| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
67,958 |
54,303 |
$15.08M |
| 99214 |
|
29,235 |
26,057 |
$582K |
| 99213 |
|
24,926 |
22,304 |
$452K |
| 99215 |
Prolong outpt/office vis |
2,560 |
2,157 |
$64K |
| G0008 |
Admin influenza virus vac |
4,157 |
4,116 |
$58K |
| 99203 |
|
2,863 |
2,787 |
$57K |
| G2025 |
Dis site tele svcs rhc/fqhc |
744 |
616 |
$53K |
| 99212 |
|
2,877 |
2,690 |
$53K |
| 99204 |
|
2,237 |
2,194 |
$45K |
| G0009 |
Admin pneumococcal vaccine |
2,203 |
2,154 |
$26K |
| 90832 |
|
1,220 |
945 |
$26K |
| G0439 |
Ppps, subseq visit |
787 |
779 |
$21K |
| 90656 |
|
377 |
371 |
$16K |
| 20610 |
|
939 |
866 |
$14K |
| 11721 |
|
714 |
687 |
$13K |
| 90837 |
|
1,416 |
1,016 |
$13K |
| 90791 |
|
727 |
715 |
$11K |
| 99396 |
|
1,040 |
1,001 |
$11K |
| 90677 |
|
686 |
635 |
$11K |
| 91322 |
|
87 |
76 |
$9K |
| 99395 |
|
1,390 |
1,348 |
$7K |
| 96127 |
|
3,012 |
2,891 |
$7K |
| 90471 |
|
5,810 |
5,727 |
$6K |
| 90480 |
|
236 |
224 |
$6K |
| 90472 |
|
3,820 |
3,788 |
$6K |
| 90834 |
|
479 |
412 |
$5K |
| 90686 |
|
3,861 |
3,848 |
$5K |
| G2211 |
Complex e/m visit add on |
1,021 |
972 |
$5K |
| 99202 |
|
138 |
138 |
$5K |
| 0124A |
|
122 |
121 |
$4K |
| 90715 |
|
1,600 |
1,570 |
$4K |
| 96372 |
|
1,920 |
1,711 |
$4K |
| 99393 |
|
2,661 |
2,575 |
$3K |
| 36415 |
|
2,365 |
2,293 |
$3K |
| 90474 |
|
1,513 |
1,481 |
$3K |
| 0064A |
|
157 |
148 |
$3K |
| 99392 |
|
3,561 |
3,470 |
$2K |
| 99394 |
|
1,832 |
1,791 |
$2K |
| J1050 |
Medroxyprogesterone acetate |
1,180 |
1,057 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
787 |
751 |
$2K |
| 90619 |
|
495 |
495 |
$2K |
| 93010 |
|
738 |
728 |
$1K |
| 90792 |
|
43 |
43 |
$1K |
| J1010 |
Inj, methylpred acetate 1 mg |
186 |
182 |
$946.55 |
| 99391 |
|
3,301 |
3,138 |
$889.84 |
| 92583 |
|
625 |
623 |
$838.50 |
| 99495 |
|
12 |
12 |
$827.61 |
| 99205 |
Prolong outpt/office vis |
107 |
107 |
$817.76 |
| 96110 |
|
1,623 |
1,488 |
$745.04 |
| 96160 |
|
1,086 |
1,083 |
$744.78 |
| D0191 |
|
61 |
55 |
$734.12 |
| 0072A |
|
35 |
35 |
$665.64 |
| 0134A |
|
15 |
15 |
$554.70 |
| 76815 |
|
134 |
123 |
$552.01 |
| 99188 |
|
1,183 |
1,121 |
$540.06 |
| D0145 |
|
602 |
595 |
$465.47 |
| 96161 |
|
1,006 |
995 |
$464.65 |
| J1030 |
Methylprednisolone 40 mg inj |
106 |
101 |
$418.42 |
| 69209 |
|
41 |
38 |
$394.49 |
| 96381 |
|
85 |
83 |
$250.67 |
| 90680 |
|
1,219 |
1,213 |
$226.13 |
| 90633 |
|
1,164 |
1,157 |
$223.01 |
| 0071A |
|
38 |
37 |
$148.54 |
| 99459 |
|
74 |
62 |
$129.64 |
| 90651 |
|
1,175 |
1,169 |
$119.83 |
| 99443 |
|
101 |
97 |
$101.97 |
| 36416 |
|
1,401 |
1,333 |
$91.42 |
| 99442 |
|
283 |
264 |
$80.97 |
| 0011A |
|
15 |
14 |
$74.58 |
| J1040 |
Methylprednisolone 80 mg inj |
17 |
16 |
$62.90 |
| J1100 |
Dexamethasone sodium phos |
58 |
55 |
$60.10 |
| 90833 |
|
19 |
18 |
$46.02 |
| 99177 |
|
2,048 |
1,979 |
$45.04 |
| 90734 |
|
388 |
384 |
$13.04 |
| 99441 |
|
119 |
117 |
$11.89 |
| D1206 |
|
831 |
810 |
$1.14 |
| 90670 |
|
1,563 |
1,554 |
$0.00 |
| 90707 |
|
264 |
263 |
$0.00 |
| 90710 |
|
275 |
275 |
$0.00 |
| 90681 |
|
323 |
289 |
$0.00 |
| 90671 |
|
219 |
217 |
$0.00 |
| 91300 |
|
37 |
32 |
$0.00 |
| 90682 |
|
14 |
14 |
$0.00 |
| G2212 |
Prolong outpt/office vis |
17 |
13 |
$0.00 |
| 90853 |
|
32 |
15 |
$0.00 |
| 98968 |
|
36 |
25 |
$0.00 |
| 90698 |
|
962 |
958 |
$0.00 |
| 90744 |
|
419 |
416 |
$0.00 |
| 90716 |
|
293 |
290 |
$0.00 |
| 90697 |
|
278 |
275 |
$0.00 |
| 90696 |
|
185 |
185 |
$0.00 |
| 90381 |
|
39 |
39 |
$0.00 |
| 92551 |
|
166 |
142 |
$0.00 |
| 99024 |
|
60 |
51 |
$0.00 |
| 90847 |
|
13 |
12 |
$0.00 |
| 91301 |
|
20 |
17 |
$0.00 |
| 0074A |
|
13 |
13 |
$0.00 |