| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
286,158 |
244,137 |
$44.95M |
| 00003 |
|
44,055 |
40,935 |
$10.22M |
| 99392 |
|
12,595 |
9,827 |
$143K |
| 90834 |
|
6,090 |
2,368 |
$123K |
| 99393 |
|
9,519 |
7,276 |
$118K |
| 99394 |
|
6,475 |
4,779 |
$100K |
| 96110 |
|
3,374 |
2,501 |
$89K |
| 99391 |
|
7,724 |
6,564 |
$81K |
| G9920 |
Scrning perf and negative |
7,116 |
4,898 |
$62K |
| 90686 |
|
21,625 |
16,068 |
$38K |
| 90791 |
|
1,108 |
535 |
$38K |
| 99213 |
|
169,650 |
107,228 |
$36K |
| G0467 |
Fqhc visit, estab pt |
1,491 |
1,269 |
$33K |
| 90460 |
|
31,881 |
22,291 |
$23K |
| 90832 |
|
1,462 |
527 |
$17K |
| 90651 |
|
3,786 |
2,855 |
$17K |
| 83655 |
|
4,800 |
3,839 |
$17K |
| 90670 |
|
5,460 |
4,749 |
$16K |
| 99212 |
|
65,634 |
44,695 |
$16K |
| 90680 |
|
3,507 |
3,074 |
$13K |
| 90633 |
|
3,879 |
3,164 |
$13K |
| D1120 |
|
5,425 |
4,383 |
$12K |
| 90698 |
|
2,846 |
2,555 |
$11K |
| 85018 |
|
19,920 |
15,475 |
$10K |
| 0001A |
|
179 |
97 |
$9K |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,377 |
1,116 |
$9K |
| 99214 |
|
40,645 |
26,815 |
$8K |
| 92551 |
|
1,566 |
1,434 |
$7K |
| 90734 |
|
1,204 |
912 |
$7K |
| 0002A |
|
128 |
76 |
$7K |
| 90461 |
|
20,965 |
13,051 |
$6K |
| 90697 |
|
1,828 |
1,466 |
$6K |
| 99395 |
|
3,738 |
2,480 |
$6K |
| 90716 |
|
871 |
783 |
$5K |
| 90744 |
|
1,601 |
1,424 |
$5K |
| 90707 |
|
779 |
701 |
$4K |
| 90715 |
|
2,863 |
2,067 |
$4K |
| 90677 |
|
1,213 |
994 |
$4K |
| 90710 |
|
742 |
603 |
$3K |
| 90619 |
|
738 |
595 |
$3K |
| 90700 |
|
532 |
468 |
$3K |
| 90620 |
|
512 |
320 |
$3K |
| 90656 |
|
1,839 |
1,423 |
$3K |
| 90696 |
|
564 |
474 |
$3K |
| 99396 |
|
2,146 |
1,466 |
$3K |
| D1208 |
|
5,187 |
4,131 |
$3K |
| 90685 |
|
1,261 |
971 |
$3K |
| 90671 |
|
854 |
663 |
$2K |
| 90480 |
|
575 |
435 |
$2K |
| 99204 |
|
745 |
648 |
$2K |
| 99202 |
|
1,663 |
1,220 |
$1K |
| 90688 |
|
1,251 |
870 |
$1K |
| D1206 |
|
1,219 |
939 |
$949.55 |
| 91320 |
|
28 |
25 |
$884.97 |
| 90471 |
|
16,787 |
12,283 |
$665.91 |
| 0071A |
|
16 |
16 |
$640.00 |
| 99211 |
|
18,715 |
14,080 |
$586.29 |
| 92250 |
|
97 |
97 |
$578.00 |
| 99000 |
|
13,829 |
11,207 |
$557.85 |
| 83036 |
|
8,876 |
6,545 |
$553.15 |
| 87426 |
|
1,121 |
861 |
$524.71 |
| 87635 |
|
1,240 |
1,118 |
$501.46 |
| 0072A |
|
12 |
12 |
$480.00 |
