| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
156,194 |
126,652 |
$18.76M |
| 99214 |
|
60,786 |
41,019 |
$1.43M |
| 99213 |
|
89,639 |
58,576 |
$1.34M |
| 59425 |
|
8,052 |
5,930 |
$619K |
| 99392 |
|
12,673 |
8,930 |
$553K |
| 99393 |
|
8,701 |
6,228 |
$425K |
| 99212 |
|
24,518 |
17,615 |
$348K |
| 99391 |
|
8,040 |
5,871 |
$331K |
| 99394 |
|
5,490 |
3,874 |
$321K |
| 99395 |
|
3,103 |
2,116 |
$227K |
| 87502 |
|
3,790 |
2,981 |
$206K |
| 96110 |
|
4,885 |
3,270 |
$173K |
| 90686 |
|
13,505 |
10,114 |
$168K |
| 87811 |
|
6,717 |
4,363 |
$148K |
| G9920 |
Scrning perf and negative |
7,988 |
5,190 |
$147K |
| 92551 |
|
10,773 |
8,423 |
$138K |
| J3490 |
Drugs unclassified injection |
1,148 |
973 |
$134K |
| 92552 |
|
9,740 |
6,128 |
$132K |
| 97803 |
|
1,558 |
1,298 |
$100K |
| 87635 |
|
2,808 |
1,844 |
$90K |
| 99188 |
|
6,848 |
4,530 |
$87K |
| 90670 |
|
7,040 |
5,215 |
$85K |
| 99215 |
Prolong outpt/office vis |
1,841 |
1,142 |
$77K |
| 99173 |
|
19,999 |
14,714 |
$65K |
| G0442 |
Annual alcohol screen 15 min |
5,676 |
3,410 |
$64K |
| 99000 |
|
21,029 |
18,414 |
$58K |
| H1003 |
Prenatal at risk education |
2,488 |
2,138 |
$56K |
| 99396 |
|
1,489 |
1,053 |
$52K |
| 90651 |
|
1,355 |
983 |
$50K |
| 0012A |
|
973 |
584 |
$50K |
| 90633 |
|
4,200 |
3,055 |
$48K |
| 87634 |
|
1,235 |
779 |
$46K |
| 85018 |
|
36,657 |
25,584 |
$46K |
| 87880 |
|
8,143 |
5,984 |
$43K |
| 90710 |
|
3,696 |
2,742 |
$42K |
| 77067 |
|
219 |
216 |
$38K |
| 97802 |
|
282 |
223 |
$37K |
| 83036 |
|
8,176 |
5,968 |
$36K |
| 90715 |
|
2,374 |
1,771 |
$34K |
| G8510 |
Scr dep neg, no plan reqd |
4,294 |
2,944 |
$32K |
| 90648 |
|
2,042 |
1,883 |
$31K |
| 90649 |
|
1,989 |
1,520 |
$30K |
| 90681 |
|
2,852 |
2,148 |
$30K |
| G0108 |
Diab manage trn per indiv |
611 |
423 |
$28K |
| 0011A |
|
740 |
662 |
$26K |
| 99202 |
|
874 |
693 |
$26K |
| 90698 |
|
2,770 |
1,945 |
$25K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
5,230 |
5,228 |
$22K |
| 0001A |
|
528 |
527 |
$22K |
| 90682 |
|
479 |
377 |
$21K |
| 87651 |
|
1,298 |
748 |
$21K |
| 90723 |
|
1,278 |
1,226 |
$21K |
| G8431 |
Pos clin depres scrn f/u doc |
795 |
497 |
$20K |
| 0002A |
|
478 |
477 |
$20K |
| 83655 |
|
2,500 |
1,833 |
$19K |
| 81002 |
|
20,451 |
13,521 |
$19K |
| 99211 |
|
1,302 |
1,070 |
$19K |
| 90697 |
|
1,901 |
1,156 |
$18K |
| 87804 |
|
3,821 |
2,388 |
$17K |
| 83013 |
|
470 |
321 |
$17K |
| Z7500 |
|
758 |
712 |
$16K |
| 86580 |
|
4,369 |
3,892 |
$16K |
| 99203 |
|
517 |
380 |
$16K |
| 90734 |
|
1,357 |
1,006 |
$16K |
| 77063 |
|
219 |
218 |
$15K |
| 76700 |
|
137 |
129 |
$14K |
| 90744 |
|
1,636 |
1,198 |
$14K |
| 90677 |
|
839 |
614 |
$12K |
| 81025 |
|
5,563 |
4,158 |
$11K |
| 87807 |
|
2,753 |
1,816 |
$11K |
| 80061 |
|
2,012 |
1,475 |
$11K |
| 90696 |
|
939 |
708 |
$10K |
| 90619 |
|
954 |
653 |
$10K |
| 90688 |
|
512 |
512 |
$10K |
| 90656 |
|
1,086 |
831 |
$10K |
| 99381 |
|
338 |
254 |
$9K |
| 0013A |
|
219 |
217 |
$9K |
| 96158 |
|
6,019 |
5,620 |
$9K |
| 82962 |
|
8,698 |
6,341 |
$9K |
| 76856 |
|
108 |
99 |
$9K |
| 0071A |
|
177 |
175 |
$9K |
| 96127 |
|
2,515 |
1,797 |
$9K |
| 0072A |
|
150 |
150 |
$9K |
| 97804 |
|
238 |
94 |
$8K |
| 76805 |
|
64 |
64 |
