| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
220,894 |
187,619 |
$49.77M |
| 00003 |
|
56,564 |
46,025 |
$14.86M |
| G0467 |
Fqhc visit, estab pt |
39,940 |
29,573 |
$4.24M |
| 99213 |
|
144,858 |
101,707 |
$1.59M |
| 99214 |
|
87,810 |
63,825 |
$1.38M |
| G0470 |
Fqhc visit, mh estab pt |
4,505 |
3,393 |
$503K |
| 99212 |
|
29,947 |
21,524 |
$225K |
| 90837 |
|
7,149 |
4,162 |
$215K |
| G0466 |
Fqhc visit new patient |
1,988 |
1,929 |
$196K |
| 90833 |
|
15,416 |
13,170 |
$178K |
| 90834 |
|
10,167 |
6,131 |
$173K |
| 99392 |
|
5,827 |
4,076 |
$128K |
| 99393 |
|
5,382 |
3,450 |
$124K |
| 59425 |
|
1,715 |
1,051 |
$83K |
| 99394 |
|
2,953 |
1,849 |
$79K |
| 99391 |
|
3,007 |
2,260 |
$70K |
| 99203 |
|
2,308 |
1,739 |
$60K |
| 99204 |
|
1,718 |
1,301 |
$56K |
| 99215 |
Prolong outpt/office vis |
1,747 |
1,338 |
$55K |
| 17110 |
|
862 |
526 |
$50K |
| 96372 |
|
6,899 |
5,208 |
$49K |
| 87651 |
|
2,269 |
1,309 |
$39K |
| 90686 |
|
3,368 |
2,297 |
$29K |
| 99396 |
|
500 |
471 |
$26K |
| 90715 |
|
1,288 |
1,036 |
$24K |
| J3490 |
Drugs unclassified injection |
283 |
223 |
$23K |
| 87502 |
|
544 |
348 |
$22K |
| 99232 |
|
564 |
246 |
$21K |
| 99395 |
|
426 |
340 |
$21K |
| 90670 |
|
1,860 |
1,486 |
$20K |
| 87634 |
|
505 |
282 |
$18K |
| 90792 |
|
386 |
351 |
$18K |
| 90750 |
|
230 |
191 |
$18K |
| 0241U |
|
258 |
157 |
$17K |
| 20610 |
|
543 |
370 |
$14K |
| 92552 |
|
1,365 |
1,232 |
$14K |
| 99349 |
|
524 |
394 |
$13K |
| 99309 |
|
9,687 |
5,438 |
$12K |
| 99238 |
|
290 |
260 |
$11K |
| 90677 |
|
381 |
262 |
$11K |
| G2025 |
Dis site tele svcs rhc/fqhc |
446 |
415 |
$9K |
| 99460 |
|
170 |
168 |
$8K |
| 99239 |
|
146 |
142 |
$8K |
| 11102 |
|
116 |
65 |
$7K |
| 90633 |
|
1,225 |
917 |
$7K |
| 99222 |
|
85 |
80 |
$6K |
| 87635 |
|
236 |
142 |
$6K |
| J3301 |
Triamcinolone acet inj nos |
1,062 |
790 |
$5K |
| 85018 |
|
4,655 |
3,503 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
61 |
59 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
1,713 |
1,336 |
$5K |
| 0012A |
|
92 |
51 |
$4K |
| 90656 |
|
495 |
329 |
$4K |
| 90698 |
|
452 |
451 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
90 |
49 |
$4K |
| H1003 |
Prenatal at risk education |
237 |
203 |
$4K |
| 90680 |
|
520 |
442 |
$4K |
| 90734 |
|
660 |
430 |
$4K |
| 99348 |
|
107 |
94 |
$4K |
| 90744 |
|
385 |
374 |
$3K |
| 90647 |
|
796 |
544 |
$3K |
| 99202 |
|
234 |
160 |
$3K |
| 99283 |
|
378 |
371 |
$3K |
| 90710 |
|
550 |
440 |
$3K |
| 92551 |
|
616 |
369 |
$3K |
| 90707 |
|
306 |
270 |
$3K |
| 90723 |
|
633 |
420 |
$3K |
| 90791 |
|
85 |
73 |
$3K |
| 90700 |
|
428 |
331 |
$3K |
| 90688 |
|
288 |
197 |
$2K |
| 90716 |
|
336 |
286 |
$2K |
| 90696 |
|
379 |
320 |
$2K |
| 81025 |
|
1,083 |
797 |
$2K |
| 99406 |
|
677 |
558 |
$2K |
| 90649 |
|
563 |
368 |
$2K |
| 99308 |
|
5,666 |
4,889 |
$2K |
| 81003 |
|
2,625 |
1,791 |
$2K |
| 87880 |
|
542 |
411 |
$2K |
| 0002A |
|
30 |
15 |
$1K |
| 17000 |
|
38 |
