| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
547,481 |
447,219 |
$103.43M |
| 00003 |
|
75,669 |
63,502 |
$18.25M |
| 99213 |
|
460,384 |
352,075 |
$705K |
| G9920 |
Scrning perf and negative |
43,846 |
33,599 |
$533K |
| 90832 |
|
94,926 |
43,437 |
$452K |
| G9008 |
Mccd,phys coor-care ovrsght |
1,117 |
1,111 |
$449K |
| G9012 |
Other specified case mgmt |
695 |
695 |
$288K |
| 98941 |
|
60,806 |
33,021 |
$280K |
| 59425 |
|
3,791 |
2,698 |
$204K |
| 99212 |
|
176,422 |
132,300 |
$155K |
| 90791 |
|
7,503 |
5,130 |
$104K |
| G0467 |
Fqhc visit, estab pt |
12,585 |
10,703 |
$86K |
| 76805 |
|
1,563 |
1,430 |
$82K |
| 90792 |
|
5,598 |
3,988 |
$66K |
| 90834 |
|
7,137 |
3,463 |
$64K |
| 99404 |
|
3,026 |
2,892 |
$45K |
| 0002A |
|
652 |
652 |
$44K |
| 0001A |
|
629 |
629 |
$42K |
| 99214 |
|
70,751 |
58,243 |
$35K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
7,987 |
7,779 |
$26K |
| 96110 |
|
54,196 |
44,517 |
$24K |
| 0011A |
|
377 |
377 |
$21K |
| 0012A |
|
347 |
347 |
$21K |
| G9919 |
Scrn nd pos nd prov of rec |
1,736 |
1,332 |
$19K |
| 99401 |
|
44,697 |
39,199 |
$17K |
| G2025 |
Dis site tele svcs rhc/fqhc |
2,184 |
1,945 |
$17K |
| 0064A |
|
225 |
225 |
$15K |
| 0054A |
|
212 |
212 |
$14K |
| 0072A |
|
167 |
167 |
$11K |
| H1001 |
Antepartum management |
10,768 |
8,228 |
$9K |
| 0071A |
|
133 |
133 |
$9K |
| 59025 |
|
3,857 |
1,651 |
$8K |
| 99215 |
Prolong outpt/office vis |
449 |
439 |
$8K |
| 0004A |
|
121 |
119 |
$8K |
| 98940 |
|
3,464 |
1,980 |
$8K |
| 99203 |
|
2,628 |
1,994 |
$7K |
| 98942 |
|
1,298 |
699 |
$6K |
| 90750 |
|
2,380 |
1,972 |
$6K |
| 0031A |
|
99 |
99 |
$6K |
| 90677 |
|
3,365 |
2,460 |
$6K |
| 99402 |
|
443 |
422 |
$6K |
| 91320 |
|
1,255 |
1,048 |
$6K |
| 99202 |
|
2,858 |
2,248 |
$6K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
386 |
372 |
$5K |
| G0442 |
Annual alcohol screen 15 min |
14,528 |
13,109 |
$5K |
| 87811 |
|
10,864 |
7,984 |
$5K |
| 0124A |
|
75 |
75 |
$4K |
| 59430 |
|
210 |
210 |
$4K |
| 81025 |
|
11,369 |
9,764 |
$3K |
| 90746 |
|
5,993 |
4,891 |
$3K |
| 99392 |
|
16,573 |
13,129 |
$3K |
| 90715 |
|
4,597 |
3,785 |
$3K |
| 90480 |
|
1,872 |
1,556 |
$3K |
| 90686 |
|
36,039 |
30,865 |
$3K |
| 76815 |
|
2,269 |
1,507 |
$3K |
| 97810 |
|
6,672 |
4,048 |
$3K |
| 90471 |
|
80,407 |
65,077 |
$2K |
| 99391 |
|
7,132 |
5,544 |
$2K |
| 83036 |
|
19,585 |
17,573 |
$2K |
| 99394 |
|
16,640 |
12,849 |
$2K |
| 97811 |
|
5,377 |
3,402 |
$2K |
| 99395 |
|
3,831 |
3,140 |
$2K |
| 99393 |
|
19,542 |
15,423 |
$1K |
| 0134A |
|
22 |
22 |
$1K |
| S9445 |
Pt education noc individ |
5,904 |
4,659 |
$1K |
| 90710 |
|
678 |
596 |
$1K |
| 57454 |
|
34 |
25 |
$1K |
| 0074A |
|
16 |
16 |
$1K |
| 11976 |
|
18 |
14 |
$849.27 |
| 92552 |
|
18,341 |
16,153 |
$830.70 |
| 81002 |
|
17,762 |
14,589 |
$819.40 |
| 92551 |
|
20,380 |
