| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
125,888 |
86,317 |
$16.69M |
| 99213 |
|
58,042 |
42,528 |
$1.25M |
| 99214 |
|
21,024 |
16,743 |
$344K |
| 90471 |
|
5,629 |
4,792 |
$155K |
| 90834 |
|
11,782 |
7,298 |
$152K |
| 87880 |
|
5,958 |
4,972 |
$124K |
| 90686 |
|
3,274 |
2,898 |
$115K |
| 96127 |
|
10,860 |
9,022 |
$110K |
| S0281 |
Medical home, maintenance |
2,294 |
2,017 |
$101K |
| 96110 |
|
1,583 |
1,407 |
$95K |
| 99393 |
|
2,188 |
1,946 |
$81K |
| 83036 |
|
3,411 |
2,834 |
$79K |
| 99212 |
|
3,238 |
2,792 |
$78K |
| 90472 |
|
2,782 |
2,368 |
$73K |
| 81002 |
|
2,050 |
1,811 |
$71K |
| 99394 |
|
1,840 |
1,618 |
$61K |
| 3008F |
|
2,966 |
2,449 |
$53K |
| 99392 |
|
1,482 |
1,335 |
$52K |
| 90853 |
|
1,955 |
1,320 |
$45K |
| 81025 |
|
2,171 |
1,814 |
$44K |
| 59409 |
|
53 |
50 |
$40K |
| 90715 |
|
907 |
759 |
$38K |
| 99203 |
|
699 |
622 |
$36K |
| 87804 |
|
2,144 |
1,730 |
$35K |
| 90649 |
|
767 |
651 |
$34K |
| 90791 |
|
1,221 |
1,007 |
$33K |
| 90734 |
|
797 |
673 |
$32K |
| 99391 |
|
974 |
902 |
$31K |
| 1090F |
|
653 |
565 |
$29K |
| 96372 |
|
1,036 |
941 |
$28K |
| 90837 |
|
3,979 |
2,522 |
$28K |
| 90633 |
|
633 |
582 |
$27K |
| 99395 |
|
970 |
866 |
$26K |
| 90832 |
|
1,636 |
1,294 |
$25K |
| 90670 |
|
851 |
790 |
$25K |
| 99406 |
|
2,091 |
1,852 |
$21K |
| 99204 |
|
756 |
631 |
$17K |
| 90648 |
|
472 |
436 |
$16K |
| 76816 |
|
246 |
212 |
$15K |
| 90710 |
|
311 |
283 |
$14K |
| 82948 |
|
243 |
213 |
$14K |
| 90792 |
|
280 |
256 |
$14K |
| 90723 |
|
273 |
256 |
$11K |
| 99396 |
|
361 |
343 |
$9K |
| 90632 |
|
184 |
174 |
$9K |
| 90685 |
|
122 |
116 |
$9K |
| G2023 |
Specimen collect covid-19 |
502 |
475 |
$7K |
| 90473 |
|
255 |
253 |
$7K |
| 99385 |
|
65 |
58 |
$4K |
| 87210 |
|
99 |
81 |
$4K |
| 90680 |
|
118 |
109 |
$4K |
| 76830 |
|
51 |
48 |
$4K |
| 76805 |
|
40 |
40 |
$4K |
| 90681 |
|
91 |
91 |
$4K |
| J0561 |
Penicillin g benzathine inj |
63 |
56 |
$4K |
| 3044F |
|
93 |
85 |
$3K |
| 99202 |
|
109 |
96 |
$3K |
| 87635 |
|
69 |
66 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
69 |
57 |
$3K |
| 99383 |
|
57 |
56 |
$3K |
| J2930 |
Methylprednisolone injection |
51 |
48 |
$3K |
| 90698 |
|
60 |
58 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
47 |
47 |
$2K |
| D0220 |
|
251 |
237 |
$2K |
| D0330 |
|
103 |
102 |
$2K |
| 90636 |
|
13 |
13 |
$2K |
| T1016 |
Case management |
112 |
67 |
$2K |
| 99381 |
|
42 |
38 |
$2K |
| 76819 |
|
24 |
12 |
$2K |
| 90700 |
|
32 |
30 |
$1K |
| 85018 |
|
14 |
14 |
$1K |
| D0140 |
|
111 |
108 |
$892.86 |
| 94640 |
|
12 |
12 |
$741.94 |
| 99384 |
|
30 |
26 |
$727.40 |
| 92551 |
|
22 |
13 |
$727.40 |
| 90732 |
|
15 |
15 |
$726.00 |
| 3045F |
|
15 |
14 |
$717.70 |
| 0031A |
|
30 |
16 |
$640.00 |
| 99173 |
|
17 |
12 |
$581.92 |
| 59025 |
|
18 |
13 |
$281.58 |
| 0072A |
|
33 |
27 |
$280.00 |
| 99211 |
|
91 |
88 |
$211.89 |
| 87426 |
|
1,090 |
856 |
$137.58 |
| D1110 |
|
118 |
115 |
$102.00 |
| 0071A |
|
54 |
47 |
$88.00 |
| 90656 |
|
76 |
71 |
$20.12 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
50 |
50 |
$0.00 |
| 3078F |
|
103 |
97 |
$0.00 |
| 11981 |
|
14 |
14 |
$0.00 |
| D0274 |
|
29 |
29 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |
| 90651 |
|
15 |
12 |
$0.00 |
| 90688 |
|
71 |
69 |
$0.00 |
| 87636 |
|
137 |
130 |
$0.00 |
| G0008 |
Admin influenza virus vac |
106 |
103 |
$0.00 |
| 3074F |
|
146 |
133 |
$0.00 |
| 1036F |
|
105 |
98 |
$0.00 |
| 3079F |
|
64 |
56 |
$0.00 |
| 3075F |
|
13 |
13 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
34 |
13 |
$0.00 |
| D0150 |
|
14 |
14 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
25 |
25 |
$0.00 |