| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
22,188 |
12,827 |
$2.36M |
| 99199 |
|
114,777 |
58,679 |
$661K |
| 99391 |
|
875 |
699 |
$63K |
| U0003 |
Cov-19 amp prb hgh thruput |
725 |
422 |
$33K |
| 99392 |
|
381 |
311 |
$29K |
| 90471 |
|
2,823 |
1,998 |
$27K |
| 90472 |
|
1,309 |
978 |
$27K |
| 99213 |
|
290 |
185 |
$14K |
| U0005 |
Infec agen detec ampli probe |
570 |
317 |
$11K |
| 99383 |
|
143 |
92 |
$9K |
| 96110 |
|
995 |
816 |
$9K |
| 0012A |
|
141 |
138 |
$8K |
| G9919 |
Scrn nd pos nd prov of rec |
417 |
236 |
$8K |
| 0011A |
|
140 |
137 |
$6K |
| 99401 |
|
287 |
179 |
$5K |
| 87637 |
|
47 |
36 |
$5K |
| 99203 |
|
83 |
46 |
$4K |
| S0280 |
Medical home, initial plan |
92 |
80 |
$4K |
| 99393 |
|
41 |
32 |
$3K |
| 87635 |
|
74 |
66 |
$3K |
| 36415 |
|
1,304 |
1,029 |
$3K |
| G2023 |
Specimen collect covid-19 |
106 |
83 |
$2K |
| 99211 |
|
309 |
208 |
$2K |
| 90474 |
|
122 |
97 |
$2K |
| 90674 |
|
219 |
179 |
$2K |
| 99394 |
|
17 |
13 |
$1K |
| S0281 |
Medical home, maintenance |
15 |
12 |
$1K |
| 96161 |
|
450 |
365 |
$1K |
| 99214 |
|
14 |
12 |
$1K |
| 81025 |
|
227 |
163 |
$1K |
| 0001A |
|
17 |
17 |
$1K |
| 99382 |
|
17 |
12 |
$1K |
| 99381 |
|
18 |
12 |
$1K |
| 92551 |
|
416 |
314 |
$973.49 |
| 0002A |
|
14 |
14 |
$910.00 |
| 0071A |
|
16 |
12 |
$845.00 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
47 |
31 |
$840.40 |
| 85025 |
|
185 |
114 |
$694.56 |
| 90686 |
|
341 |
233 |
$660.15 |
| 87591 |
|
75 |
33 |
$472.73 |
| 87491 |
|
79 |
33 |
$472.73 |
| 96127 |
|
985 |
698 |
$440.64 |
| 99173 |
|
513 |
379 |
$323.78 |
| 81002 |
|
122 |
85 |
$284.47 |
| 87210 |
|
24 |
12 |
$72.60 |
| 90744 |
|
286 |
197 |
$26.61 |
| 91301 |
|
303 |
295 |
$2.00 |
| J3490 |
Drugs unclassified injection |
251 |
146 |
$0.17 |
| 3074F |
|
2,721 |
1,704 |
$0.00 |
| 90698 |
|
419 |
368 |
$0.00 |
| 3079F |
|
295 |
192 |
$0.00 |
| 3008F |
|
164 |
102 |
$0.00 |
| 99441 |
|
45 |
12 |
$0.00 |
| 91307 |
|
16 |
12 |
$0.00 |
| 90716 |
|
33 |
12 |
$0.00 |
| 3078F |
|
2,362 |
1,501 |
$0.00 |
| 90670 |
|
654 |
548 |
$0.00 |
| 90633 |
|
224 |
155 |
$0.00 |
| 90681 |
|
120 |
95 |
$0.00 |
| T1013 |
Sign lang/oral interpreter |
70 |
47 |
$0.00 |
| 91300 |
|
84 |
66 |
$0.00 |
| 90473 |
|
32 |
12 |
$0.00 |
| 90672 |
|
32 |
12 |
$0.00 |