| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
135,366 |
115,191 |
$39.86M |
| 00003 |
|
5,264 |
3,007 |
$3.20M |
| 99213 |
|
121,417 |
68,707 |
$273K |
| 99203 |
|
6,548 |
4,738 |
$94K |
| 99214 |
|
58,908 |
37,429 |
$43K |
| 0012A |
|
399 |
399 |
$27K |
| 0011A |
|
399 |
399 |
$27K |
| J3490 |
Drugs unclassified injection |
325 |
241 |
$25K |
| 99212 |
|
10,053 |
5,910 |
$15K |
| 99202 |
|
1,540 |
1,011 |
$7K |
| 99204 |
|
3,189 |
2,247 |
$5K |
| 90715 |
|
389 |
387 |
$4K |
| 99000 |
|
17,631 |
16,835 |
$3K |
| 93975 |
|
1,373 |
1,352 |
$2K |
| 0013A |
|
39 |
39 |
$2K |
| 0031A |
|
34 |
34 |
$2K |
| 90834 |
|
2,730 |
1,640 |
$2K |
| G8510 |
Scr dep neg, no plan reqd |
56,124 |
51,165 |
$2K |
| 0064A |
|
28 |
28 |
$2K |
| 81025 |
|
2,672 |
2,601 |
$2K |
| 90732 |
|
19 |
19 |
$2K |
| 90837 |
|
2,778 |
1,771 |
$1K |
| 90677 |
|
391 |
387 |
$1K |
| G9919 |
Scrn nd pos nd prov of rec |
2,224 |
2,214 |
$1K |
| 87428 |
|
562 |
526 |
$881.79 |
| 90688 |
|
87 |
87 |
$851.12 |
| 96372 |
|
1,490 |
1,410 |
$835.77 |
| 87811 |
|
1,001 |
984 |
$780.89 |
| 90791 |
|
919 |
703 |
$763.37 |
| A4267 |
Male condom |
84 |
84 |
$660.00 |
| 87651 |
|
467 |
461 |
$588.89 |
| 99215 |
Prolong outpt/office vis |
705 |
435 |
$542.82 |
| 87801 |
|
363 |
359 |
$423.29 |
| 83036 |
|
2,926 |
2,883 |
$414.64 |
| 90471 |
|
4,372 |
4,301 |
$413.47 |
| 99211 |
|
268 |
166 |
$316.70 |
| 81003 |
|
3,215 |
3,107 |
$295.86 |
| 90832 |
|
401 |
238 |
$210.42 |
| 90792 |
|
504 |
337 |
$204.44 |
| G8431 |
Pos clin depres scrn f/u doc |
879 |
853 |
$155.07 |
| 90713 |
|
208 |
206 |
$146.96 |
| 85018 |
|
1,058 |
1,051 |
$136.29 |
| 99396 |
|
18 |
12 |
$108.80 |
| 90656 |
|
121 |
121 |
$100.44 |
| 90686 |
|
17 |
17 |
$88.62 |
| 90716 |
|
250 |
250 |
$74.70 |
| 99391 |
|
95 |
72 |
$69.38 |
| 82962 |
|
1,946 |
1,913 |
$63.01 |
| G9920 |
Scrning perf and negative |
42 |
42 |
$58.00 |
| 99394 |
|
23 |
15 |
$54.28 |
| 90744 |
|
111 |
110 |
$52.02 |
| 90723 |
|
63 |
62 |
$48.80 |
| 99392 |
|
88 |
52 |
$37.39 |
| 90707 |
|
142 |
142 |
$36.90 |
| 81002 |
|
980 |
965 |
$36.27 |
| 99173 |
|
1,078 |
1,078 |
$33.59 |
| 83655 |
|
36 |
36 |
$31.56 |
| 90633 |
|
44 |
44 |
$27.00 |
| 90472 |
|
467 |
464 |
$26.00 |
| 90710 |
|
91 |
91 |
$18.90 |
| 90696 |
|
30 |
30 |
$18.90 |
| 90651 |
|
15 |
15 |
$10.00 |
| 90734 |
|
15 |
15 |
$9.00 |
| 90700 |
|
20 |
20 |
$9.00 |
| 82948 |
|
77 |
77 |
$2.68 |
| 3078F |
|
22,737 |
21,369 |
$0.00 |
| 3077F |
|
3,908 |
3,730 |
$0.00 |
| 3046F |
|
74 |
73 |
$0.00 |
| 96160 |
|
2,290 |
2,280 |
$0.00 |
| 90750 |
|
39 |
39 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
252 |
248 |
$0.00 |
| 3051F |
|
290 |
286 |
$0.00 |
| 81007 |
|
67 |
66 |
$0.00 |
| 99393 |
|
72 |
47 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 99395 |
|
66 |
39 |
$0.00 |
| 90460 |
|
65 |
65 |
$0.00 |
| 3075F |
|
4,609 |
4,496 |
$0.00 |
| G0008 |
Admin influenza virus vac |
181 |
181 |
$0.00 |
| H0049 |
Alcohol/drug screening |
32,047 |
29,662 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
81 |
61 |
$0.00 |
| 3079F |
|
7,672 |
7,426 |
$0.00 |
| 3074F |
|
21,348 |
20,086 |
$0.00 |
| 3044F |
|
597 |
591 |
$0.00 |
| 36415 |
|
82 |
80 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
3,489 |
2,904 |
$0.00 |
| 3080F |
|
1,488 |
1,419 |
$0.00 |
| G8433 |
Scr for dep not cpt doc rsn |
2,750 |
2,641 |
$0.00 |
| 3052F |
|
58 |
57 |
$0.00 |
| G9012 |
Other specified case mgmt |
1,503 |
1,343 |
$0.00 |
| 99443 |
|
130 |
103 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
109 |
109 |
$0.00 |