17,058 |
$770.63 |
| 96156 |
|
20,469 |
17,632 |
$756.50 |
| 87426 |
|
2,508 |
2,251 |
$741.58 |
| 91319 |
|
86 |
69 |
$680.00 |
| 97803 |
|
37,270 |
32,629 |
$663.22 |
| 99396 |
|
4,001 |
3,395 |
$648.00 |
| H1003 |
Prenatal at risk education |
4,564 |
3,548 |
$621.08 |
| 85018 |
|
80,461 |
67,921 |
$616.39 |
| 90651 |
|
5,452 |
4,281 |
$588.83 |
| 90680 |
|
2,048 |
1,527 |
$544.61 |
| 99000 |
|
26,971 |
26,780 |
$544.50 |
| 59409 |
|
12 |
12 |
$544.28 |
| 99177 |
|
8,692 |
6,936 |
$525.00 |
| 99211 |
|
1,558 |
1,412 |
$519.55 |
| 96372 |
|
2,262 |
1,723 |
$505.14 |
| 58300 |
|
14 |
12 |
$477.86 |
| 71046 |
|
642 |
638 |
$384.50 |
| 87880 |
|
13,376 |
11,118 |
$379.76 |
| 87804 |
|
8,662 |
6,803 |
$367.30 |
| 90697 |
|
2,156 |
1,498 |
$335.55 |
| 99231 |
|
13 |
12 |
$330.00 |
| 90662 |
|
661 |
605 |
$317.35 |
| 90472 |
|
26,648 |
21,308 |
$314.11 |
| 99204 |
|
1,072 |
750 |
$241.70 |
| 11721 |
|
643 |
629 |
$233.86 |
| 90670 |
|
5,893 |
4,887 |
$213.00 |
| 97813 |
|
114 |
60 |
$200.00 |
| 99238 |
|
153 |
147 |
$194.84 |
| 90688 |
|
3,765 |
3,349 |
$185.63 |
| 90716 |
|
206 |
153 |
$176.25 |
| 90619 |
|
2,392 |
1,735 |
$167.29 |
| 93005 |
|
1,335 |
953 |
$162.13 |
| 90732 |
|
218 |
181 |
$152.00 |
| 73630 |
|
134 |
133 |
$145.08 |
| H2000 |
Comp multidisipln evaluation |
1,379 |
1,145 |
$142.56 |
| 93000 |
|
215 |
178 |
$138.94 |
| 99173 |
|
38,770 |
33,227 |
$134.83 |
| 97026 |
|
3,477 |
2,015 |
$132.50 |
| 90656 |
|
6,164 |
4,789 |
$125.32 |
| 90633 |
|
2,697 |
2,133 |
$122.78 |
| 72100 |
|
73 |
73 |
$121.16 |
| H1000 |
Prenatal care atrisk assessm |
350 |
349 |
$120.00 |
| 99070 |
|
463 |
301 |
$119.85 |
| 96151 |
|
21,090 |
18,911 |
$109.68 |
| G0470 |
Fqhc visit, mh estab pt |
21 |
13 |
$104.28 |
| 36415 |
|
56,090 |
55,141 |
$93.78 |
| J3420 |
Vitamin b12 injection |
899 |
675 |
$84.38 |
| 97802 |
|
1,590 |
1,535 |
$82.47 |
| 97814 |
|
57 |
33 |
$80.00 |
| 97124 |
|
2,029 |
1,006 |
$79.54 |
| 73562 |
|
139 |
139 |
$70.14 |
| 99201 |
|
565 |
384 |
$68.47 |
| 90696 |
|
193 |
172 |
$63.03 |
| 96160 |
|
28,126 |
27,325 |
$46.73 |
| 99381 |
|
248 |
232 |
$45.33 |
| 86580 |
|
515 |
503 |
$45.29 |
| J1885 |
Ketorolac tromethamine inj |
359 |
269 |
$37.25 |
| 92250 |
|
211 |
169 |
$37.08 |
| 71045 |
|
73 |
73 |
$35.34 |
| 11730 |
|
200 |
111 |
$32.02 |
| 98960 |
|
42 |
33 |
$26.39 |
| 73610 |
|
96 |
96 |
$25.14 |
| G2023 |
Specimen collect covid-19 |
14 |
14 |
$23.46 |
| 94760 |
|
1,544 |
1,343 |
$20.19 |
| 99188 |
|
900 |
766 |
$18.00 |
| 82947 |
|
1,241 |
945 |
$16.96 |
| 88720 |
|
729 |
431 |
$16.08 |
| 69209 |
|
110 |
66 |
$11.54 |
| 96146 |
|
33 |
32 |
$9.76 |
| 90698 |
|
3,317 |
2,869 |
$9.00 |
| 90744 |
|
941 |
827 |
$9.00 |
| 90621 |
|
1,953 |
1,375 |
$9.00 |
| 99403 |
|
135 |
135 |
$8.41 |
| H1002 |
Carecoordination prenatal |
63 |
58 |
$8.41 |
| G0008 |
