| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
217,318 |
176,652 |
$33.46M |
| 00003 |
|
76,471 |
49,307 |
$13.96M |
| G9012 |
Other specified case mgmt |
2,665 |
2,394 |
$441K |
| 98940 |
|
5,182 |
3,179 |
$368K |
| 99213 |
|
180,426 |
103,752 |
$194K |
| 99212 |
|
72,784 |
45,917 |
$81K |
| G0467 |
Fqhc visit, estab pt |
4,086 |
3,185 |
$79K |
| 59409 |
|
225 |
217 |
$50K |
| 90832 |
|
835 |
504 |
$14K |
| 99214 |
|
13,775 |
8,912 |
$13K |
| 99232 |
|
1,386 |
404 |
$11K |
| G9920 |
Scrning perf and negative |
1,598 |
1,297 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
647 |
222 |
$7K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
563 |
563 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
302 |
196 |
$5K |
| G2025 |
Dis site tele svcs rhc/fqhc |
207 |
181 |
$5K |
| 99238 |
|
442 |
306 |
$3K |
| H1001 |
Antepartum management |
1,534 |
1,106 |
$3K |
| 90791 |
|
70 |
45 |
$2K |
| 81025 |
|
10,779 |
7,041 |
$2K |
| 99395 |
|
2,479 |
1,530 |
$2K |
| 0012A |
|
27 |
27 |
$2K |
| 99396 |
|
573 |
366 |
$2K |
| 99222 |
|
122 |
81 |
$1K |
| J3490 |
Drugs unclassified injection |
299 |
225 |
$1K |
| 99393 |
|
1,899 |
1,291 |
$916.04 |
| 99391 |
|
1,161 |
993 |
$889.85 |
| 87880 |
|
11,175 |
6,706 |
$815.33 |
| 96372 |
|
4,192 |
2,532 |
$583.39 |
| 99392 |
|
2,198 |
1,628 |
$548.36 |
| 99394 |
|
1,746 |
1,150 |
$479.32 |
| G8510 |
Scr dep neg, no plan reqd |
104,041 |
54,233 |
$473.30 |
| 83036 |
|
2,653 |
1,698 |
$384.38 |
| 92551 |
|
5,715 |
4,160 |
$381.78 |
| 87804 |
|
3,441 |
2,262 |
$373.56 |
| 90686 |
|
3,349 |
2,594 |
$364.85 |
| 58300 |
|
24 |
13 |
$358.38 |
| 81002 |
|
16,686 |
10,586 |
$269.49 |
| 99203 |
|
258 |
246 |
$243.81 |
| 99173 |
|
7,876 |
5,569 |
$233.36 |
| 99202 |
|
773 |
714 |
$190.06 |
| 85018 |
|
9,083 |
6,692 |
$165.82 |
| 90715 |
|
498 |
341 |
$141.18 |
| 90471 |
|
2,669 |
1,865 |
$130.03 |
| G2023 |
Specimen collect covid-19 |
10,142 |
6,239 |
$100.34 |
| 90670 |
|
1,110 |
941 |
$72.00 |
| 59425 |
|
1,187 |
850 |
$60.48 |
| 82962 |
|
3,014 |
2,109 |
$52.35 |
| 90651 |
|
614 |
431 |
$47.55 |
| 90734 |
|
425 |
296 |
$11.55 |
| 83655 |
|
325 |
278 |
$10.52 |
| J1885 |
Ketorolac tromethamine inj |
433 |
272 |
$10.42 |
| 90700 |
|
204 |
134 |
$9.00 |
| 90713 |
|
93 |
57 |
$9.00 |
| J3420 |
Vitamin b12 injection |
655 |
411 |
$5.00 |
| 86580 |
|
200 |
133 |
$3.36 |
| G0438 |
Ppps, initial visit |
880 |
830 |
$0.01 |
| G0439 |
Ppps, subseq visit |
3,439 |
3,248 |
$0.01 |
| 3078F |
|
11,342 |
6,434 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
1,022 |
567 |
$0.00 |
| 3077F |
|
3,101 |
1,717 |
$0.00 |
| 90633 |
|
529 |
419 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 99382 |
|
193 |
193 |
$0.00 |
| 90746 |
|
124 |
79 |
$0.00 |
| 99401 |
|
240 |
131 |
$0.00 |
| 90710 |
|
278 |
212 |
$0.00 |
| 99201 |
|
13 |
12 |
$0.00 |
| 86703 |
|
80 |
54 |
$0.00 |
| G9357 |
Pp eval/edu perf |
26 |
15 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
15 |
13 |
$0.00 |
| 90472 |
|
62 |
58 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
57 |
33 |
$0.00 |
| H1000 |
Prenatal care atrisk assessm |
28 |
28 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| Z1034 |
|
3,427 |
2,515 |
$0.00 |
| 3079F |
|
5,050 |
2,921 |
$0.00 |
| 3075F |
|
3,796 |
2,257 |
$0.00 |
| 3074F |
|
8,821 |
5,120 |
$0.00 |
| G9226 |
3 comp foot exam completed |
1,205 |
784 |
$0.00 |
| 90698 |
|
656 |
562 |
$0.00 |
| 90680 |
|
446 |
382 |
$0.00 |
| 90688 |
|
718 |
395 |
$0.00 |
| 99383 |
|
305 |
281 |
$0.00 |
| 90744 |
|
293 |
229 |
$0.00 |
| 88720 |
|
31 |
26 |
$0.00 |
| Z1038 |
|
30 |
30 |
$0.00 |
| Z1032 |
|
242 |
241 |
$0.00 |
| 3080F |
|
91 |
56 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
14 |
14 |
$0.00 |
| 99381 |
|
40 |
39 |
$0.00 |
| 20610 |
|
50 |
27 |
$0.00 |
| 59430 |
|
59 |
59 |
$0.00 |
| 99384 |
|
106 |
103 |
$0.00 |
| 99406 |
|
113 |
50 |
$0.00 |
| 3044F |
|
113 |
72 |
$0.00 |
| 99460 |
|
98 |
93 |
$0.00 |
| 99462 |
|
21 |
20 |
$0.00 |