| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
191,107 |
170,039 |
$26.72M |
| 00003 |
|
37,738 |
33,315 |
$6.44M |
| 92014 |
|
19,884 |
18,695 |
$320K |
| V2020 |
Vision svcs frames purchases |
22,239 |
22,155 |
$302K |
| 92340 |
|
16,099 |
16,019 |
$204K |
| G9012 |
Other specified case mgmt |
887 |
817 |
$190K |
| 99213 |
|
151,105 |
91,112 |
$103K |
| 92341 |
|
4,708 |
4,707 |
$91K |
| 90791 |
|
1,338 |
958 |
$64K |
| 99212 |
|
61,244 |
39,483 |
$62K |
| 92015 |
|
21,670 |
20,630 |
$59K |
| G0467 |
Fqhc visit, estab pt |
1,807 |
1,585 |
$51K |
| G9008 |
Mccd,phys coor-care ovrsght |
139 |
139 |
$37K |
| 90832 |
|
968 |
606 |
$19K |
| 92250 |
|
1,710 |
1,373 |
$12K |
| 99391 |
|
6,618 |
4,874 |
$9K |
| G9920 |
Scrning perf and negative |
4,428 |
3,210 |
$9K |
| 90834 |
|
212 |
102 |
$7K |
| 0012A |
|
79 |
79 |
$5K |
| H1001 |
Antepartum management |
3,180 |
2,299 |
$5K |
| 99214 |
|
6,786 |
4,167 |
$5K |
| 0011A |
|
55 |
55 |
$4K |
| 99203 |
|
339 |
221 |
$3K |
| 99381 |
|
512 |
404 |
$3K |
| 92004 |
|
979 |
971 |
$2K |
| 99392 |
|
7,262 |
4,709 |
$2K |
| 99395 |
|
1,954 |
1,247 |
$2K |
| 0001A |
|
53 |
53 |
$2K |
| 99393 |
|
4,031 |
2,604 |
$2K |
| 81025 |
|
10,233 |
6,881 |
$2K |
| J3490 |
Drugs unclassified injection |
347 |
240 |
$1K |
| 92133 |
|
464 |
348 |
$1K |
| 99394 |
|
2,214 |
1,437 |
$1K |
| 87880 |
|
15,665 |
9,112 |
$922.29 |
| H1000 |
Prenatal care atrisk assessm |
74 |
74 |
$854.74 |
| 99202 |
|
212 |
140 |
$778.14 |
| 99174 |
|
7,957 |
5,487 |
$760.04 |
| 0002A |
|
21 |
21 |
$703.50 |
| 99396 |
|
440 |
282 |
$665.61 |
| 90686 |
|
6,226 |
4,321 |
$531.22 |
| 90677 |
|
1,323 |
899 |
$469.10 |
| 87804 |
|
5,991 |
3,561 |
$452.69 |
| 88720 |
|
839 |
512 |
$378.91 |
| 92551 |
|
8,263 |
5,327 |
$343.95 |
| 81002 |
|
21,397 |
12,264 |
$310.64 |
| 90697 |
|
1,605 |
1,133 |
$300.10 |
| 90680 |
|
3,125 |
2,368 |
$296.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
17 |
17 |
$272.30 |
| 59425 |
|
2,075 |
1,545 |
$241.92 |
| 90715 |
|
708 |
463 |
$233.38 |
| 83036 |
|
3,476 |
2,278 |
$223.69 |
| 85018 |
|
21,923 |
14,062 |
$221.15 |
| 59430 |
|
95 |
94 |
$181.44 |
| H1003 |
Prenatal at risk education |
421 |
420 |
$155.17 |
| 90670 |
|
3,880 |
2,913 |
$136.89 |
| 83655 |
|
1,892 |
1,252 |
$136.31 |
| 99173 |
|
7,115 |
4,348 |
$117.18 |
| 92134 |
|
295 |
226 |
$116.75 |
| 90647 |
|
2,139 |
1,623 |
$90.00 |
| 90633 |
|
2,195 |
1,465 |
$90.00 |
| 90471 |
|
2,730 |
1,839 |
$83.91 |
| 82962 |
|
5,785 |
3,697 |
$80.46 |
| 96372 |
|
932 |
605 |
$74.04 |
| 90723 |
|
2,073 |
1,633 |
$72.00 |
| 90651 |
|
993 |
644 |
$40.50 |
| G8510 |
Scr dep neg, no plan reqd |
65,273 |
37,356 |
$37.72 |
| 90707 |
|
343 |
212 |
$36.00 |
| 90700 |
|
1,443 |
969 |
$36.00 |
| 90716 |
|
349 |
216 |
$27.00 |
| 99401 |
|
476 |
435 |
$25.23 |
| 90688 |
|
1,806 |
979 |
$10.89 |
| 90734 |
|
318 |
218 |
$9.00 |
| 96156 |
|
261 |
250 |
$8.41 |
| G2023 |
Specimen collect covid-19 |
12,444 |
7,570 |
$4.45 |
| 90380 |
|
19 |
18 |
$2.55 |
| 2023F |
|
1,251 |
878 |
$0.14 |
| G9226 |
3 comp foot exam completed |
942 |
602 |
$0.00 |
| 3079F |
|
4,414 |
2,749 |
$0.00 |
| 3074F |
|
7,123 |
4,379 |
$0.00 |
| Z1034 |
|
7,976 |
5,867 |
$0.00 |
| 3075F |
|
2,336 |
1,428 |
$0.00 |
| 86580 |
|
179 |
133 |
$0.00 |
| 3044F |
|
475 |
293 |
$0.00 |
| Z6406 |
|
493 |
457 |
$0.00 |
| Z1032 |
|
653 |
647 |
$0.00 |
| G0439 |
Ppps, subseq visit |
2,354 |
2,186 |
$0.00 |
| Z1038 |
|
290 |
267 |
$0.00 |
| Z6204 |
|
190 |
183 |
$0.00 |
| 99406 |
|
19 |
12 |
$0.00 |
| 3080F |
|
202 |
132 |
$0.00 |
| 90381 |
|
99 |
75 |
$0.00 |
| 96110 |
|
70 |
45 |
$0.00 |
| 93000 |
|
20 |
12 |
$0.00 |
| 87807 |
|
23 |
12 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
26 |
26 |
$0.00 |
| 3046F |
|
102 |
56 |
$0.00 |
| 3077F |
|
2,640 |
1,612 |
$0.00 |
| 3078F |
|
8,010 |
4,899 |
$0.00 |
| G9357 |
Pp eval/edu perf |
367 |
279 |
$0.00 |
| Z6400 |
|
322 |
321 |
$0.00 |
| 97803 |
|
182 |
171 |
$0.00 |
| Z6304 |
|
136 |
126 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
224 |
124 |
$0.00 |
| 90713 |
|
132 |
111 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$0.00 |
| Z6500 |
|
131 |
131 |
$0.00 |
| 90710 |
|
31 |
25 |
$0.00 |
| 90648 |
|
44 |
31 |
$0.00 |
| 3051F |
|
97 |
64 |
$0.00 |
| 2022F |
|
20 |
12 |
$0.00 |
| 69209 |
|
21 |
12 |
$0.00 |
| 90685 |
|
21 |
17 |
$0.00 |