| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
117,605 |
101,386 |
$22.87M |
| 92014 |
|
2,902 |
2,868 |
$100K |
| 99213 |
|
37,824 |
32,633 |
$45K |
| G0467 |
Fqhc visit, estab pt |
1,380 |
1,260 |
$40K |
| V2020 |
Vision svcs frames purchases |
2,332 |
2,332 |
$36K |
| 0012A |
|
560 |
559 |
$35K |
| 99214 |
|
9,748 |
8,405 |
$33K |
| 0011A |
|
702 |
699 |
$32K |
| 92015 |
|
3,247 |
3,219 |
$23K |
| 92340 |
|
1,595 |
1,593 |
$17K |
| 99212 |
|
13,827 |
11,809 |
$14K |
| 0002A |
|
180 |
180 |
$12K |
| 0064A |
|
191 |
190 |
$11K |
| 0001A |
|
134 |
134 |
$9K |
| 87635 |
|
1,279 |
1,127 |
$6K |
| 92341 |
|
362 |
362 |
$6K |
| 0004A |
|
89 |
88 |
$5K |
| 99202 |
|
2,253 |
1,926 |
$5K |
| 99204 |
|
442 |
380 |
$4K |
| 92004 |
|
94 |
93 |
$3K |
| 98941 |
|
192 |
135 |
$3K |
| 87811 |
|
686 |
621 |
$3K |
| 0072A |
|
42 |
42 |
$3K |
| 99392 |
|
1,140 |
1,049 |
$2K |
| 0054A |
|
27 |
27 |
$2K |
| 0071A |
|
27 |
27 |
$2K |
| 90750 |
|
159 |
146 |
$1K |
| 99391 |
|
1,087 |
1,033 |
$1K |
| 90688 |
|
281 |
264 |
$1K |
| 99201 |
|
661 |
603 |
$967.70 |
| 99393 |
|
906 |
830 |
$930.44 |
| 99203 |
|
717 |
695 |
$895.20 |
| 90677 |
|
15 |
12 |
$872.46 |
| 90739 |
|
15 |
12 |
$757.73 |
| 90837 |
|
106 |
90 |
$659.85 |
| 90686 |
|
849 |
800 |
$588.21 |
| 99394 |
|
494 |
459 |
$566.44 |
| 99395 |
|
326 |
305 |
$549.45 |
| 90832 |
|
2,136 |
1,628 |
$481.68 |
| 90791 |
|
708 |
647 |
$481.02 |
| 96372 |
|
1,317 |
1,137 |
$262.50 |
| 99205 |
Prolong outpt/office vis |
18 |
15 |
$248.10 |
| 81002 |
|
7,318 |
6,269 |
$237.36 |
| 82962 |
|
1,035 |
882 |
$195.04 |
| J1885 |
Ketorolac tromethamine inj |
157 |
145 |
$148.75 |
| 90471 |
|
4,950 |
4,809 |
$140.65 |
| 90698 |
|
718 |
696 |
$108.00 |
| 81025 |
|
2,510 |
2,210 |
$96.15 |
| 87804 |
|
109 |
101 |
$94.48 |
| 90696 |
|
26 |
24 |
$93.70 |
| 90472 |
|
2,130 |
2,115 |
$90.60 |
| 99188 |
|
52 |
44 |
$89.16 |
| 90651 |
|
163 |
153 |
$63.00 |
| 90744 |
|
586 |
562 |
$54.00 |
| 90700 |
|
35 |
30 |
$54.00 |
| 85018 |
|
499 |
471 |
$53.10 |
| 87880 |
|
994 |
936 |
$48.93 |
| 2022F |
|
167 |
128 |
$42.44 |
| 92134 |
|
16 |
12 |
$31.93 |
| 83036 |
|
278 |
267 |
$31.04 |
| J0696 |
Ceftriaxone sodium injection |
59 |
51 |
$30.95 |
| 90657 |
|
29 |
25 |
$27.00 |
| 90734 |
|
73 |
72 |
$18.00 |
| 90633 |
|
281 |
258 |
$9.00 |
| 99173 |
|
154 |
141 |
$4.03 |
| 3078F |
|
1,236 |
1,160 |
$0.01 |
| Z6410 |
|
1,729 |
1,543 |
$0.00 |
| Z6204 |
|
1,294 |
1,292 |
$0.00 |
| 90732 |
|
25 |
25 |
$0.00 |
| 91301 |
|
213 |
213 |
$0.00 |
| Z1034 |
|
4,604 |
3,847 |
$0.00 |
| 91306 |
|
15 |
15 |
$0.00 |
| Z6404 |
|
48 |
46 |
$0.00 |
| 3074F |
|
1,428 |
1,336 |
$0.00 |
| Z6406 |
|
1,705 |
1,582 |
$0.00 |
| 90680 |
|
487 |
479 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
270 |
264 |
$0.00 |
| Z1032 |
|
353 |
352 |
$0.00 |
| 3075F |
|
32 |
32 |
$0.00 |
| 3079F |
|
248 |
242 |
$0.00 |
| 93000 |
|
80 |
64 |
$0.00 |
| 90716 |
|
248 |
233 |
$0.00 |
| 99381 |
|
275 |
275 |
$0.00 |
| 99384 |
|
68 |
68 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| Z6402 |
|
1,176 |
1,174 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
17 |
12 |
$0.00 |
| 92551 |
|
118 |
105 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
15 |
14 |
$0.00 |
| 99385 |
|
13 |
13 |
$0.00 |
| 99460 |
|
75 |
75 |
$0.00 |
| Z1038 |
|
110 |
109 |
$0.00 |
| 99383 |
|
149 |
149 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
15 |
12 |
$0.00 |
| 3080F |
|
14 |
13 |
$0.00 |
| 90834 |
|
33 |
33 |
$0.00 |
| J3490 |
Drugs unclassified injection |
20 |
18 |
$0.00 |
| Z7610 |
|
13 |
12 |
$0.00 |
| 3072F |
|
19 |
12 |
$0.00 |
| A9150 |
Misc/exper non-prescript dru |
12 |
12 |
$0.00 |
| 90707 |
|
247 |
233 |
$0.00 |
| Z6414 |
|
624 |
622 |
$0.00 |
| 90670 |
|
944 |
904 |
$0.00 |
| 90715 |
|
232 |
231 |
$0.00 |
| Z6208 |
|
624 |
620 |
$0.00 |
| Z6400 |
|
1,291 |
1,283 |
$0.00 |
| Z6300 |
|
1,185 |
1,183 |
$0.00 |
| Z6308 |
|
618 |
616 |
$0.00 |
| Z6304 |
|
1,369 |
1,368 |
$0.00 |
| Z6200 |
|
1,325 |
1,319 |
$0.00 |
| 87502 |
|
307 |
304 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
182 |
182 |
$0.00 |
| 99396 |
|
117 |
111 |
$0.00 |
| Z6302 |
|
29 |
28 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 90746 |
|
29 |
29 |
$0.00 |
| 3077F |
|
51 |
49 |
$0.00 |
| 99238 |
|
25 |
24 |
$0.00 |
| 99382 |
|
33 |
33 |
$0.00 |
| 90736 |
|
14 |
14 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
12 |
12 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
13 |
13 |
$0.00 |