| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
104,901 |
75,812 |
$13.02M |
| 00003 |
|
7,947 |
6,869 |
$1.41M |
| G9012 |
Other specified case mgmt |
10,359 |
5,442 |
$235K |
| 90834 |
|
5,731 |
2,528 |
$153K |
| 90837 |
|
2,885 |
1,240 |
$128K |
| H0043 |
Supported housing, per diem |
213 |
169 |
$95K |
| G0467 |
Fqhc visit, estab pt |
1,508 |
1,193 |
$30K |
| 90853 |
|
2,206 |
1,085 |
$28K |
| 99213 |
|
98,095 |
75,982 |
$26K |
| 92014 |
|
2,897 |
2,355 |
$19K |
| 90832 |
|
1,093 |
552 |
$18K |
| 90791 |
|
284 |
194 |
$12K |
| 90686 |
|
2,703 |
2,559 |
$7K |
| 92004 |
|
668 |
610 |
$5K |
| 92015 |
|
3,345 |
2,829 |
$5K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
980 |
941 |
$4K |
| 99212 |
|
26,126 |
21,052 |
$4K |
| G2025 |
Dis site tele svcs rhc/fqhc |
193 |
141 |
$4K |
| 99214 |
|
8,655 |
6,974 |
$2K |
| 0011A |
|
403 |
335 |
$819.71 |
| 99394 |
|
190 |
189 |
$782.96 |
| H2016 |
Comp comm supp svc, per diem |
600 |
398 |
$752.57 |
| D5899 |
|
932 |
853 |
$594.02 |
| 90471 |
|
6,220 |
5,850 |
$514.33 |
| 99409 |
|
14 |
12 |
$500.00 |
| G0472 |
Hep c screen high risk/other |
1,337 |
1,244 |
$491.05 |
| 99393 |
|
237 |
236 |
$414.31 |
| 80053 |
|
9,548 |
8,619 |
$401.85 |
| 87806 |
|
1,096 |
1,029 |
$392.16 |
| 86803 |
|
3,674 |
3,364 |
$344.29 |
| 82962 |
|
18,281 |
14,963 |
$323.12 |
| 99000 |
|
3,230 |
2,679 |
$304.70 |
| 87798 |
|
3,167 |
2,626 |
$300.46 |
| 99203 |
|
882 |
856 |
$284.86 |
| 87635 |
|
3,182 |
2,634 |
$247.55 |
| 0012A |
|
329 |
283 |
$240.00 |
| 86780 |
|
585 |
546 |
$224.16 |
| 80061 |
|
4,979 |
4,723 |
$200.63 |
| 92552 |
|
1,179 |
1,171 |
$195.06 |
| 83036 |
|
4,671 |
4,436 |
$191.45 |
| 36415 |
|
15,356 |
13,579 |
$179.69 |
| D2392 |
|
392 |
337 |
$154.20 |
| 3008F |
|
14,958 |
13,250 |
$144.60 |
| 85027 |
|
5,701 |
5,280 |
$143.75 |
| 0064A |
|
258 |
254 |
$134.00 |
| 4000F |
|
3,682 |
3,129 |
$99.51 |
| 87389 |
|
2,429 |
2,292 |
$90.97 |
| 87899 |
|
1,369 |
1,238 |
$90.12 |
| G9920 |
Scrning perf and negative |
280 |
276 |
$90.06 |
| D0140 |
|
626 |
608 |
$76.20 |
| 99202 |
|
1,028 |
998 |
$74.30 |
| D1330 |
|
640 |
630 |
$57.60 |
| D0274 |
|
1,374 |
1,365 |
$55.80 |
| D0150 |
|
1,056 |
1,053 |
$54.00 |
| D7140 |
|
1,544 |
818 |
$49.80 |
| D1110 |
|
211 |
211 |
$37.50 |
| G8431 |
Pos clin depres scrn f/u doc |
27 |
27 |
$29.68 |
| D0220 |
|
2,667 |
2,532 |
$29.40 |
| D0603 |
|
657 |
656 |
$26.70 |
| 99396 |
|
597 |
585 |
$24.44 |
| D0120 |
|
197 |
196 |
$24.00 |
| 81003 |
|
1,015 |
959 |
$23.49 |
| 90472 |
|
481 |
475 |
$23.49 |
| D0230 |
|
3,207 |
1,808 |
$23.10 |
| 86592 |
|
1,349 |
1,297 |
$23.04 |
| G0442 |
