| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
5,574 |
5,215 |
$443.63 |
| 59025 |
|
123 |
40 |
$0.00 |
| 86038 |
|
87 |
86 |
$0.00 |
| 84439 |
|
259 |
258 |
$0.00 |
| 80061 |
|
2,170 |
2,163 |
$0.00 |
| 77067 |
|
299 |
297 |
$0.00 |
| 99173 |
|
620 |
618 |
$0.00 |
| 90734 |
|
199 |
199 |
$0.00 |
| 71046 |
|
149 |
147 |
$0.00 |
| 3046F |
|
96 |
96 |
$0.00 |
| 81002 |
|
1,045 |
952 |
$0.00 |
| 93010 |
|
1,108 |
1,018 |
$0.00 |
| 3078F |
|
161 |
155 |
$0.00 |
| 99212 |
|
2,069 |
1,959 |
$0.00 |
| 80076 |
|
192 |
183 |
$0.00 |
| 99394 |
|
214 |
214 |
$0.00 |
| 99211 |
|
674 |
656 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
87 |
86 |
$0.00 |
| 90700 |
|
37 |
37 |
$0.00 |
| 88175 |
|
454 |
453 |
$0.00 |
| 86480 |
|
160 |
158 |
$0.00 |
| T4541 |
Large disposable underpad |
246 |
238 |
$0.00 |
| 90710 |
|
95 |
95 |
$0.00 |
| 99392 |
|
210 |
208 |
$0.00 |
| 99393 |
|
491 |
489 |
$0.00 |
| 81025 |
|
736 |
700 |
$0.00 |
| 97110 |
|
1,782 |
692 |
$0.00 |
| 87491 |
|
881 |
874 |
$0.00 |
| 91300 |
|
110 |
107 |
$0.00 |
| 87186 |
|
248 |
244 |
$0.00 |
| 90715 |
|
257 |
257 |
$0.00 |
| 95810 |
|
46 |
27 |
$0.00 |
| 86696 |
|
81 |
81 |
$0.00 |
| 80307 |
|
368 |
366 |
$0.00 |
| 99203 |
|
240 |
239 |
$0.00 |
| 99204 |
|
414 |
414 |
$0.00 |
| 85007 |
|
90 |
88 |
$0.00 |
| J9035 |
Bevacizumab injection |
74 |
63 |
$0.00 |
| H1003 |
Prenatal at risk education |
93 |
93 |
$0.00 |
| 85610 |
|
39 |
39 |
$0.00 |
| 82947 |
|
260 |
247 |
$0.00 |
| 83540 |
|
109 |
108 |
$0.00 |
| 86900 |
|
108 |
106 |
$0.00 |
| 82542 |
|
54 |
54 |
$0.00 |
| 84550 |
|
157 |
156 |
$0.00 |
| 99072 |
|
660 |
427 |
$0.00 |
| 97163 |
|
45 |
45 |
$0.00 |
| 67028 |
|
28 |
24 |
$0.00 |
| 87811 |
|
94 |
94 |
$0.00 |
| 82652 |
|
92 |
90 |
$0.00 |
| 4004F |
|
186 |
183 |
$0.00 |
| 81003 |
|
84 |
76 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
391 |
159 |
$0.00 |
| 86431 |
|
53 |
51 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
518 |
491 |
$0.00 |
| 80074 |
|
119 |
118 |
$0.00 |
| 76813 |
|
72 |
72 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
145 |
140 |
$0.00 |
| 92134 |
|
47 |
45 |
$0.00 |
| 93224 |
|
40 |
40 |
$0.00 |
| J0135 |
Adalimumab injection |
66 |
65 |
$0.00 |
| 87660 |
|
211 |
211 |
$0.00 |
| 99284 |
|
212 |
209 |
$0.00 |
| 87806 |
|
139 |
139 |
$0.00 |
| J1071 |
Inj testosterone cypionate |
151 |
119 |
$0.00 |
| 83655 |
|
84 |
83 |
$0.00 |
| 94664 |
|
99 |
99 |
$0.00 |
| 97803 |
|
27 |
27 |
$0.00 |
| G9905 |
No pt tbco scrn rng |
180 |
177 |
$0.00 |
| A4595 |
Tens suppl 2 lead per month |
71 |
70 |
$0.00 |
| 86708 |
|
24 |
24 |
$0.00 |
| 82570 |
|
315 |
313 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
91 |
91 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
193 |
184 |
$0.00 |
| 82565 |
|
86 |
81 |
$0.00 |
| 90707 |
|
78 |
78 |
$0.00 |
| 90633 |
|
216 |
216 |
$0.00 |
| 99396 |
|
60 |
60 |
$0.00 |
| 84450 |
|
38 |
38 |
$0.00 |
| 99238 |
|
34 |
34 |
$0.00 |
| 99188 |
|
195 |
195 |
$0.00 |
| G2012 |
Brief check in by md/qhp |
13 |
12 |
$0.00 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
12 |
12 |
$0.00 |
| 90648 |
|
26 |
26 |
$0.00 |
| 99053 |
|
16 |
16 |
$0.00 |
| 84460 |
|
38 |
38 |
$0.00 |
| 99401 |
|
169 |
157 |
$0.00 |
| 82274 |
|
124 |
124 |
$0.00 |
| 84702 |
|
111 |
94 |
$0.00 |
| G8785 |
Bp scrn no perf at interval |
157 |
150 |
$0.00 |
| 90736 |
|
16 |
16 |
$0.00 |
| 90670 |
|
230 |
226 |
$0.00 |
| 99391 |
|
82 |
81 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
77 |
77 |
$0.00 |
| 92552 |
|
131 |
131 |
$0.00 |
| 84156 |
|
29 |
26 |
$0.00 |
| 0002A |
|
12 |
12 |
$0.00 |
| 99222 |
|
77 |
75 |
$0.00 |
| G9920 |
Scrning perf and negative |
87 |
87 |
$0.00 |
| 80299 |
|
53 |
53 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
49 |
49 |
$0.00 |
| 90472 |
|
45 |
45 |
$0.00 |
| 43239 |
|
13 |
13 |
$0.00 |
| 3077F |
|
43 |
43 |
$0.00 |
| G9622 |
No unheal etoh user |
51 |
50 |
$0.00 |
| 70450 |
|
16 |
14 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
20 |
20 |
$0.00 |
| 87481 |
|
82 |
82 |
$0.00 |
| 87653 |
|
13 |
13 |
$0.00 |
| 99395 |
|
40 |
40 |
$0.00 |
| 95144 |
|
77 |
34 |
$0.00 |
| 87902 |
|
12 |
12 |
$0.00 |
| R0075 |
Transport port x-ray multipl |
27 |
26 |
$0.00 |
| 1159F |
|
28 |
24 |
$0.00 |
| G8421 |
Bmi not calculated |
349 |
343 |
$0.00 |
| 90649 |
|
40 |
40 |
$0.00 |
| H1000 |
Prenatal care atrisk assessm |
14 |
14 |
$0.00 |
| 90750 |
|
13 |
13 |
$0.00 |
| G0482 |
Drug test def 15-21 classes |
34 |
34 |
$0.00 |
| G0444 |
Depression screen annual |
13 |
13 |
$0.00 |
| 74177 |
|
16 |
16 |
$0.00 |
| 95811 |
|
23 |
13 |
$0.00 |
| 87880 |
|
12 |
12 |
$0.00 |
| 82248 |
|
12 |
12 |
$0.00 |
| 77063 |
|
298 |
296 |
$0.00 |
| 94010 |
