| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
397,838 |
307,717 |
$60.88M |
| G0470 |
Fqhc visit, mh estab pt |
84,398 |
64,126 |
$12.48M |
| T1040 |
Comm bh clinic svc per diem |
73,718 |
37,389 |
$9.86M |
| 90834 |
|
104,943 |
62,932 |
$7.92M |
| D9450 |
|
190,615 |
113,846 |
$5.32M |
| G0467 |
Fqhc visit, estab pt |
73,945 |
57,335 |
$4.85M |
| 59400 |
|
1,501 |
1,501 |
$3.19M |
| 99391 |
|
17,419 |
16,432 |
$2.67M |
| 99392 |
|
15,455 |
15,437 |
$2.25M |
| 99393 |
|
12,344 |
12,335 |
$1.78M |
| G2025 |
Dis site tele svcs rhc/fqhc |
24,516 |
18,312 |
$1.65M |
| 90832 |
|
38,908 |
28,024 |
$1.54M |
| 99394 |
|
9,930 |
9,924 |
$1.46M |
| D0140 |
|
58,638 |
32,669 |
$1.31M |
| 99395 |
|
8,020 |
8,007 |
$1.24M |
| 99214 |
|
40,170 |
33,265 |
$1.21M |
| D7140 |
|
22,377 |
9,631 |
$1.01M |
| 92014 |
|
16,550 |
16,518 |
$765K |
| 87811 |
|
18,445 |
17,763 |
$756K |
| 99050 |
|
15,834 |
15,246 |
$687K |
| 90791 |
|
5,144 |
5,112 |
$622K |
| 99213 |
|
42,940 |
35,364 |
$604K |
| 59510 |
|
233 |
233 |
$556K |
| J7307 |
Etonogestrel implant system |
1,599 |
1,337 |
$476K |
| 99381 |
|
2,400 |
2,382 |
$465K |
| D1110 |
|
28,706 |
24,670 |
$463K |
| D1120 |
|
8,732 |
8,660 |
$449K |
| D9110 |
|
18,671 |
9,946 |
$426K |
| D2391 |
|
21,599 |
13,113 |
$413K |
| D0210 |
|
18,175 |
15,823 |
$390K |
| G2023 |
Specimen collect covid-19 |
17,009 |
15,641 |
$387K |
| 92340 |
|
13,728 |
13,626 |
$374K |
| 90677 |
|
2,398 |
2,395 |
$366K |
| 90739 |
|
3,611 |
3,583 |
$365K |
| T1001 |
Nursing assessment/evaluatn |
2,054 |
2,021 |
$338K |
| 90746 |
|
5,136 |
5,110 |
$332K |
| D0220 |
|
37,355 |
20,057 |
$321K |
| D2392 |
|
13,754 |
10,414 |
$318K |
| D0120 |
|
26,416 |
23,585 |
$314K |
| 96110 |
|
30,889 |
30,605 |
$280K |
| D0150 |
|
11,228 |
9,887 |
$263K |
| 59410 |
|
258 |
258 |
$252K |
| D1206 |
|
9,563 |
9,475 |
$249K |
| 90887 |
|
6,422 |
5,355 |
$249K |
| 90715 |
|
7,699 |
7,670 |
$248K |
| 90847 |
|
2,520 |
2,072 |
$232K |
| 90853 |
|
7,099 |
3,750 |
$213K |
| 87880 |
|
16,589 |
16,119 |
$210K |
| 81025 |
|
29,663 |
28,008 |
$199K |
| 92015 |
|
14,153 |
14,145 |
$170K |
| 99188 |
|
6,357 |
6,328 |
$165K |
| D5211 |
|
1,536 |
1,283 |
$161K |
| D5212 |
|
1,241 |
1,044 |
$147K |
| 0012A |
|
3,109 |
3,109 |
$146K |
| D2751 |
|
1,127 |
810 |
$138K |
| 11981 |
|
1,541 |
1,350 |
$134K |
| 99460 |
|
2,107 |
2,077 |
$133K |
| D1351 |
|
3,360 |
1,002 |
$128K |
| 0011A |
|
3,075 |
3,071 |
$127K |
| 90882 |
|
4,618 |
3,325 |
$125K |
| 99462 |
|
3,646 |
2,410 |
$122K |
| 92370 |
|
10,531 |
10,435 |
$117K |
| 81002 |
|
45,231 |
37,356 |
$117K |
| 83036 |
