| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
508,940 |
348,196 |
$103.27M |
| T1016 |
Case management |
44,700 |
27,109 |
$2.30M |
| H0004 |
Alcohol and/or drug services |
39,529 |
21,423 |
$669K |
| H0031 |
Mh health assess by non-md |
19,870 |
14,025 |
$208K |
| 99213 |
|
89,088 |
65,288 |
$184K |
| H2014 |
Skills train and dev, 15 min |
43,845 |
20,198 |
$119K |
| 99212 |
|
109,877 |
82,327 |
$80K |
| 59409 |
|
82 |
79 |
$74K |
| S0215 |
Nonemerg transp mileage |
1,652 |
560 |
$41K |
| 99443 |
|
61,582 |
44,803 |
$32K |
| 99442 |
|
26,152 |
18,896 |
$32K |
| 99211 |
|
78,327 |
55,507 |
$21K |
| 90791 |
|
1,444 |
1,258 |
$18K |
| 99396 |
|
10,007 |
8,224 |
$16K |
| A0120 |
Noner transport mini-bus |
1,575 |
548 |
$14K |
| 99202 |
|
4,763 |
4,389 |
$13K |
| H2027 |
Psychoed svc, per 15 min |
2,340 |
955 |
$12K |
| 99395 |
|
7,896 |
6,573 |
$11K |
| S0209 |
Wc van mileage per mi |
524 |
113 |
$11K |
| 99441 |
|
15,545 |
11,441 |
$11K |
| 0011A |
|
3,246 |
3,222 |
$8K |
| 0012A |
|
2,993 |
2,960 |
$8K |
| A0130 |
Noner transport wheelch van |
517 |
113 |
$7K |
| 99382 |
|
102 |
92 |
$6K |
| H2025 |
Supp maint employ, 15 min |
238 |
154 |
$6K |
| 99238 |
|
65 |
65 |
$4K |
| 99484 |
|
105 |
99 |
$4K |
| 90656 |
|
5,472 |
4,167 |
$3K |
| 90460 |
|
28,140 |
22,659 |
$3K |
| 90471 |
|
9,634 |
7,439 |
$2K |
| T1013 |
Sign lang/oral interpreter |
17,337 |
11,590 |
$2K |
| 90837 |
|
1,194 |
873 |
$2K |
| 0001A |
|
1,659 |
1,637 |
$2K |
| 87426 |
|
5,591 |
4,743 |
$1K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
21,149 |
18,659 |
$1K |
| 99383 |
|
370 |
303 |
$1K |
| 90834 |
|
111 |
82 |
$1K |
| 0002A |
|
1,552 |
1,529 |
$1K |
| 90832 |
|
466 |
298 |
$989.27 |
| H0038 |
Self-help/peer svc per 15min |
75 |
35 |
$987.60 |
| 96127 |
|
1,149 |
1,012 |
$955.59 |
| 99384 |
|
98 |
58 |
$720.72 |
| U0002 |
Covid-19 lab test non-cdc |
680 |
642 |
$564.41 |
| 99214 |
|
3,826 |
3,139 |
$472.37 |
| 36415 |
|
11,408 |
9,112 |
$420.21 |
| 81000 |
|
24,387 |
17,414 |
$414.30 |
| 99401 |
|
431 |
199 |
$402.96 |
| 0071A |
|
1,068 |
1,015 |
$400.00 |
| 99397 |
|
1,072 |
808 |
$355.98 |
| 99394 |
|
4,749 |
3,952 |
$255.82 |
| 99347 |
|
36 |
30 |
$253.19 |
| 0064A |
|
2,243 |
2,183 |
$203.83 |
| 87804 |
|
1,325 |
1,080 |
$198.94 |
| 99201 |
|
1,226 |
1,211 |
$176.80 |
| 99392 |
|
8,390 |
7,100 |
$155.90 |
