| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
311,343 |
254,698 |
$59.17M |
| 00003 |
|
11,566 |
9,474 |
$4.06M |
| G0467 |
Fqhc visit, estab pt |
23,890 |
20,184 |
$1.07M |
| 0510 |
|
31,870 |
31,697 |
$932K |
| 92552 |
|
21,705 |
21,416 |
$331K |
| G2025 |
Dis site tele svcs rhc/fqhc |
8,632 |
7,119 |
$169K |
| 90686 |
|
11,753 |
11,424 |
$95K |
| 90698 |
|
8,933 |
8,819 |
$67K |
| 90670 |
|
8,701 |
8,539 |
$64K |
| 90633 |
|
5,404 |
5,329 |
$43K |
| 90744 |
|
5,213 |
5,133 |
$39K |
| 90681 |
|
4,450 |
4,341 |
$33K |
| 83655 |
|
3,933 |
3,858 |
$27K |
| G0466 |
Fqhc visit new patient |
443 |
443 |
$27K |
| 85018 |
|
12,617 |
12,423 |
$23K |
| 90716 |
|
2,825 |
2,788 |
$22K |
| 90707 |
|
2,570 |
2,541 |
$21K |
| 90651 |
|
2,291 |
2,252 |
$19K |
| 90710 |
|
1,620 |
1,613 |
$12K |
| 90734 |
|
1,622 |
1,583 |
$11K |
| 90696 |
|
1,319 |
1,312 |
$11K |
| 90715 |
|
1,509 |
1,501 |
$11K |
| 90688 |
|
974 |
973 |
$9K |
| 90619 |
|
573 |
573 |
$6K |
| G0470 |
Fqhc visit, mh estab pt |
138 |
108 |
$5K |
| 90685 |
|
455 |
445 |
$5K |
| 90677 |
|
505 |
503 |
$5K |
| 90733 |
|
268 |
268 |
$3K |
| U0004 |
Cov-19 test non-cdc hgh thru |
28 |
27 |
$3K |
| 86480 |
|
652 |
646 |
$2K |
| 0450 |
|
47 |
45 |
$2K |
| 87491 |
|
1,633 |
1,627 |
$2K |
| 87591 |
|
1,633 |
1,628 |
$2K |
| 96112 |
|
974 |
964 |
$1K |
| 90648 |
|
113 |
113 |
$1K |
| 90700 |
|
106 |
106 |
$1K |
| 90682 |
|
239 |
239 |
$987.14 |
| 90649 |
|
59 |
59 |
$653.13 |
| 90471 |
|
7,490 |
7,472 |
$408.47 |
| 96127 |
|
977 |
974 |
$307.84 |
| 92014 |
|
2,327 |
2,285 |
$276.82 |
| 92012 |
|
1,047 |
1,004 |
$274.14 |
| 90381 |
|
19 |
19 |
$210.33 |
| 80053 |
|
156 |
155 |
$128.01 |
| 85025 |
|
124 |
123 |
$114.23 |
| 99070 |
|
29 |
19 |
$72.96 |
| 81003 |
|
3,039 |
2,552 |
$68.09 |
| 81025 |
|
16 |
16 |
$57.96 |
| 92015 |
|
2,515 |
2,493 |
$49.25 |
| 99214 |
|
40,732 |
38,046 |
$46.13 |
| 99391 |
|
6,394 |
6,318 |
$42.67 |
| G0463 |
Hospital outpt clinic visit |
13 |
13 |
$35.50 |
| 88720 |
|
1,542 |
1,226 |
$5.29 |
| 99392 |
|
7,207 |
7,194 |
$0.00 |
| Z7500 |
|
20,798 |
18,964 |
$0.00 |
| 99393 |
|
5,527 |
5,521 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
1,209 |
1,138 |
$0.00 |
| D4910 |
|
412 |
408 |
$0.00 |
| D1120 |
|
526 |
526 |
$0.00 |
| 99204 |
|
5,507 |
5,442 |
$0.00 |
| D0270 |
|
813 |
804 |
$0.00 |
| 99212 |
|
13,821 |
13,126 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
1,228 |
1,214 |
$0.00 |
| T1013 |
Sign lang/oral interpreter |
7,759 |
7,255 |
$0.00 |
| 90837 |
|
462 |
304 |
$0.00 |
| 99203 |
|
7,613 |
7,517 |
$0.00 |
| 96158 |
|
1,724 |
1,239 |
$0.00 |
| 99395 |
|
263 |
263 |
$0.00 |
| 87653 |
|
128 |
128 |
$0.00 |
| 90791 |
|
178 |
150 |
$0.00 |
| D0220 |
|
1,242 |
1,226 |
$0.00 |
| 99394 |
|
4,254 |
4,251 |
$0.00 |
| D9430 |
|
1,583 |
1,510 |
$0.00 |
| 76857 |
|
459 |
447 |
$0.00 |
| D2391 |
|
505 |
465 |
$0.00 |
| D4341 |
|
230 |
190 |
$0.00 |
| 86787 |
|
67 |
67 |
$0.00 |
| 90832 |
|
719 |
577 |
$0.00 |
| 99173 |
|
5,628 |
5,626 |
$0.00 |
| 0004A |
|
46 |
46 |
$0.00 |
| D0274 |
|
431 |
430 |
$0.00 |
| 11721 |
|
1,665 |
1,654 |
$0.00 |
| 91300 |
|
217 |
216 |
$0.00 |
| 11056 |
|
259 |
259 |
$0.00 |
| 88175 |
|
118 |
118 |
$0.00 |
| 3077F |
|
2,696 |
2,585 |
$0.00 |
| 80061 |
