| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
136,807 |
122,778 |
$57.99M |
| 00003 |
|
10,412 |
9,112 |
$5.47M |
| G0467 |
Fqhc visit, estab pt |
3,197 |
2,729 |
$529K |
| 99213 |
|
79,883 |
50,060 |
$219K |
| G9008 |
Mccd,phys coor-care ovrsght |
761 |
488 |
$161K |
| G9012 |
Other specified case mgmt |
1,954 |
1,319 |
$117K |
| 99214 |
|
26,960 |
17,568 |
$109K |
| 99212 |
|
28,282 |
16,404 |
$54K |
| 99392 |
|
11,718 |
7,205 |
$54K |
| 92014 |
|
4,804 |
3,541 |
$50K |
| 99391 |
|
9,815 |
6,472 |
$49K |
| 81513 |
|
1,075 |
1,063 |
$35K |
| 99393 |
|
5,478 |
3,335 |
$26K |
| 99215 |
Prolong outpt/office vis |
2,184 |
1,464 |
$26K |
| 91320 |
|
196 |
196 |
$22K |
| 87491 |
|
3,011 |
2,960 |
$21K |
| 87591 |
|
2,985 |
2,941 |
$21K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
2,728 |
2,474 |
$19K |
| 87481 |
|
1,109 |
1,098 |
$17K |
| 90832 |
|
4,965 |
2,497 |
$16K |
| 0011A |
|
655 |
344 |
$13K |
| 99394 |
|
2,030 |
1,224 |
$11K |
| 90677 |
|
2,064 |
1,350 |
$10K |
| 87661 |
|
1,126 |
1,114 |
$10K |
| 83036 |
|
8,172 |
8,144 |
$10K |
| 90686 |
|
12,427 |
8,740 |
$10K |
| 90750 |
|
516 |
394 |
$10K |
| 86481 |
|
710 |
709 |
$9K |
| 80061 |
|
5,431 |
5,422 |
$9K |
| 87635 |
|
639 |
617 |
$9K |
| 84443 |
|
4,804 |
4,773 |
$9K |
| 99188 |
|
3,087 |
1,745 |
$8K |
| 92004 |
|
183 |
167 |
$7K |
| 85027 |
|
4,854 |
4,812 |
$6K |
| 88175 |
|
1,988 |
1,949 |
$6K |
| 90480 |
|
195 |
195 |
$5K |
| 90471 |
|
8,317 |
6,542 |
$5K |
| 85025 |
|
4,619 |
4,534 |
$4K |
| 96110 |
|
502 |
289 |
$4K |
| 99401 |
|
410 |
385 |
$3K |
| 90715 |
|
990 |
753 |
$3K |
| 80053 |
|
1,803 |
1,798 |
$3K |
| 90670 |
|
6,327 |
4,347 |
$3K |
| 83655 |
|
1,207 |
1,204 |
$3K |
| 87389 |
|
641 |
638 |
$2K |
| 99070 |
|
372 |
372 |
$2K |
| 92250 |
|
703 |
503 |
$2K |
| 86480 |
|
255 |
255 |
$2K |
| 90680 |
|
5,206 |
3,538 |
$2K |
| 90698 |
|
6,471 |
4,432 |
$2K |
| H1003 |
Prenatal at risk education |
194 |
193 |
$2K |
| 87624 |
|
412 |
411 |
$2K |
| 90792 |
|
95 |
70 |
$2K |
| 92551 |
|
1,136 |
664 |
$2K |
| 91321 |
|
58 |
58 |
$2K |
| 86803 |
|
570 |
566 |
$1K |
| 0241U |
|
110 |
110 |
$1K |
| 80076 |
|
1,753 |
1,728 |
$1K |
| 86780 |
|
497 |
495 |
$1K |