| 99203 |
|
672 |
575 |
$152.15 |
| 99173 |
|
10,225 |
8,674 |
$146.96 |
| 90715 |
|
2,220 |
1,758 |
$120.34 |
| G0439 |
Ppps, subseq visit |
217 |
203 |
$115.70 |
| 96160 |
|
73 |
67 |
$96.03 |
| G2023 |
Specimen collect covid-19 |
6,447 |
5,281 |
$89.52 |
| 0034A |
|
25 |
23 |
$80.00 |
| 99393 |
|
7,320 |
6,233 |
$77.71 |
| 99391 |
|
9,915 |
8,003 |
$72.97 |
| 92551 |
|
1,592 |
1,347 |
$60.58 |
| 96372 |
|
9,319 |
7,596 |
$58.10 |
| 90707 |
|
1,575 |
1,330 |
$56.01 |
| 0072A |
|
890 |
865 |
$40.00 |
| 93000 |
|
273 |
262 |
$29.80 |
| G8420 |
Calc bmi norm parameters |
2,343 |
1,612 |
$25.65 |
| 87591 |
|
843 |
799 |
$25.03 |
| G0008 |
Admin influenza virus vac |
398 |
333 |
$15.14 |
| 99490 |
Ccm add 20min |
2,361 |
2,210 |
$9.98 |
| 81025 |
|
3,761 |
3,121 |
$8.63 |
| 90686 |
|
6,394 |
4,825 |
$4.05 |
| G8417 |
Calc bmi abv up param f/u |
6,259 |
4,507 |
$1.78 |
| 90685 |
|
1,894 |
1,458 |
$0.89 |
| 90670 |
|
4,702 |
4,079 |
$0.51 |
| 90734 |
|
1,987 |
1,591 |
$0.22 |
| 90680 |
|
3,639 |
3,138 |
$0.22 |
| 90649 |
|
2,327 |
1,914 |
$0.07 |
| 90633 |
|
3,621 |
2,987 |
$0.07 |
| 92507 |
|
15,108 |
4,490 |
$0.06 |
| 86580 |
|
220 |
197 |
$0.03 |
| 59025 |
|
4,026 |
1,267 |
$0.01 |
| 99381 |
|
1,952 |
1,599 |
$0.01 |
| 0502F |
|
8,366 |
4,656 |
$0.00 |
| 90710 |
|
905 |
683 |
$0.00 |
| 3078F |
|
58,314 |
44,488 |
$0.00 |
| 1160F |
|
27,794 |
22,460 |
$0.00 |
| G8752 |
Sys bp less 140 |
263 |
201 |
$0.00 |
| 0003A |
|
805 |
578 |
$0.00 |
| 1159F |
|
15,952 |
12,977 |
$0.00 |
| 97803 |
|
438 |
390 |
$0.00 |
| 3077F |
|
8,303 |
6,561 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
485 |
370 |
$0.00 |
| D1120 |
|
6,802 |
5,619 |
$0.00 |
| J2550 |
Promethazine hcl injection |
263 |
253 |
$0.00 |
| 91300 |
|
3,384 |
2,978 |
$0.00 |
| 87880 |
|
369 |
291 |
$0.00 |
| 90472 |
|
444 |
321 |
$0.00 |
| D1110 |
|
537 |
375 |
$0.00 |
| 90648 |
|
2,607 |
2,122 |
$0.00 |
| 90700 |
|
902 |
670 |
$0.00 |
| D0191 |
|
4,440 |
3,558 |
$0.00 |
| 3725F |
|
353 |
342 |
$0.00 |
| 4013F |
|
294 |
238 |
$0.00 |
| 3016F |
|
2,983 |
2,611 |
$0.00 |
| 90671 |
|
1,964 |
1,472 |
$0.00 |
| 87491 |
|
199 |
197 |
$0.00 |
| 4004F |
|
232 |
222 |
$0.00 |
| 96130 |
|
94 |
77 |
$0.00 |
| 80074 |
|
52 |
48 |
$0.00 |
| 0124A |
|
533 |
321 |
$0.00 |
| 91320 |
|
242 |
208 |
$0.00 |
| D0145 |
|
378 |
279 |
$0.00 |
| 96138 |
|
70 |
45 |
$0.00 |
| 96381 |
|
46 |
45 |
$0.00 |
| 90461 |
|
22 |
12 |
$0.00 |
| 3210F |
|
47 |
47 |
$0.00 |
| 90750 |
|
317 |
229 |
$0.00 |
| 90681 |
|
415 |
277 |
$0.00 |
| 4551F |
|
181 |
173 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
125 |
101 |
$0.00 |
| 0013A |
|
337 |
322 |
$0.00 |
| G8421 |
Bmi not calculated |
256 |
218 |
$0.00 |
| D0274 |
|
256 |
173 |
$0.00 |
| 91313 |
|
417 |
293 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
75 |
55 |
$0.00 |
| 2028F |
|
13 |
13 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
49 |
46 |
$0.00 |
| 91312 |
|
214 |
152 |
$0.00 |
| 3280F |
|
27 |
27 |
$0.00 |
| 1033F |
|
52 |
49 |
$0.00 |
| 91311 |
|
191 |
150 |
$0.00 |
| 4145F |
|
83 |
68 |
$0.00 |
| 91308 |
|
74 |
59 |
$0.00 |
| 90662 |
|
115 |
78 |
$0.00 |
| G0444 |
Depression screen annual |
18 |
17 |
$0.00 |
| D2391 |
|
89 |
29 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
13 |
13 |
$0.00 |
| 4274F |
|
14 |
14 |
$0.00 |
| 3015F |
|
31 |
31 |
$0.00 |
| 96136 |
|
56 |
45 |
$0.00 |
| 0121A |
|
16 |
14 |
$0.00 |
| 87799 |
|
51 |
51 |
$0.00 |
| 90380 |
|
19 |
19 |
$0.00 |
| 3050F |
|
61 |
56 |
$0.00 |
| J2930 |
Methylprednisolone injection |
45 |
44 |
$0.00 |
| 3045F |
|
17 |
17 |
$0.00 |
| 96360 |
|
19 |
12 |
$0.00 |
| 90713 |
|
13 |
12 |
$0.00 |
| 69209 |
|
14 |
13 |
$0.00 |
| 96137 |
|
44 |
33 |
$0.00 |
| 0073A |
|
14 |
14 |
$0.00 |
| 92552 |
|
30 |
20 |
$0.00 |
| 91322 |
|
12 |
12 |
$0.00 |
| 3074F |
|
66,748 |
49,675 |
$0.00 |
| 3079F |
|
25,160 |
20,350 |
$0.00 |
| D1206 |
|
7,532 |
6,225 |
$0.00 |
| 3008F |
|
88,025 |
66,320 |
$0.00 |
| 91318 |
|
63 |
59 |
$0.00 |
| 90647 |
|
904 |
744 |
$0.00 |
| 92523 |
|
220 |
201 |
$0.00 |
| 3075F |
|
11,195 |
9,464 |
$0.00 |
| 90620 |
|
457 |
276 |
$0.00 |
| 1220F |
|
9,810 |
8,409 |
$0.00 |
| 3279F |
|
269 |
236 |
$0.00 |
| 96110 |
|
3,049 |
2,493 |
$0.00 |
| D0272 |
|
1,523 |
1,164 |
$0.00 |
| 3044F |
|
1,040 |
932 |
$0.00 |
| 1126F |
|
10,782 |
8,506 |
$0.00 |
| 0500F |
|
96 |
80 |
$0.00 |
| 1000F |
|
945 |
851 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
2,050 |
1,935 |
$0.00 |
| 90698 |
|
1,419 |
1,321 |
$0.00 |
| 90716 |
|
1,705 |
1,438 |
$0.00 |
| 90723 |
|
3,469 |
2,778 |
$0.00 |
| D0120 |
|
3,692 |
2,933 |
$0.00 |
| D0240 |
|
2,048 |
928 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
597 |
577 |
