| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
312,259 |
273,498 |
$42.95M |
| 00003 |
|
24,171 |
19,936 |
$4.39M |
| 99213 |
|
287,063 |
232,075 |
$1.27M |
| G0467 |
Fqhc visit, estab pt |
18,128 |
15,204 |
$793K |
| 92014 |
|
21,228 |
16,498 |
$530K |
| 92004 |
|
9,157 |
7,166 |
$306K |
| 90791 |
|
7,147 |
6,043 |
$249K |
| V2020 |
Vision svcs frames purchases |
15,507 |
12,279 |
$213K |
| 90832 |
|
14,050 |
11,260 |
$187K |
| 99214 |
|
43,577 |
35,356 |
$186K |
| 92340 |
|
13,000 |
10,291 |
$175K |
| 92015 |
|
32,895 |
25,618 |
$163K |
| 99212 |
|
147,743 |
119,827 |
$153K |
| 90834 |
|
8,704 |
6,844 |
$147K |
| 98940 |
|
23,659 |
11,955 |
$116K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
8,476 |
8,218 |
$107K |
| 99395 |
|
6,636 |
5,704 |
$95K |
| 59425 |
|
2,019 |
1,379 |
$91K |
| H1001 |
Antepartum management |
13,038 |
9,414 |
$72K |
| 99203 |
|
5,191 |
4,327 |
$69K |
| 98941 |
|
9,962 |
5,737 |
$61K |
| 92341 |
|
2,668 |
2,097 |
$55K |
| 99394 |
|
4,224 |
3,867 |
$44K |
| 83036 |
|
27,777 |
21,374 |
$30K |
| 99393 |
|
3,687 |
3,398 |
$30K |
| 92551 |
|
17,243 |
15,292 |
$25K |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,648 |
1,514 |
$24K |
| S9445 |
Pt education noc individ |
5,658 |
4,578 |
$24K |
| 99215 |
Prolong outpt/office vis |
1,827 |
1,489 |
$24K |
| 93000 |
|
4,334 |
3,815 |
$23K |
| 81000 |
|
23,307 |
20,033 |
$23K |
| 92012 |
|
3,144 |
2,180 |
$21K |
| 0011A |
|
1,376 |
1,371 |
$21K |
| 82948 |
|
21,836 |
17,964 |
$20K |
| 92250 |
|
1,709 |
1,581 |
$20K |
| 81025 |
|
37,517 |
33,266 |
$20K |
| 0012A |
|
1,234 |
1,229 |
$19K |
| 59430 |
|
745 |
711 |
$17K |
| 0064A |
|
474 |
473 |
$16K |
| S9455 |
Diabetic management program, |
1,158 |
1,009 |
$15K |
| 0002A |
|
927 |
926 |
$15K |
| 99396 |
|
4,568 |
4,037 |
$15K |
| 0001A |
|
921 |
921 |
$14K |
| 90792 |
|
693 |
645 |
$14K |
| 87880 |
|
9,005 |
8,167 |
$14K |
| 90686 |
|
16,527 |
15,833 |
$14K |
| 0054A |
|
263 |
263 |
$12K |
| 85018 |
|
22,292 |
21,239 |
$12K |
| 99392 |
|
2,706 |
2,636 |
$11K |
| S9449 |
Weight mgmt class |
768 |
755 |
$10K |
| 99000 |
|
77,532 |
58,860 |
$8K |
| 99173 |
|
21,223 |
18,936 |
$7K |
| 99385 |
|
692 |
656 |
$7K |
| 0124A |
|
125 |
119 |
$6K |
| S9452 |
Nutrition class |
633 |
606 |
$6K |
| 0052A |
|
137 |
137 |
$6K |
| H1000 |
