| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
98,623 |
69,050 |
$11.69M |
| D0999 |
|
38,628 |
21,919 |
$2.95M |
| H2020 |
Ther behav svc, per diem |
4,445 |
1,429 |
$440K |
| D7140 |
|
12,449 |
4,077 |
$50K |
| D0150 |
|
12,487 |
7,747 |
$41K |
| D1110 |
|
9,335 |
5,897 |
$32K |
| D0330 |
|
6,949 |
4,345 |
$21K |
| D0120 |
|
9,088 |
6,063 |
$13K |
| D0272 |
|
7,421 |
4,767 |
$8K |
| D0220 |
|
5,842 |
3,613 |
$6K |
| D0230 |
|
2,508 |
876 |
$2K |
| D2391 |
|
246 |
85 |
$1K |
| D0160 |
|
296 |
193 |
$1K |
| D2392 |
|
238 |
95 |
$1K |
| 99213 |
|
44,975 |
32,663 |
$926.36 |
| D0274 |
|
464 |
261 |
$850.00 |
| 0071A |
|
77 |
44 |
$75.00 |
| 90480 |
|
13 |
13 |
$40.00 |
| 96110 |
|
3,944 |
3,058 |
$10.00 |
| 81003 |
|
26,343 |
18,068 |
$1.79 |
| 99212 |
|
10,552 |
8,389 |
$0.00 |
| 99393 |
|
2,786 |
2,294 |
$0.00 |
| 81025 |
|
18,176 |
13,907 |
$0.00 |
| 99391 |
|
1,779 |
1,458 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
34 |
28 |
$0.00 |
| 99203 |
|
3,118 |
2,496 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
526 |
468 |
$0.00 |
| 99392 |
|
3,311 |
2,675 |
$0.00 |
| 86703 |
|
288 |
250 |
$0.00 |
| 90472 |
|
4,586 |
3,681 |
$0.00 |
| D1120 |
|
2,411 |
1,964 |
$0.00 |
| 87880 |
|
2,606 |
2,135 |
$0.00 |
| 90633 |
|
929 |
777 |
$0.00 |
| 90837 |
|
5,269 |
1,528 |
$0.00 |
| 59425 |
|
572 |
193 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
1,367 |
1,050 |
$0.00 |
| 99394 |
|
1,656 |
1,338 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
2,461 |
1,922 |
$0.00 |
| 99173 |
|
7,544 |
5,933 |
$0.00 |
| 99211 |
|
2,426 |
2,072 |
$0.00 |
| 99204 |
|
339 |
275 |
$0.00 |
| 90671 |
|
139 |
108 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
2,037 |
1,637 |
$0.00 |
| 90672 |
|
471 |
405 |
$0.00 |
| 99395 |
|
1,876 |
1,573 |
$0.00 |
| 90685 |
|
578 |
430 |
$0.00 |
| 87491 |
|
2,118 |
1,714 |
$0.00 |
| 90670 |
|
1,551 |
1,281 |
$0.00 |
| 99354 |
|
97 |
26 |
$0.00 |
| D0145 |
|
292 |
215 |
$0.00 |
| 59426 |
|
768 |
225 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
15 |
14 |
$0.00 |
| 87804 |
|
275 |
245 |
$0.00 |
| 3077F |
|
319 |
255 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
344 |
307 |
$0.00 |
| 99382 |
|
169 |
149 |
$0.00 |
| D9110 |
|
662 |
428 |
$0.00 |
| 90710 |
|
182 |
143 |
$0.00 |
| 3078F |
|
33 |
32 |
$0.00 |
| 99396 |
|
68 |
65 |
$0.00 |
| 90700 |
|
63 |
43 |
$0.00 |
| 90473 |
|
423 |
352 |
$0.00 |
| 59409 |
|
49 |
14 |
$0.00 |
| 90734 |
|
90 |
83 |
$0.00 |
| 90791 |
|
27 |
14 |
$0.00 |
| D1999 |
|
32 |
32 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
151 |
115 |
$0.00 |
| 87811 |
|
274 |
164 |
$0.00 |
| 80305 |
|
14 |
12 |
$0.00 |
| 90707 |
|
37 |
34 |
$0.00 |
| 90461 |
|
44 |
40 |
$0.00 |
| D7210 |
|
16 |
12 |
$0.00 |
| 91308 |
|
25 |
12 |
$0.00 |
| 90474 |
|
955 |
769 |
$0.00 |
| 99000 |
|
4,442 |
3,307 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
570 |
480 |
$0.00 |
| 88142 |
|
1,705 |
1,282 |
$0.00 |
| 96372 |
|
2,442 |
1,799 |
$0.00 |
| 99202 |
|
928 |
701 |
$0.00 |
| 92551 |
|
7,501 |
6,091 |
$0.00 |
| 94760 |
|
1,404 |
1,096 |
$0.00 |
| 87340 |
|
190 |
162 |
$0.00 |
| 82962 |
|
1,732 |
1,214 |
$0.00 |
| 87591 |
|
2,115 |
1,710 |
$0.00 |
| 90697 |
|
229 |
174 |
$0.00 |
| 99214 |
|
2,506 |
1,976 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
198 |
153 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
12 |
12 |
$0.00 |
| 99385 |
|
977 |
762 |
$0.00 |
| 90471 |
|
9,182 |
7,357 |
$0.00 |
| 91307 |
|
202 |
103 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
769 |
655 |
$0.00 |
| 87635 |
|
1,522 |
867 |
$0.00 |
| 90680 |
|
817 |
645 |
$0.00 |
| 90651 |
|
432 |
314 |
$0.00 |
| 90647 |
|
463 |
406 |
$0.00 |
| 90686 |
|
2,578 |
2,136 |
$0.00 |
| 90619 |
|
124 |
87 |
$0.00 |
| 1036F |
|
462 |
331 |
$0.00 |
| 59430 |
|
40 |
26 |
$0.00 |
| 86592 |
|
342 |
300 |
$0.00 |
| D1208 |
|
513 |
324 |
$0.00 |
| 93000 |
|
110 |
87 |
$0.00 |
| D1206 |
|
899 |
698 |
$0.00 |
| D0140 |
|
307 |
236 |
$0.00 |
| 87428 |
|
1,186 |
772 |
$0.00 |
| 99384 |
|
165 |
136 |
$0.00 |
| 3080F |
|
213 |
170 |
$0.00 |
| 87624 |
|
197 |
162 |
$0.00 |
| 90723 |
|
513 |
427 |
$0.00 |
| 86803 |
|
310 |
279 |
$0.00 |
| 3079F |
|
205 |
167 |
$0.00 |
| 81000 |
|
410 |
350 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
87 |
68 |
$0.00 |
| 90688 |
|
225 |
206 |
$0.00 |
| G8950 |
Pre-htn or htn doc, f/u indc |
96 |
79 |
$0.00 |
| 99383 |
|
375 |
329 |
$0.00 |
| 90656 |
|
144 |
104 |
$0.00 |
| 0072A |
|
81 |
47 |
$0.00 |
| 90660 |
|
137 |
100 |
$0.00 |
| 80048 |
|
15 |
13 |
$0.00 |
| 36415 |
|
19 |
13 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
62 |
45 |
$0.00 |
| 90696 |
|
115 |
96 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
49 |
41 |
$0.00 |
| 3074F |
|
84 |
78 |
$0.00 |
| 3075F |
|
35 |
28 |
$0.00 |
| G8754 |
Dias bp less 90 |
17 |
13 |
$0.00 |
| 90677 |
|
68 |
67 |
$0.00 |
| 81001 |
|
32 |
25 |
$0.00 |
| 76817 |
|
48 |
30 |
$0.00 |
| 91301 |
|
23 |
15 |
$0.00 |
| 87623 |
|
17 |
17 |
$0.00 |
| 94761 |
|
69 |
51 |
$0.00 |
| 99386 |
|
61 |
43 |
$0.00 |
| 99381 |
|
13 |
13 |
$0.00 |
| 90716 |
|
36 |
33 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
55 |
47 |
$0.00 |
| 87389 |
|
56 |
50 |
$0.00 |
| 80050 |
|
14 |
13 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
15 |
12 |
$0.00 |