$0.00 |
| 0154A |
|
142 |
87 |
$0.00 |
| 90480 |
|
683 |
604 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
1,703 |
1,546 |
$0.00 |
| 1036F |
|
1,111 |
1,024 |
$0.00 |
| 91301 |
|
4,994 |
4,818 |
$0.00 |
| 97802 |
|
505 |
459 |
$0.00 |
| 2001F |
|
685 |
521 |
$0.00 |
| 3048F |
|
347 |
280 |
$0.00 |
| 3080F |
|
4,054 |
3,395 |
$0.00 |
| G0443 |
Brief alcohol misuse counsel |
107 |
101 |
$0.00 |
| D0150 |
|
830 |
615 |
$0.00 |
| 90792 |
|
1,572 |
1,348 |
$0.00 |
| 3037F |
|
1,365 |
1,125 |
$0.00 |
| 85018 |
|
29 |
29 |
$0.00 |
| D1208 |
|
275 |
224 |
$0.00 |
| 90696 |
|
748 |
584 |
$0.00 |
| 91303 |
|
52 |
50 |
$0.00 |
| 0503F |
|
233 |
187 |
$0.00 |
| G8422 |
Pt inelig bmi calculation |
1,965 |
1,454 |
$0.00 |
| 3049F |
|
124 |
109 |
$0.00 |
| 1170F |
|
1,020 |
863 |
$0.00 |
| 91306 |
|
639 |
624 |
$0.00 |
| 99493 |
|
55 |
55 |
$0.00 |
| G8754 |
Dias bp less 90 |
366 |
288 |
$0.00 |
| 90744 |
|
622 |
574 |
$0.00 |
| 0111A |
|
285 |
221 |
$0.00 |
| 90651 |
|
280 |
208 |
$0.00 |
| 4010F |
|
130 |
113 |
$0.00 |
| 82962 |
|
232 |
212 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
583 |
510 |
$0.00 |
| 1125F |
|
1,304 |
1,192 |
$0.00 |
| 96132 |
|
57 |
51 |
$0.00 |
| 0074A |
|
96 |
83 |
$0.00 |
| 2000F |
|
768 |
598 |
$0.00 |
| 0134A |
|
751 |
403 |
$0.00 |
| 87807 |
|
132 |
103 |
$0.00 |
| 99385 |
|
79 |
66 |
$0.00 |
| 97804 |
|
414 |
335 |
$0.00 |
| 90673 |
|
75 |
74 |
$0.00 |
| 1111F |
|
3,323 |
2,867 |
$0.00 |
| 91307 |
|
804 |
727 |
$0.00 |
| 91316 |
|
36 |
28 |
$0.00 |
| D1351 |
|
611 |
122 |
$0.00 |
| 87625 |
|
31 |
31 |
$0.00 |
| J3410 |
Hydroxyzine hcl injection |
15 |
15 |
$0.00 |
| 80081 |
|
56 |
55 |
$0.00 |
| 87661 |
|
184 |
184 |
$0.00 |
| 0164A |
|
106 |
66 |
$0.00 |
| D0210 |
|
34 |
13 |
$0.00 |
| 0501F |
|
63 |
49 |
$0.00 |
| H0002 |
Alcohol and/or drug screenin |
39 |
38 |
$0.00 |
| 83036 |
|
45 |
29 |
$0.00 |
| 0031A |
|
63 |
61 |
$0.00 |
| 86701 |
|
21 |
21 |
$0.00 |
| 90381 |
|
15 |
15 |
$0.00 |
| 3014F |
|
27 |
27 |
$0.00 |
| 58300 |
|
13 |
12 |
$0.00 |
| 91319 |
|
49 |
46 |
$0.00 |
| 0112A |
|
112 |
82 |
$0.00 |
| 1101F |
|
13 |
12 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
41 |
40 |
$0.00 |
| J1726 |
Makena, 10 mg |
33 |
12 |
$0.00 |
| 90677 |
|
19 |
12 |
$0.00 |
| 0081A |
|
59 |
45 |
$0.00 |
| 99386 |
|
14 |
14 |
$0.00 |
| 96139 |
|
18 |
12 |
$0.00 |