| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
103,127 |
77,063 |
$19.90M |
| G0467 |
Fqhc visit, estab pt |
6,712 |
4,973 |
$1.03M |
| 99213 |
|
29,176 |
24,182 |
$1K |
| 99214 |
|
9,211 |
8,010 |
$75.00 |
| 99212 |
|
6,153 |
5,411 |
$18.10 |
| J2001 |
Lidocaine injection |
173 |
167 |
$0.00 |
| 90471 |
|
1,637 |
1,622 |
$0.00 |
| 99202 |
|
394 |
394 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
1,028 |
963 |
$0.00 |
| J1817 |
Insulin for insulin pump use |
57 |
55 |
$0.00 |
| Z7610 |
|
2,099 |
1,429 |
$0.00 |
| 87635 |
|
19 |
19 |
$0.00 |
| 99443 |
|
919 |
898 |
$0.00 |
| 90686 |
|
665 |
665 |
$0.00 |
| 90371 |
|
42 |
42 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
73 |
67 |
$0.00 |
| J3420 |
Vitamin b12 injection |
229 |
197 |
$0.00 |
| 99441 |
|
4,318 |
4,036 |
$0.00 |
| 99422 |
|
363 |
348 |
$0.00 |
| A6441 |
Pad band w>=3" <5"/yd |
293 |
148 |
$0.00 |
| 94640 |
|
102 |
95 |
$0.00 |
| 90732 |
|
188 |
188 |
$0.00 |
| 85018 |
|
899 |
863 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
1,169 |
1,090 |
$0.00 |
| 90733 |
|
46 |
46 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
46 |
43 |
$0.00 |
| 99243 |
|
15 |
15 |
$0.00 |
| 0011A |
|
27 |
27 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
72 |
69 |
$0.00 |
| 81003 |
|
3,876 |
3,521 |
$0.00 |
| 99204 |
|
1,421 |
1,421 |
$0.00 |
| 99201 |
|
69 |
69 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
1,169 |
1,090 |
$0.00 |
| 81025 |
|
1,064 |
1,043 |
$0.00 |
| 99442 |
|
3,211 |
3,048 |
$0.00 |
| A6021 |
Collagen dressing <=16 sq in |
233 |
119 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
2,512 |
2,364 |
$0.00 |
| 82948 |
|
770 |
712 |
$0.00 |
| 93005 |
|
186 |
185 |
$0.00 |
| 99203 |
|
1,596 |
1,590 |
$0.00 |
| 90658 |
|
169 |
169 |
$0.00 |
| 90472 |
|
119 |
119 |
$0.00 |
| 90715 |
|
304 |
303 |
$0.00 |
| 87811 |
|
341 |
321 |
$0.00 |
| 86318 |
|
359 |
356 |
$0.00 |
| 90649 |
|
43 |
43 |
$0.00 |
| Z6500 |
|
12 |
12 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
70 |
70 |
$0.00 |
| 69209 |
|
28 |
26 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
14 |
14 |
$0.00 |
| 99423 |
|
31 |
31 |
$0.00 |
| 99211 |
|
25 |
25 |
$0.00 |