Annual alcohol screen 15 min |
12 |
12 |
$16.34 |
| 82274 |
|
290 |
266 |
$12.22 |
| 99211 |
|
322 |
279 |
$12.00 |
| 87491 |
|
1,297 |
1,247 |
$7.86 |
| 88175 |
|
102 |
100 |
$3.91 |
| 86580 |
|
1,055 |
989 |
$3.33 |
| G9008 |
Mccd,phys coor-care ovrsght |
3,754 |
2,301 |
$2.61 |
| 85018 |
|
1,080 |
1,035 |
$2.05 |
| 90656 |
|
215 |
215 |
$0.01 |
| D0601 |
|
79 |
79 |
$0.00 |
| 3017F |
|
160 |
146 |
$0.00 |
| 3072F |
|
156 |
146 |
$0.00 |
| 36416 |
|
418 |
398 |
$0.00 |
| 3074F |
|
444 |
428 |
$0.00 |
| 3044F |
|
1,230 |
1,211 |
$0.00 |
| 96372 |
|
595 |
544 |
$0.00 |
| 82043 |
|
469 |
465 |
$0.00 |
| 82306 |
|
481 |
447 |
$0.00 |
| 86706 |
|
71 |
70 |
$0.00 |
| 97802 |
|
93 |
89 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |
| H0049 |
Alcohol/drug screening |
12 |
12 |
$0.00 |
| 81001 |
|
328 |
310 |
$0.00 |
| D0602 |
|
168 |
168 |
$0.00 |
| 3079F |
|
42 |
42 |
$0.00 |
| 00000 |
|
12 |
12 |
$0.00 |
| 96127 |
|
38 |
36 |
$0.00 |
| 0031A |
|
85 |
59 |
$0.00 |
| 93000 |
|
450 |
440 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
31 |
31 |
$0.00 |
| H0002 |
Alcohol and/or drug screenin |
64 |
63 |
$0.00 |
| 2023F |
|
44 |
34 |
$0.00 |
| 87636 |
|
16 |
16 |
$0.00 |
| 86704 |
|
79 |
78 |
$0.00 |
| 92551 |
|
17 |
17 |
$0.00 |
| 0134A |
|
38 |
38 |
$0.00 |
| D2330 |
|
19 |
14 |
$0.00 |
| 87340 |
|
53 |
52 |
$0.00 |
| 87070 |
|
39 |
39 |
$0.00 |
| 90688 |
|
31 |
31 |
$0.00 |
| 87426 |
|
22 |
20 |
$0.00 |
| 84153 |
|
30 |
29 |
$0.00 |
| 99385 |
|
14 |
14 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 3046F |
|
396 |
392 |
$0.00 |
| 82570 |
|
462 |
458 |
$0.00 |
| 3077F |
|
51 |
51 |
$0.00 |
| 81025 |
|
293 |
286 |
$0.00 |
| D4341 |
|
916 |
400 |
$0.00 |
| 99173 |
|
1,346 |
1,334 |
$0.00 |
| 86708 |
|
57 |
56 |
$0.00 |
| 3045F |
|
180 |
180 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
19 |
12 |
$0.00 |
| 99408 |
|
366 |
350 |
$0.00 |
| 99201 |
|
270 |
253 |
$0.00 |
| 90715 |
|
144 |
140 |
$0.00 |
| 2022F |
|
260 |
244 |
$0.00 |
| D2391 |
|
465 |
346 |
$0.00 |
| 90746 |
|
62 |
62 |
$0.00 |
| 87811 |
|
85 |
81 |
$0.00 |
| 86703 |
|
265 |
261 |
$0.00 |
| 82947 |
|
30 |
30 |
$0.00 |
| 3078F |
|
490 |
473 |
$0.00 |
| 99395 |
|
102 |
101 |
$0.00 |
| 80305 |
|
316 |
186 |
$0.00 |
| 86480 |
|
187 |
186 |
$0.00 |
| 80301 |
|
14 |
13 |
$0.00 |
| 3051F |
|
39 |
39 |
$0.00 |
| 99392 |
|
27 |
27 |
$0.00 |
| G0444 |
Depression screen annual |
100 |
100 |
$0.00 |
| 3015F |
|
26 |
26 |
$0.00 |
| 90750 |
|
40 |
40 |
$0.00 |
| 90611 |
|
67 |
66 |
$0.00 |
| 77067 |
|
15 |
15 |
$0.00 |
| 90649 |
|
53 |
53 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |