| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
59,108 |
47,001 |
$1.59M |
| 99213 |
|
32,006 |
27,184 |
$1.53M |
| 99214 |
|
24,385 |
20,047 |
$1.35M |
| 99392 |
|
3,610 |
3,233 |
$303K |
| 99393 |
|
3,458 |
3,119 |
$274K |
| 99391 |
|
3,013 |
2,494 |
$232K |
| 99212 |
|
6,889 |
5,750 |
$211K |
| 99394 |
|
2,161 |
1,901 |
$167K |
| 59425 |
|
2,498 |
1,604 |
$154K |
| 92014 |
|
2,308 |
1,883 |
$141K |
| 90471 |
|
16,469 |
14,112 |
$132K |
| 90472 |
|
8,213 |
7,154 |
$130K |
| G0467 |
Fqhc visit, estab pt |
4,278 |
3,561 |
$99K |
| 92012 |
|
1,078 |
814 |
$52K |
| 92015 |
|
5,433 |
4,402 |
$46K |
| 99215 |
Prolong outpt/office vis |
345 |
286 |
$33K |
| 83036 |
|
5,700 |
4,757 |
$29K |
| 97803 |
|
1,226 |
871 |
$28K |
| 99396 |
|
370 |
286 |
$26K |
| 90791 |
|
314 |
237 |
$23K |
| V2020 |
Vision svcs frames purchases |
953 |
829 |
$23K |
| 90832 |
|
465 |
402 |
$19K |
| 99395 |
|
264 |
217 |
$19K |
| 90674 |
|
1,392 |
1,219 |
$19K |
| 99203 |
|
455 |
410 |
$19K |
| J1050 |
Medroxyprogesterone acetate |
529 |
423 |
$17K |
| 36415 |
|
8,625 |
7,056 |
$17K |
| 92004 |
|
192 |
164 |
$16K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
570 |
280 |
$15K |
| 97802 |
|
565 |
401 |
$12K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
326 |
150 |
$12K |
| V2784 |
Lens polycarb or equal |
490 |
239 |
$11K |
| 11721 |
|
911 |
671 |
$8K |
| 0011A |
|
251 |
243 |
$8K |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,229 |
436 |
$7K |
| 0012A |
|
212 |
206 |
$7K |
| 90474 |
|
766 |
699 |
$7K |
| 92002 |
|
502 |
435 |
$7K |
| 90651 |
|
1,132 |
966 |
$6K |
| 81002 |
|
2,621 |
1,805 |
$5K |
| 90792 |
|
44 |
39 |
$5K |
| 90834 |
|
87 |
79 |
$5K |
| 96372 |
|
337 |
260 |
$4K |
| 0124A |
|
190 |
129 |
$4K |
| 81025 |
|
959 |
784 |
$4K |
| 11056 |
|
116 |
87 |
$3K |
| 96110 |
|
486 |
447 |
$3K |
| 99211 |
|
245 |
202 |
$3K |
| 86703 |
|
458 |
340 |
$2K |
| 90715 |
|
332 |
277 |
$2K |
| 11720 |
|
346 |
202 |
$2K |
| 59426 |
|
27 |
12 |
$2K |
| 99177 |
|
349 |
334 |
$1K |
| 90480 |
|
162 |
75 |
$1K |
| 83026 |
|
472 |
409 |
$1K |
| 91320 |
|
80 |
35 |
$1K |
| Q0091 |
Obtaining screen pap smear |
33 |
30 |
$1K |
| G0433 |
Elisa hiv-1/hiv-2 screen |
67 |
51 |
$875.99 |
| 99173 |
|
497 |
428 |
$821.86 |
| 90670 |
|
2,673 |
2,367 |
$784.52 |
| 87428 |
|
24 |
22 |
$728.62 |
| 11055 |
|
37 |
29 |
$676.06 |
| 99381 |
|
14 |
13 |
$634.46 |
| 0001A |
|
15 |
15 |
$558.15 |
| 99202 |
|
13 |
12 |
$541.79 |
| 99442 |
|
279 |
212 |
$405.00 |
| 90710 |
|
401 |
339 |
$209.38 |
| Q0111 |
Wet mounts/ w preparations |
59 |
57 |
$136.16 |
| 90686 |
|
3,114 |
2,610 |
$135.05 |
| G0127 |
Trim nail(s) |
24 |
16 |
$102.17 |
| 36416 |
|
37 |
27 |
$95.43 |
| 90633 |
|
1,375 |
1,207 |
$86.88 |
| 90694 |
|
37 |
32 |
$72.72 |
| 99441 |
|
151 |
114 |
$33.56 |
| 90734 |
|
743 |
644 |
$0.00 |
| 90681 |
|
821 |
745 |
$0.00 |
| 90707 |
|
32 |
32 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
12 |
12 |
$0.00 |
| 90700 |
|
81 |
69 |
$0.00 |
| 87880 |
|
14 |
13 |
$0.00 |
| 90723 |
|
1,740 |
1,554 |
$0.00 |
| 90647 |
|
1,797 |
1,600 |
$0.00 |
| 90697 |
|
120 |
108 |
$0.00 |
| 90716 |
|
31 |
31 |
$0.00 |
| 99386 |
|
36 |
25 |
$0.00 |
| 91301 |
|
221 |
211 |
$0.00 |
| G0008 |
Admin influenza virus vac |
96 |
82 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
46 |
41 |
$0.00 |
| 90620 |
|
40 |
38 |
$0.00 |
| G8754 |
Dias bp less 90 |
12 |
12 |
$0.00 |
| 90696 |
|
72 |
56 |
$0.00 |
| 99385 |
|
35 |
33 |
$0.00 |