| 90647 |
|
199 |
171 |
$397.80 |
| 90681 |
|
70 |
62 |
$360.00 |
| 99203 |
|
219 |
167 |
$357.07 |
| 87811 |
|
2,088 |
1,717 |
$300.83 |
| 87880 |
|
6,509 |
5,053 |
$236.61 |
| 91321 |
|
119 |
101 |
$207.00 |
| H1003 |
Prenatal at risk education |
3,380 |
2,839 |
$200.16 |
| A4550 |
Surgical trays |
705 |
605 |
$186.70 |
| 87804 |
|
8,112 |
5,122 |
$171.52 |
| 90713 |
|
53 |
43 |
$153.00 |
| 81002 |
|
20,561 |
12,031 |
$143.65 |
| H2000 |
Comp multidisipln evaluation |
27 |
27 |
$135.83 |
| 90381 |
|
49 |
42 |
$117.00 |
| 90472 |
|
1,151 |
835 |
$114.21 |
| G9012 |
Other specified case mgmt |
2,479 |
1,898 |
$94.86 |
| 90746 |
|
237 |
159 |
$74.84 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
1,644 |
1,542 |
$74.03 |
| 97802 |
|
1,410 |
1,192 |
$60.70 |
| 93000 |
|
84 |
54 |
$56.83 |
| 96372 |
|
559 |
368 |
$56.25 |
| 81025 |
|
4,999 |
3,921 |
$44.68 |
| 11720 |
|
19 |
16 |
$39.46 |
| 99401 |
|
2,260 |
2,012 |
$33.64 |
| 11721 |
|
385 |
288 |
$33.52 |
| 97803 |
|
828 |
814 |
$27.68 |
| 96156 |
|
1,606 |
1,598 |
$16.82 |
| D0220 |
|
8,299 |
5,760 |
$15.64 |
| 96160 |
|
148 |
96 |
$9.62 |
| 36415 |
|
1,173 |
1,122 |
$8.40 |
| 99173 |
|
1,236 |
1,037 |
$6.44 |
| 36416 |
|
1,437 |
1,409 |
$4.24 |
| D9993 |
|
4,664 |
3,617 |
$0.00 |
| 0502F |
|
11,189 |
8,727 |
$0.00 |
| D0274 |
|
4,422 |
3,491 |
$0.00 |
| 76805 |
|
13 |
12 |
$0.00 |
| 1159F |
|
9,266 |
8,554 |
$0.00 |
| 1160F |
|
13,821 |
12,949 |
$0.00 |
| 3078F |
|
11,961 |
11,207 |
$0.00 |
| 3077F |
|
2,311 |
2,221 |
$0.00 |
| Z6400 |
|
2,761 |
2,315 |
$0.00 |
| 1158F |
|
4,527 |
4,383 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
247 |
160 |
$0.00 |
| Z6200 |
|
141 |
141 |
$0.00 |
| 3046F |
|
232 |
226 |
$0.00 |
| Z6202 |
|
38 |
38 |
$0.00 |
| Z6300 |
|
140 |
140 |
$0.00 |
| Z6308 |
|
145 |
144 |
$0.00 |
| 3045F |
|
163 |
147 |
$0.00 |
| 99499 |
|
278 |
274 |
$0.00 |
| 3051F |
|
38 |
38 |
$0.00 |
| 90662 |
|
66 |
57 |
$0.00 |
| 91322 |
|
94 |
75 |
$0.00 |
| D0270 |
|
50 |
38 |
$0.00 |
| Z6414 |
|
174 |
168 |
$0.00 |
| Z6208 |
|
145 |
144 |
$0.00 |
| 99442 |
|
242 |
224 |
$0.00 |
| Z6304 |
|
363 |
358 |
$0.00 |
| D2150 |
|
91 |
49 |
$0.00 |
| 11056 |
|
79 |
55 |
$0.00 |
| Z6500 |
|
112 |
112 |
$0.00 |
| D1110 |
|
122 |
89 |
$0.00 |
| D9430 |
|
63 |
44 |
$0.00 |
| 87400 |
|
13 |
13 |
$0.00 |
| 90648 |
|
52 |
41 |
$0.00 |
| Z6302 |
|
38 |
38 |
$0.00 |
| D2391 |
|
54 |
24 |
$0.00 |
| 2024F |
|
50 |
50 |
$0.00 |
| 90750 |
|
18 |
12 |
$0.00 |
| 4120F |
|
56 |
55 |
$0.00 |
| G0127 |
Trim nail(s) |
23 |
18 |
$0.00 |
| D0350 |
|
19 |
12 |
$0.00 |
| G0444 |
Depression screen annual |
15 |
15 |
$0.00 |
| 3079F |
|
3,914 |
3,755 |
$0.00 |
| D0120 |
|
6,018 |
4,765 |
$0.00 |
| D1310 |
|
5,019 |
3,696 |
$0.00 |
| D1330 |
|
5,964 |
4,500 |
$0.00 |
| 3074F |
|
10,055 |
9,324 |
$0.00 |
| 1125F |
|
1,691 |
1,653 |
$0.00 |
| D0230 |
|
7,874 |
4,595 |
$0.00 |
| Z1034 |
|
895 |
660 |
$0.00 |
| D0602 |
|
374 |
295 |
$0.00 |
| Z6410 |
|
574 |
541 |
$0.00 |
| 3351F |
|
9,056 |
6,675 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
1,444 |
1,430 |
$0.00 |
| G0439 |
Ppps, subseq visit |
123 |
116 |
$0.00 |
| 3075F |
|
1,375 |
1,341 |
$0.00 |
| D0603 |
|
2,464 |
1,851 |
$0.00 |
| Z6204 |
|
349 |
347 |
$0.00 |
| G9226 |
3 comp foot exam completed |
382 |
372 |
$0.00 |
| 1036F |
|
85 |
84 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
1,983 |
1,413 |
$0.00 |
| 1126F |
|
10,304 |
9,678 |
$0.00 |
| S9445 |
Pt education noc individ |
236 |
226 |
$0.00 |
| 3044F |
|
245 |
241 |
$0.00 |
| Z6406 |
|
1,350 |
1,216 |
$0.00 |
| D1001 |
|
525 |
452 |
$0.00 |
| 51798 |
|
174 |
147 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
85 |
79 |
$0.00 |
| 90739 |
|
568 |
429 |
$0.00 |
| 3008F |
|
700 |
693 |
$0.00 |
| 0501F |
|
467 |
354 |
$0.00 |
| 0503F |
|
95 |
95 |
$0.00 |
| Z6402 |
|
136 |
136 |
$0.00 |
| S9452 |
Nutrition class |
149 |
149 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
40 |
26 |
$0.00 |
| J3490 |
Drugs unclassified injection |
207 |
165 |
$0.00 |
| 1111F |
|
496 |
489 |
$0.00 |
| 99381 |
|
165 |
131 |
$0.00 |
| 0144A |
|
38 |
27 |
$0.00 |
| 0500F |
|
198 |
190 |
$0.00 |
| Z6404 |
|
38 |
38 |
$0.00 |
| 3080F |
|
27 |
26 |
$0.00 |
| 87807 |
|
371 |
208 |
$0.00 |
| 99441 |
|
86 |
83 |
$0.00 |
| 91314 |
|
38 |
27 |
$0.00 |
| 3353F |
|
19 |
17 |
$0.00 |
| 3052F |
|
16 |
16 |
$0.00 |
| 99243 |
|
49 |
49 |
$0.00 |
| 96151 |
|
14 |
14 |
$0.00 |
| 86580 |
|
20 |
12 |
$0.00 |
| D3120 |
|
19 |
12 |
$0.00 |
| 88720 |
|
39 |
27 |
$0.00 |
| 3072F |
|
27 |
27 |
$0.00 |
| 96127 |
|
16 |
12 |
$0.00 |
| D1351 |
|
39 |
13 |
$0.00 |