| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
46,356 |
36,168 |
$6.70M |
| 00003 |
|
24,641 |
20,282 |
$5.30M |
| 90834 |
|
5,689 |
3,018 |
$78K |
| 99213 |
|
19,258 |
12,074 |
$74K |
| 90837 |
|
5,247 |
2,308 |
$54K |
| 99214 |
|
5,608 |
3,753 |
$38K |
| 99212 |
|
14,487 |
7,966 |
$35K |
| 90832 |
|
842 |
745 |
$20K |
| 0012A |
|
148 |
96 |
$5K |
| 99215 |
Prolong outpt/office vis |
602 |
415 |
$4K |
| 0011A |
|
140 |
87 |
$4K |
| 90792 |
|
63 |
57 |
$3K |
| G0467 |
Fqhc visit, estab pt |
137 |
116 |
$3K |
| 87635 |
|
87 |
72 |
$2K |
| 90791 |
|
121 |
81 |
$2K |
| 90688 |
|
215 |
186 |
$2K |
| 90833 |
|
96 |
89 |
$2K |
| G0442 |
Annual alcohol screen 15 min |
287 |
261 |
$2K |
| 94760 |
|
1,567 |
1,240 |
$1K |
| 99204 |
|
75 |
46 |
$1K |
| 99395 |
|
63 |
43 |
$1K |
| G8431 |
Pos clin depres scrn f/u doc |
290 |
165 |
$1K |
| 99000 |
|
1,505 |
1,345 |
$919.17 |
| 90863 |
|
41 |
41 |
$892.48 |
| 90471 |
|
550 |
457 |
$877.09 |
| G9919 |
Scrn nd pos nd prov of rec |
84 |
62 |
$840.42 |
| 80305 |
|
317 |
311 |
$772.46 |
| G9920 |
Scrning perf and negative |
59 |
42 |
$696.00 |
| 0031A |
|
18 |
12 |
$630.00 |
| G0444 |
Depression screen annual |
163 |
162 |
$508.13 |
| 90715 |
|
25 |
25 |
$495.14 |
| 90686 |
|
41 |
37 |
$375.61 |
| 99406 |
|
54 |
51 |
$353.84 |
| 96127 |
|
650 |
376 |
$346.46 |
| 99211 |
|
67 |
56 |
$274.44 |
| 96372 |
|
13 |
12 |
$243.75 |
| G8510 |
Scr dep neg, no plan reqd |
412 |
249 |
$146.59 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
94 |
26 |
$145.80 |
| 98941 |
|
540 |
221 |
$117.04 |
| 36415 |
|
2,719 |
2,279 |
$111.13 |
| 83036 |
|
72 |
68 |
$108.32 |
| G2023 |
Specimen collect covid-19 |
44 |
35 |
$93.84 |
| J3420 |
Vitamin b12 injection |
12 |
12 |
$93.72 |
| 81002 |
|
123 |
90 |
$87.14 |
| 2000F |
|
660 |
494 |
$76.22 |
| 99203 |
|
241 |
158 |
$56.63 |
| 3008F |
|
1,253 |
1,030 |
$38.85 |
| 99202 |
|
18 |
12 |
$34.30 |
| 97026 |
|
521 |
205 |
$29.52 |
| 97802 |
|
36 |
31 |
$27.32 |
| 97140 |
|
223 |
117 |
$21.99 |
| 3074F |
|
2,240 |
1,543 |
$21.90 |
| 3078F |
|
2,129 |
1,526 |
$21.30 |
| 1036F |
|
331 |
279 |
$21.15 |
| 1000F |
|
705 |
632 |
$19.80 |
| 3725F |
|
687 |
612 |
$19.20 |
| 3016F |
|
695 |
619 |
$19.20 |
| 99173 |
|
16 |
13 |
$13.80 |
| 96160 |
|
370 |
319 |
$6.84 |
| 3079F |
|
855 |
573 |
$4.80 |
| 3075F |
|
520 |
351 |
$2.40 |
| 3077F |
|
466 |
317 |
$0.60 |
| 2010F |
|
2,363 |
1,563 |
$0.00 |
| 2001F |
|
2,537 |
1,662 |
$0.00 |
| 3080F |
|
161 |
94 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
20 |
12 |
$0.00 |
| 99443 |
|
359 |
233 |
$0.00 |
| 98943 |
|
223 |
119 |
$0.00 |
| G8950 |
Pre-htn or htn doc, f/u indc |
27 |
13 |
$0.00 |
| 91301 |
|
14 |
14 |
$0.00 |
| 97010 |
|
126 |
58 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
12 |
12 |
$0.00 |
| H0049 |
Alcohol/drug screening |
15 |
14 |
$0.00 |
| 99396 |
|
253 |
162 |
$0.00 |
| 97810 |
|
662 |
270 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
63 |
44 |
$0.00 |
| 97811 |
|
109 |
51 |
$0.00 |
| 87491 |
|
14 |
12 |
$0.00 |
| 99442 |
|
98 |
62 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
167 |
119 |
$0.00 |
| 83037 |
|
17 |
13 |
$0.00 |