Admin influenza virus vac |
410 |
407 |
$8.00 |
| 90473 |
|
150 |
109 |
$5.52 |
| 90756 |
|
104 |
104 |
$4.46 |
| H0049 |
Alcohol/drug screening |
1,208 |
1,194 |
$0.73 |
| 3075F |
|
29,526 |
23,326 |
$0.00 |
| 3008F |
|
159,968 |
149,270 |
$0.00 |
| 90620 |
|
580 |
519 |
$0.00 |
| S9451 |
Exercise class |
9,648 |
8,514 |
$0.00 |
| 1125F |
|
22,666 |
17,602 |
$0.00 |
| 3074F |
|
242,223 |
176,080 |
$0.00 |
| Z1032 |
|
1,235 |
1,231 |
$0.00 |
| 3079F |
|
63,141 |
48,743 |
$0.00 |
| 90847 |
|
1,888 |
1,421 |
$0.00 |
| 1126F |
|
78,596 |
59,484 |
$0.00 |
| Z1034 |
|
13,466 |
10,365 |
$0.00 |
| Z6406 |
|
1,878 |
1,532 |
$0.00 |
| 3044F |
|
2,753 |
2,284 |
$0.00 |
| 3080F |
|
9,289 |
7,082 |
$0.00 |
| 36416 |
|
3,004 |
2,160 |
$0.00 |
| 3052F |
|
302 |
221 |
$0.00 |
| Z6204 |
|
1,619 |
1,332 |
$0.00 |
| Z6410 |
|
6,115 |
4,687 |
$0.00 |
| Z6404 |
|
263 |
262 |
$0.00 |
| Z1038 |
|
310 |
310 |
$0.00 |
| 99462 |
|
164 |
126 |
$0.00 |
| Z6402 |
|
107 |
107 |
$0.00 |
| G0443 |
Brief alcohol misuse counsel |
236 |
190 |
$0.00 |
| 96150 |
|
254 |
223 |
$0.00 |
| 11055 |
|
111 |
109 |
$0.00 |
| 90845 |
|
17 |
12 |
$0.00 |
| 99460 |
|
219 |
215 |
$0.00 |
| 82962 |
|
112 |
100 |
$0.00 |
| 96380 |
|
53 |
37 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
14 |
13 |
$0.00 |
| 96127 |
|
26 |
19 |
$0.00 |
| G0439 |
Ppps, subseq visit |
63 |
59 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
31 |
27 |
$0.00 |
| 90474 |
|
144 |
97 |
$0.00 |
| 94010 |
|
113 |
68 |
$0.00 |
| 90739 |
|
16 |
16 |
$0.00 |
| 94640 |
|
23 |
12 |
$0.00 |
| 99406 |
|
15 |
13 |
$0.00 |
| 90734 |
|
2,132 |
1,858 |
$0.00 |
| 3078F |
|
221,817 |
162,166 |
$0.00 |
| 83655 |
|
984 |
901 |
$0.00 |
| 3077F |
|
22,911 |
17,906 |
$0.00 |
| 1159F |
|
174,350 |
122,819 |
$0.00 |
| 1160F |
|
174,348 |
122,817 |
$0.00 |
| 99442 |
|
1,790 |
1,150 |
$0.00 |
| Z6414 |
|
1,740 |
1,334 |
$0.00 |
| 99408 |
|
296 |
293 |
$0.00 |
| 3051F |
|
930 |
737 |
$0.00 |
| A7000 |
Disposable canister for pump |
41 |
28 |
$0.00 |
| 3046F |
|
288 |
224 |
$0.00 |
| Z6400 |
|
4,150 |
3,096 |
$0.00 |
| 90707 |
|
164 |
119 |
$0.00 |
| 90681 |
|
356 |
299 |
$0.00 |
| 4004F |
|
540 |
320 |
$0.00 |
| 90685 |
|
219 |
219 |
$0.00 |
| 11056 |
|
321 |
313 |
$0.00 |
| Z6302 |
|
74 |
73 |
$0.00 |
| Z6200 |
|
513 |
510 |
$0.00 |
| 99409 |
|
295 |
293 |
$0.00 |
| 86703 |
|
61 |
61 |
$0.00 |
| 90623 |
|
106 |
73 |
$0.00 |
| A4550 |
Surgical trays |
33 |
27 |
$0.00 |
| 73140 |
|
26 |
26 |
$0.00 |
| A6451 |
Mod compres band w>=3"<5"/yd |
96 |
64 |
$0.00 |
| Z6208 |
|
12 |
12 |
$0.00 |
| Z6304 |
|
268 |
169 |
$0.00 |
| 73030 |
|
59 |
59 |
$0.00 |
| 90846 |
|
34 |
30 |
$0.00 |
| 99397 |
|
62 |
52 |
$0.00 |
| 69210 |
|
37 |
26 |
$0.00 |
| A7002 |
Tubing used w suction pump |
41 |
28 |
$0.00 |
| 73130 |
|
13 |
13 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |