| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
75,596 |
63,543 |
$15.11M |
| 00003 |
|
17,981 |
15,504 |
$4.38M |
| 99213 |
|
60,100 |
37,707 |
$85K |
| 96156 |
|
16,835 |
11,506 |
$37K |
| 99214 |
|
11,111 |
7,538 |
$34K |
| 97802 |
|
28,775 |
18,620 |
$28K |
| 59425 |
|
2,679 |
1,906 |
$27K |
| 94760 |
|
107,856 |
65,592 |
$22K |
| 97803 |
|
11,514 |
7,728 |
$19K |
| 99395 |
|
1,766 |
1,199 |
$11K |
| 92551 |
|
11,167 |
7,466 |
$11K |
| 99215 |
Prolong outpt/office vis |
1,647 |
1,140 |
$9K |
| 99396 |
|
1,373 |
948 |
$8K |
| G0447 |
Behavior counsel obesity 15m |
12,693 |
8,124 |
$7K |
| 90674 |
|
3,667 |
2,685 |
$7K |
| 99205 |
Prolong outpt/office vis |
433 |
334 |
$7K |
| 90832 |
|
2,326 |
1,475 |
$6K |
| 90791 |
|
738 |
610 |
$6K |
| 90837 |
|
523 |
322 |
$6K |
| 99212 |
|
5,557 |
3,652 |
$5K |
| 99401 |
|
3,651 |
2,728 |
$5K |
| S9445 |
Pt education noc individ |
1,483 |
1,172 |
$4K |
| 59430 |
|
361 |
346 |
$3K |
| G8431 |
Pos clin depres scrn f/u doc |
2,390 |
1,618 |
$3K |
| 99202 |
|
766 |
512 |
$3K |
| 96110 |
|
2,103 |
1,365 |
$3K |
| 90686 |
|
4,474 |
3,039 |
$3K |
| H1003 |
Prenatal at risk education |
650 |
593 |
$3K |
| 90471 |
|
2,222 |
1,509 |
$3K |
| 90715 |
|
1,026 |
709 |
$2K |
| 99203 |
|
788 |
505 |
$2K |
| 99385 |
|
503 |
330 |
$2K |
| 99394 |
|
1,750 |
1,129 |
$2K |
| 99204 |
|
92 |
66 |
$2K |
| 96127 |
|
6,242 |
4,325 |
$1K |
| G0442 |
Annual alcohol screen 15 min |
3,328 |
2,365 |
$1K |
| 90651 |
|
1,479 |
1,013 |
$1K |
| 90633 |
|
1,281 |
896 |
$846.71 |
| 90648 |
|
385 |
251 |
$792.00 |
| 90671 |
|
400 |
262 |
$780.00 |
| S9452 |
Nutrition class |
190 |
188 |
$588.70 |
| 90723 |
|
315 |
209 |
$588.00 |
| 99391 |
|
1,599 |
1,080 |
$520.00 |
| 98960 |
|
161 |
123 |
$468.18 |
| 85018 |
|
7,963 |
5,438 |
$451.02 |
| Q0091 |
Obtaining screen pap smear |
124 |
102 |
$450.00 |
| 90677 |
|
1,459 |
965 |
$424.80 |
| 99392 |
|
2,118 |
1,333 |
$410.55 |
| 90680 |
|
237 |
156 |
$402.00 |
| 99386 |
|
311 |
210 |
$396.60 |
| 99393 |
|
1,599 |
1,020 |
$394.65 |
| 90734 |
|
277 |
168 |
$357.00 |
| 90710 |
|
364 |
235 |
$306.00 |
| 99000 |
|
12,402 |
8,372 |
$297.38 |
| 86580 |
|
70 |
42 |
$290.00 |
| 82962 |
|
3,170 |
2,193 |
$290.00 |
| 90672 |
|
189 |
111 |
$288.00 |
| 99407 |
|
656 |
370 |
$239.16 |
| 92004 |
|
454 |
359 |
$236.64 |
| 90620 |
|
425 |
266 |
$204.00 |
| 36425 |
|
217 |
147 |
$179.22 |
| 90619 |
|
551 |
367 |
$171.00 |
| 90700 |
|
111 |
65 |
$141.00 |
| 87428 |
|
200 |
120 |
$123.76 |
| 81025 |
|
580 |
426 |
$114.77 |
| 99383 |
|
1,120 |
665 |
$109.66 |
| 81002 |
|
1,178 |
817 |
$105.33 |
| 90460 |
|
2,821 |
1,917 |
$93.90 |
| 99381 |
|
316 |
282 |
$90.66 |
| 90697 |
|
1,038 |
691 |
$88.00 |
| 90688 |
|
238 |
196 |
$74.84 |
| 92015 |
|
693 |
519 |
$56.07 |
| 90381 |
|
88 |
56 |
$52.00 |
| 99173 |
|
16,283 |
11,157 |
$47.15 |
| 99382 |
|
516 |
318 |
$47.13 |
| G0472 |
Hep c screen high risk/other |
1,727 |
1,251 |
$45.89 |
| H0049 |
Alcohol/drug screening |
26,872 |
17,379 |
$45.00 |
| 92014 |
|
209 |
137 |
$39.44 |
| 90681 |
|
366 |
251 |
$39.00 |
| 90696 |
|
67 |
45 |
$36.00 |
| 91321 |
|
20 |
14 |
$26.00 |
| 87880 |
|
45 |
26 |
$20.97 |
| 96161 |
|
10,857 |
7,516 |
$2.56 |
| 3077F |
|
6,373 |
4,048 |
$0.00 |
| 3078F |
|
58,855 |
36,475 |
$0.00 |
| 1159F |
|
17,357 |
10,867 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
3,496 |
2,090 |
$0.00 |
| G0445 |
High inten beh couns std 30m |
551 |
393 |
$0.00 |
| G8785 |
Bp scrn no perf at interval |
461 |
290 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
1,310 |
728 |
$0.00 |
| D0145 |
|
201 |
201 |
$0.00 |
| D0274 |
|
1,000 |
1,000 |
$0.00 |
| D9430 |
|
1,123 |
1,105 |
$0.00 |
| 83655 |
|
291 |
188 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
72 |
45 |
$0.00 |
| G0444 |
Depression screen annual |
14,144 |
9,051 |
$0.00 |
| Z6400 |
|
1,045 |
1,021 |
$0.00 |
| G8482 |
Flu immunize order/admin |
7,545 |
4,940 |
$0.00 |
| G8752 |
Sys bp less 140 |
898 |
528 |
$0.00 |
| G0101 |
Ca screen;pelvic/breast exam |
236 |
187 |
$0.00 |
| 1160F |
|
16,643 |
10,154 |
$0.00 |
| D1120 |
|
2,250 |
2,250 |
$0.00 |
| D2140 |
|
139 |
103 |
$0.00 |
| D2391 |
|
169 |
130 |
$0.00 |
| D4341 |
|
937 |
745 |
$0.00 |
| Z6300 |
|
374 |
373 |
$0.00 |
| D0220 |
|
1,868 |
1,706 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
3,359 |
2,120 |
$0.00 |
| 3015F |
|
1,719 |
1,268 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
2,269 |
1,352 |
$0.00 |
| Z6304 |
|
503 |
500 |
$0.00 |
| 81220 |
|
114 |
78 |
$0.00 |
| 96160 |
|
5,199 |
3,680 |
$0.00 |
| G0476 |
Hpv combo assay ca screen |
283 |
221 |
$0.00 |
| G9920 |
Scrning perf and negative |
2,273 |
1,579 |
$0.00 |
| 4004F |
|
644 |
343 |
$0.00 |
| 0521F |
|
3,118 |
1,748 |
$0.00 |
| 90472 |
|
411 |
257 |
$0.00 |
| Z6200 |
|
374 |
373 |
$0.00 |
| 90461 |
|
1,303 |
885 |
$0.00 |
| 80061 |
|
393 |
275 |
$0.00 |
| D2150 |
|
310 |
237 |
$0.00 |
| 81420 |
|
246 |
161 |
$0.00 |
| 80074 |
|
131 |
95 |
$0.00 |
| 81479 |
|
184 |
124 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
1,515 |
1,070 |
$0.00 |
| 81329 |
|
114 |
78 |
$0.00 |
| H0050 |
Alcohol/drug service 15 min |
287 |
186 |
$0.00 |
| G8484 |
Flu immunize no admin |
250 |
161 |
$0.00 |
| 90833 |
|
55 |
55 |
$0.00 |
| Z6414 |
|
151 |
143 |
$0.00 |
| 0502F |
|
291 |
156 |
$0.00 |
| D0270 |
|
44 |
44 |
$0.00 |
| D1110 |
|
26 |
26 |
$0.00 |
| D4910 |
|
30 |
30 |
$0.00 |
| 88164 |
|
126 |
93 |
$0.00 |
| 82274 |
|
188 |
142 |
$0.00 |
| Z6308 |
|
118 |
116 |
$0.00 |
| 3046F |
|
15 |
13 |
$0.00 |
| 90670 |
|
63 |
45 |
$0.00 |
| 81422 |
|
184 |
124 |
$0.00 |
| 87804 |
|
107 |
69 |
$0.00 |
| 99483 |
Prolong outpt/office vis |
66 |
53 |
$0.00 |
| Z6208 |
|
85 |
82 |
$0.00 |
| 90380 |
|
15 |
14 |
$0.00 |
| 91312 |
|
18 |
17 |
$0.00 |
| 90707 |
|
16 |
13 |
$0.00 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
19 |
14 |
$0.00 |
| 1036F |
|
20,799 |
14,238 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
13,676 |
8,786 |
$0.00 |
| 3074F |
|
61,401 |
37,592 |
$0.00 |
| 1000F |
|
22,464 |
14,264 |
$0.00 |
| D0230 |
|
2,694 |
990 |
$0.00 |
| 1125F |
|
3,475 |
2,196 |
$0.00 |
| 3008F |
|
100,228 |
61,519 |
$0.00 |
| D0603 |
|
5,044 |
5,043 |
$0.00 |
| 3075F |
|
6,861 |
4,566 |
$0.00 |
| 1126F |
|
9,858 |
6,164 |
$0.00 |
| 3079F |
|
12,948 |
8,277 |
$0.00 |
| D0210 |
|
2,577 |
2,571 |
$0.00 |
| 36415 |
|
2,462 |
1,727 |
$0.00 |
| D0150 |
|
3,036 |
3,029 |
$0.00 |
| 1034F |
|
1,193 |
829 |
$0.00 |
| 1031F |
|
9,839 |
6,829 |
$0.00 |
| Z6402 |
|
372 |
371 |
$0.00 |
| D1206 |
|
3,254 |
3,244 |
$0.00 |
| G8950 |
Pre-htn or htn doc, f/u indc |
733 |
525 |
$0.00 |
| 83036 |
|
643 |
469 |
$0.00 |
| G0443 |
Brief alcohol misuse counsel |
116 |
79 |
$0.00 |
| 2023F |
|
66 |
50 |
$0.00 |
| Z1034 |
|
3,807 |
2,759 |
$0.00 |
| 3080F |
|
2,280 |
1,413 |
$0.00 |
| D1352 |
|
61 |
38 |
$0.00 |
| Z1032 |
|
249 |
236 |
$0.00 |
| D0120 |
|
1,922 |
1,920 |
$0.00 |
| 99402 |
|
721 |
704 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
469 |
289 |
$0.00 |
| Z6410 |
|
2,104 |
1,697 |
$0.00 |
| Z6406 |
|
677 |
640 |
$0.00 |
| 1111F |
|
177 |
117 |
$0.00 |
| Z6204 |
|
571 |
560 |
$0.00 |
| 99384 |
|
728 |
420 |
$0.00 |
| G8754 |
Dias bp less 90 |
1,185 |
688 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
2,133 |
1,418 |
$0.00 |
| 86592 |
|
329 |
228 |
$0.00 |
| D0602 |
|
108 |
108 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
221 |
209 |
$0.00 |
| 82950 |
|
22 |
19 |
$0.00 |
| 3044F |
|
1,047 |
753 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
284 |
186 |
$0.00 |
| 86803 |
|
250 |
173 |
$0.00 |
| Z1038 |
|
161 |
151 |
$0.00 |
| D1351 |
|
564 |
174 |
$0.00 |
| 0501F |
|
334 |
180 |
$0.00 |
| 93000 |
|
71 |
46 |
$0.00 |
| 90716 |
|
95 |
76 |
$0.00 |
| M1207 |
Pt scrn sdoh |
174 |
132 |
$0.00 |
| COVID |
Covid-19 convalescent plasma |
15 |
15 |
$0.00 |
| D2392 |
|
227 |
179 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
19 |
14 |
$0.00 |
| 87389 |
|
329 |
228 |
$0.00 |
| 99441 |
|
209 |
145 |
$0.00 |
| 99447 |
|
17 |
12 |
$0.00 |
| 87426 |
|
56 |
36 |
$0.00 |
| D4342 |
|
122 |
72 |
$0.00 |
| D0601 |
|
30 |
30 |
$0.00 |
| G9745 |
Doc rsn no hbp scrn or f/u |
131 |
96 |
$0.00 |
| D9995 |
|
91 |
91 |
$0.00 |
| 90839 |
|
24 |
20 |
$0.00 |
| G0008 |
Admin influenza virus vac |
36 |
27 |
$0.00 |
| 4010F |
|
44 |
29 |
$0.00 |
| 98967 |
|
14 |
13 |
$0.00 |
| 3017F |
|
38 |
24 |
$0.00 |
| G0123 |
Screen cerv/vag thin layer |
110 |
86 |
$0.00 |
| G8756 |
No bp measure doc |
22 |
13 |
$0.00 |
| 36410 |
|
21 |
13 |
$0.00 |
| 3351F |
|
17 |
14 |
$0.00 |
| 87081 |
|
27 |
14 |
$0.00 |
| D0999 |
|
91 |
91 |
$0.00 |
| D0272 |
|
15 |
15 |
$0.00 |