| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
29,703 |
23,393 |
$4.52M |
| H2020 |
Ther behav svc, per diem |
8,692 |
4,430 |
$919K |
| D0999 |
|
4,934 |
2,095 |
$340K |
| 99051 |
|
1,532 |
1,350 |
$20K |
| 99213 |
|
20,863 |
16,918 |
$642.45 |
| 99394 |
|
294 |
252 |
$480.00 |
| 90651 |
|
57 |
45 |
$224.00 |
| 3074F |
|
15,208 |
12,213 |
$200.90 |
| 90837 |
|
1,044 |
545 |
$195.00 |
| 99177 |
|
1,558 |
1,284 |
$123.36 |
| 99203 |
|
505 |
446 |
$119.40 |
| 90832 |
|
2,313 |
1,249 |
$112.82 |
| 99214 |
|
3,981 |
3,118 |
$112.77 |
| 92551 |
|
1,469 |
1,279 |
$78.00 |
| 90834 |
|
2,105 |
1,203 |
$67.40 |
| 90792 |
|
929 |
557 |
$65.49 |
| 99391 |
|
622 |
528 |
$63.65 |
| 87880 |
|
1,656 |
1,441 |
$29.89 |
| 3008F |
|
22,266 |
16,643 |
$9.00 |
| 85018 |
|
1,842 |
1,549 |
$8.00 |
| 3078F |
|
15,177 |
12,215 |
$5.00 |
| 1126F |
|
13,970 |
10,989 |
$2.00 |
| 1036F |
|
14,044 |
10,199 |
$1.00 |
| 3077F |
|
1,728 |
1,367 |
$0.00 |
| 99393 |
|
431 |
372 |
$0.00 |
| 90633 |
|
211 |
180 |
$0.00 |
| 99392 |
|
837 |
732 |
$0.00 |
| 99396 |
|
49 |
39 |
$0.00 |
| 1160F |
|
15,865 |
12,379 |
$0.00 |
| 1159F |
|
15,873 |
12,381 |
$0.00 |
| D0274 |
|
783 |
407 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
3,638 |
2,647 |
$0.00 |
| D1110 |
|
491 |
321 |
$0.00 |
| D1120 |
|
304 |
293 |
$0.00 |
| D0330 |
|
969 |
544 |
$0.00 |
| 81003 |
|
262 |
201 |
$0.00 |
| 87811 |
|
286 |
260 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
281 |
208 |
$0.00 |
| 90671 |
|
167 |
145 |
$0.00 |
| 90662 |
|
27 |
25 |
$0.00 |
| D0220 |
|
1,161 |
529 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
137 |
112 |
$0.00 |
| 90734 |
|
131 |
102 |
$0.00 |
| 90460 |
|
3,261 |
1,608 |
$0.00 |
| 99212 |
|
295 |
254 |
$0.00 |
| 81025 |
|
375 |
274 |
$0.00 |
| D0190 |
|
15 |
14 |
$0.00 |
| 90461 |
|
1,265 |
985 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
80 |
61 |
$0.00 |
| 90681 |
|
113 |
95 |
$0.00 |
| 87804 |
|
148 |
135 |
$0.00 |
| 96160 |
|
234 |
197 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
104 |
69 |
$0.00 |
| 90700 |
|
16 |
13 |
$0.00 |
| 90670 |
|
77 |
70 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| D9996 |
|
15 |
14 |
$0.00 |
| 96127 |
|
18,056 |
12,183 |
$0.00 |
| 90647 |
|
495 |
428 |
$0.00 |
| 3075F |
|
3,819 |
3,152 |
$0.00 |
| 1034F |
|
5,132 |
3,663 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
10,135 |
7,951 |
$0.00 |
| 3079F |
|
4,722 |
3,831 |
$0.00 |
| 1125F |
|
5,857 |
4,915 |
$0.00 |
| 1035F |
|
1,372 |
1,025 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
190 |
159 |
$0.00 |
| D0120 |
|
181 |
179 |
$0.00 |
| D1206 |
|
329 |
325 |
$0.00 |
| D0603 |
|
486 |
215 |
$0.00 |
| D1330 |
|
673 |
303 |
$0.00 |
| 96110 |
|
951 |
748 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
440 |
353 |
$0.00 |
| 94760 |
|
137 |
129 |
$0.00 |
| 90723 |
|
424 |
364 |
$0.00 |
| D0140 |
|
616 |
221 |
$0.00 |
| 96161 |
|
1,172 |
875 |
$0.00 |
| 00000 |
|
465 |
253 |
$0.00 |
| 99000 |
|
310 |
277 |
$0.00 |
| D1351 |
|
216 |
60 |
$0.00 |
| 90686 |
|
454 |
394 |
$0.00 |
| D0150 |
|
1,040 |
659 |
$0.00 |
| D7140 |
|
1,110 |
157 |
$0.00 |
| 3080F |
|
510 |
419 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
77 |
66 |
$0.00 |
| 1000F |
|
111 |
101 |
$0.00 |
| 96372 |
|
148 |
80 |
$0.00 |
| 90680 |
|
111 |
95 |
$0.00 |
| D0230 |
|
71 |
42 |
$0.00 |
| D1208 |
|
39 |
39 |
$0.00 |
| 90677 |
|
282 |
245 |
$0.00 |
| D2392 |
|
59 |
13 |
$0.00 |
| 90674 |
|
14 |
12 |
$0.00 |
| 99202 |
|
18 |
14 |
$0.00 |
| D0272 |
|
48 |
47 |
$0.00 |
| H0049 |
Alcohol/drug screening |
16 |
13 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
15 |
12 |
$0.00 |
| 96380 |
|
18 |
17 |
$0.00 |
| G9432 |
Asth controlled |
13 |
13 |
$0.00 |
| 83036 |
|
17 |
13 |
$0.00 |