| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
20,416 |
14,363 |
$2.10M |
| H2020 |
Ther behav svc, per diem |
2,772 |
1,112 |
$198K |
| 99214 |
|
5,062 |
4,085 |
$46K |
| 99213 |
|
8,463 |
6,803 |
$8K |
| D0999 |
|
131 |
105 |
$3K |
| 90471 |
|
1,460 |
1,231 |
$2K |
| 90674 |
|
87 |
82 |
$1K |
| 0002A |
|
93 |
49 |
$310.40 |
| 0011A |
|
185 |
86 |
$99.16 |
| 0012A |
|
331 |
138 |
$62.08 |
| 99212 |
|
3,924 |
2,751 |
$44.36 |
| 96372 |
|
425 |
298 |
$23.35 |
| 99202 |
|
436 |
361 |
$0.00 |
| 80053 |
|
1,135 |
914 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
418 |
298 |
$0.00 |
| 86361 |
|
814 |
643 |
$0.00 |
| 86592 |
|
346 |
263 |
$0.00 |
| 90686 |
|
752 |
635 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
1,998 |
1,474 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
44 |
38 |
$0.00 |
| 85025 |
|
1,016 |
819 |
$0.00 |
| 87591 |
|
539 |
419 |
$0.00 |
| 87536 |
|
933 |
726 |
$0.00 |
| 84443 |
|
153 |
127 |
$0.00 |
| 87511 |
|
92 |
76 |
$0.00 |
| 82306 |
|
186 |
133 |
$0.00 |
| 91301 |
|
621 |
260 |
$0.00 |
| 86780 |
|
35 |
25 |
$0.00 |
| 86706 |
|
30 |
26 |
$0.00 |
| 90834 |
|
260 |
83 |
$0.00 |
| 87529 |
|
50 |
41 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
86 |
74 |
$0.00 |
| 87389 |
|
74 |
51 |
$0.00 |
| 90656 |
|
65 |
43 |
$0.00 |
| 84703 |
|
16 |
14 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
13 |
12 |
$0.00 |
| 83036 |
|
72 |
66 |
$0.00 |
| 80048 |
|
14 |
14 |
$0.00 |
| 86803 |
|
74 |
51 |
$0.00 |
| 86704 |
|
13 |
12 |
$0.00 |
| 3017F |
|
13 |
12 |
$0.00 |
| 87661 |
|
136 |
118 |
$0.00 |
| 1036F |
|
30 |
20 |
$0.00 |
| 0001A |
|
19 |
16 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
17 |
13 |
$0.00 |
| 87340 |
|
13 |
12 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
43 |
34 |
$0.00 |
| G9906 |
Pt recv tbco cess interv |
13 |
12 |
$0.00 |
| D0150 |
|
46 |
40 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
15 |
12 |
$0.00 |
| 99203 |
|
714 |
579 |
$0.00 |
| 80074 |
|
156 |
111 |
$0.00 |
| 99211 |
|
420 |
331 |
$0.00 |
| 81003 |
|
804 |
641 |
$0.00 |
| 87491 |
|
545 |
421 |
$0.00 |
| 80061 |
|
259 |
205 |
$0.00 |
| 90791 |
|
44 |
26 |
$0.00 |
| 99201 |
|
46 |
34 |
$0.00 |
| 91300 |
|
95 |
59 |
$0.00 |
| 90837 |
|
1,014 |
434 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
57 |
44 |
$0.00 |
| 87481 |
|
92 |
76 |
$0.00 |
| 86480 |
|
142 |
99 |
$0.00 |
| 90611 |
|
92 |
69 |
$0.00 |
| D0330 |
|
45 |
41 |
$0.00 |
| 84403 |
|
31 |
27 |
$0.00 |
| 87798 |
|
84 |
74 |
$0.00 |
| 99204 |
|
85 |
53 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
56 |
44 |
$0.00 |
| 81025 |
|
29 |
24 |
$0.00 |
| 86708 |
|
23 |
14 |
$0.00 |
| 99497 |
|
84 |
78 |
$0.00 |
| 80307 |
|
13 |
13 |
$0.00 |