|
19,185 |
19,003 |
$117K |
| 90732 |
|
1,367 |
1,366 |
$116K |
| 0002A |
|
2,529 |
2,526 |
$116K |
| 90471 |
|
88,477 |
87,064 |
$113K |
| 0001A |
|
2,604 |
2,593 |
$111K |
| V2020 |
Vision svcs frames purchases |
1,388 |
1,333 |
$107K |
| D0272 |
|
5,761 |
5,405 |
$106K |
| D2330 |
|
5,066 |
3,037 |
$105K |
| D2331 |
|
4,009 |
2,827 |
$96K |
| D0274 |
|
8,121 |
7,063 |
$96K |
| D2335 |
|
2,455 |
1,606 |
$88K |
| 87804 |
|
6,231 |
6,098 |
$88K |
| 92341 |
|
2,911 |
2,898 |
$86K |
| J1050 |
Medroxyprogesterone acetate |
3,977 |
3,974 |
$83K |
| D2332 |
|
2,715 |
1,852 |
$77K |
| D2393 |
|
3,971 |
3,274 |
$75K |
| 90792 |
|
772 |
770 |
$74K |
| 96372 |
|
13,254 |
12,427 |
$73K |
| 59514 |
|
102 |
102 |
$67K |
| V2200 |
Lens spher bifoc plano 4.00d |
768 |
744 |
$65K |
| 90688 |
|
3,707 |
3,705 |
$65K |
| 99211 |
|
2,448 |
1,923 |
$58K |
| 90837 |
|
635 |
447 |
$58K |
| 59025 |
|
2,185 |
1,624 |
$57K |
| 90480 |
|
1,768 |
1,764 |
$57K |
| D3310 |
|
886 |
738 |
$56K |
| D4341 |
|
2,510 |
1,183 |
$53K |
| G0468 |
Fqhc visit, ippe or awv |
1,094 |
1,076 |
$41K |
| D0230 |
|
5,693 |
2,601 |
$39K |
| S3005 |
Eval self-assess depression |
4,012 |
3,845 |
$38K |
| 90658 |
|
3,505 |
3,503 |
$38K |
| 90636 |
|
558 |
557 |
$36K |
| 0031A |
|
730 |
730 |
$35K |
| 99212 |
|
2,903 |
2,560 |
$29K |
| D3330 |
|
219 |
211 |
$29K |
| D2954 |
|
645 |
530 |
$28K |
| 90846 |
|
257 |
228 |
$26K |
| D3320 |
|
216 |
200 |
$24K |
| D5110 |
|
116 |
85 |
$23K |
| V2100 |
Lens spher single plano 4.00 |
371 |
358 |
$23K |
| 90632 |
|
454 |
454 |
$22K |
| 82947 |
|
7,020 |
6,052 |
$21K |
| 99215 |
Prolong outpt/office vis |
200 |
187 |
$21K |
| 92004 |
|
306 |
306 |
$20K |
| 93000 |
|
1,268 |
1,255 |
$19K |
| 0054A |
|
1,136 |
1,134 |
$19K |
| 11982 |
|
163 |
163 |
$18K |
| 90472 |
|
37,670 |
37,427 |
$18K |
| 58300 |
|
354 |
310 |
$17K |
| 93005 |
|
1,840 |
1,820 |
$16K |
| H0046 |
Mental health service, nos |
603 |
492 |
$14K |
| 92083 |
|
472 |
227 |
$12K |
| 90686 |
|
685 |
683 |
$12K |
| 92012 |
|
262 |
251 |
$11K |
| 99385 |
|
88 |
88 |
$11K |
| T2022 |
Case management, per month |
60 |
60 |
$10K |
| 0064A |
|
249 |
249 |
$10K |
| 99441 |
|
575 |
424 |
$10K |
| 90656 |
|
619 |
618 |
$10K |
| 92250 |
|
662 |
394 |
$10K |
| 0004A |
|
434 |
433 |
$9K |
| 82950 |
|
1,824 |
1,636 |
$9K |
| 90785 |
|
1,344 |
803 |
$8K |
| D5650 |
|
304 |
162 |
$8K |
| 91320 |
|
1,658 |
1,650 |
$8K |
| 92133 |
|
467 |
266 |
$7K |
| 80305 |
|
1,365 |
1,221 |
$7K |
| 90707 |
|
163 |
157 |
$7K |
| D0330 |
|
176 |
107 |
$7K |
| 96127 |
|
651 |
651 |
$7K |
| D2140 |
|
90 |
76 |
$6K |
