| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
84,550 |
51,269 |
$8.42M |
| H2020 |
Ther behav svc, per diem |
739 |
371 |
$85K |
| 99213 |
|
50,201 |
31,888 |
$7K |
| 99214 |
|
19,170 |
12,994 |
$1K |
| 99050 |
|
49 |
22 |
$214.80 |
| 99203 |
|
1,526 |
1,193 |
$184.06 |
| 99212 |
|
1,558 |
936 |
$169.72 |
| G2023 |
Specimen collect covid-19 |
8,791 |
6,558 |
$130.46 |
| 96127 |
|
9,870 |
6,921 |
$118.22 |
| 99204 |
|
476 |
358 |
$77.25 |
| 3044F |
|
849 |
625 |
$60.00 |
| 90756 |
|
274 |
160 |
$45.58 |
| 96372 |
|
10,410 |
6,694 |
$35.51 |
| 87880 |
|
1,696 |
1,108 |
$34.13 |
| 90460 |
|
2,233 |
1,464 |
$25.30 |
| 90471 |
|
187 |
116 |
$14.70 |
| 96110 |
|
2,422 |
1,714 |
$10.00 |
| J0702 |
Betamethasone acet&sod phosp |
442 |
319 |
$8.26 |
| 3077F |
|
251 |
171 |
$5.00 |
| 99408 |
|
3,460 |
2,784 |
$3.75 |
| 81003 |
|
1,516 |
1,078 |
$2.24 |
| 81002 |
|
49 |
32 |
$2.03 |
| 99173 |
|
1,883 |
1,266 |
$1.91 |
| J1100 |
Dexamethasone sodium phos |
1,553 |
1,092 |
$0.92 |
| 96160 |
|
6,205 |
4,722 |
$0.00 |
| 92552 |
|
1,623 |
1,076 |
$0.00 |
| 90461 |
|
1,197 |
816 |
$0.00 |
| 99392 |
|
457 |
351 |
$0.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
667 |
602 |
$0.00 |
| 87804 |
|
896 |
355 |
$0.00 |
| J7030 |
Normal saline solution infus |
179 |
139 |
$0.00 |
| 99394 |
|
386 |
288 |
$0.00 |
| 81025 |
|
564 |
386 |
$0.00 |
| 87811 |
|
39 |
29 |
$0.00 |
| 99393 |
|
446 |
316 |
$0.00 |
| 90832 |
|
170 |
80 |
$0.00 |
| 99391 |
|
105 |
84 |
$0.00 |
| 90633 |
|
61 |
59 |
$0.00 |
| 90671 |
|
38 |
25 |
$0.00 |
| 90791 |
|
155 |
104 |
$0.00 |
| 90734 |
|
79 |
53 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
24 |
13 |
$0.00 |
| 90670 |
|
153 |
121 |
$0.00 |
| 90837 |
|
87 |
44 |
$0.00 |
| 90649 |
|
103 |
85 |
$0.00 |
| 99177 |
|
148 |
70 |
$0.00 |
| 83655 |
|
63 |
51 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
360 |
275 |
$0.00 |
| 99395 |
|
61 |
47 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
118 |
101 |
$0.00 |
| 82948 |
|
104 |
75 |
$0.00 |
| 0002A |
|
21 |
13 |
$0.00 |
| S0164 |
Injection pantroprazole |
140 |
97 |
$0.00 |
| 96360 |
|
152 |
127 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |
| J2010 |
Lincomycin injection |
21 |
12 |
$0.00 |
| 90700 |
|
15 |
12 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 99396 |
|
29 |
26 |
$0.00 |
| 3078F |
|
39 |
24 |
$0.00 |
| D0145 |
|
69 |
42 |
$0.00 |
| 99442 |
|
15 |
14 |
$0.00 |
| 99000 |
|
2,909 |
1,776 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
2,557 |
1,797 |
$0.00 |
| 90674 |
|
61 |
48 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
1,759 |
1,269 |
$0.00 |
| 3074F |
|
289 |
200 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
2,497 |
1,672 |
$0.00 |
| 85018 |
|
1,992 |
1,263 |
$0.00 |
| 3079F |
|
530 |
377 |
$0.00 |
| 36416 |
|
491 |
381 |
$0.00 |
| 3048F |
|
365 |
254 |
$0.00 |
| 90686 |
|
383 |
288 |
$0.00 |
| 87426 |
|
1,526 |
802 |
$0.00 |
| 96374 |
|
25 |
13 |
$0.00 |
| H0049 |
Alcohol/drug screening |
86 |
57 |
$0.00 |
| 96375 |
|
25 |
13 |
$0.00 |
| 96365 |
|
118 |
96 |
$0.00 |
| 3049F |
|
132 |
108 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
40 |
25 |
$0.00 |
| 0012A |
|
49 |
19 |
$0.00 |
| 0011A |
|
49 |
27 |
$0.00 |
| 3080F |
|
110 |
68 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
523 |
418 |
$0.00 |
| 99174 |
|
658 |
455 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
18 |
13 |
$0.00 |
| J3420 |
Vitamin b12 injection |
315 |
237 |
$0.00 |
| 3075F |
|
79 |
51 |
$0.00 |
| J2001 |
Lidocaine injection |
108 |
81 |
$0.00 |
| 99441 |
|
155 |
99 |
$0.00 |
| 90620 |
|
27 |
24 |
$0.00 |
| 92551 |
|
39 |
34 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
84 |
56 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
51 |
27 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
19 |
16 |
$0.00 |
| 99202 |
|
14 |
12 |
$0.00 |