$8K |
| 94640 |
|
883 |
673 |
$8K |
| 90700 |
|
679 |
536 |
$8K |
| J0561 |
Penicillin g benzathine inj |
502 |
399 |
$8K |
| 90620 |
|
442 |
322 |
$6K |
| 81003 |
|
2,855 |
2,776 |
$6K |
| 99401 |
|
318 |
283 |
$6K |
| 96372 |
|
2,042 |
1,870 |
$6K |
| 11055 |
|
1,128 |
780 |
$6K |
| 87428 |
|
173 |
92 |
$6K |
| 0003A |
|
100 |
99 |
$6K |
| 11056 |
|
1,100 |
748 |
$5K |
| 90685 |
|
301 |
265 |
$5K |
| 90750 |
|
32 |
24 |
$4K |
| 96151 |
|
188 |
148 |
$4K |
| 69210 |
|
274 |
116 |
$4K |
| 90674 |
|
170 |
146 |
$3K |
| 90662 |
|
360 |
333 |
$3K |
| 81000 |
|
1,048 |
1,001 |
$3K |
| 76801 |
|
29 |
26 |
$3K |
| G0444 |
Depression screen annual |
685 |
533 |
$3K |
| G0109 |
Diab manage trn ind/group |
94 |
65 |
$3K |
| 87430 |
|
664 |
438 |
$3K |
| 71046 |
|
151 |
121 |
$3K |
| G2025 |
Dis site tele svcs rhc/fqhc |
372 |
238 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
676 |
509 |
$2K |
| 86480 |
|
7,624 |
7,428 |
$2K |
| 90716 |
|
116 |
81 |
$2K |
| 83014 |
|
427 |
286 |
$2K |
| 93005 |
|
231 |
147 |
$2K |
| 90673 |
|
48 |
40 |
$2K |
| 59430 |
|
26 |
26 |
$2K |
| 90460 |
|
8,929 |
8,812 |
$1K |
| 99307 |
|
1,537 |
1,110 |
$1K |
| 0134A |
|
14 |
14 |
$938.00 |
| 90672 |
|
68 |
54 |
$936.00 |
| 90707 |
|
65 |
41 |
$776.80 |
| J0696 |
Ceftriaxone sodium injection |
240 |
201 |
$689.40 |
| 93000 |
|
28 |
24 |
$592.13 |
| G9919 |
Scrn nd pos nd prov of rec |
24 |
12 |
$522.00 |
| 73030 |
|
16 |
13 |
$408.47 |
| 80305 |
|
68 |
42 |
$390.72 |
| G2010 |
Remot image submit by pt |
63 |
54 |
$356.21 |
| 90630 |
|
16 |
16 |
$349.00 |
| 90680 |
|
31 |
17 |
$265.21 |
| 99304 |
|
31 |
17 |
$226.80 |
| 99174 |
|
3,067 |
3,024 |
$200.31 |
| 90471 |
|
1,994 |
1,957 |
$182.93 |
| 73564 |
|
16 |
13 |
$162.86 |
| 99070 |
|
112 |
80 |
$155.00 |
| J1050 |
Medroxyprogesterone acetate |
20 |
14 |
$145.44 |
| J1040 |
Methylprednisolone 80 mg inj |
33 |
26 |
$114.64 |
| 36415 |
|
336 |
325 |
$112.18 |
| 11720 |
|
51 |
43 |
$109.20 |
| J3420 |
Vitamin b12 injection |
47 |
39 |
$88.69 |
| 96160 |
|
2,358 |
2,319 |
$80.27 |
| 99308 |
|
87 |
65 |
$72.90 |
| 90461 |
|
5,598 |
5,049 |
$71.18 |
| 82044 |
|
12 |
12 |
$57.25 |
| J3301 |
Triamcinolone acet inj nos |
18 |
12 |
$46.24 |
| S0119 |
Ondansetron 4 mg |
19 |
17 |
$45.00 |
| 94760 |
|
682 |
623 |
$37.12 |
| 90472 |
|
83 |
81 |
$5.27 |
| J7611 |
Albuterol non-comp con |
23 |
14 |
$1.53 |
| 36416 |
|
393 |
390 |
$1.15 |
| J7620 |
Albuterol ipratrop non-comp |
209 |
191 |
$0.26 |
| A4550 |
Surgical trays |
412 |
399 |
$0.00 |
| Z6400 |
|
157 |
157 |
$0.00 |
| Z6200 |
|
12 |
12 |
$0.00 |
| 3051F |
|
92 |
65 |
$0.00 |
| Z6304 |
|
171 |
137 |
$0.00 |
| Z6300 |
|
38 |
38 |
$0.00 |
| 90473 |
|
258 |
258 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
344 |
344 |
$0.00 |
| 99499 |
|
12 |
12 |
$0.00 |
| 99442 |
|
30 |
30 |
$0.00 |
| 90791 |
|
21 |
15 |
$0.00 |
| Z1034 |
|
5,198 |
3,976 |
$0.00 |
| 3044F |
|
2,580 |
2,118 |
$0.00 |
| Z6410 |
|
1,325 |
1,071 |
$0.00 |
| 96161 |
|
851 |
826 |
$0.00 |
| Z6406 |
|
130 |
122 |
$0.00 |
| Z6204 |
|
160 |
148 |
$0.00 |
| G0008 |
Admin influenza virus vac |
84 |
84 |
$0.00 |
| Z1032 |
|
73 |
73 |
$0.00 |
| 99441 |
|
46 |
46 |
$0.00 |
| 3052F |
|
20 |
13 |
$0.00 |