Prenatal care atrisk assessm |
859 |
851 |
$6K |
| 90837 |
|
141 |
119 |
$5K |
| 90649 |
|
1,219 |
1,190 |
$5K |
| H1003 |
Prenatal at risk education |
1,038 |
927 |
$5K |
| 0134A |
|
95 |
93 |
$5K |
| 99202 |
|
1,102 |
1,053 |
$4K |
| 81002 |
|
38,303 |
33,790 |
$4K |
| 87635 |
|
7,966 |
6,713 |
$4K |
| 94010 |
|
220 |
185 |
$4K |
| 0051A |
|
86 |
86 |
$3K |
| 90715 |
|
4,027 |
3,825 |
$3K |
| 0004A |
|
118 |
118 |
$3K |
| 90734 |
|
908 |
894 |
$2K |
| 92002 |
|
757 |
582 |
$2K |
| 87811 |
|
700 |
615 |
$2K |
| J3490 |
Drugs unclassified injection |
71 |
65 |
$2K |
| 86580 |
|
1,654 |
1,556 |
$2K |
| 90677 |
|
416 |
338 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
1,281 |
1,112 |
$1K |
| 96127 |
|
24,159 |
20,203 |
$1K |
| 94640 |
|
145 |
115 |
$1K |
| G0468 |
Fqhc visit, ippe or awv |
167 |
167 |
$1K |
| 99211 |
|
647 |
634 |
$1K |
| 90656 |
|
1,227 |
1,062 |
$985.65 |
| 11976 |
|
80 |
44 |
$883.57 |
| G0470 |
Fqhc visit, mh estab pt |
19 |
17 |
$848.60 |
| G9920 |
Scrning perf and negative |
235 |
220 |
$754.00 |
| J3301 |
Triamcinolone acet inj nos |
365 |
333 |
$682.23 |
| 90662 |
|
185 |
172 |
$653.96 |
| 11981 |
|
34 |
34 |
$626.58 |
| 82962 |
|
31,046 |
25,442 |
$564.13 |
| 90670 |
|
1,078 |
1,054 |
$504.00 |
| 0071A |
|
33 |
33 |
$480.00 |
| 96150 |
|
37 |
32 |
$448.24 |
| 90633 |
|
567 |
553 |
$432.00 |
| 96156 |
|
16,478 |
16,020 |
$418.96 |
| 90471 |
|
10,372 |
9,128 |
$346.12 |
| 0072A |
|
20 |
20 |
$285.00 |
| 90716 |
|
42 |
28 |
$252.00 |
| 1036F |
|
106,370 |
71,133 |
$219.05 |
| 90707 |
|
37 |
25 |
$189.00 |
| 99386 |
|
194 |
194 |
$178.30 |
| 96372 |
|
2,611 |
1,806 |
$171.04 |
| J3420 |
Vitamin b12 injection |
126 |
93 |
$165.79 |
| 99204 |
|
498 |
361 |
$137.80 |
| G0439 |
Ppps, subseq visit |
223 |
219 |
$131.91 |
| 57454 |
|
53 |
53 |
$114.87 |
| 81003 |
|
4,698 |
3,746 |
$113.74 |
| 3074F |
|
161,512 |
127,667 |
$111.32 |
| 90620 |
|
353 |
349 |
$108.00 |
| 90746 |
|
99 |
95 |
$98.00 |
| G9919 |
Scrn nd pos nd prov of rec |
58 |
41 |
$87.00 |
| 3077F |
|
14,157 |
10,903 |
$57.62 |
| H0049 |
Alcohol/drug screening |
1,905 |
1,702 |
$57.40 |
| J1050 |
Medroxyprogesterone acetate |
1,102 |
1,101 |
$55.22 |
| 90472 |
|
1,212 |
1,038 |
$39.31 |
| 71046 |
|
24 |
16 |
$24.72 |
| 97140 |
|
7,255 |
4,077 |
$19.99 |
| 97803 |
|
348 |
324 |
