
144 |
$4K |
| V2750 |
Anti-reflective coating |
184 |
91 |
$3K |
| 99188 |
|
387 |
232 |
$3K |
| D0602 |
|
1,190 |
1,001 |
$3K |
| 87426 |
|
138 |
76 |
$3K |
| 90697 |
|
700 |
413 |
$3K |
| 90680 |
|
968 |
677 |
$3K |
| 76815 |
|
318 |
215 |
$3K |
| 90716 |
|
346 |
293 |
$3K |
| 90656 |
|
1,287 |
865 |
$2K |
| 83655 |
|
225 |
186 |
$2K |
| 99385 |
|
60 |
44 |
$2K |
| D4342 |
|
58 |
27 |
$2K |
| D0210 |
|
54 |
40 |
$2K |
| 96150 |
|
73 |
73 |
$2K |
| T1016 |
Case management |
191 |
66 |
$2K |
| D7210 |
|
22 |
13 |
$2K |
| 99406 |
|
216 |
133 |
$2K |
| 90678 |
|
38 |
27 |
$2K |
| G9008 |
Mccd,phys coor-care ovrsght |
19 |
14 |
$1K |
| 99204 |
|
68 |
38 |
$1K |
| 85018 |
|
11,897 |
7,819 |
$1K |
| 90734 |
|
203 |
179 |
$1K |
| 87804 |
|
139 |
108 |
$1K |
| D2393 |
|
20 |
12 |
$1K |
| T1017 |
Targeted case management |
72 |
39 |
$1K |
| 76857 |
|
195 |
140 |
$917.21 |
| G2010 |
Remot image submit by pt |
129 |
129 |
$889.20 |
| 11721 |
|
49 |
39 |
$826.23 |
| A4267 |
Male condom |
138 |
137 |
$743.40 |
| D2950 |
|
26 |
13 |
$732.00 |
| 87880 |
|
80 |
80 |
$688.00 |
| 92134 |
|
43 |
24 |
$674.39 |
| 90619 |
|
136 |
90 |
$608.85 |
| G0468 |
Fqhc visit, ippe or awv |
12 |
12 |
$581.63 |
| 82947 |
|
169 |
132 |
$507.50 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
52 |
31 |
$477.33 |
| 90707 |
|
43 |
43 |
$476.01 |
| 90700 |
|
77 |
66 |
$431.73 |
| V2100 |
Lens spher single plano 4.00 |
29 |
16 |
$382.67 |
| H2000 |
Comp multidisipln evaluation |
46 |
28 |
$344.81 |
| 99070 |
|
140 |
136 |
$312.34 |
| D0240 |
|
28 |
13 |
$312.00 |
| G2012 |
Brief check in by md/qhp |
73 |
72 |
$287.54 |
| 0071A |
|
13 |
13 |
$268.00 |
| 0011A |
|
29 |
25 |
$268.00 |
| G0442 |
Annual alcohol screen 15 min |
1,080 |
1,066 |
$263.90 |
| 90744 |
|
53 |
45 |
$231.32 |
| S4993 |
Contraceptive pills for bc |
14 |
14 |
$201.12 |
| 92133 |
|
23 |
12 |
$158.68 |
| 90474 |
|
288 |
224 |
$156.24 |
| 83036 |
|
14 |
14 |
$147.00 |
| 99202 |
|
37 |
26 |
$140.32 |
| 90713 |
|
12 |
12 |
$132.84 |
| 99397 |
|
21 |
12 |
$129.17 |
| 99173 |
|
6,707 |
6,385 |
$127.50 |
| 86580 |
|
188 |
188 |
$122.70 |
| 88720 |
|
192 |
144 |
$64.81 |
| 99381 |
|
45 |
39 |
$55.76 |
| 92552 |
|
35 |
19 |
$33.38 |
| 90381 |
|
19 |
13 |
$18.00 |
| G0008 |
Admin influenza virus vac |
583 |
581 |
$15.09 |
| 90698 |
|
188 |
138 |
$9.92 |
| 36415 |
|
22,208 |
20,948 |
$9.38 |
| 96160 |
|
540 |
497 |
$2.56 |
| 91320 |
|
73 |
71 |
$0.06 |
| 91322 |
|
53 |
45 |
$0.01 |
| 3077F |
|
3,958 |
3,405 |
$0.00 |
| 3078F |
|
63,946 |
53,973 |
$0.00 |
| Z6200 |
|
1,486 |
1,485 |
$0.00 |
| Z6300 |
|
1,392 |
1,391 |
$0.00 |
| 99411 |
|
2,036 |
2,027 |
$0.00 |
| Z6304 |
|
2,667 |
2,634 |
$0.00 |
| Z6400 |
|
1,515 |
1,514 |
$0.00 |
| Z6308 |
|
346 |
345 |
$0.00 |
| Z6414 |
|
680 |
613 |
$0.00 |
| D0191 |
|
3,031 |
2,791 |
$0.00 |
| D0707 |
|
1,105 |
1,087 |
$0.00 |
| Z6208 |
|
362 |
361 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
257 |
240 |
$0.00 |
| 3015F |
|
59 |
59 |
$0.00 |
| D0391 |
|
1,101 |
1,082 |
$0.00 |
| D9996 |
|
1,969 |
1,730 |
$0.00 |
| 90662 |
|
315 |
284 |
$0.00 |
| 90710 |
|
34 |
25 |
$0.00 |
| 99408 |
|
32 |
32 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 91313 |
|
45 |
45 |
$0.00 |
| 90473 |
|
32 |
25 |
$0.00 |
| 99442 |
|
24 |
23 |
$0.00 |
| 3008F |
|
78,448 |
67,461 |
$0.00 |
| Z6410 |
|
1,706 |
1,201 |
$0.00 |
| 3074F |
|
66,058 |
55,272 |
$0.00 |
| 3075F |
|
4,689 |
4,062 |
$0.00 |
| Z6204 |
|
2,759 |
2,694 |
$0.00 |
| 3079F |
|
12,385 |
10,413 |
$0.00 |
| D1330 |
|
9,246 |
8,972 |
$0.00 |
| 36416 |
|
420 |
361 |
$0.00 |
| Z6406 |
|
10,625 |
7,004 |
$0.00 |
| 90674 |
|
346 |
259 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
53 |
53 |
$0.00 |
| 90694 |
|
30 |
30 |
$0.00 |
| Z7610 |
|
42 |
40 |
$0.00 |
| 3080F |
|
234 |
163 |
$0.00 |
| 96161 |
|
31 |
31 |
$0.00 |
| 99174 |
|
26 |
26 |
$0.00 |
| 91306 |
|
13 |
13 |
$0.00 |
| 96380 |
|
37 |
29 |
$0.00 |
| D0708 |
|
1,071 |
1,053 |
$0.00 |
| 91301 |
|
25 |
25 |
$0.00 |
| 99443 |
|
14 |
12 |
$0.00 |
| 3072F |
|
38 |
38 |
$0.00 |
| 0134A |
|
45 |
45 |
$0.00 |
| D9920 |
|
48 |
41 |
$0.00 |
| G9226 |
3 comp foot exam completed |
69 |
66 |
$0.00 |
| 0064A |
|
13 |
13 |
$0.00 |
| 9214 |
|
13 |
13 |
$0.00 |
| Z1034 |
|
43 |
38 |
$0.00 |