| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
201,553 |
173,674 |
$29.56M |
| 00003 |
|
21,759 |
16,676 |
$4.35M |
| 90834 |
|
9,211 |
4,521 |
$186K |
| 90791 |
|
1,650 |
1,173 |
$51K |
| G9008 |
Mccd,phys coor-care ovrsght |
2,551 |
1,776 |
$47K |
| 99392 |
|
2,858 |
2,272 |
$28K |
| G9012 |
Other specified case mgmt |
801 |
605 |
$26K |
| 87426 |
|
1,076 |
960 |
$21K |
| G9920 |
Scrning perf and negative |
1,343 |
1,316 |
$20K |
| 99391 |
|
2,426 |
1,965 |
$20K |
| 90837 |
|
729 |
467 |
$18K |
| 90832 |
|
1,205 |
465 |
$16K |
| 92004 |
|
2,571 |
2,188 |
$15K |
| 92551 |
|
3,313 |
2,902 |
$10K |
| 99213 |
|
75,966 |
67,432 |
$9K |
| V2020 |
Vision svcs frames purchases |
964 |
939 |
$8K |
| 99393 |
|
1,021 |
837 |
$8K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
456 |
455 |
$7K |
| 0012A |
|
125 |
97 |
$6K |
| 92014 |
|
675 |
599 |
$5K |
| 0011A |
|
87 |
73 |
$5K |
| 92015 |
|
3,596 |
3,126 |
$4K |
| 0001A |
|
91 |
72 |
$4K |
| 0004A |
|
65 |
63 |
$4K |
| 90471 |
|
2,131 |
1,907 |
$3K |
| 92340 |
|
303 |
303 |
$3K |
| G0467 |
Fqhc visit, estab pt |
89 |
78 |
$3K |
| 85018 |
|
6,566 |
5,482 |
$3K |
| 92341 |
|
126 |
125 |
$3K |
| 97803 |
|
2,013 |
1,922 |
$3K |
| 90670 |
|
1,780 |
1,354 |
$2K |
| 0064A |
|
36 |
35 |
$2K |
| 90686 |
|
2,106 |
1,730 |
$2K |
| 0002A |
|
29 |
29 |
$2K |
| 0031A |
|
26 |
24 |
$2K |
| G2025 |
Dis site tele svcs rhc/fqhc |
30 |
27 |
$1K |
| 90698 |
|
990 |
746 |
$1K |
| 0072A |
|
13 |
13 |
$871.00 |
| 90472 |
|
800 |
725 |
$826.49 |
| 90680 |
|
1,148 |
884 |
$783.00 |
| 90633 |
|
842 |
651 |
$703.00 |
| 99381 |
|
240 |
189 |
$627.22 |
| Q0091 |
Obtaining screen pap smear |
512 |
488 |
$495.00 |
| 99173 |
|
2,958 |
2,357 |
$487.36 |
| 99212 |
|
15,566 |
14,088 |
$425.42 |
| 90744 |
|
539 |
405 |
$423.00 |
| 83655 |
|
655 |
543 |
$354.00 |
| 97802 |
|
1,143 |
1,098 |
$302.89 |
| 99211 |
|
1,917 |
1,761 |
$286.51 |
| 90710 |
|
424 |
334 |
$279.00 |
| 86580 |
|
279 |
212 |
$257.57 |
| 99214 |
|
9,242 |
8,244 |
$245.65 |
| 90792 |
|
16 |
12 |
$206.50 |
| 99394 |
|
57 |
40 |
$179.20 |
| 92552 |
|
15 |
13 |
$114.51 |
| 99395 |
|
386 |
356 |
$102.90 |
| 96372 |
|
112 |
107 |
$93.74 |
| 81002 |
|
12,546 |
9,910 |
$89.31 |
| 92250 |
|
1,137 |
1,133 |
$63.72 |
| 81025 |
|
2,992 |
2,804 |
$19.57 |
| 1159F |
|
7,689 |
7,099 |
$18.50 |
| 90460 |
|
107 |
94 |
$16.16 |
| 87591 |
|
462 |
451 |
$12.00 |
| 87491 |
|
460 |
449 |
$12.00 |
| 90696 |
|
15 |
12 |
$9.00 |
| 90715 |
|
115 |
108 |
$9.00 |
| 3074F |
|
15,660 |
14,175 |
$0.00 |
| Z1034 |
|
11,091 |
8,107 |
$0.00 |
| 3008F |
|
7,406 |
6,935 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
1,584 |
1,430 |
$0.00 |
| 1126F |
|
3,871 |
3,666 |
$0.00 |
| 3075F |
|
977 |
922 |
$0.00 |
| 3044F |
|
5,653 |
5,362 |
$0.00 |
| 1170F |
|
5,435 |
5,139 |
$0.00 |
| 0501F |
|
1,312 |
1,114 |
$0.00 |
| 82962 |
|
3,033 |
2,838 |
$0.00 |
| 90677 |
|
191 |
181 |
$0.00 |
| Z1038 |
|
213 |
207 |
$0.00 |
| 1123F |
|
1,315 |
1,247 |
$0.00 |
| 88142 |
|
200 |
193 |
$0.00 |
| 3079F |
|
1,764 |
1,646 |
$0.00 |
| 99202 |
|
264 |
240 |
$0.00 |
| 1125F |
|
550 |
531 |
$0.00 |
| Z6410 |
|
574 |
564 |
$0.00 |
| Z1032 |
|
591 |
589 |
$0.00 |
| 1000F |
|
132 |
125 |
$0.00 |
| Z6204 |
|
211 |
211 |
$0.00 |
| 90697 |
|
112 |
103 |
$0.00 |
| 90474 |
|
92 |
85 |
$0.00 |
| Z6406 |
|
169 |
168 |
$0.00 |
| H0049 |
Alcohol/drug screening |
42 |
41 |
$0.00 |
| 3351F |
|
88 |
86 |
$0.00 |
| 36416 |
|
221 |
204 |
$0.00 |
| G0439 |
Ppps, subseq visit |
39 |
39 |
$0.00 |
| 99000 |
|
21 |
17 |
$0.00 |
| 0503F |
|
14 |
12 |
$0.00 |
| 3080F |
|
18 |
18 |
$0.00 |
| 0500F |
|
14 |
14 |
$0.00 |
| V2100 |
Lens spher single plano 4.00 |
34 |
34 |
$0.00 |
| 3078F |
|
16,338 |
14,877 |
$0.00 |
| 1158F |
|
1,293 |
1,227 |
$0.00 |
| 0502F |
|
1,630 |
1,394 |
$0.00 |
| Z6304 |
|
128 |
128 |
$0.00 |
| 1160F |
|
1,314 |
1,251 |
$0.00 |
| 99396 |
|
484 |
454 |
$0.00 |
| Z6400 |
|
1,253 |
1,245 |
$0.00 |
| 92134 |
|
180 |
166 |
$0.00 |
| 99203 |
|
428 |
416 |
$0.00 |
| 3725F |
|
407 |
395 |
$0.00 |
| 3077F |
|
416 |
393 |
$0.00 |
| 90648 |
|
75 |
53 |
$0.00 |
| 87880 |
|
16 |
16 |
$0.00 |
| Z6500 |
|
70 |
70 |
$0.00 |
| 90750 |
|
14 |
14 |
$0.00 |
| 99204 |
|
179 |
177 |
$0.00 |
| 90661 |
|
69 |
64 |
$0.00 |
| 90461 |
|
16 |
16 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
19 |
13 |
$0.00 |
| 90700 |
|
15 |
13 |
$0.00 |