| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
224,165 |
184,231 |
$42.12M |
| 00003 |
|
4,558 |
3,516 |
$1.18M |
| 99213 |
|
144,780 |
100,072 |
$599K |
| G0467 |
Fqhc visit, estab pt |
10,322 |
9,168 |
$360K |
| 80061 |
|
24,866 |
24,791 |
$237K |
| 84443 |
|
15,647 |
15,585 |
$209K |
| 80053 |
|
23,002 |
22,778 |
$159K |
| 86480 |
|
3,409 |
3,408 |
$154K |
| 83036 |
|
21,266 |
20,982 |
$147K |
| 99214 |
|
13,463 |
9,827 |
$144K |
| 90834 |
|
4,780 |
2,481 |
$140K |
| 82306 |
|
6,539 |
6,533 |
$132K |
| 90750 |
|
1,686 |
1,118 |
$108K |
| 86803 |
|
6,698 |
6,691 |
$94K |
| 90791 |
|
898 |
596 |
$89K |
| 90832 |
|
2,613 |
1,160 |
$86K |
| 96110 |
|
2,827 |
1,724 |
$85K |
| 99212 |
|
43,240 |
32,074 |
$84K |
| 86704 |
|
5,112 |
5,106 |
$63K |
| 87340 |
|
5,787 |
5,779 |
$60K |
| 82274 |
|
4,312 |
4,307 |
$60K |
| G9920 |
Scrning perf and negative |
2,874 |
2,356 |
$58K |
| 0002A |
|
926 |
926 |
$56K |
| 0001A |
|
835 |
834 |
$49K |
| 86706 |
|
4,068 |
4,059 |
$43K |
| 80048 |
|
5,608 |
5,502 |
$42K |
| 90688 |
|
6,954 |
5,479 |
$41K |
| 87635 |
|
658 |
640 |
$39K |
| 99203 |
|
2,930 |
2,064 |
$36K |
| 87389 |
|
1,373 |
1,373 |
$34K |
| 0031A |
|
515 |
513 |
$32K |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,577 |
1,379 |
$30K |
| 99391 |
|
2,064 |
1,420 |
$29K |
| 90739 |
|
444 |
333 |
$28K |
| 99392 |
|
3,631 |
2,329 |
$28K |
| H0049 |
Alcohol/drug screening |
4,061 |
3,592 |
$28K |
| 99393 |
|
4,197 |
2,666 |
$25K |
| D0150 |
|
1,271 |
1,052 |
$22K |
| D0210 |
|
1,149 |
958 |
$22K |
| 82043 |
|
5,492 |
5,483 |
$21K |
| 0011A |
|
505 |
500 |
$21K |
| 99394 |
|
3,723 |
2,445 |
$21K |
| 86317 |
|
1,915 |
1,915 |
$20K |
| 82570 |
|
5,633 |
5,615 |
$20K |
| 86703 |
|
1,362 |
1,360 |
$19K |
| 85027 |
|
19,819 |
19,758 |
$19K |
| 87637 |
|
118 |
114 |
$19K |
| 90756 |
|
867 |
865 |
$18K |
| 90746 |
|
213 |
213 |
$16K |
| 84460 |
|
3,160 |
3,155 |
$16K |
| D1110 |
|
632 |
493 |
$15K |
| 99385 |
|
643 |
547 |
$15K |
| 90686 |
|
8,002 |
5,707 |
$14K |
| 90471 |
|
28,294 |
22,642 |
$12K |
| 92004 |
|
1,054 |
940 |
$12K |
| 99202 |
|
1,033 |
774 |
$12K |
| 0012A |
|
208 |
207 |
$12K |
| 99000 |
|
4,087 |
3,906 |
$11K |
| 99386 |
|
342 |
313 |
$10K |
| 90651 |
|
1,711 |
1,132 |
$10K |
| 0054A |
|
170 |
169 |
$10K |
| 90620 |
|
675 |
409 |
$9K |
| 0064A |
|
148 |
148 |
$8K |
| 87502 |
|
88 |
87 |
$8K |
| D1120 |
|
539 |
442 |
$7K |
| 87491 |
|
219 |
219 |
$7K |
| 0004A |
|
132 |
132 |
$7K |
| 99188 |
|
735 |
468 |
$7K |
| 0124A |
|
460 |
431 |
$7K |
| 99395 |
|
654 |
405 |
$6K |
| 99215 |
Prolong outpt/office vis |
119 |
88 |
$6K |
| 90658 |
|
1,354 |
1,255 |
$6K |
| 99429 |
|
233 |
232 |
$6K |
| 83655 |
|
445 |
445 |
$6K |
| 90670 |
|
1,744 |
1,190 |
$6K |
| 87591 |
|
205 |
205 |
$6K |
| 92551 |
|
9,139 |
6,147 |
$5K |
| D1206 |
|
871 |
688 |
$5K |
| 99204 |
|
395 |
247 |
$5K |
| 90662 |
|
1,064 |
986 |
$5K |
| 90715 |
|
642 |
423 |
$5K |
| D9430 |
|
446 |
336 |
$5K |
| 90656 |
|
2,025 |
1,569 |
$5K |
| 87651 |
|
113 |
109 |
$4K |
| 99384 |
|
175 |
135 |
$4K |
| 0134A |
|
143 |
141 |
$4K |
| 90633 |
|
1,563 |
1,055 |
$4K |
| 85025 |
|
3,041 |
2,957 |
$4K |
| 0071A |
|
73 |
73 |
$4K |
| D2392 |
|
129 |
86 |
$4K |
| V2020 |
Vision svcs frames purchases |
812 |
732 |
$4K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
277 |
277 |
$4K |
| D7140 |
|
122 |
58 |
$4K |
| 99401 |
|
186 |
127 |
$3K |
| 0072A |
|
61 |
61 |
$3K |
| 84153 |
|
205 |
203 |
$3K |
| 90734 |
|
765 |
525 |
$3K |
| G2023 |
Specimen collect covid-19 |
112 |
107 |
$3K |
| 90698 |
|
903 |
603 |
$3K |
| 90480 |
|
1,020 |
985 |
$3K |
| 90677 |
|
324 |
256 |
$3K |
| G8510 |
Scr dep neg, no plan reqd |
8,285 |
8,222 |
$3K |
| D2391 |
|
85 |
55 |
$3K |
| 99383 |
|
148 |
103 |
$3K |
| 84439 |
|
282 |
280 |
$3K |
| 99396 |
|
1,041 |
733 |
$3K |
| 90744 |
|
661 |
449 |
$2K |
| D1310 |
|
668 |
542 |
$2K |
| 0082A |
|
30 |
30 |
$2K |
| 81001 |
|
4,428 |
4,351 |
$2K |
| 99442 |
|
949 |
840 |
$2K |
| D0120 |
|
245 |
175 |
$2K |
| 90732 |
|
43 |
28 |
$2K |
| 92340 |
|
691 |
621 |
$2K |
| 92227 |
|
95 |
95 |
$1K |
| D0274 |
|
143 |
94 |
$1K |
| 93000 |
|
312 |
211 |
$1K |
| 86592 |
|
240 |
240 |
$1K |
| 91320 |
|
441 |
424 |
$999.50 |
| 90647 |
|
71 |
71 |
$774.90 |
| 97803 |
|
77 |
75 |
$748.45 |
| 82947 |
|
195 |
194 |
$730.54 |
| 90685 |
|
158 |
116 |
$708.48 |
| 90681 |
|
220 |
148 |
$619.92 |
| D0270 |
|
215 |
156 |
$617.50 |
| 90716 |
|
182 |
112 |
$570.80 |
| 90674 |
|
153 |
109 |
$548.15 |
| 90472 |
|
7,552 |
5,323 |
$526.56 |
| D0230 |
|
321 |
240 |
$519.00 |
| 87804 |
|
46 |
23 |
$500.84 |
| 90723 |
|
43 |
43 |
$476.01 |
| 84550 |
|
55 |
55 |
$430.21 |
| 83721 |
|
54 |
54 |
$414.51 |
| 80076 |
|
27 |
27 |
$376.24 |
| G8431 |
Pos clin depres scrn f/u doc |
12 |
12 |
$360.00 |
| 90655 |
|
32 |
32 |
$343.17 |
| 82962 |
|
218 |
193 |
$342.61 |
| 90710 |
|
215 |
123 |
$298.89 |
| 90707 |
|
79 |
52 |
$276.75 |
| 85014 |
|
490 |
490 |
$204.94 |
| 85018 |
|
490 |
490 |
$198.91 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
383 |
293 |
$198.04 |
| 92341 |
|
40 |
35 |
$176.04 |
| 99381 |
|
16 |
13 |
$167.28 |
| 91322 |
|
166 |
163 |
$145.92 |
| 99397 |
|
19 |
13 |
$145.63 |
| 90696 |
|
172 |
94 |
$132.84 |
| 36415 |
|
32,352 |
31,051 |
$127.26 |
| 83718 |
|
25 |
25 |
$99.60 |
| 82465 |
|
25 |
25 |
$57.36 |
| 99173 |
|
5,281 |
5,238 |
$46.34 |
| 86580 |
|
160 |
121 |
$41.30 |
| 86708 |
|
15 |
15 |
$36.42 |
| 85651 |
|
14 |
13 |
$35.04 |
| 90460 |
|
531 |
357 |
$19.80 |
| 90678 |
|
331 |
331 |
$0.00 |
| 1159F |
|
9,838 |
8,926 |
$0.00 |
| Z6202 |
|
453 |
453 |
$0.00 |
| 3078F |
|
22,499 |
20,543 |
$0.00 |
| 3077F |
|
2,954 |
2,702 |
$0.00 |
| 97811 |
|
23,141 |
14,746 |
$0.00 |
| 97810 |
|
23,144 |
14,748 |
$0.00 |
| 99490 |
Ccm add 20min |
99 |
99 |
$0.00 |
| Z6200 |
|
575 |
457 |
$0.00 |
| 91312 |
|
196 |
193 |
$0.00 |
| 97813 |
|
6,936 |
4,224 |
$0.00 |
| 1160F |
|
4,526 |
4,034 |
$0.00 |
| Z6208 |
|
341 |
331 |
$0.00 |
| 83037 |
|
660 |
613 |
$0.00 |
| 91300 |
|
226 |
214 |
$0.00 |
| 90700 |
|
20 |
12 |
$0.00 |
| Z6414 |
|
683 |
523 |
$0.00 |
| 92015 |
|
188 |
188 |
$0.00 |
| 90473 |
|
61 |
38 |
$0.00 |
| 90687 |
|
181 |
157 |
$0.00 |
| 90714 |
|
18 |
18 |
$0.00 |
| Z6400 |
|
42 |
42 |
$0.00 |
| 90461 |
|
41 |
27 |
$0.00 |
| 97814 |
|
6,952 |
4,232 |
$0.00 |
| 3079F |
|
5,292 |
4,933 |
$0.00 |
| 3074F |
|
19,888 |
18,337 |
$0.00 |
| 3075F |
|
4,986 |
4,661 |
$0.00 |
| 3008F |
|
18,815 |
16,929 |
$0.00 |
| D1330 |
|
786 |
778 |
$0.00 |
| D0603 |
|
145 |
129 |
$0.00 |
| 3351F |
|
1,925 |
1,900 |
$0.00 |
| G0008 |
Admin influenza virus vac |
1,658 |
1,478 |
$0.00 |
| Z6204 |
|
817 |
805 |
$0.00 |
| Z6410 |
|
856 |
679 |
$0.00 |
| 3044F |
|
122 |
122 |
$0.00 |
| 3080F |
|
121 |
118 |
$0.00 |
| D5899 |
|
22 |
13 |
$0.00 |
| Z6402 |
|
375 |
294 |
$0.00 |
| D0602 |
|
89 |
86 |
$0.00 |
| Z6406 |
|
1,242 |
995 |
$0.00 |
| Z6404 |
|
165 |
159 |
$0.00 |
| ACUHE |
|
36 |
36 |
$0.00 |
| 90697 |
|
250 |
157 |
$0.00 |
| 1126F |
|
260 |
259 |
$0.00 |
| 91301 |
|
59 |
58 |
$0.00 |
| 90619 |
|
194 |
142 |
$0.00 |
| 91303 |
|
20 |
20 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
43 |
43 |
$0.00 |
| 2023F |
|
15 |
15 |
$0.00 |
| 91307 |
|
31 |
31 |
$0.00 |
| 1000F |
|
30 |
30 |
$0.00 |
| 99441 |
|
16 |
16 |
$0.00 |
| 1125F |
|
15 |
15 |
$0.00 |