| 90791 |
|
201 |
167 |
$1K |
| 80307 |
|
153 |
145 |
$1K |
| 85610 |
|
869 |
614 |
$1K |
| 90656 |
|
1,270 |
939 |
$1K |
| 99203 |
|
77 |
76 |
$999.06 |
| 99381 |
|
107 |
77 |
$894.84 |
| 82947 |
|
5,537 |
5,314 |
$881.50 |
| 82570 |
|
1,487 |
1,426 |
$878.12 |
| 90744 |
|
2,491 |
1,729 |
$859.08 |
| 82043 |
|
1,215 |
1,211 |
$798.55 |
| 90651 |
|
1,273 |
836 |
$739.74 |
| 77067 |
|
287 |
278 |
$683.71 |
| 81025 |
|
1,206 |
978 |
$671.92 |
| J1030 |
Methylprednisolone 40 mg inj |
386 |
290 |
$641.54 |
| 90662 |
|
236 |
206 |
$585.44 |
| 99406 |
|
496 |
293 |
$557.15 |
| 90460 |
|
510 |
485 |
$514.10 |
| 90834 |
|
117 |
77 |
$492.60 |
| 99202 |
|
95 |
95 |
$471.44 |
| 80051 |
|
3,901 |
3,826 |
$448.81 |
| 76856 |
|
104 |
104 |
$377.22 |
| 91322 |
|
14 |
14 |
$364.42 |
| 99173 |
|
1,423 |
1,212 |
$348.92 |
| 81001 |
|
721 |
698 |
$347.05 |
| 92012 |
|
1,948 |
1,420 |
$344.61 |
| 82565 |
|
4,099 |
4,021 |
$344.39 |
| 87905 |
|
91 |
90 |
$296.09 |
| 84460 |
|
728 |
728 |
$289.25 |
| 90697 |
|
1,266 |
765 |
$282.16 |
| 93005 |
|
98 |
98 |
$274.65 |
| 93010 |
|
213 |
212 |
$254.21 |
| 84520 |
|
3,902 |
3,827 |
$231.16 |
| 87808 |
|
80 |
79 |
$225.04 |
| 83550 |
|
241 |
235 |
$208.66 |
| 87631 |
|
13 |
12 |
$197.88 |
| 92015 |
|
2,661 |
2,344 |
$191.10 |
| 87340 |
|
161 |
161 |
$178.71 |
| 83540 |
|
241 |
235 |
$173.33 |
| 76815 |
|
20 |
13 |
$156.26 |
| 87088 |
|
150 |
146 |
$151.86 |
| 80048 |
|
40 |
39 |
$149.60 |
| 88142 |
|
46 |
46 |
$145.12 |
| 90633 |
|
2,831 |
1,752 |
$138.54 |
| 99201 |
|
37 |
37 |
$134.90 |
| 90732 |
|
12 |
12 |
$134.65 |
| 82274 |
|
109 |
109 |
$132.34 |
| 90678 |
|
96 |
78 |
$120.46 |
| 76830 |
|
54 |
54 |
$113.64 |
| 82728 |
|
268 |
267 |
$113.43 |
| 0038U |
|
406 |
403 |
$108.92 |
| 90707 |
|
932 |
553 |
$104.88 |
| 90716 |
|
979 |
585 |
$88.41 |
| 96156 |
|
27 |
26 |
$75.23 |
| 92020 |
|
17 |
16 |
$72.60 |
| 82962 |
|
304 |
280 |
$67.22 |
| 86703 |
|
25 |
25 |
$57.40 |
| 87077 |
|
38 |
36 |
$55.72 |
| 87102 |
|
37 |
37 |
$52.24 |
| 99443 |
|
148 |
142 |
$45.76 |
| J1010 |
Inj, methylpred acetate 1 mg |
88 |
64 |
$42.35 |
| 99211 |
|
12 |
12 |
$28.28 |
| 87081 |
|
53 |
52 |
$27.25 |
| J2001 |
Lidocaine injection |
