| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
241,072 |
201,885 |
$32.23M |
| 0521 |
|
505,408 |
198,005 |
$2.42M |
| 0636 |
|
39,149 |
19,800 |
$332K |
| 0761 |
|
9,644 |
8,618 |
$150K |
| 0301 |
|
15,316 |
14,495 |
$101K |
| 0309 |
|
4,988 |
4,710 |
$46K |
| 0770 |
|
7,646 |
7,394 |
$41K |
| 0771 |
|
4,375 |
4,221 |
$29K |
| 87635 |
|
1,671 |
1,358 |
$27K |
| 98940 |
|
23,712 |
16,440 |
$22K |
| 0306 |
|
1,591 |
1,585 |
$20K |
| 0307 |
|
9,000 |
6,147 |
$16K |
| 0300 |
|
1,164 |
811 |
$9K |
| 87426 |
|
1,499 |
1,396 |
$9K |
| 99395 |
|
1,791 |
1,753 |
$7K |
| 99213 |
|
75,926 |
64,316 |
$7K |
| 83036 |
|
5,809 |
5,458 |
$6K |
| 0929 |
|
372 |
371 |
$5K |
| 99396 |
|
754 |
744 |
$5K |
| 87804 |
|
1,738 |
1,498 |
$4K |
| 0071A |
|
128 |
76 |
$3K |
| 97802 |
|
29 |
29 |
$2K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
70 |
69 |
$2K |
| 87880 |
|
1,328 |
1,179 |
$2K |
| 0632 |
|
54 |
54 |
$2K |
| 90677 |
|
1,548 |
1,196 |
$2K |
| 99188 |
|
6,832 |
6,194 |
$2K |
| 99385 |
|
177 |
176 |
$2K |
| 0051A |
|
74 |
42 |
$2K |
| 0900 |
|
9,640 |
6,637 |
$1K |
| 99214 |
|
9,239 |
8,919 |
$1K |
| 0002A |
|
59 |
38 |
$1K |
| 0011A |
|
123 |
82 |
$1K |
| 99051 |
|
15,294 |
14,798 |
$1K |
| 0072A |
|
40 |
31 |
$1K |
| 0001A |
|
113 |
68 |
$1K |
| 88720 |
|
297 |
244 |
$904.02 |
| 92250 |
|
60 |
60 |
$880.94 |
| 99212 |
|
23,470 |
21,246 |
$825.67 |
| 0064A |
|
24 |
22 |
$800.00 |
| 0012A |
|
26 |
26 |
$765.00 |
| 85018 |
|
13,543 |
11,705 |
$716.50 |
| 90656 |
|
612 |
586 |
$672.00 |
| G9919 |
Scrn nd pos nd prov of rec |
37 |
21 |
$671.06 |
| 0004A |
|
24 |
19 |
$640.00 |
| 83655 |
|
2,417 |
1,744 |
$587.98 |
| 90619 |
|
433 |
347 |
$585.00 |
| 99203 |
|
592 |
584 |
$569.28 |
| 0052A |
|
18 |
12 |
$480.00 |
| 90834 |
|
6,777 |
4,723 |
$431.00 |
| 99202 |
|
949 |
942 |
$429.58 |
| 0271 |
|
1,434 |
1,359 |
$378.24 |
| 99381 |
|
400 |
391 |
$334.50 |
| 81025 |
|
4,067 |
4,019 |
$303.30 |
| 0013A |
|
22 |
16 |
$294.00 |
| 92552 |
|
6,775 |
6,737 |
$266.89 |
| 90791 |
|
1,071 |
860 |
$245.00 |
| G9920 |
Scrning perf and negative |
36 |
31 |
$214.02 |
| 99391 |
|
4,193 |
3,862 |
$213.35 |
| 69209 |
|
84 |
68 |
$205.90 |
| 90686 |
|
8,729 |
7,628 |
$184.99 |
| 99173 |
|
7,189 |
7,102 |
$179.61 |
| 0412 |
|
13 |
13 |
$178.52 |
| G0470 |
Fqhc visit, mh estab pt |
301 |
255 |
$164.60 |
| 81000 |
|
4,712 |
4,634 |
$124.38 |
| 98941 |
|
427 |
317 |
$103.40 |
| 82947 |
|
297 |
296 |
$73.39 |
| 90832 |
|
2,377 |
1,838 |
$63.28 |
| 90471 |
|
1,403 |
1,388 |
$59.51 |
| 71046 |
|
12 |
12 |
$25.09 |
| 96127 |
|
153 |
151 |
$6.53 |
| S0119 |
Ondansetron 4 mg |
29 |
26 |
$0.15 |
| 96372 |
|
393 |
370 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
11,767 |
11,541 |
$0.00 |
| 90716 |
|
2,628 |
2,276 |
$0.00 |
| 90651 |
|
1,064 |
942 |
$0.00 |
| 90680 |
|
3,077 |
2,466 |
$0.00 |
| H0001 |
Alcohol and/or drug assess |
539 |
538 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
119 |
108 |
$0.00 |
| 90744 |
|
82 |
80 |
$0.00 |
| 90647 |
|
4,083 |
3,359 |
$0.00 |
| G0439 |
Ppps, subseq visit |
93 |
93 |
$0.00 |
| 99384 |
|
138 |
138 |
$0.00 |
| 90696 |
|
316 |
254 |
$0.00 |
| 90723 |
|
4,161 |
3,402 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
936 |
927 |
$0.00 |
| 99383 |
|
149 |
149 |
$0.00 |
| 90620 |
|
201 |
186 |
$0.00 |
| 97140 |
|
39 |
24 |
$0.00 |
| G0008 |
Admin influenza virus vac |
249 |
248 |
$0.00 |
| 93000 |
|
13 |
13 |
$0.00 |
| 20553 |
|
70 |
37 |
$0.00 |
| J7060 |
5% dextrose/water |
37 |
25 |
$0.00 |
| 99402 |
|
25 |
25 |
$0.00 |
| G0396 |
Alcohol/subs interv 15-30mn |
15 |
15 |
$0.00 |
| 86580 |
|
37 |
37 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
13 |
13 |
$0.00 |
| 96110 |
|
13 |
13 |
$0.00 |
| 99393 |
|
2,069 |
2,019 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
234 |
204 |
$0.00 |
| 90633 |
|
3,047 |
2,630 |
$0.00 |
| 99392 |
|
5,406 |
5,145 |
$0.00 |
| 90713 |
|
133 |
132 |
$0.00 |
| 99394 |
|
1,653 |
1,609 |
$0.00 |
| 90707 |
|
2,287 |
1,944 |
$0.00 |
| 90700 |
|
920 |
727 |
$0.00 |
| 90837 |
|
77 |
69 |
$0.00 |
| 90734 |
|
378 |
366 |
$0.00 |
| 90715 |
|
535 |
504 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
510 |
507 |
$0.00 |
| 90670 |
|
3,668 |
3,065 |
$0.00 |
| 2028F |
|
44 |
44 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
347 |
341 |
$0.00 |
| 90662 |
|
174 |
174 |
$0.00 |
| 99382 |
|
24 |
24 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
36 |
35 |
$0.00 |
| 90472 |
|
55 |
46 |
$0.00 |
| 99442 |
|
13 |
13 |
$0.00 |