| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
12,009 |
8,818 |
$684K |
| 99214 |
|
11,924 |
9,444 |
$671K |
| 99211 |
|
6,156 |
2,510 |
$139K |
| 90837 |
|
7,316 |
4,236 |
$109K |
| 90834 |
|
4,054 |
2,695 |
$62K |
| 99215 |
Prolong outpt/office vis |
534 |
462 |
$45K |
| 90832 |
|
1,666 |
1,289 |
$34K |
| G0177 |
Opps/php/iop; train & educ |
1,233 |
522 |
$32K |
| T1015 |
Clinic service |
327 |
301 |
$29K |
| 90471 |
|
1,379 |
1,324 |
$28K |
| 36415 |
|
5,360 |
3,766 |
$26K |
| 99212 |
|
568 |
511 |
$23K |
| 90839 |
|
416 |
323 |
$17K |
| 90792 |
|
300 |
199 |
$13K |
| 90686 |
|
937 |
912 |
$12K |
| T1016 |
Case management |
7,384 |
2,947 |
$12K |
| H2014 |
Skills train and dev, 15 min |
1,524 |
537 |
$10K |
| 99203 |
|
87 |
84 |
$8K |
| 90853 |
|
329 |
161 |
$7K |
| 90791 |
|
363 |
340 |
$6K |
| H0005 |
Alcohol and/or drug services |
109 |
51 |
$5K |
| 96372 |
|
663 |
497 |
$5K |
| T1001 |
Nursing assessment/evaluatn |
337 |
279 |
$4K |
| S4993 |
Contraceptive pills for bc |
310 |
257 |
$4K |
| 83036 |
|
603 |
568 |
$4K |
| H0004 |
Alcohol and/or drug services |
94 |
61 |
$3K |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,654 |
709 |
$3K |
| 81025 |
|
628 |
349 |
$3K |
| 90715 |
|
166 |
166 |
$3K |
| 90847 |
|
144 |
81 |
$3K |
| 80305 |
|
355 |
162 |
$2K |
| H0038 |
Self-help/peer svc per 15min |
117 |
41 |
$2K |
| 99204 |
|
13 |
12 |
$2K |
| J1050 |
Medroxyprogesterone acetate |
97 |
95 |
$2K |
| G0467 |
Fqhc visit, estab pt |
845 |
504 |
$2K |
| 90472 |
|
296 |
288 |
$1K |
| 90651 |
|
42 |
42 |
$1K |
| 96160 |
|
546 |
508 |
$1K |
| 99202 |
|
16 |
14 |
$878.53 |
| 90633 |
|
49 |
47 |
$768.60 |
| 90480 |
|
37 |
35 |
$683.23 |
| 90734 |
|
24 |
24 |
$505.08 |
| 90707 |
|
16 |
16 |
$369.78 |
| 90700 |
|
17 |
17 |
$351.36 |
| 91322 |
|
19 |
17 |
$344.64 |
| 90716 |
|
12 |
12 |
$263.52 |
| H0032 |
Mh svc plan dev by non-md |
70 |
68 |
$248.54 |
| 81002 |
|
89 |
83 |
$210.49 |
| 90662 |
|
32 |
30 |
$203.00 |
| S4930 |
|
14 |
14 |
$140.00 |
| 86803 |
|
12 |
12 |
$104.00 |
| 85018 |
|
39 |
37 |
$96.90 |
| 81003 |
|
13 |
12 |
$48.65 |
| 36416 |
|
657 |
628 |
$18.70 |
| 99001 |
|
1,238 |
473 |
$0.00 |
| H0002 |
Alcohol and/or drug screenin |
206 |
202 |
$0.00 |
| T1023 |
Program intake assessment |
31 |
31 |
$0.00 |