| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
64,506 |
57,628 |
$3.01M |
| 99213 |
|
35,469 |
32,667 |
$459K |
| 99214 |
|
19,887 |
19,012 |
$353K |
| G0470 |
Fqhc visit, mh estab pt |
6,025 |
4,562 |
$275K |
| G0466 |
Fqhc visit new patient |
2,810 |
2,797 |
$176K |
| J1050 |
Medroxyprogesterone acetate |
1,204 |
1,199 |
$81K |
| 90834 |
|
2,071 |
1,343 |
$40K |
| 99392 |
|
1,244 |
1,241 |
$33K |
| 90832 |
|
2,004 |
1,864 |
$30K |
| 99393 |
|
969 |
969 |
$27K |
| 99212 |
|
2,582 |
2,512 |
$22K |
| 96372 |
|
4,381 |
3,872 |
$21K |
| 83036 |
|
5,156 |
5,124 |
$19K |
| 90471 |
|
4,283 |
4,262 |
$19K |
| 90651 |
|
320 |
319 |
$14K |
| 99394 |
|
512 |
512 |
$14K |
| 90686 |
|
2,677 |
2,665 |
$14K |
| 99215 |
Prolong outpt/office vis |
372 |
366 |
$14K |
| 99204 |
|
612 |
609 |
$13K |
| 90472 |
|
1,657 |
1,655 |
$12K |
| 96160 |
|
2,573 |
2,547 |
$11K |
| 99203 |
|
643 |
641 |
$10K |
| 99391 |
|
376 |
364 |
$7K |
| 99395 |
|
244 |
242 |
$6K |
| 99000 |
|
1,772 |
1,746 |
$6K |
| 82962 |
|
4,988 |
4,828 |
$6K |
| 81025 |
|
2,150 |
2,121 |
$5K |
| H0004 |
Alcohol and/or drug services |
586 |
580 |
$5K |
| 90791 |
|
151 |
151 |
$5K |
| 91320 |
|
42 |
42 |
$4K |
| 90715 |
|
399 |
396 |
$4K |
| 90460 |
|
1,077 |
1,068 |
$4K |
| 90670 |
|
573 |
572 |
$4K |
| H0031 |
Mh health assess by non-md |
119 |
119 |
$3K |
| 96127 |
|
2,282 |
2,241 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
2,491 |
2,040 |
$3K |
| 96110 |
|
809 |
715 |
$2K |
| 90480 |
|
115 |
114 |
$2K |
| 90677 |
|
43 |
43 |
$2K |
| H0001 |
Alcohol and/or drug assess |
299 |
295 |
$2K |
| 87637 |
|
185 |
181 |
$2K |
| 87880 |
|
361 |
360 |
$2K |
| 91322 |
|
66 |
66 |
$2K |
| 87636 |
|
74 |
72 |
$2K |
| 90837 |
|
122 |
93 |
$2K |
| G2025 |
Dis site tele svcs rhc/fqhc |
250 |
224 |
$2K |
| 81003 |
|
2,422 |
2,359 |
$2K |
| 90656 |
|
149 |
149 |
$2K |
| 90632 |
|
48 |
48 |
$2K |
| 99396 |
|
59 |
59 |
$1K |
| 99495 |
|
27 |
27 |
$915.20 |
| 0134A |
|
91 |
91 |
$880.23 |
| 90746 |
|
32 |
32 |
$737.66 |
| 0064A |
|
43 |
43 |
$453.24 |
| 82044 |
|
172 |
171 |
$396.36 |
| 85018 |
|
315 |
309 |
$338.23 |
| 99496 |
|
34 |
32 |
$260.00 |
| 0124A |
|
14 |
14 |
$225.18 |
| 81002 |
|
141 |
140 |
$210.24 |
| 0001A |
|
12 |
12 |
$189.25 |
| 99406 |
|
50 |
50 |
$181.29 |
| 90734 |
|
124 |
124 |
$122.50 |
| 81001 |
|
63 |
63 |
$110.89 |
| 36416 |
|
1,133 |
1,083 |
$105.90 |
| 80305 |
|
42 |
42 |
$93.87 |
| 93000 |
|
24 |
24 |
$56.71 |
| 69210 |
|
12 |
12 |
$55.46 |
| 86580 |
|
12 |
12 |
$18.24 |
| J0696 |
Ceftriaxone sodium injection |
13 |
13 |
$11.73 |
| 3044F |
|
2,776 |
2,761 |
$0.00 |
| 94760 |
|
378 |
365 |
$0.00 |
| G0008 |
Admin influenza virus vac |
597 |
593 |
$0.00 |
| 3351F |
|
2,294 |
2,281 |
$0.00 |
| S0281 |
Medical home, maintenance |
4,482 |
4,072 |
$0.00 |
| 3075F |
|
1,928 |
1,866 |
$0.00 |
| 90723 |
|
175 |
175 |
$0.00 |
| 3080F |
|
584 |
568 |
$0.00 |
| 3008F |
|
7,411 |
6,849 |
$0.00 |
| H0049 |
Alcohol/drug screening |
41 |
40 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
103 |
100 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
14 |
14 |
$0.00 |
| 91301 |
|
19 |
19 |
$0.00 |
| 3079F |
|
3,056 |
2,929 |
$0.00 |
| 3052F |
|
28 |
28 |
$0.00 |
| 90620 |
|
63 |
63 |
$0.00 |
| 3074F |
|
4,781 |
4,482 |
$0.00 |
| 91306 |
|
43 |
43 |
$0.00 |
| 90696 |
|
39 |
39 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
123 |
123 |
$0.00 |
| 2000F |
|
139 |
136 |
$0.00 |
| 86701 |
|
44 |
44 |
$0.00 |
| 90647 |
|
24 |
24 |
$0.00 |
| 90461 |
|
644 |
640 |
$0.00 |
| 90710 |
|
153 |
153 |
$0.00 |
| 3077F |
|
836 |
806 |
$0.00 |
| 3078F |
|
3,906 |
3,712 |
$0.00 |
| 1160F |
|
2,406 |
2,219 |
$0.00 |
| G0270 |
Mnt subs tx for change dx |
36 |
34 |
$0.00 |
| 3046F |
|
729 |
720 |
$0.00 |
| 90648 |
|
109 |
107 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
174 |
168 |
$0.00 |
| 3051F |
|
106 |
106 |
$0.00 |
| G0444 |
Depression screen annual |
1,691 |
1,669 |
$0.00 |
| 3045F |
|
439 |
435 |
$0.00 |
| 90633 |
|
136 |
136 |
$0.00 |
| 1159F |
|
340 |
329 |
$0.00 |
| 91313 |
|
93 |
93 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
135 |
132 |
$0.00 |
| 91300 |
|
14 |
13 |
$0.00 |
| G0468 |
Fqhc visit, ippe or awv |
14 |
14 |
$0.00 |
| 91312 |
|
23 |
23 |
$0.00 |