| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
392,704 |
339,784 |
$83.28M |
| 00003 |
|
237,984 |
108,096 |
$63.32M |
| G9012 |
Other specified case mgmt |
55,948 |
17,096 |
$6.84M |
| 99213 |
|
460,910 |
397,664 |
$596K |
| G9920 |
Scrning perf and negative |
27,693 |
25,295 |
$436K |
| 99214 |
|
207,775 |
182,667 |
$391K |
| G9008 |
Mccd,phys coor-care ovrsght |
2,629 |
816 |
$376K |
| 99212 |
|
214,798 |
168,273 |
$295K |
| 92014 |
|
5,677 |
3,836 |
$255K |
| G0467 |
Fqhc visit, estab pt |
14,028 |
12,259 |
$241K |
| 0011A |
|
3,666 |
2,091 |
$157K |
| 0012A |
|
3,460 |
2,105 |
$151K |
| 90832 |
|
78,630 |
53,372 |
$89K |
| 90791 |
|
16,137 |
12,783 |
$85K |
| 0001A |
|
1,687 |
1,030 |
$78K |
| 0002A |
|
1,396 |
872 |
$66K |
| 59425 |
|
1,095 |
823 |
$59K |
| G2025 |
Dis site tele svcs rhc/fqhc |
6,715 |
6,003 |
$50K |
| 87811 |
|
5,647 |
5,617 |
$48K |
| 98941 |
|
53,468 |
34,254 |
$31K |
| J1050 |
Medroxyprogesterone acetate |
1,029 |
618 |
$29K |
| 99215 |
Prolong outpt/office vis |
3,369 |
2,852 |
$29K |
| 99000 |
|
136,685 |
124,508 |
$24K |
| 0064A |
|
593 |
453 |
$23K |
| 99211 |
|
13,223 |
12,266 |
$21K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
3,437 |
3,428 |
$21K |
| 99203 |
|
1,938 |
1,739 |
$20K |
| 98940 |
|
29,432 |
19,792 |
$19K |
| 0031A |
|
439 |
283 |
$18K |
| 90686 |
|
23,868 |
22,598 |
$13K |
| 0134A |
|
373 |
372 |
$12K |
| 87502 |
|
3,502 |
3,482 |
$12K |
| 71046 |
|
558 |
552 |
$10K |
| 92015 |
|
12,409 |
9,174 |
$9K |
| 90834 |
|
8,061 |
4,694 |
$8K |
| 90471 |
|
55,166 |
50,674 |
$8K |
| 0112A |
|
206 |
206 |
$7K |
| 90792 |
|
2,569 |
2,233 |
$7K |
| 81025 |
|
16,222 |
15,648 |
$7K |
| 0124A |
|
203 |
203 |
$7K |
| D9430 |
|
222 |
192 |
$5K |
| 71045 |
|
350 |
326 |
$5K |
| 87804 |
|
9,042 |
8,973 |
$5K |
| 81002 |
|
21,992 |
19,822 |
$4K |
| 99395 |
|
683 |
669 |
$4K |
| 96156 |
|
14,938 |
14,313 |
$4K |
| 90688 |
|
11,219 |
9,890 |
$4K |
| 99202 |
|
1,413 |
1,172 |
$4K |
| 90750 |
|
485 |
485 |
$4K |
| 0072A |
|
109 |
109 |
$4K |
| 0054A |
|
110 |
110 |
$4K |
| 96372 |
|
4,472 |
4,013 |
$3K |
| 72040 |
|
287 |
287 |
$3K |
| 0111A |
|
82 |
82 |
$3K |
| 0071A |
|
73 |
54 |
$3K |
| 92250 |
|
1,032 |
790 |
$3K |
| 90746 |
|
1,320 |
1,194 |
$3K |
| 99392 |
|
8,471 |
7,780 |
$3K |
| 97813 |
|
4,080 |
3,390 |
