| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
121,242 |
72,794 |
$21.72M |
| G0467 |
Fqhc visit, estab pt |
31,446 |
24,995 |
$1.66M |
| G2025 |
Dis site tele svcs rhc/fqhc |
2,934 |
2,220 |
$309K |
| G0470 |
Fqhc visit, mh estab pt |
3,739 |
1,818 |
$187K |
| 99213 |
|
66,816 |
54,007 |
$174K |
| 80305 |
|
8,873 |
6,687 |
$64K |
| 99214 |
|
27,050 |
23,879 |
$64K |
| 98941 |
|
6,335 |
2,810 |
$57K |
| 90834 |
|
14,526 |
7,123 |
$57K |
| 90832 |
|
14,045 |
7,662 |
$55K |
| 98940 |
|
3,772 |
1,955 |
$36K |
| 97140 |
|
2,962 |
1,277 |
$34K |
| 97110 |
|
1,405 |
712 |
$30K |
| G0008 |
Admin influenza virus vac |
2,506 |
2,440 |
$19K |
| 96160 |
|
4,676 |
4,042 |
$16K |
| 99212 |
|
3,918 |
3,669 |
$11K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
126 |
123 |
$10K |
| 99395 |
|
853 |
793 |
$8K |
| 97161 |
|
301 |
265 |
$7K |
| 71046 |
|
646 |
600 |
$7K |
| 90853 |
|
1,345 |
833 |
$6K |
| 90471 |
|
1,282 |
1,250 |
$6K |
| 99203 |
|
2,899 |
2,760 |
$5K |
| 99396 |
|
334 |
289 |
$5K |
| 11721 |
|
1,611 |
1,584 |
$5K |
| 96372 |
|
2,505 |
2,325 |
$5K |
| 90792 |
|
219 |
213 |
$3K |
| 90686 |
|
1,293 |
1,264 |
$3K |
| 87880 |
|
274 |
269 |
$3K |
| G0466 |
Fqhc visit new patient |
45 |
44 |
$2K |
| 0124A |
|
65 |
65 |
$2K |
| 99215 |
Prolong outpt/office vis |
496 |
475 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
1,320 |
1,221 |
$2K |
| 96127 |
|
644 |
612 |
$945.75 |
| G0468 |
Fqhc visit, ippe or awv |
55 |
55 |
$685.12 |
| 73630 |
|
48 |
45 |
$685.03 |
| G0439 |
Ppps, subseq visit |
15 |
15 |
$484.84 |
| 94760 |
|
2,459 |
2,310 |
$418.04 |
| 11056 |
|
399 |
394 |
$375.71 |
| 72100 |
|
27 |
26 |
$314.27 |
| 90715 |
|
471 |
459 |
$303.15 |
| 90837 |
|
208 |
113 |
$263.22 |
| 90674 |
|
12 |
12 |
$263.22 |
| G0009 |
Admin pneumococcal vaccine |
77 |
73 |
$256.08 |
| 11055 |
|
51 |
49 |
$189.15 |
| 90688 |
|
392 |
381 |
$175.94 |
| 99401 |
|
145 |
145 |
$172.90 |
| 97010 |
|
128 |
50 |
$172.90 |
| 90791 |
|
647 |
632 |
$157.39 |
| 81003 |
|
89 |
64 |
$130.39 |
| 99202 |
|
724 |
681 |
$80.05 |
| 69209 |
|
30 |
28 |
$36.70 |
| 90472 |
|
245 |
237 |
$15.78 |
| 94640 |
|
418 |
395 |
$4.72 |
| 99394 |
|
80 |
80 |
$0.00 |
| J2930 |
Methylprednisolone injection |
45 |
44 |
$0.00 |
| 91312 |
|
65 |
65 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
54 |
54 |
$0.00 |
| G0127 |
Trim nail(s) |
14 |
14 |
$0.00 |
| 99393 |
|
24 |
24 |
$0.00 |
| G0438 |
Ppps, initial visit |
12 |
12 |
$0.00 |
| 90658 |
|
40 |
38 |
$0.00 |
| 99392 |
|
12 |
12 |
$0.00 |
| 11720 |
|
13 |
13 |
$0.00 |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
12 |
12 |
$0.00 |
| 90656 |
|
83 |
83 |
$0.00 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
265 |
251 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| 97014 |
|
84 |
36 |
$0.00 |