$15.90 |
| 85013 |
|
14,068 |
13,626 |
$4.02 |
| 3078F |
|
158,001 |
125,158 |
$0.09 |
| 1159F |
|
89,141 |
59,701 |
$0.06 |
| 1160F |
|
89,200 |
59,737 |
$0.06 |
| 3079F |
|
34,361 |
27,029 |
$0.03 |
| 3075F |
|
19,180 |
14,952 |
$0.03 |
| 3080F |
|
3,810 |
2,892 |
$0.01 |
| 59025 |
|
104 |
72 |
$0.00 |
| 90460 |
|
1,924 |
1,848 |
$0.00 |
| 3046F |
|
2,847 |
2,269 |
$0.00 |
| 99401 |
|
495 |
494 |
$0.00 |
| 87502 |
|
657 |
642 |
$0.00 |
| Z6400 |
|
240 |
238 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
3,635 |
3,611 |
$0.00 |
| H0050 |
Alcohol/drug service 15 min |
1,280 |
1,275 |
$0.00 |
| 90461 |
|
434 |
422 |
$0.00 |
| 83026 |
|
9,971 |
9,795 |
$0.00 |
| 87804 |
|
736 |
693 |
$0.00 |
| Z6304 |
|
169 |
167 |
$0.00 |
| 90710 |
|
154 |
154 |
$0.00 |
| 3725F |
|
5,212 |
3,506 |
$0.00 |
| Z6300 |
|
149 |
148 |
$0.00 |
| Z6200 |
|
63 |
63 |
$0.00 |
| 99391 |
|
461 |
460 |
$0.00 |
| 99201 |
|
289 |
223 |
$0.00 |
| 83655 |
|
47 |
47 |
$0.00 |
| 3051F |
|
53 |
45 |
$0.00 |
| 99382 |
|
12 |
12 |
$0.00 |
| 2028F |
|
59 |
41 |
$0.00 |
| Z6414 |
|
31 |
27 |
$0.00 |
| 90700 |
|
41 |
41 |
$0.00 |
| J7307 |
Etonogestrel implant system |
28 |
28 |
$0.00 |
| 69210 |
|
13 |
13 |
$0.00 |
| 3052F |
|
793 |
781 |
$0.00 |
| 1035F |
|
326 |
200 |
$0.00 |
| Z1034 |
|
4,380 |
3,525 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
85 |
77 |
$0.00 |
| 1034F |
|
8,495 |
5,300 |
$0.00 |
| 3044F |
|
3,544 |
2,895 |
$0.00 |
| 90651 |
|
661 |
661 |
$0.00 |
| 97802 |
|
166 |
166 |
$0.00 |
| 90732 |
|
496 |
486 |
$0.00 |
| Z6410 |
|
1,569 |
1,329 |
$0.00 |
| 90619 |
|
19 |
17 |
$0.00 |
| 1125F |
|
168 |
142 |
$0.00 |
| 90723 |
|
282 |
282 |
$0.00 |
| 1126F |
|
274 |
249 |
$0.00 |
| 90647 |
|
378 |
364 |
$0.00 |
| Z1038 |
|
106 |
101 |
$0.00 |
| 90674 |
|
602 |
570 |
$0.00 |
| 1170F |
|
27 |
24 |
$0.00 |
| Z1032 |
|
298 |
298 |
$0.00 |
| 99050 |
|
59 |
59 |
$0.00 |
| 90657 |
|
377 |
376 |
$0.00 |
| 90660 |
|
14 |
14 |
$0.00 |
| V2784 |
Lens polycarb or equal |
229 |
228 |
$0.00 |
| 90696 |
|
42 |
42 |
$0.00 |
| 99383 |
|
123 |
123 |
$0.00 |
| 99384 |
|
185 |
184 |
$0.00 |
| 80050 |
|
12 |
12 |
$0.00 |
| Z6204 |
|
177 |
163 |
$0.00 |
| 80047 |
|
104 |
47 |
$0.00 |
| 91301 |
|
44 |
44 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
19 |
12 |
$0.00 |
| 2023F |
|
12 |
12 |
$0.00 |