| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
429,030 |
370,711 |
$54.87M |
| 98941 |
|
8,282 |
5,402 |
$679K |
| 98940 |
|
6,766 |
4,699 |
$613K |
| 99213 |
|
256,341 |
169,592 |
$300K |
| 99212 |
|
109,449 |
78,538 |
$293K |
| G0467 |
Fqhc visit, estab pt |
10,416 |
9,003 |
$213K |
| G9012 |
Other specified case mgmt |
930 |
872 |
$175K |
| G9008 |
Mccd,phys coor-care ovrsght |
242 |
237 |
$98K |
| 90832 |
|
4,191 |
2,742 |
$80K |
| 90791 |
|
1,793 |
1,407 |
$71K |
| G9920 |
Scrning perf and negative |
19,806 |
13,178 |
$34K |
| J3490 |
Drugs unclassified injection |
3,269 |
2,581 |
$30K |
| 99214 |
|
17,921 |
12,402 |
$20K |
| 99391 |
|
11,343 |
9,113 |
$19K |
| G2025 |
Dis site tele svcs rhc/fqhc |
852 |
792 |
$14K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
1,139 |
1,139 |
$13K |
| 99239 |
|
1,286 |
853 |
$13K |
| 99460 |
|
921 |
730 |
$13K |
| J7307 |
Etonogestrel implant system |
136 |
108 |
$11K |
| 99203 |
|
703 |
521 |
$11K |
| 81025 |
|
27,729 |
20,599 |
$10K |
| 0002A |
|
123 |
113 |
$8K |
| 0001A |
|
166 |
128 |
$8K |
| 99395 |
|
5,820 |
3,844 |
$7K |
| 99381 |
|
820 |
726 |
$7K |
| 11976 |
|
220 |
132 |
$5K |
| 99243 |
|
1,432 |
1,319 |
$5K |
| 90834 |
|
201 |
118 |
$4K |
| H1001 |
Antepartum management |
4,415 |
3,361 |
$3K |
| 11981 |
|
142 |
108 |
$3K |
| 0072A |
|
43 |
43 |
$3K |
| 99396 |
|
3,574 |
2,434 |
$3K |
| 99393 |
|
9,467 |
6,536 |
$3K |
| 99202 |
|
246 |
212 |
$3K |
| 0071A |
|
38 |
38 |
$2K |
| 99392 |
|
12,520 |
9,117 |
$2K |
| 59425 |
|
4,622 |
3,473 |
$2K |
| 99394 |
|
5,464 |
3,737 |
$2K |
| 0004A |
|
21 |
21 |
$1K |
| H1000 |
Prenatal care atrisk assessm |
341 |
339 |
$1K |
| 99462 |
|
135 |
78 |
$816.60 |
| 90715 |
|
2,708 |
1,945 |
$732.68 |
| 92551 |
|
19,693 |
13,971 |
$694.05 |
| 90686 |
|
15,445 |
12,714 |
$640.05 |
| 81002 |
|
45,601 |
29,030 |
$620.81 |
| 83036 |
|
5,080 |
3,679 |
$618.60 |
| 85018 |
|
40,766 |
29,196 |
$570.68 |
| 87880 |
|
11,505 |
7,065 |
$552.72 |
| 99174 |
|
12,284 |
10,301 |
$541.20 |
| H1002 |
Carecoordination prenatal |
284 |
284 |
$513.89 |
| 90680 |
|
5,838 |
4,740 |
$477.25 |
| 88720 |
|
793 |
610 |
$466.85 |
| 90670 |
|
7,217 |
5,960 |
$456.75 |
| H1003 |
Prenatal at risk education |
1,841 |
1,780 |
$442.10 |
| 90677 |
|
2,152 |
1,498 |
$371.85 |
| 58301 |
|
46 |
24 |
$336.54 |
| 90471 |
|
8,592 |
6,586 |
$276.50 |
| 96372 |
|
3,406 |
2,374 |
$258.98 |
| 99173 |
|
15,347 |
9,883 |
$228.60 |
| 90697 |
|
2,301 |
1,650 |
$226.95 |
| 90723 |
|
4,200 |
3,568 |
$200.25 |
| 87804 |
|
4,147 |
2,925 |
$195.12 |
| 90647 |
|
4,642 |
3,859 |
$191.50 |
| 90633 |
|
4,115 |
2,999 |
$165.00 |
| 99238 |
|
38 |
25 |
$162.44 |
| 93000 |
|
936 |
668 |
$160.06 |
| 99215 |
Prolong outpt/office vis |
269 |
269 |
$126.31 |
| 59430 |
|
560 |
554 |
$120.96 |
| 90651 |
|
1,946 |
1,409 |
$118.44 |
| 99201 |
|
23 |
15 |
$116.20 |
| 90734 |
|
1,399 |
964 |
$113.00 |
| 20552 |
|
380 |
219 |
$104.98 |
| 90700 |
|
2,676 |
1,924 |
$101.50 |
| 83655 |
|
3,831 |
2,807 |
$95.45 |
| 82962 |
|
5,554 |
3,868 |
$57.14 |
| 99401 |
|
1,055 |
997 |
$48.07 |
| 11721 |
|
314 |
209 |
$40.71 |
| 97803 |
|
933 |
899 |
$39.74 |
| 90716 |
|
659 |
481 |
$34.00 |
| 90707 |
|
556 |
393 |
$34.00 |
| 90785 |
|
20 |
18 |
$31.04 |
| J3301 |
Triamcinolone acet inj nos |
1,109 |
719 |
$30.00 |
| G9919 |
Scrn nd pos nd prov of rec |
40 |
32 |
$29.00 |
| 90648 |
|
49 |
49 |
$27.00 |
| H2000 |
Comp multidisipln evaluation |
287 |
287 |
$25.23 |
| 96156 |
|
1,068 |
1,068 |
$24.60 |
| J0696 |
Ceftriaxone sodium injection |
153 |
129 |
$17.00 |
| J1885 |
Ketorolac tromethamine inj |
689 |
584 |
$14.00 |
| 90472 |
|
210 |
194 |
$13.44 |
| 86580 |
|
469 |
376 |
$10.70 |
| 90688 |
|
3,094 |
1,726 |
$9.00 |
| 90713 |
|
277 |
188 |
$9.00 |
| 90710 |
|
114 |
74 |
$9.00 |
| 98943 |
|
145 |
119 |
$8.40 |
| S9445 |
Pt education noc individ |
84 |
80 |
$6.25 |
| G8510 |
Scr dep neg, no plan reqd |
90,126 |
51,906 |
$5.62 |
| G2023 |
Specimen collect covid-19 |
2,185 |
1,475 |
$0.50 |
| G0439 |
Ppps, subseq visit |
10,204 |
9,982 |
$0.03 |
| G9226 |
3 comp foot exam completed |
5,094 |
3,571 |
$0.00 |
| 3074F |
|
15,287 |
9,488 |
$0.00 |
| 3075F |
|
7,882 |
4,900 |
$0.00 |
| 3079F |
|
10,750 |
6,615 |
$0.00 |
| Z1032 |
|
1,653 |
1,646 |
$0.00 |
| 96110 |
|
69 |
42 |
$0.00 |
| Z6204 |
|
1,339 |
1,272 |
$0.00 |
| Z1034 |
|
12,836 |
9,840 |
$0.00 |
| 3080F |
|
1,119 |
673 |
$0.00 |
| Z1038 |
|
526 |
518 |
$0.00 |
| Z6406 |
|
1,601 |
1,477 |
$0.00 |
| Z6410 |
|
179 |
156 |
$0.00 |
| 3044F |
|
749 |
496 |
$0.00 |
| S9452 |
Nutrition class |
28 |
28 |
$0.00 |
| 90732 |
|
60 |
60 |
$0.00 |
| 87635 |
|
42 |
37 |
$0.00 |
| 20550 |
|
107 |
64 |
$0.00 |
| G0008 |
Admin influenza virus vac |
135 |
135 |
$0.00 |
| 3052F |
|
21 |
14 |
$0.00 |
| 99406 |
|
16 |
12 |
$0.00 |
| 3078F |
|
18,312 |
11,312 |
$0.00 |
| Z6500 |
|
1,611 |
1,608 |
$0.00 |
| 99242 |
|
2,652 |
1,593 |
$0.00 |
| 3046F |
|
387 |
266 |
$0.00 |
| 3077F |
|
6,734 |
4,131 |
$0.00 |
| G9357 |
Pp eval/edu perf |
1,141 |
781 |
$0.00 |
| Z6400 |
|
2,404 |
2,394 |
$0.00 |
| G0438 |
Ppps, initial visit |
66 |
66 |
$0.00 |
| Z6304 |
|
1,149 |
1,144 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
336 |
198 |
$0.00 |
| 3051F |
|
123 |
91 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
133 |
133 |
$0.00 |
| Z6414 |
|
26 |
26 |
$0.00 |
| Z6308 |
|
26 |
26 |
$0.00 |
| 90685 |
|
18 |
14 |
$0.00 |
| 11750 |
|
37 |
28 |
$0.00 |
| Z6208 |
|
12 |
12 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |