| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
328,025 |
287,598 |
$62.92M |
| 00003 |
|
156,822 |
153,117 |
$40.23M |
| 99213 |
|
213,979 |
173,373 |
$872K |
| H1001 |
Antepartum management |
9,008 |
6,581 |
$554K |
| 96110 |
|
5,219 |
4,872 |
$300K |
| 99212 |
|
126,643 |
105,806 |
$292K |
| 90686 |
|
22,894 |
20,738 |
$232K |
| J7307 |
Etonogestrel implant system |
301 |
256 |
$197K |
| 99214 |
|
33,496 |
28,556 |
$178K |
| 98940 |
|
7,575 |
4,684 |
$151K |
| G9012 |
Other specified case mgmt |
411 |
373 |
$151K |
| 90791 |
|
2,742 |
2,096 |
$146K |
| J3490 |
Drugs unclassified injection |
3,536 |
2,820 |
$144K |
| 97803 |
|
6,496 |
5,109 |
$138K |
| 90750 |
|
806 |
706 |
$128K |
| 90832 |
|
6,540 |
4,747 |
$124K |
| 99391 |
|
15,341 |
13,289 |
$118K |
| 97802 |
|
3,164 |
2,881 |
$113K |
| G9920 |
Scrning perf and negative |
5,943 |
5,625 |
$112K |
| 90715 |
|
5,164 |
4,634 |
$106K |
| 0001A |
|
2,176 |
1,309 |
$105K |
| 0002A |
|
2,161 |
1,306 |
$105K |
| 0012A |
|
2,210 |
1,449 |
$104K |
| 59425 |
|
1,708 |
1,263 |
$102K |
| 99401 |
|
7,558 |
5,174 |
$87K |
| 90834 |
|
3,805 |
2,654 |
$79K |
| 90651 |
|
6,565 |
5,777 |
$74K |
| 0011A |
|
1,591 |
1,038 |
$73K |
| 99211 |
|
4,072 |
3,650 |
$73K |
| 90670 |
|
10,865 |
10,074 |
$72K |
| 59430 |
|
1,143 |
952 |
$70K |
| 99215 |
Prolong outpt/office vis |
1,772 |
1,333 |
$69K |
| 97810 |
|
3,834 |
2,462 |
$67K |
| 90698 |
|
11,226 |
9,768 |
$66K |
| 98941 |
|
2,068 |
1,310 |
$63K |
| S9445 |
Pt education noc individ |
5,782 |
3,750 |
$63K |
| 11981 |
|
322 |
269 |
$62K |
| H1000 |
Prenatal care atrisk assessm |
491 |
440 |
$62K |
| G8431 |
Pos clin depres scrn f/u doc |
2,252 |
1,953 |
$60K |
| 96156 |
|
5,710 |
4,048 |
$57K |
| 90744 |
|
9,270 |
7,862 |
$57K |
| 90633 |
|
8,474 |
7,197 |
$51K |
| C9803 |
Hopd covid-19 spec collect |
2,681 |
2,527 |
$50K |
| H2000 |
Comp multidisipln evaluation |
5,541 |
3,080 |
$50K |
| 90716 |
|
4,399 |
3,752 |
$49K |
| H1003 |
Prenatal at risk education |
3,939 |
2,871 |
$48K |
| 97811 |
|
2,279 |
1,579 |
$43K |
| 90707 |
|
3,364 |
2,968 |
$42K |
| 0031A |
|
876 |
568 |
$39K |
| 99203 |
|
976 |
831 |
$39K |
| 90688 |
|
2,567 |
2,550 |
$38K |
| 99392 |
|
20,529 |
18,044 |
$38K |
| 90681 |
|
4,849 |
4,337 |
$35K |
| 99394 |
|
7,305 |
6,499 |
$29K |
| 99393 |
|
11,629 |
10,359 |
$28K |
| 99202 |
|
1,325 |
1,204 |
$28K |
| 90743 |
|
552 |
469 |
$27K |
| 87811 |
|
1,004 |
846 |
$27K |
| 90734 |
|
2,733 |
2,673 |
$26K |
| 0071A |
|
496 |
303 |
$25K |
| 81025 |
|
9,139 |
7,844 |
$23K |
| 0072A |
|
446 |
268 |
$23K |
| S4993 |
Contraceptive pills for bc |
291 |
269 |
$22K |
| 96372 |
|
1,032 |
778 |
$20K |
| 90710 |
|
2,363 |
2,215 |
$18K |
| 90696 |
|
2,159 |
2,073 |
$17K |
| 90746 |
|
246 |
211 |
$15K |
| 99204 |
|
600 |
476 |
$15K |
| A4267 |
Male condom |
1,550 |
1,497 |
$15K |
| S9452 |
Nutrition class |
1,752 |
1,336 |
$15K |
| 90713 |
|
1,942 |
1,493 |
$15K |
| 90471 |
|
11,988 |
10,121 |
$15K |
| 90847 |
|
285 |
146 |
$14K |
| 99381 |
|
709 |
494 |
$14K |
| 90691 |
|
313 |
313 |
$13K |
| 90662 |
|
211 |
201 |
$13K |
| 90656 |
|
1,992 |
1,411 |
$12K |
| 99402 |
|
666 |
584 |
$11K |
| 90700 |
|
1,394 |
1,249 |
$11K |
| 0013A |
|
211 |
162 |
$11K |
| 90619 |
|
1,038 |
847 |
$10K |
| G8510 |
Scr dep neg, no plan reqd |
950 |
837 |
$10K |
| 90685 |
|
889 |
885 |
$10K |
| 92551 |
|
15,243 |
14,944 |
$9K |
| 0053A |
|
168 |
117 |
$9K |
| 90472 |
|
5,059 |
4,480 |
$8K |
| 90714 |
|
1,051 |
749 |
$8K |
| 90647 |
|
1,041 |
939 |
$8K |
| 99403 |
|
700 |
527 |
$8K |
| 58300 |
|
82 |
38 |
$7K |
| 90677 |
|
2,624 |
1,605 |
$7K |
| 90682 |
|
571 |
565 |
$6K |
| 71046 |
|
376 |
177 |
$5K |
| 0003A |
|
100 |
77 |
$5K |
| 99238 |
|
232 |
189 |
$5K |
| 90792 |
|
133 |
112 |
$5K |
| G9919 |
Scrn nd pos nd prov of rec |
166 |
151 |
$5K |
| 87428 |
|
68 |
59 |
$4K |
| 90687 |
|
743 |
718 |
$4K |
| 11976 |
|
69 |
40 |
$4K |
| 99462 |
|
169 |
114 |
$4K |
| 96127 |
|
606 |
528 |
$3K |
| 97804 |
|
49 |
25 |
$3K |
| 0112A |
|
42 |
42 |
$3K |
| 99460 |
|
58 |
45 |
$2K |
| 90649 |
|
40 |
37 |
$2K |
| 11982 |
|
20 |
14 |
$2K |
| 96151 |
|
237 |
189 |
$2K |
| 93000 |
|
203 |
169 |
$2K |
| 85018 |
|
7,596 |
7,394 |
$1K |
| 72100 |
|
94 |
44 |
$1K |
| 83036 |
|
911 |
871 |
$1K |
| 81003 |
|
609 |
486 |
$1K |
| 0052A |
|
24 |
15 |
$1K |
| 87635 |
|
20 |
17 |
$1K |
| 81002 |
|
740 |
682 |
$935.25 |
| 99382 |
|
273 |
157 |
$848.34 |
| 96152 |
|
86 |
78 |
$723.26 |
| 90480 |
|
112 |
112 |
$720.00 |
| 92014 |
|
2,364 |
2,361 |
$691.74 |
| S5000 |
Prescription drug, generic |
78 |
56 |
$599.22 |
| 99283 |
|
2,307 |
1,893 |
$530.33 |
| 90674 |
|
56 |
56 |
$504.00 |
| 90658 |
|
27 |
27 |
$489.56 |
| 96150 |
|
24 |
24 |
$403.92 |
| 99384 |
|
46 |
41 |
$394.68 |
| 90672 |
|
291 |
190 |
$372.76 |
| S9446 |
Pt education noc group |
116 |
69 |
$348.44 |
| 86580 |
|
818 |
790 |
$329.28 |
| J1885 |
Ketorolac tromethamine inj |
63 |
55 |
$326.68 |
| 88720 |
|
212 |
136 |
$235.34 |
| 94640 |
|
18 |
18 |
$231.66 |
| 99078 |
|
14 |
12 |
$39.34 |
| 99000 |
|
19 |
13 |
$36.30 |
| 87880 |
|
324 |
322 |
$27.96 |
| 82962 |
|
156 |
152 |
$20.00 |
| 90660 |
|
126 |
81 |
$18.61 |
| 92015 |
|
282 |
282 |
$8.01 |
| Z6204 |
|
2,836 |
2,360 |
$0.00 |
| Z1034 |
|
11,609 |
10,614 |
$0.00 |
| Z1032 |
|
257 |
256 |
$0.00 |
| Z6402 |
|
1,246 |
1,231 |
$0.00 |
| Z1038 |
|
312 |
308 |
$0.00 |
| Z6410 |
|
3,709 |
2,860 |
$0.00 |
| Z6406 |
|
8,156 |
6,621 |
$0.00 |
| Z6404 |
|
925 |
820 |
$0.00 |
| 36416 |
|
355 |
353 |
$0.00 |
| 92004 |
|
82 |
82 |
$0.00 |
| Z6306 |
|
56 |
43 |
$0.00 |
| 90474 |
|
25 |
25 |
$0.00 |
| Z6414 |
|
3,501 |
2,268 |
$0.00 |
| Z6208 |
|
1,401 |
1,163 |
$0.00 |
| 99173 |
|
2,095 |
2,094 |
$0.00 |
| Z6400 |
|
4,546 |
4,166 |
$0.00 |
| Z6300 |
|
1,049 |
1,029 |
$0.00 |
| Z6304 |
|
2,938 |
2,574 |
$0.00 |
| Z6200 |
|
968 |
951 |
$0.00 |
| Z6308 |
|
1,480 |
1,195 |
$0.00 |
| Z6412 |
|
56 |
43 |
$0.00 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
115 |
112 |
$0.00 |
| 87804 |
|
27 |
27 |
$0.00 |
| Z6206 |
|
55 |
42 |
$0.00 |
| Z6408 |
|
57 |
44 |
$0.00 |
| Z6302 |
|
28 |
27 |
$0.00 |