| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
59,920 |
48,874 |
$8.73M |
| 99214 |
|
26,298 |
22,810 |
$3.90M |
| X5622 |
|
5,661 |
4,757 |
$731K |
| 90837 |
|
3,775 |
2,256 |
$654K |
| 99212 |
|
3,415 |
3,137 |
$643K |
| 90832 |
|
2,955 |
2,184 |
$441K |
| 99392 |
|
3,686 |
3,186 |
$370K |
| 99391 |
|
3,571 |
3,204 |
$216K |
| 99203 |
|
1,214 |
1,120 |
$210K |
| 90834 |
|
1,345 |
1,050 |
$209K |
| 99232 |
|
1,430 |
475 |
$204K |
| 99215 |
Prolong outpt/office vis |
1,021 |
874 |
$185K |
| 99393 |
|
1,936 |
1,655 |
$178K |
| G0467 |
Fqhc visit, estab pt |
5,062 |
4,116 |
$176K |
| 99238 |
|
1,122 |
1,022 |
$154K |
| 99202 |
|
858 |
816 |
$145K |
| 99394 |
|
665 |
594 |
$80K |
| 99395 |
|
430 |
409 |
$72K |
| 99396 |
|
373 |
346 |
$66K |
| 90792 |
|
302 |
281 |
$56K |
| 90791 |
|
328 |
287 |
$47K |
| 99460 |
|
228 |
219 |
$45K |
| 99222 |
|
266 |
240 |
$45K |
| 76805 |
|
159 |
140 |
$29K |
| 99231 |
|
149 |
62 |
$29K |
| S0302 |
Completed epsdt |
4,924 |
3,656 |
$24K |
| 59409 |
|
113 |
111 |
$20K |
| 91306 |
|
286 |
267 |
$13K |
| 91307 |
|
91 |
85 |
$8K |
| 80047 |
|
5,877 |
5,084 |
$7K |
| 36415 |
|
31,723 |
27,331 |
$6K |
| 83036 |
|
4,982 |
4,453 |
$4K |
| 92004 |
|
17 |
17 |
$4K |
| 99221 |
|
14 |
12 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
14 |
14 |
$3K |
| 99384 |
|
19 |
16 |
$3K |
| 59025 |
|
13 |
12 |
$2K |
| 90471 |
|
11,350 |
10,322 |
$2K |
| 90750 |
|
394 |
345 |
$928.51 |
| 91305 |
|
90 |
88 |
$897.29 |
| 84443 |
|
2,637 |
2,282 |
$885.44 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
29 |
29 |
$799.68 |
| 80048 |
|
1,688 |
1,424 |
$749.67 |
| 85025 |
|
3,986 |
3,524 |
$627.48 |
| S0281 |
Medical home, maintenance |
136 |
131 |
$622.09 |
| G0008 |
Admin influenza virus vac |
99 |
98 |
$560.28 |
| 80061 |
|
2,361 |
2,024 |
$511.77 |
| 90715 |
|
1,670 |
1,463 |
$404.88 |
| 90670 |
|
3,219 |
2,852 |
$343.29 |
| 0134A |
|
32 |
29 |
$330.92 |
| 99188 |
|
1,299 |
1,026 |
$223.29 |
| 87480 |
|
3,283 |
2,940 |
$200.87 |
| 87510 |
|
3,282 |
2,940 |
$200.56 |
| 87660 |
|
3,285 |
2,942 |
$200.56 |
| 90691 |
|
70 |
60 |
$199.28 |
| 90480 |
|
74 |
72 |
$192.49 |
| 90686 |
|
6,890 |
6,203 |
$147.15 |
| 85027 |
|
909 |
750 |
$141.50 |
| 90472 |
|
3,247 |
2,789 |
$137.51 |
| 90460 |
|
7,007 |
6,105 |
$125.37 |
| 87880 |
|
1,641 |
1,507 |
$91.42 |
| 81025 |
|
2,392 |
2,138 |
$87.89 |
| J1050 |