24 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
682 |
659 |
$1K |
| 99350 |
Prolong home eval add 15m |
85 |
63 |
$1K |
| 59430 |
|
25 |
25 |
$1K |
| 99383 |
|
35 |
18 |
$1K |
| 90648 |
|
133 |
124 |
$1K |
| 99381 |
|
39 |
34 |
$1K |
| 0001A |
|
21 |
12 |
$963.00 |
| 90471 |
|
2,723 |
2,504 |
$952.16 |
| 83655 |
|
103 |
64 |
$847.55 |
| 90658 |
|
91 |
91 |
$819.00 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
106 |
103 |
$799.71 |
| 90832 |
|
454 |
401 |
$740.18 |
| 83036 |
|
544 |
487 |
$732.64 |
| 99173 |
|
183 |
183 |
$657.32 |
| 81000 |
|
359 |
341 |
$558.78 |
| 90657 |
|
87 |
87 |
$522.00 |
| 0270 |
|
72 |
71 |
$501.46 |
| 92250 |
|
49 |
39 |
$463.43 |
| 99442 |
|
97 |
95 |
$450.00 |
| 0011A |
|
60 |
55 |
$418.00 |
| 99499 |
|
207 |
190 |
$409.26 |
| 81002 |
|
254 |
242 |
$364.37 |
| 87804 |
|
126 |
69 |
$275.43 |
| 90685 |
|
36 |
28 |
$207.00 |
| 11056 |
|
19 |
12 |
$177.24 |
| 93000 |
|
20 |
12 |
$172.20 |
| 90651 |
|
36 |
18 |
$162.00 |
| 90713 |
|
13 |
13 |
$90.00 |
| 90472 |
|
33 |
24 |
$55.61 |
| 85610 |
|
194 |
160 |
$27.92 |
| 87807 |
|
15 |
13 |
$26.37 |
| 93005 |
|
27 |
27 |
$13.12 |
| G0008 |
Admin influenza virus vac |
289 |
289 |
$0.00 |
| 3008F |
|
1,903 |
1,777 |
$0.00 |
| 36416 |
|
97 |
74 |
$0.00 |
| 87389 |
|
67 |
67 |
$0.00 |
| 99443 |
|
71 |
63 |
$0.00 |
| 81005 |
|
75 |
75 |
$0.00 |
| 87070 |
|
13 |
13 |
$0.00 |
| 80053 |
|
764 |
728 |
$0.00 |
| 82306 |
|
193 |
193 |
$0.00 |
| 82607 |
|
61 |
61 |
$0.00 |
| 99305 |
|
227 |
226 |
$0.00 |
| 84443 |
|
425 |
420 |
$0.00 |
| 85025 |
|
739 |
704 |
$0.00 |
| 87340 |
|
26 |
26 |
$0.00 |
| 81001 |
|
86 |
83 |
$0.00 |
| 85027 |
|
31 |
31 |
$0.00 |
| 85652 |
|
34 |
34 |
$0.00 |
| 86592 |
|
15 |
13 |
$0.00 |
| 77063 |
|
42 |
42 |
$0.00 |
| 82728 |
|
28 |
28 |
$0.00 |
| G0439 |
Ppps, subseq visit |
79 |
79 |
$0.00 |
| 86140 |
|
52 |
48 |
$0.00 |
| 87591 |
|
42 |
42 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
28 |
26 |
$0.00 |
| 87086 |
|
50 |
48 |
$0.00 |
| 80048 |
|
26 |
25 |
$0.00 |
| 83735 |
|
39 |
31 |
$0.00 |
| 93306 |
|
25 |
25 |
$0.00 |
| 83690 |
|
15 |
14 |
$0.00 |
| 86803 |
|
13 |
13 |
$0.00 |
| 1160F |
|
1,151 |
1,095 |
$0.00 |
| Z7500 |
|
270 |
270 |
$0.00 |
| 80307 |
|
49 |
47 |
$0.00 |
| 71046 |
|
81 |
79 |
$0.00 |
| 1159F |
|
1,560 |
1,473 |
$0.00 |
| 87491 |
|
42 |
42 |
$0.00 |
| 11721 |
|
122 |
122 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
215 |
189 |
$0.00 |
| 90653 |
|
31 |
31 |
$0.00 |
| 76856 |
|
27 |
27 |
$0.00 |
| 77067 |
|
42 |
42 |
$0.00 |
| 80061 |
|
458 |
457 |
$0.00 |
| 84100 |
|
15 |
12 |
$0.00 |
| 84439 |
|
113 |
113 |
$0.00 |
| 99307 |
|
26 |
25 |
$0.00 |
| 0510 |
|
63 |
55 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
100 |
82 |
$0.00 |
| 99408 |
|
12 |
12 |
$0.00 |
| 72050 |
|
12 |
12 |
$0.00 |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
16 |
16 |
$0.00 |
| 84481 |
|
13 |
13 |
$0.00 |
| 72110 |
|
27 |
27 |
$0.00 |
| 80306 |
|
48 |
45 |
$0.00 |