| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
56,255 |
52,598 |
$13.29M |
| 99213 |
|
21,457 |
20,438 |
$97K |
| 99214 |
|
6,175 |
5,992 |
$89K |
| 92340 |
|
1,144 |
1,142 |
$34K |
| D9999 |
|
76 |
67 |
$23K |
| 99212 |
|
1,885 |
1,850 |
$20K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
796 |
795 |
$20K |
| D2392 |
|
118 |
101 |
$14K |
| 90834 |
|
153 |
127 |
$12K |
| V2020 |
Frames, purchases |
1,167 |
1,165 |
$12K |
| 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 |
376 |
334 |
$9K |
| 90471 |
|
3,123 |
3,105 |
$8K |
| D2391 |
|
107 |
96 |
$7K |
| 90832 |
|
80 |
68 |
$4K |
| 0002A |
|
90 |
89 |
$4K |
| 99202 |
|
271 |
271 |
$3K |
| 90791 |
|
185 |
185 |
$3K |
| 0072A |
|
59 |
59 |
$2K |
| 0071A |
|
56 |
56 |
$2K |
| 83036 |
|
2,101 |
2,099 |
$2K |
| 90656 |
|
152 |
152 |
$2K |
| 97802 |
|
78 |
78 |
$2K |
| 0001A |
|
46 |
46 |
$2K |
| 99203 |
|
393 |
393 |
$2K |
| 99204 |
|
123 |
123 |
$885.78 |
| 99396 |
|
39 |
39 |
$875.60 |
| D1120 |
|
1,547 |
1,547 |
$853.72 |
| 90472 |
|
386 |
386 |
$684.98 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
54 |
54 |
$666.79 |
| D1206 |
|
2,138 |
2,136 |
$621.86 |
| D0120 |
|
1,711 |
1,711 |
$608.33 |
| 90651 |
|
13 |
13 |
$501.90 |
| D1110 |
|
533 |
533 |
$463.32 |
| D0140 |
|
14 |
14 |
$444.74 |
| D9230 |
|
15 |
15 |
$411.60 |
| 90686 |
|
1,607 |
1,607 |
$397.67 |
| 96372 |
|
97 |
94 |
$364.50 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
15 |
15 |
$334.80 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$292.95 |
| D0330 |
|
119 |
119 |
$196.03 |
| D0220 |
|
12 |
12 |
$194.38 |
| D0274 |
|
506 |
506 |
$187.26 |
| 90715 |
|
83 |
83 |
$77.34 |
| 90746 |
|
53 |
53 |
$65.89 |
| D1354 |
|
95 |
42 |
$34.17 |
| D0150 |
|
234 |
234 |
$30.50 |
| 87804 |
|
111 |
111 |
$15.55 |
| 3079F |
|
761 |
743 |
$0.00 |
| 1111F |
|
2,689 |
2,531 |
$0.00 |
| 3008F |
|
2,423 |
2,332 |
$0.00 |
| 92004 |
|
574 |
574 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,181 |
1,179 |
$0.00 |
| 3074F |
|
1,849 |
1,796 |
$0.00 |
| 4010F |
|
57 |
57 |
$0.00 |
| D0272 |
|
79 |
79 |
$0.00 |
| 3075F |
|
79 |
79 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |
| D1351 |
|
85 |
27 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 99386 |
|
12 |
12 |
$0.00 |
| 92015 |
|
1,428 |
1,428 |
$0.00 |
| 92014 |
|
632 |
632 |
$0.00 |
| 99393 |
|
516 |
516 |
$0.00 |
| 99392 |
|
1,464 |
1,464 |
$0.00 |
| 99391 |
|
596 |
592 |
$0.00 |
| D0145 |
|
35 |
35 |
$0.00 |
| 90460 |
|
424 |
423 |
$0.00 |
| 3078F |
|
1,209 |
1,181 |
$0.00 |
| 3077F |
|
27 |
27 |
$0.00 |
| 99394 |
|
26 |
26 |
$0.00 |
| 97803 |
|
12 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
29 |
29 |
$0.00 |
| 99395 |
|
12 |
12 |
$0.00 |
| 90661 |
|
48 |
48 |
$0.00 |