| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
182,993 |
103,551 |
$38.16M |
| 0521 |
|
259,376 |
76,878 |
$4.35M |
| 59409 |
|
1,596 |
1,595 |
$998K |
| 99213 |
|
31,255 |
27,088 |
$941K |
| 0636 |
|
7,343 |
6,551 |
$899K |
| H1001 |
Antepartum management |
34,547 |
18,060 |
$811K |
| J7307 |
Etonogestrel implant system |
863 |
834 |
$626K |
| H2000 |
Comp multidisipln evaluation |
5,027 |
3,473 |
$465K |
| 99214 |
|
6,176 |
5,844 |
$360K |
| 00003 |
|
1,301 |
1,301 |
$347K |
| S9445 |
Pt education noc individ |
46,748 |
22,308 |
$195K |
| J3490 |
Drugs unclassified injection |
6,122 |
5,562 |
$183K |
| 11981 |
|
1,083 |
772 |
$155K |
| 59514 |
|
212 |
209 |
$130K |
| 99238 |
|
2,850 |
2,834 |
$124K |
| 99233 |
Prolong inpt eval add15 m |
2,243 |
1,835 |
$119K |
| H1000 |
Prenatal care atrisk assessm |
2,172 |
1,474 |
$106K |
| H1003 |
Prenatal at risk education |
11,385 |
5,889 |
$81K |
| 0307 |
|
22,601 |
19,267 |
$66K |
| 59025 |
|
10,996 |
4,926 |
$64K |
| 59430 |
|
1,217 |
1,094 |
$55K |
| 11976 |
|
1,005 |
466 |
$43K |
| 99401 |
|
9,338 |
6,673 |
$27K |
| 0761 |
|
155 |
110 |
$16K |
| 97803 |
|
3,976 |
2,933 |
$15K |
| 81025 |
|
13,522 |
13,178 |
$13K |
| 0500 |
|
199 |
131 |
$11K |
| 76805 |
|
4,369 |
4,255 |
$9K |
| 0771 |
|
1,621 |
1,587 |
$8K |
| 97802 |
|
2,699 |
1,874 |
$8K |
| 90651 |
|
44 |
44 |
$7K |
| 81003 |
|
13,881 |
9,619 |
$7K |
| S9452 |
Nutrition class |
1,170 |
1,051 |
$6K |
| 0309 |
|
1,454 |
1,344 |
$5K |
| 0270 |
|
294 |
285 |
$4K |
| 99203 |
|
29 |
28 |
$4K |
| 99283 |
|
77 |
65 |
$4K |
| 99395 |
|
749 |
744 |
$4K |
| 76801 |
|
1,977 |
1,895 |
$4K |
| 85018 |
|
3,539 |
3,113 |
$3K |
| 76813 |
|
1,959 |
1,935 |
$3K |
| 90715 |
|
3,043 |
2,930 |
$3K |
| 98940 |
|
6,214 |
4,347 |
$3K |
| 90656 |
|
437 |
301 |
$3K |
| 0301 |
|
982 |
972 |
$2K |
| 76815 |
|
178 |
162 |
$1K |
| 99202 |
|
13 |
12 |
$850.05 |
| 98941 |
|
147 |
103 |
$710.43 |
| 82947 |
|
458 |
260 |
$300.46 |
| 0271 |
|
1,138 |
1,054 |
$240.35 |
| 90686 |
|
1,723 |
1,710 |
$140.97 |
| 0900 |
|
60 |
58 |
$121.06 |
| Q0144 |
Azithromycin dihydrate, oral |
38 |
38 |
$52.19 |
| J3420 |
Vitamin b12 injection |
15 |
13 |
$11.54 |
| 90471 |
|
2,499 |
2,471 |
$5.13 |
| 82962 |
|
24 |
16 |
$4.60 |
| G8510 |
Scr dep neg, no plan reqd |
48,437 |
38,100 |
$2.00 |
| Z6400 |
|
5,047 |
3,491 |
$0.00 |
| Z6414 |
|
412 |
345 |
$0.00 |
| 96160 |
|
3,619 |
3,533 |
$0.00 |
| Z6300 |
|
952 |
951 |
$0.00 |
| Z6304 |
|
940 |
939 |
$0.00 |
| Z6308 |
|
189 |
189 |
$0.00 |
| 90832 |
|
28 |
27 |
$0.00 |
| Z6200 |
|
699 |
699 |
$0.00 |
| 99396 |
|
207 |
207 |
$0.00 |
| 90472 |
|
128 |
128 |
$0.00 |
| Z6208 |
|
164 |
161 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
14 |
13 |
$0.00 |
| Z6202 |
|
17 |
17 |
$0.00 |
| Z1032 |
|
986 |
986 |
$0.00 |
| 76499 |
|
655 |
653 |
$0.00 |
| Z6410 |
|
6,076 |
4,314 |
$0.00 |
| Z6402 |
|
1,000 |
1,000 |
$0.00 |
| Z6406 |
|
869 |
865 |
$0.00 |
| Z1034 |
|
6,866 |
5,259 |
$0.00 |
| 96372 |
|
764 |
723 |
$0.00 |
| Z6204 |
|
882 |
852 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
376 |
374 |
$0.00 |
| 96150 |
|
56 |
55 |
$0.00 |
| Z1038 |
|
13 |
13 |
$0.00 |
| 96151 |
|
119 |
119 |
$0.00 |