|
148 |
148 |
$0.00 |
| G0101 |
Ca screen;pelvic/breast exam |
693 |
690 |
$0.00 |
| 93010 |
|
312 |
312 |
$0.00 |
| 90833 |
|
131 |
122 |
$0.00 |
| D1110 |
|
628 |
620 |
$0.00 |
| 99336 |
|
12 |
12 |
$0.00 |
| 3078F |
|
16,489 |
15,160 |
$0.00 |
| D9990 |
|
846 |
782 |
$0.00 |
| 99211 |
|
115 |
114 |
$0.00 |
| 90472 |
|
202 |
201 |
$0.00 |
| 90853 |
|
44 |
30 |
$0.00 |
| 86900 |
|
54 |
54 |
$0.00 |
| 94375 |
|
32 |
29 |
$0.00 |
| 99244 |
|
31 |
30 |
$0.00 |
| 92133 |
|
28 |
27 |
$0.00 |
| 96152 |
|
45 |
33 |
$0.00 |
| 99442 |
|
26 |
26 |
$0.00 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
383 |
332 |
$0.00 |
| 99201 |
|
596 |
586 |
$0.00 |
| 1159F |
|
95 |
93 |
$0.00 |
| 90714 |
|
14 |
14 |
$0.00 |
| 99382 |
|
52 |
52 |
$0.00 |
| 1160F |
|
86 |
84 |
$0.00 |
| D0145 |
|
24 |
24 |
$0.00 |
| 90713 |
|
27 |
27 |
$0.00 |
| G0444 |
Depression screen annual |
35 |
35 |
$0.00 |
| 99348 |
|
12 |
12 |
$0.00 |
| 92083 |
|
12 |
12 |
$0.00 |
| D1206 |
|
656 |
654 |
$0.00 |
| Z1038 |
|
1,945 |
1,815 |
$0.00 |
| Z1032 |
|
1,055 |
1,031 |
$0.00 |
| 99202 |
|
3,604 |
3,584 |
$0.00 |
| Z1034 |
|
14,775 |
11,161 |
$0.00 |
| D0230 |
|
1,535 |
1,519 |
$0.00 |
| 96156 |
|
846 |
755 |
$0.00 |
| D0603 |
|
768 |
756 |
$0.00 |
| D7140 |
|
637 |
556 |
$0.00 |
| 99383 |
|
411 |
411 |
$0.00 |
| 99213 |
|
67,179 |
61,080 |
$0.00 |
| 99381 |
|
1,820 |
1,806 |
$0.00 |
| D2392 |
|
521 |
473 |
$0.00 |
| 3079F |
|
3,566 |
3,420 |
$0.00 |
| 92004 |
|
1,158 |
1,152 |
$0.00 |
| 96110 |
|
2,429 |
2,411 |
$0.00 |
| D0210 |
|
316 |
314 |
$0.00 |
| 1125F |
|
14 |
14 |
$0.00 |
| 20610 |
|
630 |
613 |
$0.00 |
| D1330 |
|
1,702 |
1,630 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
12,421 |
12,345 |
$0.00 |
| 3074F |
|
15,563 |
14,246 |
$0.00 |
| D1208 |
|
184 |
184 |
$0.00 |
| 87389 |
|
67 |
67 |
$0.00 |
| 84443 |
|
71 |
71 |
$0.00 |
| 36415 |
|
1,213 |
1,199 |
$0.00 |
| 92002 |
|
162 |
162 |
$0.00 |
| 90792 |
|
40 |
40 |
$0.00 |
| D0150 |
|
671 |
667 |
$0.00 |
| 51798 |
|
275 |
268 |
$0.00 |
| 3080F |
|
945 |
918 |
$0.00 |
| 76830 |
|
59 |
56 |
$0.00 |
| 76815 |
|
280 |
279 |
$0.00 |
| 3075F |
|
2,573 |
2,524 |
$0.00 |
| D0120 |
|
684 |
682 |
$0.00 |
| 90474 |
|
64 |
64 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
504 |
502 |
$0.00 |
| G0008 |
Admin influenza virus vac |
444 |
444 |
$0.00 |
| 90834 |
|
1,166 |
772 |
$0.00 |
| 0001A |
|
52 |
52 |
$0.00 |
| 86762 |
|
52 |
52 |
$0.00 |
| D0272 |
|
188 |
187 |
$0.00 |
| 99349 |
|
89 |
86 |
$0.00 |
| 85027 |
|
193 |
193 |
$0.00 |
| 87636 |
|
37 |
37 |
$0.00 |
| 99384 |
|
303 |
303 |
$0.00 |
| 83036 |
|
144 |
144 |
$0.00 |
| 86803 |
|
52 |
52 |
$0.00 |
| 3008F |
|
103 |
98 |
$0.00 |
| 87081 |
|
138 |
138 |
$0.00 |
| 87624 |
|
24 |
24 |
$0.00 |
| 87086 |
|
108 |
108 |
$0.00 |
| 87340 |
|
40 |
40 |
$0.00 |
| 99241 |
|
44 |
44 |
$0.00 |
| 76801 |
|
29 |
26 |
$0.00 |
| 76817 |
|
34 |
31 |
$0.00 |
| 52000 |
|
13 |
13 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
12 |
12 |
$0.00 |
| 86780 |
|
91 |
91 |
$0.00 |
| 86850 |
|
52 |
52 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 86901 |
|
66 |
66 |
$0.00 |
| 92250 |
|
18 |
18 |
$0.00 |
| 82306 |
|
16 |
16 |
$0.00 |
| 58300 |
|
15 |
15 |
$0.00 |
| 20550 |
|
14 |
14 |
$0.00 |