119 |
92 |
$27.15 |
| 90734 |
|
122 |
90 |
$26.39 |
| 90380 |
|
17 |
12 |
$26.39 |
| 86762 |
|
12 |
12 |
$22.34 |
| 84153 |
|
13 |
13 |
$21.26 |
| 86704 |
|
12 |
12 |
$20.78 |
| 84439 |
|
12 |
12 |
$20.52 |
| 86850 |
|
25 |
25 |
$18.47 |
| 86706 |
|
12 |
12 |
$18.26 |
| 90381 |
|
44 |
28 |
$16.47 |
| 90688 |
|
535 |
534 |
$15.30 |
| 90685 |
|
231 |
229 |
$15.30 |
| 90472 |
|
14 |
12 |
$11.24 |
| 96127 |
|
24 |
12 |
$10.38 |
| 84550 |
|
12 |
12 |
$9.09 |
| 90655 |
|
122 |
73 |
$9.00 |
| 81002 |
|
204 |
131 |
$7.69 |
| 84450 |
|
229 |
229 |
$5.73 |
| 86901 |
|
13 |
13 |
$4.26 |
| 86900 |
|
13 |
13 |
$4.10 |
| 3074F |
|
30,586 |
21,397 |
$0.00 |
| 3044F |
|
4,601 |
3,813 |
$0.00 |
| 3079F |
|
3,589 |
2,538 |
$0.00 |
| 3075F |
|
4,235 |
3,134 |
$0.00 |
| 99441 |
|
763 |
724 |
$0.00 |
| 3080F |
|
494 |
318 |
$0.00 |
| 3048F |
|
353 |
249 |
$0.00 |
| 4086F |
|
267 |
235 |
$0.00 |
| 1126F |
|
7,880 |
6,832 |
$0.00 |
| 1125F |
|
1,932 |
1,737 |
$0.00 |
| J3490 |
Drugs unclassified injection |
1,534 |
1,463 |
$0.00 |
| Z6406 |
|
195 |
183 |
$0.00 |
| 99000 |
|
32 |
32 |
$0.00 |
| 90619 |
|
241 |
154 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
45 |
39 |
$0.00 |
| 90696 |
|
107 |
67 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
89 |
83 |
$0.00 |
| 96380 |
|
47 |
41 |
$0.00 |
| 82607 |
|
74 |
74 |
$0.00 |
| 3049F |
|
196 |
139 |
$0.00 |
| 93306 |
|
24 |
24 |
$0.00 |
| G0008 |
Admin influenza virus vac |
87 |
81 |
$0.00 |
| 1111F |
|
25 |
16 |
$0.00 |
| 3052F |
|
61 |
46 |
$0.00 |
| 82306 |
|
19 |
19 |
$0.00 |
| S9445 |
Pt education noc individ |
14 |
12 |
$0.00 |
| 1159F |
|
20,182 |
12,277 |
$0.00 |
| G8935 |
Rx ace or arb therapy |
227 |
213 |
$0.00 |
| Z6400 |
|
500 |
499 |
$0.00 |
| 3078F |
|
33,550 |
23,723 |
$0.00 |
| 99442 |
|
800 |
731 |
$0.00 |
| 1160F |
|
7,613 |
4,864 |
$0.00 |
| 3077F |
|
2,914 |
2,093 |
$0.00 |
| 0502F |
|
2,690 |
1,392 |
$0.00 |
| 3050F |
|
74 |
57 |
$0.00 |
| 3046F |
|
113 |
89 |
$0.00 |
| Z6414 |
|
89 |
81 |
$0.00 |
| Z6300 |
|
25 |
25 |
$0.00 |
| 90461 |
|
353 |
337 |
$0.00 |
| 90710 |
|
140 |
90 |
$0.00 |
| Z6200 |
|
14 |
14 |
$0.00 |
| 3051F |
|
37 |
30 |
$0.00 |
| 71046 |
|
71 |
68 |
$0.00 |