| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
35,896 |
28,100 |
$7.30M |
| 00003 |
|
3,972 |
3,558 |
$952K |
| G9012 |
Other specified case management service not elsewhere classified |
2,165 |
978 |
$41K |
| G9920 |
Screening performed and negative |
2,230 |
1,858 |
$7K |
| 90832 |
|
836 |
534 |
$1K |
| 99393 |
|
695 |
523 |
$1K |
| 99394 |
|
495 |
375 |
$977.04 |
| 92551 |
|
3,588 |
2,751 |
$957.04 |
| 99213 |
|
46,112 |
31,155 |
$548.27 |
| 99392 |
|
1,133 |
809 |
$518.28 |
| 85018 |
|
6,690 |
4,863 |
$211.15 |
| 99395 |
|
1,378 |
1,040 |
$116.47 |
| 99203 |
|
1,628 |
1,411 |
$79.70 |
| 99396 |
|
1,138 |
865 |
$57.30 |
| 90471 |
|
929 |
709 |
$42.40 |
| 90686 |
|
687 |
568 |
$35.81 |
| 99214 |
|
2,180 |
1,697 |
$22.03 |
| 99173 |
|
7,857 |
5,955 |
$20.15 |
| 99212 |
|
23,503 |
15,298 |
$9.00 |
| 90647 |
|
454 |
321 |
$0.00 |
| 36415 |
|
5,785 |
4,277 |
$0.00 |
| 3008F |
|
7,086 |
5,374 |
$0.00 |
| 82306 |
|
811 |
573 |
$0.00 |
| 81001 |
|
1,178 |
906 |
$0.00 |
| 96372 |
|
548 |
364 |
$0.00 |
| 99000 |
|
9,004 |
6,592 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,870 |
1,347 |
$0.00 |
| 86592 |
|
1,012 |
763 |
$0.00 |
| 87591 |
|
2,349 |
1,806 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,956 |
1,470 |
$0.00 |
| 83036 |
|
2,295 |
1,849 |
$0.00 |
| 81000 |
|
9,644 |
5,289 |
$0.00 |
| 36416 |
|
7,665 |
5,529 |
$0.00 |
| D0602 |
|
232 |
229 |
$0.00 |
| 84436 |
|
585 |
453 |
$0.00 |
| 84443 |
|
1,641 |
1,304 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
362 |
324 |
$0.00 |
| 90677 |
|
485 |
303 |
$0.00 |
| 97802 |
|
316 |
316 |
$0.00 |
| 80053 |
|
2,947 |
2,365 |
$0.00 |
| 85025 |
|
2,572 |
2,025 |
$0.00 |
| 96156 |
|
1,319 |
1,240 |
$0.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
17 |
14 |
$0.00 |
| 3075F |
|
349 |
219 |
$0.00 |
| 90688 |
|
238 |
222 |
$0.00 |
| 87624 |
|
719 |
500 |
$0.00 |
| 3074F |
|
1,393 |
808 |
$0.00 |
| 90723 |
|
539 |
362 |
$0.00 |
| 84479 |
|
453 |
334 |
$0.00 |
| D1330 |
|
466 |
456 |
$0.00 |
| 3079F |
|
559 |
333 |
$0.00 |
| 86803 |
|
297 |
217 |
$0.00 |
| 80055 |
|
173 |
98 |
$0.00 |
| 99202 |
|
1,496 |
1,332 |
$0.00 |
| D1310 |
|
427 |
418 |
$0.00 |
| Z1034 |
|
994 |
586 |
$0.00 |
| 88142 |
|
468 |
432 |
$0.00 |
| 90651 |
|
95 |
84 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
19 |
19 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
177 |
170 |
$0.00 |
| 87081 |
|
389 |
240 |
$0.00 |
| Z6410 |
|
218 |
195 |
$0.00 |
| 1000F |
|
778 |
565 |
$0.00 |
| D1208 |
|
91 |