|
286 |
273 |
$0.00 |
| 92551 |
|
456 |
455 |
$0.00 |
| 82306 |
|
698 |
697 |
$0.00 |
| 85027 |
|
329 |
221 |
$0.00 |
| 71045 |
|
474 |
414 |
$0.00 |
| 90744 |
|
108 |
106 |
$0.00 |
| 87086 |
|
610 |
588 |
$0.00 |
| 90716 |
|
110 |
110 |
$0.00 |
| 87591 |
|
875 |
869 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
30 |
26 |
$0.00 |
| 97140 |
|
1,885 |
724 |
$0.00 |
| 81001 |
|
798 |
781 |
$0.00 |
| 83036 |
|
2,402 |
2,392 |
$0.00 |
| 85025 |
|
2,718 |
2,405 |
$0.00 |
| T4535 |
Disposable liner/shield/pad |
83 |
82 |
$0.00 |
| 80048 |
|
470 |
225 |
$0.00 |
| 82728 |
|
99 |
98 |
$0.00 |
| 86140 |
|
143 |
141 |
$0.00 |
| 99213 |
|
11,183 |
10,335 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
356 |
338 |
$0.00 |
| 76816 |
|
215 |
204 |
$0.00 |
| 36415 |
|
186 |
175 |
$0.00 |
| 86141 |
|
15 |
15 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
42 |
42 |
$0.00 |
| 99000 |
|
387 |
386 |
$0.00 |
| 80053 |
|
2,614 |
2,492 |
$0.00 |
| 99285 |
|
222 |
217 |
$0.00 |
| 3008F |
|
414 |
409 |
$0.00 |
| 85018 |
|
860 |
858 |
$0.00 |
| 86803 |
|
366 |
363 |
$0.00 |
| 84443 |
|
1,593 |
1,587 |
$0.00 |
| 94200 |
|
1,045 |
555 |
$0.00 |
| 84153 |
|
84 |
83 |
$0.00 |
| 87635 |
|
271 |
271 |
$0.00 |
| 96156 |
|
288 |
251 |
$0.00 |
| 99283 |
|
309 |
307 |
$0.00 |
| 83789 |
|
54 |
54 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
121 |
118 |
$0.00 |
| 99232 |
|
530 |
182 |
$0.00 |
| 85652 |
|
168 |
165 |
$0.00 |
| 82607 |
|
315 |
314 |
$0.00 |
| 84484 |
|
51 |
45 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
13 |
13 |
$0.00 |
| 97112 |
|
327 |
128 |
$0.00 |
| 96127 |
|
85 |
85 |
$0.00 |
| 88142 |
|
20 |
20 |
$0.00 |
| 86481 |
|
76 |
76 |
$0.00 |
| 83550 |
|
104 |
103 |
$0.00 |
| 94760 |
|
505 |
467 |
$0.00 |
| 86901 |
|
108 |
106 |
$0.00 |
| 80055 |
|
86 |
85 |
$0.00 |
| H1001 |
Antepartum management |
1,010 |
711 |
$0.00 |
| 82043 |
|
566 |
564 |
$0.00 |
| 92250 |
|
133 |
132 |
$0.00 |
| 1157F |
|
54 |
47 |
$0.00 |
| S9445 |
Pt education noc individ |
441 |
339 |
$0.00 |
| 86704 |
|
24 |
24 |
$0.00 |
| 82746 |
|
281 |
280 |
$0.00 |
| 95117 |
|
955 |
491 |
$0.00 |
| 93306 |
|
77 |
77 |
$0.00 |
| 86780 |
|
93 |
92 |
$0.00 |
| 76815 |
|
242 |
112 |
$0.00 |
| 87088 |
|
48 |
46 |
$0.00 |
| 97014 |
|
274 |
102 |
$0.00 |
| 87510 |
|
213 |
213 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
73 |
53 |
$0.00 |
| 93000 |
|
307 |
306 |
$0.00 |
| 87661 |
|
70 |
70 |
$0.00 |
| 86706 |
|
48 |
48 |
$0.00 |
| 90471 |
|
206 |
206 |
$0.00 |
| 87077 |
|
118 |
117 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
243 |
235 |
$0.00 |
| 87480 |
|
213 |
213 |
$0.00 |
| 86592 |
|
339 |
338 |
$0.00 |
| G9745 |
Doc rsn no hbp scrn or f/u |
251 |
247 |
$0.00 |
| 3080F |
|
34 |
34 |
$0.00 |
| 86580 |
|
49 |
48 |
$0.00 |
| 0011A |
|
59 |
59 |
$0.00 |
| 3044F |
|
62 |
62 |
$0.00 |
| 96110 |
|
106 |
94 |
$0.00 |
| 83735 |
|
206 |
101 |
$0.00 |
| G8430 |
Doc med rsn no medrec |
333 |
327 |
$0.00 |
| 1000F |
|
13 |
13 |
$0.00 |
| 87389 |
|
414 |
412 |
$0.00 |
| 82962 |
|
334 |
331 |
$0.00 |
| 96372 |
|
213 |
204 |
$0.00 |
| 91301 |
|
183 |
181 |
$0.00 |
| 82950 |
|
105 |
105 |
$0.00 |
| 87340 |
|
103 |
102 |
$0.00 |
| J3590 |
Unclassified biologics |
44 |
43 |
$0.00 |
| 3074F |
|
196 |
189 |
$0.00 |
| 92567 |
|
15 |
15 |
$0.00 |
| 85013 |
|
12 |
12 |
$0.00 |
| 90680 |
|
68 |
67 |
$0.00 |
| A4335 |
Incontinence supply |
12 |
12 |
$0.00 |
| 20610 |
|
78 |
41 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
13 |
12 |
$0.00 |
| 87624 |
|
193 |
192 |
$0.00 |
| 97802 |
|
28 |
28 |
$0.00 |
| J3490 |
Drugs unclassified injection |
332 |
297 |
$0.00 |
| 90651 |
|
160 |
160 |
$0.00 |
| 82550 |
|
45 |
45 |
$0.00 |
| 3079F |
|
89 |
88 |
$0.00 |
| 90698 |
|
148 |
144 |
$0.00 |
| 44361 |
|
13 |
13 |
$0.00 |
| 76811 |
|
88 |
88 |
$0.00 |
| 86762 |
|
92 |
91 |
$0.00 |
| 76700 |
|
16 |
15 |
$0.00 |
| 0012A |
|
118 |
118 |
$0.00 |
| 99202 |
|
68 |
68 |
$0.00 |
| 1036F |
|
251 |
243 |
$0.00 |
| 3075F |
|
25 |
24 |
$0.00 |
| 3017F |
|
256 |
250 |
$0.00 |
| 99239 |
|
159 |
151 |
$0.00 |
| 88305 |
|
67 |
49 |
$0.00 |
| 99406 |
|
15 |
15 |
$0.00 |
| 83001 |
|
25 |
24 |
$0.00 |
| 87801 |
|
38 |
38 |
$0.00 |
| G0439 |
Ppps, subseq visit |
54 |
54 |
$0.00 |
| 80050 |
|
33 |
33 |
$0.00 |
| 86850 |
|
109 |
107 |
$0.00 |
| 83690 |
|
59 |
57 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
13 |
13 |
$0.00 |
| 90696 |
|
101 |
101 |
$0.00 |
| 87081 |
|
13 |
13 |
$0.00 |
| 45380 |
|
13 |
13 |
$0.00 |
| Q0092 |
Set up port xray equipment |
28 |
27 |
$0.00 |
| 99460 |
|
26 |
26 |
$0.00 |
| 90688 |
|
14 |
13 |
$0.00 |
| 99462 |
|
19 |
15 |
$0.00 |
| 87426 |
|
19 |
19 |
$0.00 |
| 51798 |
|
14 |
14 |
$0.00 |