$2K |
| 90715 |
|
1,222 |
1,103 |
$2K |
| 87880 |
|
9,379 |
9,289 |
$2K |
| 90679 |
|
302 |
215 |
$2K |
| 99204 |
|
676 |
615 |
$2K |
| 95144 |
|
274 |
142 |
$2K |
| J3490 |
Drugs unclassified injection |
75 |
43 |
$2K |
| 96160 |
|
11,246 |
10,344 |
$2K |
| 88142 |
|
569 |
531 |
$2K |
| 99391 |
|
3,007 |
2,761 |
$2K |
| 92551 |
|
21,717 |
20,057 |
$2K |
| 97026 |
|
2,741 |
2,297 |
$1K |
| 90670 |
|
2,950 |
2,647 |
$1K |
| G0466 |
Fqhc visit new patient |
85 |
85 |
$1K |
| D0150 |
|
26 |
26 |
$1K |
| 83036 |
|
12,288 |
10,418 |
$1K |
| 90677 |
|
1,136 |
989 |
$1K |
| 93000 |
|
1,028 |
974 |
$1K |
| 97814 |
|
1,568 |
1,271 |
$1K |
| 90739 |
|
384 |
355 |
$968.51 |
| 91322 |
|
758 |
624 |
$959.05 |
| 90682 |
|
264 |
192 |
$951.73 |
| 90837 |
|
881 |
564 |
$936.06 |
| 82947 |
|
3,538 |
3,410 |
$922.40 |
| 90662 |
|
280 |
258 |
$897.97 |
| H1001 |
Antepartum management |
2,524 |
1,747 |
$895.13 |
| 90632 |
|
477 |
477 |
$865.64 |
| D0330 |
|
13 |
13 |
$811.20 |
| 99393 |
|
7,482 |
6,974 |
$738.85 |
| 99394 |
|
4,441 |
4,028 |
$709.49 |
| 96110 |
|
6,514 |
6,389 |
$706.60 |
| G0470 |
Fqhc visit, mh estab pt |
44 |
37 |
$636.16 |
| 0052A |
|
18 |
18 |
$629.00 |
| 90714 |
|
902 |
899 |
$611.51 |
| 85018 |
|
27,241 |
24,957 |
$581.16 |
| 90651 |
|
1,718 |
1,620 |
$564.50 |
| 90472 |
|
3,914 |
3,371 |
$564.07 |
| 72080 |
|
53 |
53 |
$528.30 |
| 90756 |
|
317 |
317 |
$517.75 |
| 36415 |
|
163,278 |
151,585 |
$487.00 |
| 87420 |
|
158 |
156 |
$462.83 |
| 99460 |
|
15 |
14 |
$407.92 |
| H1003 |
Prenatal at risk education |
1,131 |
966 |
$353.05 |
| 59025 |
|
62 |
49 |
$352.97 |
| 99173 |
|
22,189 |
20,492 |
$333.56 |
| 90707 |
|
1,775 |
1,597 |
$322.92 |
| 97810 |
|
457 |
395 |
$302.65 |
| 73562 |
|
18 |
14 |
$280.56 |
| A4267 |
Male condom |
24 |
24 |
$258.72 |
| 90620 |
|
181 |
176 |
$220.96 |
| 96150 |
|
216 |
214 |
$218.79 |
| 90899 |
|
2,274 |
1,732 |
$214.20 |
| 90673 |
|
237 |
172 |
$207.03 |
| 97802 |
|
394 |
391 |
$201.96 |
| 99401 |
|
3,266 |
2,782 |
$193.32 |
| 90656 |
|
3,288 |
3,057 |
$190.03 |
| 90648 |
|
3,139 |
2,849 |
$187.95 |
| 90619 |
|
316 |
244 |
$186.98 |
| 80305 |
|
1,010 |
935 |
$183.53 |
| G8510 |
Scr dep neg, no plan reqd |
143,255 |
117,612 |
$119.97 |
| 80048 |
|
379 |
375 |
$108.52 |
| 90633 |
|
1,381 |
1,248 |
$107.42 |
| 90716 |
|
771 |
674 |
$107.00 |
| 97811 |
|
212 |
182 |
$106.32 |
| 90723 |
|
383 |
364 |
$99.00 |
| 90732 |
|
60 |
60 |
$91.82 |
| 92083 |
|
146 |
110 |
$88.48 |
| 90460 |
|
19,605 |
18,654 |
$78.07 |
| 86580 |
|
2,633 |
2,430 |
$70.04 |
| 99384 |
|
176 |
172 |
$65.12 |
| 85007 |
|
387 |
386 |
$65.11 |
| 83655 |
|
1,114 |
947 |
$52.71 |
| 96151 |
|
58 |
56 |
$51.70 |
| 98942 |
|
1,633 |
1,165 |
$50.16 |
| 90480 |
|
551 |
504 |
$49.77 |
| 97803 |
|
259 |
250 |
$42.05 |
| 82962 |
|
1,683 |
1,586 |
$39.86 |
| 89240 |
|
1,456 |
1,446 |
$36.10 |
| J1885 |
Ketorolac tromethamine inj |
1,592 |
1,451 |
$34.94 |
| H1000 |
Prenatal care atrisk assessm |
12 |
12 |
$25.23 |
| Q0091 |
Obtaining screen pap smear |
655 |
645 |
$21.53 |
| S9445 |
Pt education noc individ |
117 |
102 |
$20.00 |
| 90700 |
|
600 |
560 |
$18.00 |
| H1002 |
Carecoordination prenatal |
41 |
40 |
$16.82 |
| 82043 |
|
82 |
82 |
$10.86 |
| 82728 |
|
175 |
173 |
$9.76 |
| 90674 |
|
1,007 |
994 |
$9.00 |
| 90681 |
|
127 |
116 |
$9.00 |
| 80047 |
|
98 |
98 |
$8.17 |
| 81001 |
|
258 |
258 |
$5.94 |
| 82570 |
|
82 |
82 |
$3.71 |
| 94640 |
|
18 |
18 |
$1.83 |
| G8431 |
Pos clin depres scrn f/u doc |
6,224 |
5,105 |
$0.35 |
| S9451 |
Exercise class |
32,036 |
28,108 |
$0.09 |
| 90611 |
|
89 |
89 |
$0.03 |
| S9452 |
Nutrition class |
40,885 |
35,855 |
$0.02 |
| 1159F |
|
252,825 |
211,159 |
$0.02 |
| 1125F |
|
4,715 |
4,467 |
$0.01 |
| 3008F |
|
44,389 |
39,083 |
$0.00 |
| 3074F |
|
10,605 |
10,436 |
$0.00 |
| 1126F |
|
2,909 |
2,767 |
$0.00 |
| G9664 |
Taking statin or rec'd order |
7,796 |
7,149 |
$0.00 |
| 36416 |
|
4,590 |
3,925 |
$0.00 |
| 3075F |
|
436 |
435 |
$0.00 |
| 4010F |
|
226 |
212 |
$0.00 |
| 2010F |
|
2,650 |
2,624 |
$0.00 |
| 3079F |
|
2,176 |
2,169 |
$0.00 |
| 99383 |
|
116 |
116 |
$0.00 |
| 90696 |
|
62 |
49 |
$0.00 |
| 87624 |
|
32 |
32 |
$0.00 |
| 2023F |
|
1,145 |
918 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
122 |
118 |
$0.00 |
| 3080F |
|
141 |
140 |
$0.00 |
| G0008 |
Admin influenza virus vac |
378 |
366 |
$0.00 |
| 1000F |
|
678 |
581 |
$0.00 |
| 3120F |
|
25 |
25 |
$0.00 |
| 90743 |
|
12 |
12 |
$0.00 |
| 90847 |
|
58 |
53 |
$0.00 |
| 94200 |
|
16 |
15 |
$0.00 |
| 76816 |
|
13 |
13 |
$0.00 |
| 93922 |
|
27 |
27 |
$0.00 |
| 84512 |
|
12 |
12 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
75 |
72 |
$0.00 |
| 76819 |
|
12 |
12 |
$0.00 |
| Z1034 |
|
400 |
306 |
$0.00 |
| 76811 |
|
13 |
13 |
$0.00 |
| 3351F |
|
170 |
163 |
$0.00 |
| Z6402 |
|
50 |
50 |
$0.00 |
| 99243 |
|
17 |
17 |
$0.00 |
| 82270 |
|
34 |
26 |
$0.00 |
| 96127 |
|
13 |
12 |
$0.00 |
| 90381 |
|
26 |
26 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
12 |
12 |
$0.00 |
| 87086 |
|
32 |
32 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
12 |
12 |
$0.00 |
| 90889 |
|
61 |
38 |
$0.00 |
| 87591 |
|
128 |
128 |
$0.00 |
| A7015 |
Aerosol mask used w nebulize |
29 |
27 |
$0.00 |
| 93971 |
|
34 |
25 |
$0.00 |
| 87636 |
|
18 |
17 |
$0.00 |
| 3354F |
|
16 |
15 |
$0.00 |
| 90647 |
|
27 |
24 |
$0.00 |
| Z6406 |
|
24 |
24 |
$0.00 |
| 92004 |
|
19 |
12 |
$0.00 |
| 3078F |
|
9,601 |
9,404 |
$0.00 |
| 90461 |
|
4,977 |
4,678 |
$0.00 |
| 99396 |
|
828 |
809 |
$0.00 |
| 90713 |
|
67 |
61 |
$0.00 |
| 3077F |
|
705 |
696 |
$0.00 |
| 1160F |
|
778 |
745 |
$0.00 |
| 2022F |
|
476 |
404 |
$0.00 |
| 3028F |
|
798 |
794 |
$0.00 |
| 93880 |
|
33 |
33 |
$0.00 |
| 90734 |
|
471 |
432 |
$0.00 |
| 99408 |
|
235 |
232 |
$0.00 |
| Z6200 |
|
26 |
26 |
$0.00 |
| 59426 |
|
27 |
20 |
$0.00 |
| 90658 |
|
56 |
56 |
$0.00 |
| 87491 |
|
141 |
141 |
$0.00 |
| 99188 |
|
362 |
362 |
$0.00 |
| 91321 |
|
325 |
321 |
$0.00 |
| 84156 |
|
29 |
29 |
$0.00 |
| Z6400 |
|
108 |
104 |
$0.00 |
| 92552 |
|
51 |
50 |
$0.00 |
| Z6414 |
|
30 |
28 |
$0.00 |
| 3085F |
|
239 |
207 |
$0.00 |
| 90687 |
|
28 |
28 |
$0.00 |
| 4187F |
|
188 |
183 |
$0.00 |
| 88175 |
|
36 |
36 |
$0.00 |
| 90833 |
|
39 |
39 |
$0.00 |
| 90655 |
|
12 |
12 |
$0.00 |
| 92134 |
|
57 |
39 |
$0.00 |
| 92133 |
|
43 |
29 |
$0.00 |
| H0014 |
Alcohol and/or drug services |
148 |
114 |
$0.00 |
| 4064F |
|
33 |
26 |
$0.00 |
| 95004 |
|
48 |
48 |
$0.00 |
| 99382 |
|
13 |
13 |
$0.00 |
| 93925 |
|
27 |
27 |
$0.00 |
| 11720 |
|
13 |
13 |
$0.00 |
| Z6300 |
|
30 |
30 |
$0.00 |
| 93970 |
|
63 |
63 |
$0.00 |
| 11719 |
|
21 |
21 |
$0.00 |
| 90710 |
|
53 |
51 |
$0.00 |
| 90630 |
|
12 |
12 |
$0.00 |
| 81003 |
|
17 |
17 |
$0.00 |
| 83037 |
|
31 |
28 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
32 |
26 |
$0.00 |
| 90785 |
|
12 |
12 |
$0.00 |
| 72070 |
|
24 |
24 |
$0.00 |
| 72100 |
|
27 |
27 |
$0.00 |
| 99201 |
|
13 |
13 |
$0.00 |