| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
9,533 |
8,124 |
$210K |
| 99393 |
|
669 |
615 |
$58K |
| H1000 |
Prenatal care atrisk assessm |
1,059 |
778 |
$51K |
| 99392 |
|
514 |
483 |
$37K |
| 99336 |
|
1,064 |
926 |
$31K |
| 99349 |
|
485 |
279 |
$26K |
| T1015 |
Clinic service |
800 |
568 |
$25K |
| 99212 |
|
1,107 |
936 |
$22K |
| 99214 |
|
1,070 |
857 |
$20K |
| 99394 |
|
239 |
220 |
$18K |
| H2019 |
Ther behav svc, per 15 min |
430 |
274 |
$16K |
| D0120 |
|
2,599 |
1,914 |
$16K |
| D1110 |
|
1,099 |
962 |
$11K |
| D0150 |
|
1,452 |
1,122 |
$6K |
| 90471 |
|
2,590 |
2,481 |
$5K |
| D0210 |
|
725 |
691 |
$5K |
| 99391 |
|
51 |
51 |
$5K |
| D1330 |
|
1,835 |
1,467 |
$5K |
| H2000 |
Comp multidisipln evaluation |
33 |
32 |
$4K |
| D2392 |
|
216 |
150 |
$4K |
| D0274 |
|
685 |
579 |
$3K |
| D1120 |
|
573 |
488 |
$3K |
| D0230 |
|
1,723 |
1,254 |
$3K |
| D1206 |
|
900 |
742 |
$2K |
| 90472 |
|
1,053 |
1,002 |
$2K |
| 92004 |
|
67 |
66 |
$2K |
| D1351 |
|
232 |
71 |
$2K |
| H0020 |
Alcohol and/or drug services |
91 |
53 |
$2K |
| 99201 |
|
105 |
98 |
$2K |
| 99337 |
|
31 |
31 |
$2K |
| D0140 |
|
279 |
257 |
$2K |
| D7140 |
|
106 |
65 |
$2K |
| D0190 |
|
134 |
133 |
$2K |
| 99350 |
Prolong home eval add 15m |
17 |
12 |
$2K |
| D9995 |
|
219 |
216 |
$1K |
| D9230 |
|
60 |
41 |
$1K |
| D0220 |
|
2,373 |
1,832 |
$1K |
| D0603 |
|
135 |
101 |
$1K |
| 3008F |
|
6,981 |
5,400 |
$1K |
| 99203 |
|
51 |
42 |
$849.94 |
| 90686 |
|
1,029 |
1,012 |
$818.39 |
| 2001F |
|
6,059 |
4,069 |
$687.71 |
| G0467 |
Fqhc visit, estab pt |
325 |
188 |
$494.87 |
| 36415 |
|
171 |
138 |
$490.35 |
| D0272 |
|
336 |
303 |
$478.85 |
| 99334 |
|
55 |
50 |
$423.62 |
| 91301 |
|
16 |
15 |
$291.05 |
| D9310 |
|
12 |
12 |
$267.50 |
| 92340 |
|
54 |
54 |
$260.00 |
| 80053 |
|
39 |
21 |
$226.98 |
| D0240 |
|
263 |
190 |
$196.49 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
48 |
32 |
$182.70 |
| 1000F |
|
2,183 |
1,983 |
$181.63 |
| D2391 |
|
161 |
97 |
$154.35 |
| 99177 |
|
102 |
100 |
$120.00 |
| 3078F |
|
2,210 |
1,535 |
$114.64 |
| 92551 |
|
136 |
128 |
$91.37 |
| 1036F |
|
382 |
354 |
$85.17 |
| G0179 |
Md recertification hha pt |
150 |
145 |
$71.57 |
| 92015 |
|
116 |
114 |
$70.00 |
| 3351F |
|
986 |
908 |
$66.17 |
| 0012A |
|
15 |
14 |
$65.22 |
| V2020 |
Vision svcs frames purchases |
53 |
53 |
$60.00 |
| 81025 |
|
28 |
28 |
$50.48 |
| 4004F |
|
296 |
267 |
$25.22 |
| 92558 |
|
132 |
131 |
$18.69 |
| D4346 |
|
164 |
123 |
$15.00 |
| G0447 |
Behavior counsel obesity 15m |
40 |
40 |
$12.61 |
| 3352F |
|
309 |
273 |
$12.61 |
| 81002 |
|
38 |
13 |
$4.18 |
| 99173 |
|
200 |
191 |
$3.14 |
| 3077F |
|
50 |
40 |
$0.00 |
| 0502F |
|
83 |
62 |
$0.00 |
| 2022F |
|
58 |
57 |
$0.00 |
| D0330 |
|
363 |
299 |
$0.00 |
| 3293F |
|
118 |
83 |
$0.00 |
| 90670 |
|
55 |
55 |
$0.00 |
| 1160F |
|
1,380 |
694 |
$0.00 |
| 90633 |
|
48 |
39 |
$0.00 |
| 1159F |
|
1,379 |
693 |
$0.00 |
| 2028F |
|
244 |
226 |
$0.00 |
| 1090F |
|
18 |
18 |
$0.00 |
| 1033F |
|
21 |
21 |
$0.00 |
| 3725F |
|
119 |
118 |
$0.00 |
| 99408 |
|
14 |
12 |
$0.00 |
| 3288F |
|
14 |
14 |
$0.00 |
| 2000F |
|
3,143 |
2,104 |
$0.00 |
| 1220F |
|
1,488 |
1,123 |
$0.00 |
| 3074F |
|
2,106 |
1,462 |
$0.00 |
| 1126F |
|
1,088 |
849 |
$0.00 |
| 1157F |
|
355 |
139 |
$0.00 |
| 90651 |
|
56 |
42 |
$0.00 |
| 3044F |
|
49 |
47 |
$0.00 |
| D1208 |
|
218 |
142 |
$0.00 |
| 3079F |
|
285 |
156 |
$0.00 |
| 1125F |
|
102 |
97 |
$0.00 |
| 3048F |
|
26 |
26 |
$0.00 |
| 90698 |
|
28 |
28 |
$0.00 |
| 1170F |
|
14 |
14 |
$0.00 |
| 3292F |
|
119 |
83 |
$0.00 |
| D1310 |
|
13 |
13 |
$0.00 |
| 1101F |
|
21 |
21 |
$0.00 |
| 4010F |
|
35 |
18 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |