| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care atrisk assessm |
13,933 |
11,302 |
$1.57M |
| 99213 |
|
6,042 |
5,169 |
$157K |
| 99391 |
|
2,320 |
2,056 |
$134K |
| 99392 |
|
2,059 |
1,854 |
$113K |
| H2019 |
Ther behav svc, per 15 min |
2,612 |
1,904 |
$111K |
| 99212 |
|
3,452 |
2,987 |
$101K |
| T1015 |
Clinic service |
1,899 |
1,520 |
$87K |
| D0210 |
|
1,259 |
1,195 |
$41K |
| H0032 |
Mh svc plan dev by non-md |
515 |
486 |
$32K |
| H2017 |
Psysoc rehab svc, per 15 min |
300 |
61 |
$32K |
| H0031 |
Mh health assess by non-md |
725 |
533 |
$26K |
| 99393 |
|
435 |
385 |
$25K |
| 90671 |
|
435 |
378 |
$24K |
| 59410 |
|
84 |
56 |
$23K |
| 99214 |
|
466 |
425 |
$22K |
| 90670 |
|
1,276 |
1,081 |
$22K |
| 90471 |
|
6,076 |
5,396 |
$17K |
| D1330 |
|
658 |
617 |
$15K |
| 90472 |
|
3,121 |
2,718 |
$11K |
| D0150 |
|
1,176 |
1,125 |
$7K |
| 99442 |
|
608 |
568 |
$5K |
| 90710 |
|
182 |
166 |
$4K |
| 99394 |
|
54 |
48 |
$3K |
| D1110 |
|
376 |
355 |
$3K |
| 3074F |
|
6,604 |
5,474 |
$3K |
| 1126F |
|
8,099 |
7,017 |
$2K |
| 36415 |
|
2,756 |
2,336 |
$2K |
| D0140 |
|
233 |
214 |
$2K |
| D0120 |
|
278 |
236 |
$2K |
| D2392 |
|
41 |
39 |
$2K |
| H0001 |
Alcohol and/or drug assess |
53 |
51 |
$2K |
| H0020 |
Alcohol and/or drug services |
103 |
38 |
$2K |
| 99395 |
|
25 |
25 |
$2K |
| G0467 |
Fqhc visit, estab pt |
1,166 |
871 |
$1K |
| 59430 |
|
70 |
51 |
$1K |
| 99441 |
|
313 |
291 |
$1K |
| 90686 |
|
1,677 |
1,521 |
$1K |
| D2391 |
|
71 |
56 |
$1K |
| D4346 |
|
37 |
37 |
$1K |
| 99204 |
|
14 |
14 |
$1K |
| 87880 |
|
136 |
132 |
$1K |
| D1120 |
|
157 |
149 |
$968.96 |
| 90834 |
|
18 |
13 |
$944.61 |
| 2001F |
|
21,515 |
17,687 |
$871.77 |
| 90474 |
|
483 |
445 |
$870.00 |
| 0012A |
|
22 |
21 |
$600.00 |
| 90633 |
|
682 |
588 |
$548.37 |
| 3008F |
|
17,777 |
14,612 |
$388.94 |
| 87804 |
|
106 |
102 |
$358.95 |
| D1206 |
|
240 |
225 |
$313.15 |
| 1159F |
|
10,261 |
8,651 |
$302.72 |
| 83655 |
|
85 |
49 |
$299.00 |
| D0220 |
|
234 |
221 |
$289.51 |
| 59025 |
|
30 |
12 |
$253.05 |
| 0011A |
|
19 |
18 |
$199.05 |
| G2025 |
Dis site tele svcs rhc/fqhc |
49 |
36 |
$174.57 |
| 99408 |
|
23 |
22 |
$172.40 |
| 3351F |
|
4,003 |
3,220 |
$149.36 |
| 90680 |
|
147 |
137 |
$116.00 |
| 83036 |
|
112 |
57 |
$104.96 |
| D1208 |
|
288 |
270 |
$94.00 |
| 90723 |
|
71 |
63 |
$93.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
134 |
95 |
$79.25 |
| 85025 |
|
138 |
83 |
$76.00 |
| 90685 |
|
29 |
27 |
$60.00 |
| 0502F |
|
1,437 |
1,131 |
$56.07 |
| 90698 |
|
67 |
65 |
$50.00 |
| 1220F |
|
12,356 |
10,293 |
$41.68 |
| 90715 |
|
43 |
40 |
$41.39 |
| 3078F |
|
5,732 |
4,410 |
$41.34 |
| 90681 |
|
302 |
234 |
$30.00 |
| 99173 |
|
358 |
305 |
$18.62 |
| 90697 |
|
257 |
215 |
$12.00 |
| 90648 |
|
286 |
267 |
$11.00 |
| 90688 |
|
84 |
76 |
$10.00 |
| D0230 |
|
28 |
25 |
$4.48 |
| 1033F |
|
1,003 |
733 |
$0.05 |
| 1000F |
|
8,593 |
7,096 |
$0.02 |
| 4000F |
|
1,704 |
1,526 |
$0.01 |
| 92551 |
|
283 |
241 |
$0.00 |
| 2000F |
|
7,420 |
5,887 |
$0.00 |
| 3352F |
|
1,225 |
1,008 |
$0.00 |
| 0500F |
|
320 |
292 |
$0.00 |
| 1125F |
|
265 |
206 |
$0.00 |
| 1036F |
|
1,023 |
865 |
$0.00 |
| 3044F |
|
57 |
55 |
$0.00 |
| 4037F |
|
69 |
67 |
$0.00 |
| 3292F |
|
356 |
331 |
$0.00 |
| 1157F |
|
464 |
217 |
$0.00 |
| 3079F |
|
309 |
247 |
$0.00 |
| 90656 |
|
189 |
166 |
$0.00 |
| 1030F |
|
120 |
113 |
$0.00 |
| 4010F |
|
78 |
33 |
$0.00 |
| 3075F |
|
39 |
30 |
$0.00 |
| 1022F |
|
27 |
27 |
$0.00 |
| 1160F |
|
6,172 |
5,153 |
$0.00 |
| 3293F |
|
306 |
283 |
$0.00 |
| 3210F |
|
81 |
72 |
$0.00 |
| 90700 |
|
40 |
30 |
$0.00 |
| 90658 |
|
18 |
15 |
$0.00 |
| 99374 |
|
14 |
12 |
$0.00 |
| 3077F |
|
22 |
16 |
$0.00 |