| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
257,245 |
182,354 |
$36.25M |
| D0999 |
|
22,163 |
20,063 |
$2.35M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
3,048 |
2,178 |
$237K |
| 59409 |
|
24 |
13 |
$20K |
| 99234 |
|
41 |
20 |
$3K |
| 76816 |
|
3,783 |
3,464 |
$699.70 |
| 90710 |
|
1,965 |
1,803 |
$605.74 |
| 90716 |
|
2,532 |
2,227 |
$507.28 |
| 90651 |
|
3,068 |
2,732 |
$422.54 |
| 99213 |
|
118,412 |
95,445 |
$409.12 |
| 96160 |
|
2,161 |
1,829 |
$279.88 |
| 90633 |
|
4,874 |
4,357 |
$216.12 |
| 90620 |
|
480 |
462 |
$166.40 |
| 90686 |
|
6,948 |
6,001 |
$147.18 |
| 96110 |
|
11,968 |
10,509 |
$139.94 |
| 59025 |
|
16,602 |
6,011 |
$139.94 |
| 99214 |
|
8,193 |
7,608 |
$134.72 |
| 90734 |
|
2,198 |
1,898 |
$125.40 |
| 90723 |
|
6,026 |
5,451 |
$74.80 |
| D2392 |
|
1,731 |
1,574 |
$56.82 |
| 90696 |
|
1,741 |
1,621 |
$55.75 |
| D1120 |
|
6,429 |
6,291 |
$41.00 |
| D2391 |
|
1,275 |
1,181 |
$36.40 |
| 90715 |
|
5,016 |
4,608 |
$6.40 |
| D1206 |
|
7,923 |
7,737 |
$0.00 |
| 93000 |
|
1,838 |
1,636 |
$0.00 |
| D0140 |
|
1,796 |
1,741 |
$0.00 |
| 90677 |
|
1,360 |
1,350 |
$0.00 |
| 99381 |
|
1,252 |
1,149 |
$0.00 |
| D0603 |
|
8,367 |
8,135 |
$0.00 |
| D1351 |
|
152 |
124 |
$0.00 |
| 76801 |
|
1,113 |
1,071 |
$0.00 |
| D0150 |
|
2,380 |
2,303 |
$0.00 |
| 83036 |
|
1,803 |
1,736 |
$0.00 |
| 96127 |
|
4,020 |
3,493 |
$0.00 |
| D0120 |
|
8,166 |
7,935 |
$0.00 |
| S5190 |
Wellness assessment, performed by non-physician |
2,579 |
1,846 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
200 |
186 |
$0.00 |
| 99383 |
|
301 |
296 |
$0.00 |
| 76815 |
|
11,347 |
5,831 |
$0.00 |
| D2160 |
|
15 |
14 |
$0.00 |
| 99202 |
|
1,355 |
1,252 |
$0.00 |
| 87428 |
|
1,328 |
1,303 |
$0.00 |
| 90647 |
|
6,028 |
5,377 |
$0.00 |
| 86580 |
|
46 |
24 |
$0.00 |
| 90619 |
|
973 |
917 |
$0.00 |
| 90656 |
|
509 |
506 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
698 |
608 |
$0.00 |
| 0500F |
|
3,293 |
3,105 |
$0.00 |
| 76817 |
|
3,033 |
2,683 |
$0.00 |
| 76830 |
|
768 |
666 |
$0.00 |
| 0503F |
|
1,638 |
1,480 |
$0.00 |
| D7140 |
|
980 |
827 |
$0.00 |
| D1330 |
|
5,066 |
4,699 |
$0.00 |
| D2393 |
|
44 |
42 |
$0.00 |
| 90680 |
|
4,064 |
3,609 |
$0.00 |
| D0230 |
|
9,247 |
8,793 |
$0.00 |
| D0601 |
|
447 |
432 |
$0.00 |
| D0272 |
|
1,302 |
1,299 |
$0.00 |
| 58300 |
|
81 |
70 |
$0.00 |
| 87426 |
|
334 |
324 |
$0.00 |
| 94640 |
|
13 |
13 |
$0.00 |
| 59430 |
|
488 |
451 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
259 |
195 |
$0.00 |
| D0210 |
|
90 |
90 |
$0.00 |
| 90834 |
|
295 |
226 |
$0.00 |
| 3080F |
|
274 |
271 |
$0.00 |
| 87635 |
|
1,222 |
1,137 |
$0.00 |
| 3079F |
|
345 |
341 |
$0.00 |
| 99384 |
|
109 |
105 |
$0.00 |
| 3075F |
|
220 |
218 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
66 |
65 |
$0.00 |
| 90381 |
|
13 |
12 |
$0.00 |
| 3074F |
|
242 |
238 |
$0.00 |
| 99000 |
|
17 |
16 |
$0.00 |
| 90744 |
|
66 |
66 |
$0.00 |
| 96372 |
|
84 |
81 |
$0.00 |
| 90732 |
|
18 |
18 |
$0.00 |
| 57454 |
|
28 |
14 |
$0.00 |
| 81002 |
|
8,198 |
7,383 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,376 |
2,995 |
$0.00 |
| 87880 |
|
5,531 |
4,724 |
$0.00 |
| 99393 |
|
6,552 |
5,823 |
$0.00 |
| N1351 |
|
37 |
37 |
$0.00 |
| D0220 |
|
10,872 |
10,508 |
$0.00 |
| 90670 |
|
6,469 |
5,691 |
$0.00 |
| 90700 |
|
1,988 |
1,774 |
$0.00 |
| 99396 |
|
2,224 |
2,044 |
$0.00 |
| 3077F |
|
383 |
378 |
$0.00 |
| 99212 |
|
15,775 |
13,524 |
$0.00 |
| 0502F |
|
32,933 |
18,802 |
$0.00 |
| 99395 |
|
3,090 |
2,873 |
$0.00 |
| 99382 |
|
79 |
78 |
$0.00 |
| D0270 |
|
1,486 |
1,437 |
$0.00 |
| 90832 |
|
5,499 |
3,867 |
$0.00 |
| 90707 |
|
2,338 |
2,041 |
$0.00 |
| 81025 |
|
13,897 |
12,140 |
$0.00 |
| 99391 |
|
10,053 |
8,568 |
$0.00 |
| 3078F |
|
225 |
221 |
$0.00 |
| 90681 |
|
635 |
628 |
$0.00 |
| 99203 |
|
1,623 |
1,540 |
$0.00 |
| 76805 |
|
515 |
484 |
$0.00 |
| D0274 |
|
5,621 |
5,394 |
$0.00 |
| D2140 |
|
486 |
459 |
$0.00 |
| 99392 |
|
9,615 |
8,524 |
$0.00 |
| 99394 |
|
4,111 |
3,762 |
$0.00 |
| D2150 |
|
789 |
735 |
$0.00 |
| 11981 |
|
131 |
117 |
$0.00 |
| 90791 |
|
2,193 |
1,815 |
$0.00 |
| 99201 |
|
88 |
78 |
$0.00 |
| 90649 |
|
243 |
218 |
$0.00 |
| 86703 |
|
787 |
610 |
$0.00 |
| 99401 |
|
535 |
238 |
$0.00 |
| 11982 |
|
73 |
68 |
$0.00 |
| 90713 |
|
117 |
113 |
$0.00 |
| D1354 |
|
68 |
49 |
$0.00 |
| D1110 |
|
42 |
42 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
26 |
25 |
$0.00 |
| D4341 |
|
21 |
15 |
$0.00 |
| 90380 |
|
34 |
33 |
$0.00 |