Medroxyprogesterone acetate |
348 |
339 |
$82.50 |
| 71046 |
|
278 |
265 |
$79.50 |
| 91320 |
|
59 |
58 |
$72.74 |
| 81001 |
|
1,734 |
1,548 |
$60.73 |
| 85610 |
|
352 |
271 |
$42.93 |
| 85018 |
|
3,688 |
3,132 |
$37.22 |
| 96372 |
|
961 |
854 |
$36.68 |
| 87428 |
|
223 |
208 |
$30.94 |
| 99000 |
|
564 |
485 |
$26.78 |
| G2025 |
Dis site tele svcs rhc/fqhc |
49 |
41 |
$18.41 |
| 92015 |
|
16 |
16 |
$14.13 |
| 80305 |
|
30 |
27 |
$12.60 |
| 93005 |
|
31 |
30 |
$8.53 |
| 81003 |
|
756 |
689 |
$4.74 |
| 90723 |
|
2,257 |
1,978 |
$0.00 |
| 90680 |
|
1,774 |
1,548 |
$0.00 |
| 90651 |
|
587 |
538 |
$0.00 |
| 96127 |
|
352 |
328 |
$0.00 |
| 36416 |
|
1,706 |
1,334 |
$0.00 |
| 92551 |
|
4,390 |
3,691 |
$0.00 |
| 90647 |
|
2,337 |
2,051 |
$0.00 |
| 87426 |
|
640 |
603 |
$0.00 |
| 96110 |
|
211 |
199 |
$0.00 |
| 0001A |
|
317 |
315 |
$0.00 |
| 0064A |
|
283 |
264 |
$0.00 |
| 82950 |
|
198 |
190 |
$0.00 |
| 81015 |
|
221 |
163 |
$0.00 |
| 0011A |
|
247 |
247 |
$0.00 |
| 90688 |
|
840 |
796 |
$0.00 |
| 3079F |
|
130 |
122 |
$0.00 |
| 4037F |
|
111 |
100 |
$0.00 |
| 90656 |
|
143 |
136 |
$0.00 |
| 90696 |
|
218 |
196 |
$0.00 |
| 0051A |
|
12 |
12 |
$0.00 |
| 90732 |
|
26 |
24 |
$0.00 |
| 3044F |
|
20 |
20 |
$0.00 |
| 4010F |
|
65 |
55 |
$0.00 |
| 3075F |
|
63 |
56 |
$0.00 |
| 1125F |
|
20 |
19 |
$0.00 |
| 3074F |
|
347 |
305 |
$0.00 |
| 0072A |
|
26 |
26 |
$0.00 |
| 0012A |
|
383 |
381 |
$0.00 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
14 |
14 |
$0.00 |
| 94640 |
|
18 |
16 |
$0.00 |
| 3008F |
|
470 |
419 |
$0.00 |
| 90716 |
|
35 |
33 |
$0.00 |
| 3080F |
|
39 |
36 |
$0.00 |
| 90461 |
|
306 |
251 |
$0.00 |
| 99173 |
|
3,011 |
2,439 |
$0.00 |
| 90734 |
|
408 |
376 |
$0.00 |
| 3077F |
|
44 |
41 |
$0.00 |
| 90633 |
|
1,516 |
1,277 |
$0.00 |
| 90746 |
|
34 |
25 |
$0.00 |
| 91300 |
|
115 |
108 |
$0.00 |
| 90710 |
|
835 |
742 |
$0.00 |
| 4274F |
|
259 |
228 |
$0.00 |
| 90700 |
|
259 |
234 |
$0.00 |
| 90707 |
|
33 |
28 |
$0.00 |
| 0071A |
|
49 |
49 |
$0.00 |
| 0002A |
|
258 |
250 |
$0.00 |
| 0004A |
|
18 |
18 |
$0.00 |
| 1159F |
|
416 |
370 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
44 |
39 |
$0.00 |
| 99307 |
|
13 |
12 |
$0.00 |
| 82947 |
|
54 |
53 |
$0.00 |
| 91313 |
|
33 |
29 |
$0.00 |
| 1160F |
|
415 |
369 |
$0.00 |
| 3078F |
|
284 |
246 |
$0.00 |
| 87804 |
|
214 |
200 |
$0.00 |
| 0054A |
|
12 |
12 |
$0.00 |
| 4040F |
|
74 |
66 |
$0.00 |