| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
74,056 |
67,406 |
$2.98M |
| 99213 |
|
39,180 |
36,651 |
$775K |
| 99214 |
|
16,933 |
16,460 |
$486K |
| G0470 |
Fqhc visit, mh estab pt |
8,243 |
6,235 |
$319K |
| G0466 |
Fqhc visit new patient |
5,262 |
5,234 |
$265K |
| 99392 |
|
3,888 |
3,876 |
$146K |
| 99393 |
|
2,245 |
2,243 |
$93K |
| 99391 |
|
3,050 |
3,005 |
$75K |
| 90834 |
|
2,982 |
2,333 |
$75K |
| 90832 |
|
3,347 |
2,845 |
$69K |
| 99394 |
|
1,296 |
1,291 |
$57K |
| 99212 |
|
5,088 |
4,908 |
$56K |
| J1050 |
Medroxyprogesterone acetate |
782 |
778 |
$54K |
| 90471 |
|
8,609 |
8,560 |
$47K |
| 90472 |
|
4,248 |
4,238 |
$40K |
| 96160 |
|
4,368 |
4,320 |
$39K |
| 99204 |
|
945 |
940 |
$32K |
| 90651 |
|
1,060 |
1,051 |
$30K |
| 90686 |
|
4,344 |
4,328 |
$23K |
| 96110 |
|
4,063 |
3,388 |
$22K |
| 83036 |
|
4,567 |
4,552 |
$21K |
| 99203 |
|
757 |
754 |
$17K |
| 99395 |
|
366 |
363 |
$17K |
| 90750 |
|
177 |
176 |
$17K |
| 90715 |
|
1,108 |
1,106 |
$13K |
| 96372 |
|
2,058 |
1,857 |
$12K |
| 90460 |
|
2,235 |
2,202 |
$10K |
| 96127 |
|
6,367 |
6,328 |
$10K |
| 82962 |
|
5,248 |
5,109 |
$8K |
| 90791 |
|
291 |
288 |
$7K |
| 99202 |
|
560 |
553 |
$7K |
| 90670 |
|
2,280 |
2,275 |
$7K |
| H0004 |
Alcohol and/or drug services |
705 |
648 |
$7K |
| 99383 |
|
132 |
129 |
$5K |
| 99381 |
|
186 |
185 |
$5K |
| 99396 |
|
70 |
70 |
$4K |
| 99000 |
|
672 |
640 |
$4K |
| H0001 |
Alcohol and/or drug assess |
319 |
290 |
$3K |
| 0134A |
|
152 |
151 |
$3K |
| 99384 |
|
65 |
65 |
$3K |
| 87880 |
|
422 |
414 |
$3K |
| H0031 |
Mh health assess by non-md |
110 |
109 |
$3K |
| 81025 |
|
684 |
673 |
$2K |
| 90677 |
|
184 |
184 |
$2K |
| 91322 |
|
53 |
53 |
$2K |
| 90632 |
|
66 |
66 |
$2K |
| 0064A |
|
86 |
86 |
$2K |
| 82044 |
|
724 |
722 |
$2K |
| 81003 |
|
1,741 |
1,703 |
$2K |
| 90620 |
|
103 |
103 |
$2K |
| 99215 |
Prolong outpt/office vis |
42 |
41 |
$2K |
| 90734 |
|
497 |
495 |
$2K |
| 0124A |
|
93 |
93 |
$1K |
| 90656 |
|
143 |
143 |
$1K |
| 90480 |
|
72 |
72 |
$1K |
| 91320 |
|
14 |
14 |
$1K |
| 90716 |
|
306 |
304 |
$1K |
| 90473 |
|
462 |
462 |
$1K |
| 90837 |
|
22 |
19 |
$903.36 |
| 93000 |
|
143 |
143 |
$814.56 |
| 85610 |
|
223 |
98 |
$792.50 |
| 90714 |
|
45 |
45 |
$791.83 |
| G2025 |
Dis site tele svcs rhc/fqhc |
534 |
476 |
$754.28 |
| 99495 |
|
16 |