90 |
$0.00 |
| 93000 |
|
22 |
12 |
$0.00 |
| D1206 |
|
94 |
93 |
$0.00 |
| 3080F |
|
67 |
40 |
$0.00 |
| 87625 |
|
24 |
24 |
$0.00 |
| 87661 |
|
211 |
119 |
$0.00 |
| 82607 |
|
19 |
12 |
$0.00 |
| Z6204 |
|
92 |
86 |
$0.00 |
| Z6406 |
|
29 |
29 |
$0.00 |
| 87389 |
|
32 |
24 |
$0.00 |
| Z6402 |
|
13 |
13 |
$0.00 |
| 86580 |
|
17 |
17 |
$0.00 |
| 83002 |
|
41 |
28 |
$0.00 |
| D0150 |
|
12 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
37 |
24 |
$0.00 |
| 87086 |
|
12 |
12 |
$0.00 |
| 90674 |
|
53 |
37 |
$0.00 |
| 83001 |
|
41 |
28 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
25 |
25 |
$0.00 |
| 84270 |
|
12 |
12 |
$0.00 |
| 82746 |
|
19 |
12 |
$0.00 |
| Z1032 |
|
20 |
12 |
$0.00 |
| 82040 |
|
12 |
12 |
$0.00 |
| 80048 |
|
25 |
25 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
18 |
18 |
$0.00 |
| 99401 |
|
857 |
812 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
330 |
210 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
591 |
575 |
$0.00 |
| 81025 |
|
1,270 |
883 |
$0.00 |
| 87491 |
|
2,328 |
1,771 |
$0.00 |
| 86703 |
|
497 |
387 |
$0.00 |
| 3078F |
|
1,333 |
797 |
$0.00 |
| 80061 |
|
2,951 |
2,325 |
$0.00 |
| 82948 |
|
860 |
645 |
$0.00 |
| 2028F |
|
1,744 |
1,300 |
$0.00 |
| 90633 |
|
184 |
130 |
$0.00 |
| 90681 |
|
18 |
12 |
$0.00 |
| 90715 |
|
145 |
101 |
$0.00 |
| 90746 |
|
115 |
92 |
$0.00 |
| 3077F |
|
318 |
202 |
$0.00 |
| 87880 |
|
23 |
14 |
$0.00 |
| D9993 |
|
426 |
417 |
$0.00 |
| Z6400 |
|
76 |
73 |
$0.00 |
| 03 |
Instill, bupivac and meloxic |
2,465 |
1,374 |
$0.00 |
| 3725F |
|
932 |
737 |
$0.00 |
| 97803 |
|
874 |
752 |
$0.00 |
| 90791 |
|
124 |
122 |
$0.00 |
| 99391 |
|
714 |
479 |
$0.00 |
| 80074 |
|
445 |
308 |
$0.00 |
| Z6414 |
|
44 |
41 |
$0.00 |
| 81513 |
|
144 |
77 |
$0.00 |
| 83655 |
|
182 |
107 |
$0.00 |
| 82570 |
|
20 |
20 |
$0.00 |
| 11721 |
|
17 |
13 |
$0.00 |
| 81220 |
|
150 |
81 |
$0.00 |
| 1160F |
|
138 |
97 |
$0.00 |
| 88175 |
|
401 |
236 |
$0.00 |
| 80307 |
|
38 |
25 |
$0.00 |
| D0190 |
|
138 |
137 |
$0.00 |
| 86480 |
|
194 |
116 |
$0.00 |
| 87481 |
|
175 |
100 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
32 |
31 |
$0.00 |
| Z6308 |
|
15 |
15 |
$0.00 |
| 1159F |
|
36 |
35 |
$0.00 |
| 90670 |
|
97 |
83 |
$0.00 |
| Z6304 |
|
51 |
50 |
$0.00 |
| 90472 |
|
15 |
15 |
$0.00 |
| 84403 |
|
12 |
12 |
$0.00 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
12 |
12 |
$0.00 |
| Z6200 |
|
13 |
13 |
$0.00 |
| Z6300 |
|
13 |
13 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |