| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
24,617 |
20,485 |
$5.16M |
| 99213 |
|
22,443 |
17,539 |
$4.51M |
| 90832 |
|
12,306 |
7,883 |
$2.71M |
| G0467 |
Fqhc visit, estab pt |
14,425 |
10,017 |
$1.49M |
| G2025 |
Dis site tele svcs rhc/fqhc |
7,354 |
5,708 |
$1.14M |
| 99212 |
|
3,353 |
2,770 |
$733K |
| 99442 |
|
2,325 |
2,123 |
$602K |
| 98967 |
|
1,443 |
1,202 |
$374K |
| G0470 |
Fqhc visit, mh estab pt |
2,966 |
2,068 |
$318K |
| 98968 |
|
1,164 |
920 |
$303K |
| 99443 |
|
780 |
722 |
$199K |
| 99391 |
|
669 |
642 |
$178K |
| 99392 |
|
386 |
383 |
$102K |
| 90791 |
|
446 |
381 |
$94K |
| 99215 |
Prolong outpt/office vis |
350 |
338 |
$92K |
| 87636 |
|
746 |
721 |
$83K |
| 99203 |
|
296 |
293 |
$71K |
| 84443 |
|
899 |
888 |
$53K |
| 99393 |
|
188 |
186 |
$50K |
| 80061 |
|
1,380 |
1,373 |
$26K |
| 80053 |
|
2,392 |
2,267 |
$24K |
| Q0091 |
Obtaining screen pap smear |
234 |
230 |
$20K |
| G0101 |
Ca screen;pelvic/breast exam |
396 |
387 |
$14K |
| T1015 |
Clinic service |
159 |
136 |
$11K |
| 99204 |
|
46 |
45 |
$11K |
| 87635 |
|
209 |
205 |
$10K |
| 99394 |
|
27 |
27 |
$7K |
| 0001A |
|
120 |
119 |
$5K |
| 90792 |
|
14 |
14 |
$4K |
| 85025 |
|
2,479 |
2,284 |
$4K |
| 80305 |
|
1,567 |
1,438 |
$4K |
| 0002A |
|
96 |
96 |
$4K |
| 80048 |
|
233 |
218 |
$4K |
| 0012A |
|
95 |
95 |
$4K |
| 0011A |
|
95 |
95 |
$4K |
| 99441 |
|
12 |
12 |
$3K |
| 90707 |
|
128 |
127 |
$3K |
| 81000 |
|
1,217 |
1,140 |
$2K |
| 71046 |
|
135 |
128 |
$2K |
| 84484 |
|
163 |
130 |
$2K |
| 90471 |
|
1,579 |
1,547 |
$2K |
| 80307 |
|
69 |
66 |
$2K |
| 86580 |
|
327 |
305 |
$2K |
| 90833 |
|
99 |
87 |
$2K |
| 0064A |
|
30 |
29 |
$1K |
| 36415 |
|
1,939 |
1,774 |
$1K |
| 96372 |
|
2,156 |
1,479 |
$1K |
| 83605 |
|
73 |
68 |
$1K |
| 0071A |
|
18 |
18 |
$786.24 |
| 83880 |
|
31 |
27 |
$768.42 |
| 0072A |
|
16 |
16 |
$698.88 |
| 0004A |
|
15 |
15 |
$655.20 |
| 77067 |
|
12 |
12 |
$528.33 |
| 71045 |
|
39 |
38 |
$398.83 |
| 87804 |
|
201 |
195 |
$348.18 |
| 81002 |
|
1,094 |
822 |
$335.94 |
| 20610 |
|
43 |
40 |
$271.49 |
| 90662 |
|
90 |
90 |
$158.00 |
| 87880 |
|
263 |
255 |
$82.90 |
| 96374 |
|
863 |
774 |
$74.23 |
| 0124A |
|
16 |
16 |
$69.32 |
| 81025 |
|
585 |
554 |
$57.21 |
| 83690 |
|
110 |
101 |
$56.56 |
| 94640 |
|
227 |
185 |
$39.96 |
| 90715 |
|
316 |
309 |
$32.00 |
| 83036 |
|
134 |
133 |
$28.87 |
| 84550 |
|
39 |
38 |
$21.75 |
| 90688 |
|
776 |
769 |
$17.16 |
| 84439 |
|
12 |
12 |
$12.46 |
| 82962 |
|
292 |
277 |
$5.00 |
| 85018 |
|
25 |
24 |
$3.27 |
| J7030 |
Normal saline solution infus |
57 |
53 |
$0.18 |
| 90472 |
|
373 |
246 |
$0.00 |
| 11720 |
|
209 |
197 |
$0.00 |
| 91300 |
|
245 |
220 |
$0.00 |
| J2930 |
Methylprednisolone injection |
17 |
14 |
$0.00 |
| 90685 |
|
28 |
28 |
$0.00 |
| 93005 |
|
19 |
17 |
$0.00 |
| 96375 |
|
220 |
141 |
$0.00 |
| G0008 |
Admin influenza virus vac |
221 |
213 |
$0.00 |
| Q0111 |
Wet mounts/ w preparations |
73 |
67 |
$0.00 |
| 91301 |
|
187 |
186 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
32 |
27 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
30 |
26 |
$0.00 |
| 91307 |
|
38 |
38 |
$0.00 |
| 91306 |
|
17 |
17 |
$0.00 |
| Q0112 |
Potassium hydroxide preps |
58 |
55 |
$0.00 |