| 87430 |
|
456 |
452 |
$6K |
| D2950 |
|
178 |
151 |
$6K |
| 0124A |
|
385 |
385 |
$6K |
| 99383 |
|
28 |
28 |
$6K |
| D2394 |
|
220 |
192 |
$6K |
| 98966 |
|
482 |
474 |
$5K |
| D2150 |
|
46 |
40 |
$4K |
| J7298 |
Mirena, 52 mg |
12 |
12 |
$4K |
| 90670 |
|
56 |
56 |
$4K |
| 99401 |
|
121 |
114 |
$4K |
| 0051A |
|
174 |
174 |
$3K |
| 97810 |
|
138 |
77 |
$3K |
| 85610 |
|
886 |
551 |
$3K |
| D0180 |
|
376 |
271 |
$3K |
| 86580 |
|
470 |
460 |
$3K |
| 99382 |
|
12 |
12 |
$3K |
| D1208 |
|
103 |
103 |
$3K |
| 97811 |
|
138 |
77 |
$3K |
| 0052A |
|
136 |
134 |
$3K |
| D5611 |
|
154 |
136 |
$2K |
| 90714 |
|
89 |
89 |
$2K |
| 90651 |
|
1,767 |
1,767 |
$2K |
| 0071A |
|
267 |
267 |
$2K |
| 82044 |
|
203 |
203 |
$1K |
| 98968 |
|
27 |
27 |
$820.53 |
| 92134 |
|
48 |
24 |
$801.94 |
| 99396 |
|
76 |
76 |
$795.96 |
| 99051 |
|
41 |
41 |
$676.48 |
| 98967 |
|
29 |
29 |
$603.49 |
| 90657 |
|
97 |
96 |
$550.96 |
| ATP08 |
|
72 |
71 |
$523.80 |
| 0121A |
|
89 |
89 |
$458.70 |
| 0072A |
|
121 |
119 |
$458.70 |
| S4993 |
Contraceptive pills for bc |
29 |
28 |
$306.63 |
| 58301 |
|
13 |
13 |
$303.39 |
| 96160 |
|
11,835 |
11,599 |
$297.08 |
| 90713 |
|
12 |
12 |
$253.26 |
| H0031 |
Mh health assess by non-md |
12 |
12 |
$180.00 |
| 85014 |
|
60 |
58 |
$141.08 |
| 90474 |
|
2,759 |
2,711 |
$108.42 |
| 91300 |
|
11,456 |
9,983 |
$80.00 |
| D0270 |
|
13 |
13 |
$76.00 |
| 90716 |
|
63 |
62 |
$75.00 |
| 87210 |
|
14 |
14 |
$61.60 |
| 91301 |
|
10,828 |
10,507 |
$33.88 |
| 90473 |
|
65 |
65 |
$30.00 |
| 90662 |
|
153 |
152 |
$27.16 |
| 82962 |
|
193 |
177 |
$3.23 |
| 69209 |
|
118 |
116 |
$0.00 |
| 91311 |
|
553 |
552 |
$0.00 |
| 90734 |
|
260 |
260 |
$0.00 |
| 91312 |
|
2,599 |
2,589 |
$0.00 |
| 99203 |
|
30 |
30 |
$0.00 |
| 99397 |
|
122 |
118 |
$0.00 |
| 96381 |
|
68 |
68 |
$0.00 |
| 90750 |
|
142 |
142 |
$0.00 |
| 90678 |
|
98 |
98 |
$0.00 |
| D5610 |
|
22 |
12 |
$0.00 |
| D4210 |
|
16 |
12 |
$0.00 |
| 91305 |
|
2,968 |
2,939 |
$0.00 |
| G0439 |
Ppps, subseq visit |
1,002 |
991 |
$0.00 |
| D9995 |
|
16,002 |
9,752 |
$0.00 |
| 91317 |
|
102 |
102 |
$0.00 |
| 91303 |
|
1,235 |
1,234 |
$0.00 |
| D0602 |
|
3,171 |
2,017 |
$0.00 |
| 91315 |
|
294 |
291 |
$0.00 |
| 96380 |
|
163 |
163 |
$0.00 |
| D0603 |
|
918 |
603 |
$0.00 |
| 91318 |
|
232 |
230 |
$0.00 |
| 91307 |
|
1,784 |
1,645 |
$0.00 |
| 90680 |
|
77 |
77 |
$0.00 |
| G0008 |
Admin influenza virus vac |
666 |
660 |
$0.00 |
| 91319 |
|
213 |
213 |
$0.00 |
| 80047 |
|
60 |
58 |
$0.00 |
| 91316 |
|
33 |
33 |
$0.00 |
| 91306 |
|
652 |
639 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
14 |
14 |
$0.00 |