| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
61,202 |
44,788 |
$4.84M |
| 99051 |
|
4,774 |
3,769 |
$69K |
| G9919 |
Scrn nd pos nd prov of rec |
58 |
51 |
$2K |
| 99395 |
|
513 |
424 |
$0.20 |
| 90471 |
|
3,705 |
3,126 |
$0.00 |
| 90651 |
|
146 |
123 |
$0.00 |
| 99213 |
|
51,457 |
38,341 |
$0.00 |
| 94760 |
|
2,018 |
1,590 |
$0.00 |
| 92551 |
|
1,863 |
1,516 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
564 |
421 |
$0.00 |
| 90686 |
|
603 |
529 |
$0.00 |
| 3079F |
|
44 |
42 |
$0.00 |
| 90474 |
|
332 |
288 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
2,048 |
1,696 |
$0.00 |
| 90680 |
|
331 |
288 |
$0.00 |
| 87635 |
|
144 |
117 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 96110 |
|
271 |
231 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
2,221 |
1,771 |
$0.00 |
| 90696 |
|
34 |
28 |
$0.00 |
| 90673 |
|
47 |
33 |
$0.00 |
| 90723 |
|
183 |
158 |
$0.00 |
| 99214 |
|
19 |
14 |
$0.00 |
| G0008 |
Admin influenza virus vac |
46 |
32 |
$0.00 |
| 3075F |
|
22 |
19 |
$0.00 |
| 3074F |
|
47 |
44 |
$0.00 |
| 36415 |
|
17 |
17 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| 3080F |
|
68 |
57 |
$0.00 |
| 99381 |
|
14 |
12 |
$0.00 |
| 81025 |
|
1,543 |
1,242 |
$0.00 |
| 99393 |
|
419 |
352 |
$0.00 |
| 99391 |
|
844 |
721 |
$0.00 |
| 3725F |
|
285 |
196 |
$0.00 |
| 90472 |
|
2,355 |
1,972 |
$0.00 |
| 81002 |
|
1,943 |
1,611 |
$0.00 |
| 99173 |
|
2,072 |
1,683 |
$0.00 |
| 90670 |
|
839 |
703 |
$0.00 |
| 90648 |
|
560 |
479 |
$0.00 |
| 87811 |
|
1,830 |
1,208 |
$0.00 |
| 99203 |
|
577 |
529 |
$0.00 |
| 99392 |
|
1,246 |
1,072 |
$0.00 |
| 87880 |
|
2,093 |
1,552 |
$0.00 |
| 90633 |
|
423 |
368 |
$0.00 |
| 96160 |
|
1,066 |
864 |
$0.00 |
| 3077F |
|
56 |
47 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
344 |
278 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
331 |
238 |
$0.00 |
| 99396 |
|
154 |
149 |
$0.00 |
| 87804 |
|
405 |
189 |
$0.00 |
| 99442 |
|
123 |
91 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
110 |
93 |
$0.00 |
| 90685 |
|
36 |
24 |
$0.00 |
| 99394 |
|
214 |
183 |
$0.00 |
| 69210 |
|
30 |
26 |
$0.00 |
| 3078F |
|
23 |
22 |
$0.00 |
| 90700 |
|
30 |
26 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| G0101 |
Ca screen;pelvic/breast exam |
71 |
58 |
$0.00 |
| 90734 |
|
79 |
70 |
$0.00 |
| 99188 |
|
31 |
19 |
$0.00 |
| 90710 |
|
44 |
42 |
$0.00 |
| 94664 |
|
22 |
15 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |