| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Urgent care center global |
8,139 |
7,599 |
$683K |
| 99214 |
|
60,318 |
55,099 |
$524K |
| 99204 |
|
9,511 |
9,470 |
$404K |
| 99213 |
|
7,364 |
7,084 |
$88K |
| 99203 |
|
834 |
834 |
$45K |
| 99308 |
|
724 |
720 |
$7K |
| 93000 |
|
3,123 |
3,090 |
$4K |
| 96372 |
|
2,901 |
2,707 |
$2K |
| G0447 |
Behavior counsel obesity 15m |
17,517 |
16,672 |
$1K |
| 99395 |
|
1,352 |
1,350 |
$1K |
| 88141 |
|
401 |
378 |
$1K |
| 99202 |
|
17 |
17 |
$922.18 |
| 96156 |
|
7,223 |
7,168 |
$586.90 |
| 71046 |
|
177 |
174 |
$435.51 |
| 99406 |
|
253 |
243 |
$434.12 |
| G8431 |
Pos clin depres scrn f/u doc |
4,017 |
3,954 |
$381.94 |
| G0439 |
Ppps, subseq visit |
28 |
28 |
$332.46 |
| G8510 |
Scr dep neg, no plan reqd |
10,727 |
10,576 |
$318.76 |
| 99496 |
|
248 |
245 |
$303.01 |
| 90658 |
|
20 |
19 |
$295.56 |
| 90688 |
|
22 |
22 |
$292.44 |
| G9920 |
Scrning perf and negative |
4,796 |
4,742 |
$286.80 |
| 99309 |
|
12 |
12 |
$252.00 |
| 81002 |
|
8,374 |
8,183 |
$246.65 |
| J0696 |
Ceftriaxone sodium injection |
266 |
262 |
$233.41 |
| G0442 |
Annual alcohol screen 15 min |
1,452 |
1,446 |
$228.62 |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$218.63 |
| 90686 |
|
12 |
12 |
$155.88 |
| 87880 |
|
523 |
519 |
$126.15 |
| 69209 |
|
50 |
50 |
$100.73 |
| 99396 |
|
1,434 |
1,430 |
$98.91 |
| 69210 |
|
134 |
123 |
$90.67 |
| 99497 |
|
12 |
12 |
$80.68 |
| J1885 |
Ketorolac tromethamine inj |
739 |
720 |
$60.53 |
| 94640 |
|
130 |
128 |
$41.10 |
| G9919 |
Scrn nd pos nd prov of rec |
280 |
280 |
$28.71 |
| 92562 |
|
595 |
590 |
$25.17 |
| 99173 |
|
4,367 |
4,332 |
$20.00 |
| 99000 |
|
336 |
333 |
$17.95 |
| 85018 |
|
781 |
776 |
$12.95 |
| J1100 |
Dexamethasone sodium phos |
340 |
336 |
$8.47 |
| 87086 |
|
63 |
63 |
$6.39 |
| 94760 |
|
384 |
379 |
$5.59 |
| 90471 |
|
126 |
122 |
$5.00 |
| Q0091 |
Obtaining screen pap smear |
1,084 |
1,072 |
$4.94 |
| 1036F |
|
8,087 |
7,850 |
$0.00 |
| H0049 |
Alcohol/drug screening |
11,082 |
10,774 |
$0.00 |
| 1111F |
|
1,330 |
1,292 |
$0.00 |
| 3074F |
|
7,130 |
6,724 |
$0.00 |
| 1220F |
|
610 |
609 |
$0.00 |
| 3008F |
|
21,194 |
19,890 |
$0.00 |
| 96150 |
|
316 |
315 |
$0.00 |
| 3079F |
|
3,859 |
3,723 |
$0.00 |
| 1157F |
|
2,046 |
2,037 |
$0.00 |
| 3351F |
|
1,031 |
1,028 |
$0.00 |
| 3044F |
|
514 |
507 |
$0.00 |
| 1034F |
|
221 |
219 |
$0.00 |
| 3075F |
|
2,975 |
2,884 |
$0.00 |
| 3080F |
|
547 |
531 |
$0.00 |
| 96151 |
|
828 |
824 |
$0.00 |
| 3353F |
|
245 |
244 |
$0.00 |
| 3352F |
|
206 |
206 |
$0.00 |
| 3052F |
|
50 |
48 |
$0.00 |
| 3354F |
|
27 |
27 |
$0.00 |
| H0001 |
Alcohol and/or drug assess |
94 |
94 |
$0.00 |
| 1170F |
|
17 |
12 |
$0.00 |
| 99441 |
|
13 |
13 |
$0.00 |
| 99386 |
|
12 |
12 |
$0.00 |
| 1125F |
|
16 |
12 |
$0.00 |
| G0444 |
Depression screen annual |
3,271 |
3,259 |
$0.00 |
| 99394 |
|
82 |
82 |
$0.00 |
| 3078F |
|
7,035 |
6,680 |
$0.00 |
| P3001 |
Screening pap smear by phys |
900 |
891 |
$0.00 |
| H0050 |
Alcohol/drug service 15 min |
888 |
870 |
$0.00 |
| 3725F |
|
318 |
316 |
$0.00 |
| 1159F |
|
773 |
712 |
$0.00 |
| 1160F |
|
894 |
833 |
$0.00 |
| G0476 |
Hpv combo assay ca screen |
51 |
51 |
$0.00 |
| 3077F |
|
1,173 |
1,114 |
$0.00 |
| 99212 |
|
86 |
86 |
$0.00 |
| 99499 |
|
82 |
82 |
$0.00 |
| 3046F |
|
16 |
15 |
$0.00 |
| 99393 |
|
14 |
14 |
$0.00 |
| 0521F |
|
17 |
12 |
$0.00 |
| 73610 |
|
12 |
12 |
$0.00 |
| 73030 |
|
13 |
13 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| G0402 |
Initial preventive exam |
21 |
21 |
$0.00 |
| 1158F |
|
17 |
12 |
$0.00 |