| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
107,263 |
88,522 |
$14.37M |
| 00003 |
|
37,681 |
19,138 |
$5.51M |
| G9008 |
Mccd,phys coor-care ovrsght |
745 |
735 |
$277K |
| 99213 |
|
84,021 |
51,773 |
$123K |
| 99212 |
|
28,514 |
18,844 |
$70K |
| 90832 |
|
3,127 |
1,632 |
$46K |
| G0467 |
Fqhc visit, estab pt |
1,171 |
953 |
$35K |
| 90791 |
|
658 |
449 |
$30K |
| 99395 |
|
2,572 |
1,613 |
$3K |
| 0012A |
|
48 |
48 |
$3K |
| J3490 |
Drugs unclassified injection |
548 |
438 |
$2K |
| 99214 |
|
4,696 |
3,093 |
$2K |
| 81025 |
|
7,972 |
5,753 |
$2K |
| G9920 |
Scrning perf and negative |
1,386 |
885 |
$2K |
| 0011A |
|
27 |
27 |
$2K |
| 99396 |
|
1,000 |
670 |
$2K |
| G8511 |
Scr dep pos, no plan doc rng |
535 |
317 |
$974.06 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
69 |
69 |
$856.59 |
| 99203 |
|
84 |
62 |
$787.48 |
| 87880 |
|
6,456 |
3,973 |
$535.15 |
| 99394 |
|
309 |
195 |
$342.42 |
| 87804 |
|
2,994 |
1,926 |
$318.42 |
| 59425 |
|
257 |
200 |
$308.85 |
| 99393 |
|
221 |
134 |
$261.34 |
| 83036 |
|
4,397 |
3,037 |
$205.83 |
| 81002 |
|
6,804 |
4,772 |
$153.59 |
| H2000 |
Comp multidisipln evaluation |
38 |
38 |
$135.83 |
| 92551 |
|
970 |
661 |
$132.97 |
| H1003 |
Prenatal at risk education |
609 |
608 |
$105.05 |
| 85018 |
|
2,890 |
1,911 |
$86.99 |
| 99392 |
|
54 |
30 |
$74.04 |
| 99173 |
|
1,567 |
1,023 |
$70.34 |
| H1001 |
Antepartum management |
30 |
25 |
$60.48 |
| 82962 |
|
4,305 |
2,973 |
$40.32 |
| 90651 |
|
65 |
39 |
$26.00 |
| 96372 |
|
973 |
732 |
$18.75 |
| 90686 |
|
773 |
664 |
$17.00 |
| 99401 |
|
151 |
151 |
$8.33 |
| 97803 |
|
149 |
149 |
$8.33 |
| 96156 |
|
326 |
326 |
$8.33 |
| G8510 |
Scr dep neg, no plan reqd |
60,175 |
32,154 |
$4.74 |
| 90471 |
|
709 |
601 |
$4.39 |
| G2023 |
Specimen collect covid-19 |
1,328 |
792 |
$0.81 |
| 99406 |
|
763 |
417 |
$0.04 |
| 3078F |
|
5,381 |
3,316 |
$0.03 |
| 3074F |
|
5,223 |
3,208 |
$0.03 |
| 3079F |
|
4,626 |
2,784 |
$0.02 |
| 3075F |
|
2,666 |
1,633 |
$0.01 |
| 3077F |
|
3,183 |
1,870 |
$0.00 |
| 3051F |
|
56 |
37 |
$0.00 |
| Z6304 |
|
142 |
142 |
$0.00 |
| Z6400 |
|
247 |
247 |
$0.00 |
| 90715 |
|
113 |
73 |
$0.00 |
| 3046F |
|
103 |
68 |
$0.00 |
| 90713 |
|
19 |
12 |
$0.00 |
| 90734 |
|
45 |
25 |
$0.00 |
| Z6414 |
|
12 |
12 |
$0.00 |
| Z6500 |
|
25 |
25 |
$0.00 |
| Z6308 |
|
12 |
12 |
$0.00 |
| 90700 |
|
24 |
14 |
$0.00 |
| 3080F |
|
624 |
366 |
$0.00 |
| Z6406 |
|
145 |
145 |
$0.00 |
| G0439 |
Ppps, subseq visit |
243 |
226 |
$0.00 |
| G9226 |
3 comp foot exam completed |
1,065 |
716 |
$0.00 |
| 3044F |
|
359 |
238 |
$0.00 |
| Z1034 |
|
332 |
290 |
$0.00 |
| 99202 |
|
79 |
65 |
$0.00 |
| Z6204 |
|
144 |
144 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
144 |
127 |
$0.00 |
| 96151 |
|
17 |
17 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
54 |
37 |
$0.00 |
| S9445 |
Pt education noc individ |
12 |
12 |
$0.00 |
| 93000 |
|
30 |
26 |
$0.00 |
| 99243 |
|
57 |
43 |
$0.00 |