| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
71,534 |
52,575 |
$10.95M |
| 00003 |
|
24,219 |
15,392 |
$4.88M |
| G9012 |
Other specified case mgmt |
2,353 |
1,848 |
$424K |
| G9008 |
Mccd,phys coor-care ovrsght |
1,100 |
936 |
$316K |
| 99213 |
|
22,672 |
17,579 |
$145K |
| 99214 |
|
14,502 |
11,756 |
$67K |
| 99212 |
|
11,708 |
9,421 |
$58K |
| 90832 |
|
11,117 |
5,820 |
$43K |
| 92014 |
|
259 |
259 |
$20K |
| 92012 |
|
3,316 |
2,678 |
$15K |
| G0467 |
Fqhc visit, estab pt |
3,155 |
2,723 |
$14K |
| 92004 |
|
54 |
41 |
$10K |
| 0012A |
|
250 |
233 |
$9K |
| V2020 |
Vision svcs frames purchases |
1,408 |
1,225 |
$8K |
| 0011A |
|
233 |
212 |
$8K |
| 90837 |
|
1,336 |
747 |
$8K |
| 0002A |
|
172 |
172 |
$7K |
| J3490 |
Drugs unclassified injection |
51 |
51 |
$6K |
| 0001A |
|
147 |
147 |
$6K |
| 92340 |
|
1,111 |
982 |
$5K |
| 0013A |
|
71 |
71 |
$3K |
| 99395 |
|
556 |
446 |
$2K |
| 99202 |
|
208 |
189 |
$2K |
| 0072A |
|
53 |
53 |
$2K |
| 0031A |
|
52 |
52 |
$2K |
| 59425 |
|
111 |
80 |
$2K |
| 0071A |
|
44 |
44 |
$2K |
| 81025 |
|
1,093 |
1,007 |
$877.71 |
| 87491 |
|
95 |
95 |
$754.06 |
| 87591 |
|
93 |
93 |
$751.64 |
| 0004A |
|
18 |
18 |
$680.00 |
| 90791 |
|
105 |
76 |
$672.42 |
| 81002 |
|
2,464 |
1,836 |
$493.43 |
| 90792 |
|
82 |
63 |
$309.75 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
126 |
126 |
$301.35 |
| 92002 |
|
102 |
102 |
$239.11 |
| 90834 |
|
18 |
12 |
$201.48 |
| 96156 |
|
1,492 |
1,456 |
$193.46 |
| 90620 |
|
34 |
26 |
$175.00 |
| 99393 |
|
398 |
327 |
$141.18 |
| 90686 |
|
2,372 |
2,102 |
$138.06 |
| 99000 |
|
677 |
602 |
$136.99 |
| 99394 |
|
304 |
258 |
$108.56 |
| 93000 |
|
13 |
13 |
$86.10 |
| 92551 |
|
787 |
728 |
$84.18 |
| 90670 |
|
272 |
249 |
$56.00 |
| G0470 |
Fqhc visit, mh estab pt |
882 |
547 |
$52.00 |
| 99392 |
|
320 |
276 |
$37.02 |
| 90715 |
|
50 |
39 |
$36.93 |
| 90647 |
|
50 |
49 |
$29.65 |
| 86703 |
|
12 |
12 |
$28.71 |
| 36415 |
|
1,104 |
980 |
$20.00 |
| 80053 |
|
75 |
75 |
$18.47 |
| 85018 |
|
920 |
851 |
$16.06 |
| 84443 |
|
41 |
40 |
$14.61 |
| 85025 |
|
33 |
33 |
$13.43 |
| 99173 |
|
847 |
799 |
$12.90 |
| 80061 |
|
31 |
31 |
$11.54 |
| 90633 |
|
159 |
147 |
$9.00 |
| 87804 |
|
44 |
35 |
$8.76 |
| 83036 |
|
35 |
35 |
$8.54 |
| V2100 |
Lens spher single plano 4.00 |
240 |
222 |
$8.21 |
| V2784 |
Lens polycarb or equal |
26 |
26 |
$3.96 |
| 82962 |
|
23 |
17 |
$1.98 |
| 3074F |
|
13,836 |
11,135 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
3,517 |
2,927 |
$0.00 |
| 3044F |
|
726 |
714 |
$0.00 |
| 36416 |
|
27 |
27 |
$0.00 |
| 3075F |
|
3,186 |
2,726 |
$0.00 |
| 3079F |
|
4,133 |
3,480 |
$0.00 |
| G0439 |
Ppps, subseq visit |
2,613 |
1,816 |
$0.00 |
| Z1034 |
|
1,077 |
741 |
$0.00 |
| 90471 |
|
1,081 |
1,044 |
$0.00 |
| H0049 |
Alcohol/drug screening |
1,419 |
1,380 |
$0.00 |
| 3080F |
|
945 |
783 |
$0.00 |
| 96110 |
|
681 |
639 |
$0.00 |
| 90651 |
|
174 |
158 |
$0.00 |
| G0123 |
Screen cerv/vag thin layer |
317 |
309 |
$0.00 |
| 90723 |
|
158 |
142 |
$0.00 |
| Z6406 |
|
184 |
184 |
$0.00 |
| Z6204 |
|
417 |
409 |
$0.00 |
| 90656 |
|
114 |
114 |
$0.00 |
| 3008F |
|
30 |
30 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
34 |
34 |
$0.00 |
| 85027 |
|
12 |
12 |
$0.00 |
| 82105 |
|
26 |
25 |
$0.00 |
| 96161 |
|
197 |
179 |
$0.00 |
| 88142 |
|
15 |
15 |
$0.00 |
| 1220F |
|
333 |
296 |
$0.00 |
| 82306 |
|
14 |
14 |
$0.00 |
| Z1032 |
|
12 |
12 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
338 |
302 |
$0.00 |
| 3078F |
|
14,372 |
11,549 |
$0.00 |
| 3077F |
|
2,701 |
2,209 |
$0.00 |
| 90460 |
|
276 |
268 |
$0.00 |
| Z6304 |
|
149 |
149 |
$0.00 |
| 87880 |
|
61 |
52 |
$0.00 |
| 4004F |
|
12 |
12 |
$0.00 |
| 90681 |
|
43 |
39 |
$0.00 |
| Z6400 |
|
38 |
38 |
$0.00 |
| 96160 |
|
362 |
350 |
$0.00 |
| 99391 |
|
364 |
314 |
$0.00 |
| 90648 |
|
195 |
176 |
$0.00 |
| Z6202 |
|
50 |
50 |
$0.00 |
| 90734 |
|
74 |
70 |
$0.00 |
| 90461 |
|
63 |
63 |
$0.00 |
| Z6208 |
|
15 |
15 |
$0.00 |
| G0438 |
Ppps, initial visit |
147 |
147 |
$0.00 |
| 99396 |
|
261 |
194 |
$0.00 |
| Z6300 |
|
27 |
27 |
$0.00 |
| G9920 |
Scrning perf and negative |
67 |
67 |
$0.00 |
| 59426 |
|
106 |
50 |
$0.00 |
| Z6414 |
|
12 |
12 |
$0.00 |
| Z6308 |
|
13 |
13 |
$0.00 |
| 90473 |
|
13 |
12 |
$0.00 |