| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
55,637 |
43,207 |
$3.87M |
| 99214 |
|
28,984 |
19,096 |
$716K |
| 99213 |
|
34,524 |
20,590 |
$697K |
| 90837 |
|
5,458 |
1,988 |
$197K |
| 99212 |
|
9,466 |
5,636 |
$123K |
| G0467 |
Fqhc visit, estab pt |
2,709 |
1,954 |
$88K |
| 98940 |
|
5,093 |
2,126 |
$55K |
| 99211 |
|
4,819 |
3,697 |
$43K |
| 99395 |
|
481 |
394 |
$42K |
| 96372 |
|
5,619 |
3,270 |
$30K |
| J3301 |
Triamcinolone acet inj nos |
3,567 |
2,485 |
$25K |
| 90834 |
|
666 |
350 |
$23K |
| J1071 |
Inj testosterone cypionate |
2,685 |
1,212 |
$15K |
| 99396 |
|
190 |
122 |
$15K |
| J1030 |
Methylprednisolone 40 mg inj |
1,412 |
1,062 |
$14K |
| 96127 |
|
4,261 |
2,329 |
$13K |
| 99215 |
Prolong outpt/office vis |
384 |
357 |
$13K |
| 99394 |
|
274 |
230 |
$13K |
| U0001 |
2019-ncov diagnostic p |
641 |
326 |
$11K |
| 90674 |
|
495 |
351 |
$10K |
| 99393 |
|
182 |
169 |
$9K |
| 99203 |
|
226 |
145 |
$8K |
| 82962 |
|
4,097 |
2,464 |
$5K |
| 99385 |
|
72 |
40 |
$5K |
| 87428 |
|
116 |
80 |
$5K |
| 99392 |
|
108 |
96 |
$4K |
| 80305 |
|
655 |
414 |
$3K |
| 96110 |
|
173 |
105 |
$3K |
| 97012 |
|
417 |
255 |
$3K |
| 81002 |
|
2,850 |
2,027 |
$3K |
| 83986 |
|
983 |
754 |
$2K |
| 82271 |
|
1,074 |
840 |
$2K |
| 90791 |
|
50 |
26 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
438 |
283 |
$2K |
| J0702 |
Betamethasone acet&sod phosp |
182 |
106 |
$2K |
| 20610 |
|
36 |
24 |
$1K |
| 93000 |
|
89 |
48 |
$1K |
| 90832 |
|
60 |
25 |
$1K |
| 90700 |
|
158 |
115 |
$933.75 |
| 94640 |
|
52 |
40 |
$587.73 |
| 97014 |
|
86 |
60 |
$529.34 |
| 90658 |
|
21 |
21 |
$431.45 |
| J0696 |
Ceftriaxone sodium injection |
116 |
85 |
$365.48 |
| 90670 |
|
69 |
46 |
$348.75 |
| 90713 |
|
62 |
38 |
$292.50 |
| 88150 |
|
51 |
50 |
$287.50 |
| J3420 |
Vitamin b12 injection |
122 |
87 |
$232.78 |
| 90648 |
|
49 |
30 |
$225.00 |
| 90734 |
|
25 |
13 |
$135.00 |
| 1159F |
|
55 |
53 |
$57.51 |
| 3044F |
|
396 |
315 |
$37.01 |
| 90460 |
|
530 |
493 |
$36.00 |
| 1160F |
|
42 |
40 |
$22.99 |
| 94760 |
|
393 |
382 |
$19.57 |
| 3074F |
|
10,492 |
7,605 |
$10.21 |
| 3078F |
|
9,269 |
6,868 |
$10.21 |
| 36415 |
|
420 |
405 |
$6.72 |
| J7611 |
Albuterol non-comp con |
50 |
40 |
$6.00 |
| 87624 |
|
20 |
20 |
$0.20 |
| 3080F |
|
853 |
709 |
$0.00 |
| 4050F |
|
199 |
182 |
$0.00 |
| 1000F |
|
4,062 |
3,488 |
$0.00 |
| 97802 |
|
13 |
12 |
$0.00 |
| Z71.8 |
|
47 |
47 |
$0.00 |
| 3075F |
|
2,453 |
1,893 |
$0.00 |
| 3079F |
|
4,917 |
3,669 |
$0.00 |
| 2000F |
|
1,607 |
1,380 |
$0.00 |
| 3351F |
|
782 |
593 |
$0.00 |
| G0008 |
Admin influenza virus vac |
31 |
27 |
$0.00 |
| 90899 |
|
13 |
13 |
$0.00 |
| 90471 |
|
113 |
95 |
$0.00 |
| Z71.3 |
|
48 |
48 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
12 |
12 |
$0.00 |
| 4019F |
|
214 |
194 |
$0.00 |
| 90461 |
|
333 |
311 |
$0.00 |
| 3077F |
|
2,052 |
1,607 |
$0.00 |
| G0476 |
Hpv combo assay ca screen |
83 |
82 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
55 |
54 |
$0.00 |
| A4617 |
Mouth piece |
49 |
40 |
$0.00 |
| 3046F |
|
17 |
13 |
$0.00 |