| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
113,742 |
101,471 |
$22.68M |
| 99213 |
|
75,804 |
55,753 |
$1.39M |
| 99214 |
|
41,936 |
31,132 |
$1.09M |
| 90471 |
|
33,438 |
24,047 |
$359K |
| 99393 |
|
9,660 |
6,983 |
$325K |
| 99394 |
|
6,899 |
4,910 |
$301K |
| 92552 |
|
24,204 |
17,984 |
$242K |
| 99392 |
|
7,997 |
5,731 |
$222K |
| 99212 |
|
12,300 |
8,068 |
$156K |
| 99391 |
|
6,773 |
4,995 |
$136K |
| 90686 |
|
17,541 |
13,971 |
$84K |
| G0467 |
Fqhc visit, estab pt |
1,957 |
1,794 |
$54K |
| 59425 |
|
864 |
619 |
$52K |
| 85018 |
|
36,010 |
26,413 |
$52K |
| 90832 |
|
1,081 |
704 |
$34K |
| 99173 |
|
17,431 |
12,443 |
$31K |
| 90716 |
|
1,515 |
1,309 |
$28K |
| 99204 |
|
929 |
905 |
$22K |
| 90651 |
|
3,168 |
2,588 |
$19K |
| D1206 |
|
1,217 |
869 |
$19K |
| 99203 |
|
387 |
289 |
$14K |
| 96372 |
|
1,320 |
1,072 |
$13K |
| 90670 |
|
4,100 |
3,204 |
$9K |
| 90715 |
|
590 |
507 |
$9K |
| 90734 |
|
1,505 |
1,224 |
$8K |
| 90620 |
|
1,360 |
969 |
$8K |
| 90647 |
|
3,413 |
2,725 |
$7K |
| 99383 |
|
291 |
256 |
$5K |
| G8510 |
Scr dep neg, no plan reqd |
1,041 |
801 |
$5K |
| 90633 |
|
2,695 |
2,036 |
$5K |
| 90746 |
|
108 |
102 |
$5K |
| 90472 |
|
292 |
282 |
$5K |
| 0002A |
|
95 |
94 |
$4K |
| 90723 |
|
3,337 |
2,467 |
$4K |
| H2000 |
Comp multidisipln evaluation |
30 |
30 |
$4K |
| 0011A |
|
68 |
68 |
$3K |
| J3490 |
Drugs unclassified injection |
182 |
172 |
$3K |
| 0012A |
|
65 |
65 |
$3K |
| 90656 |
|
1,089 |
754 |
$3K |
| 81025 |
|
1,768 |
1,633 |
$3K |
| 99205 |
Prolong outpt/office vis |
38 |
30 |
$3K |
| 90714 |
|
174 |
171 |
$2K |
| 90680 |
|
1,955 |
1,426 |
$2K |
| 92551 |
|
245 |
206 |
$2K |
| G8431 |
Pos clin depres scrn f/u doc |
160 |
110 |
$2K |
| 0001A |
|
51 |
51 |
$2K |
| Z7500 |
|
3,476 |
3,222 |
$2K |
| 90688 |
|
266 |
266 |
$2K |
| 90677 |
|
788 |
537 |
$2K |
| J3420 |
Vitamin b12 injection |
692 |
521 |
$2K |
| 94640 |
|
106 |
89 |
$2K |
| 99401 |
|
97 |
96 |
$2K |
| G0447 |
Behavior counsel obesity 15m |
74 |
72 |
$2K |
| 96110 |
|
51 |
27 |
$2K |
| 90619 |
|
480 |
289 |
$1K |
| 82948 |
|
791 |
652 |
$1K |
| 81002 |
|
460 |
389 |
$1K |
| 96156 |
|
115 |
108 |
$1K |
| 81003 |
|
1,050 |
879 |
$1K |
| 97803 |
|
94 |
94 |
$1K |
| 99188 |
|
94 |
58 |
$1K |
| 90707 |
|
224 |
199 |
$930.58 |
| S0302 |
Completed epsdt |
50 |
50 |
$888.53 |
| 90744 |
|
68 |
67 |
$852.00 |
| 90710 |
|
227 |
177 |
$798.48 |
| H1003 |
Prenatal at risk education |
52 |
52 |
$767.13 |
| 90696 |
|
182 |
137 |
$759.96 |
| 99382 |
|
12 |
12 |
$702.71 |
| 99381 |
|
43 |
38 |
$679.95 |
| 90713 |
|
41 |
38 |
$629.00 |
| 90662 |
|
53 |
49 |
$620.66 |
| 99384 |
|
52 |
43 |
$592.02 |
| 90700 |
|
147 |
119 |
$379.62 |
| 87210 |
|
251 |
244 |
$363.26 |
| 86580 |
|
80 |
77 |
$307.26 |
| 87430 |
|
72 |
67 |
$281.11 |
| G2025 |
Dis site tele svcs rhc/fqhc |
146 |
128 |
$214.13 |
| A4267 |
Male condom |
80 |
79 |
$142.56 |
| 90460 |
|
74 |
70 |
$138.57 |
| 87880 |
|
12 |
12 |
$85.05 |
| G0008 |
Admin influenza virus vac |
29 |
28 |
$4.35 |
| Z6400 |
|
137 |
137 |
$0.00 |
| Z6304 |
|
115 |
114 |
$0.00 |
| G9920 |
Scrning perf and negative |
18 |
17 |
$0.00 |
| Z6500 |
|
86 |
86 |
$0.00 |
| Z1034 |
|
1,230 |
938 |
$0.00 |
| 96127 |
|
25 |
25 |
$0.00 |
| Z6406 |
|
115 |
114 |
$0.00 |
| Z6204 |
|
116 |
113 |
$0.00 |