16 |
$637.00 |
| 87637 |
|
71 |
70 |
$497.45 |
| 97110 |
|
19 |
13 |
$482.44 |
| 0071A |
|
14 |
14 |
$454.20 |
| 90619 |
|
86 |
86 |
$308.54 |
| 90621 |
|
12 |
12 |
$243.80 |
| 0054A |
|
17 |
17 |
$225.18 |
| 90732 |
|
13 |
13 |
$208.00 |
| 82570 |
|
116 |
116 |
$197.34 |
| 96381 |
|
13 |
13 |
$170.44 |
| 90707 |
|
347 |
344 |
$130.32 |
| J1885 |
Ketorolac tromethamine inj |
69 |
67 |
$84.41 |
| 81002 |
|
41 |
40 |
$83.52 |
| 36416 |
|
2,613 |
2,505 |
$70.60 |
| 97802 |
|
291 |
291 |
$30.00 |
| G0008 |
Admin influenza virus vac |
541 |
540 |
$29.70 |
| G8417 |
Calc bmi abv up param f/u |
91 |
90 |
$0.02 |
| G8420 |
Calc bmi norm parameters |
15 |
15 |
$0.02 |
| 3052F |
|
203 |
201 |
$0.01 |
| 90633 |
|
1,349 |
1,340 |
$0.00 |
| 90681 |
|
793 |
791 |
$0.00 |
| 3051F |
|
612 |
611 |
$0.00 |
| 91313 |
|
151 |
150 |
$0.00 |
| 91312 |
|
96 |
96 |
$0.00 |
| 90710 |
|
207 |
207 |
$0.00 |
| 3078F |
|
4,148 |
4,029 |
$0.00 |
| 1159F |
|
314 |
309 |
$0.00 |
| G0444 |
Depression screen annual |
3,890 |
3,840 |
$0.00 |
| 90648 |
|
1,163 |
1,159 |
$0.00 |
| 90700 |
|
248 |
247 |
$0.00 |
| 3046F |
|
653 |
651 |
$0.00 |
| 90461 |
|
1,402 |
1,390 |
$0.00 |
| 3077F |
|
776 |
756 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
121 |
119 |
$0.00 |
| 91300 |
|
96 |
95 |
$0.00 |
| 90687 |
|
12 |
12 |
$0.00 |
| 3045F |
|
352 |
350 |
$0.00 |
| 1160F |
|
2,516 |
2,401 |
$0.00 |
| G0270 |
Mnt subs tx for change dx |
47 |
47 |
$0.00 |
| 3351F |
|
763 |
761 |
$0.00 |
| 3079F |
|
2,403 |
2,360 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
382 |
380 |
$0.00 |
| 90723 |
|
1,799 |
1,794 |
$0.00 |
| 90696 |
|
175 |
175 |
$0.00 |
| H0049 |
Alcohol/drug screening |
202 |
200 |
$0.00 |
| 94760 |
|
19 |
19 |
$0.00 |
| 3074F |
|
4,494 |
4,344 |
$0.00 |
| 3008F |
|
8,020 |
7,710 |
$0.00 |
| 3044F |
|
1,649 |
1,648 |
$0.00 |
| S0281 |
Medical home, maintenance |
4,490 |
4,054 |
$0.00 |
| 3080F |
|
430 |
421 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
80 |
79 |
$0.00 |
| 90647 |
|
637 |
637 |
$0.00 |
| 1125F |
|
97 |
97 |
$0.00 |
| 3075F |
|
1,709 |
1,682 |
$0.00 |
| 91307 |
|
15 |
15 |
$0.00 |
| 91306 |
|
98 |
98 |
$0.00 |
| 3061F |
|
16 |
16 |
$0.00 |
| S0280 |
Medical home, initial plan |
38 |
38 |
$0.00 |
| 3060F |
|
29 |
29 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |