| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
120,974 |
90,057 |
$21.59M |
| 0521 |
|
251,113 |
99,920 |
$3.07M |
| 0636 |
|
19,394 |
11,077 |
$452K |
| 00003 |
|
387 |
376 |
$79K |
| 0761 |
|
3,408 |
3,138 |
$65K |
| 99213 |
|
43,299 |
37,565 |
$46K |
| 0301 |
|
5,118 |
4,901 |
$42K |
| 0770 |
|
4,476 |
4,377 |
$32K |
| 0771 |
|
4,505 |
4,033 |
$22K |
| 90750 |
|
786 |
758 |
$18K |
| 99214 |
|
7,313 |
6,741 |
$11K |
| 98941 |
|
15,727 |
9,923 |
$7K |
| 99396 |
|
2,005 |
1,983 |
$6K |
| 0307 |
|
1,611 |
1,454 |
$5K |
| 98940 |
|
4,431 |
2,879 |
$5K |
| 0309 |
|
332 |
312 |
$4K |
| 83036 |
|
2,630 |
2,547 |
$3K |
| 0306 |
|
228 |
228 |
$3K |
| 99212 |
|
3,086 |
2,528 |
$3K |
| J3490 |
Drugs unclassified injection |
541 |
380 |
$2K |
| 99395 |
|
2,007 |
1,992 |
$2K |
| 90480 |
|
80 |
57 |
$1K |
| 99394 |
|
1,230 |
1,211 |
$1K |
| 87635 |
|
215 |
197 |
$1K |
| 92552 |
|
3,338 |
3,292 |
$1K |
| 92014 |
|
1,027 |
1,020 |
$1K |
| 0900 |
|
11,217 |
7,658 |
$881.57 |
| 90715 |
|
834 |
817 |
$827.60 |
| 99392 |
|
1,035 |
1,016 |
$775.81 |
| 99393 |
|
1,345 |
1,333 |
$665.44 |
| 90679 |
|
64 |
62 |
$530.00 |
| G0442 |
Annual alcohol screen 15 min |
109 |
103 |
$507.25 |
| 99188 |
|
898 |
829 |
$499.00 |
| 90686 |
|
2,975 |
2,943 |
$349.57 |
| 0929 |
|
13 |
13 |
$208.00 |
| J3300 |
Triamcinolone a inj prs-free |
45 |
37 |
$204.70 |
| 99385 |
|
161 |
160 |
$171.15 |
| 90656 |
|
44 |
41 |
$168.00 |
| 87804 |
|
280 |
272 |
$163.35 |
| G0470 |
Fqhc visit, mh estab pt |
237 |
166 |
$154.54 |
| 81025 |
|
417 |
411 |
$138.48 |
| 0271 |
|
355 |
322 |
$84.22 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
198 |
198 |
$61.10 |
| 90734 |
|
379 |
375 |
$45.00 |
| 99173 |
|
3,053 |
3,037 |
$43.68 |
| 96127 |
|
452 |
429 |
$27.03 |
| 82947 |
|
331 |
324 |
$21.48 |
| 85018 |
|
2,018 |
1,998 |
$21.41 |
| 90471 |
|
1,942 |
1,870 |
$16.47 |
| 81003 |
|
19 |
13 |
$11.05 |
| 90651 |
|
487 |
485 |
$9.00 |
| 90620 |
|
166 |
165 |
$9.00 |
| 87880 |
|
169 |
166 |
$6.99 |
| 90707 |
|
278 |
277 |
$6.75 |
| 90662 |
|
108 |
108 |
$0.00 |
| 90791 |
|
406 |
403 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
1,776 |
1,730 |
$0.00 |
| 90832 |
|
1,511 |
1,373 |
$0.00 |
| 90670 |
|
470 |
470 |
$0.00 |
| 99051 |
|
2,846 |
2,745 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
94 |
94 |
$0.00 |
| 90633 |
|
257 |
257 |
$0.00 |
| 90472 |
|
74 |
68 |
$0.00 |
| 92015 |
|
1,035 |
1,028 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
35 |
32 |
$0.00 |
| 2028F |
|
77 |
75 |
$0.00 |
| V2020 |
Vision svcs frames purchases |
550 |
550 |
$0.00 |
| 92340 |
|
271 |
271 |
$0.00 |
| 90700 |
|
29 |
29 |
$0.00 |
| 99391 |
|
460 |
460 |
$0.00 |
| 69209 |
|
12 |
12 |
$0.00 |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
14 |
14 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |
| 99442 |
|
151 |
146 |
$0.00 |
| G9920 |
Scrning perf and negative |
12 |
12 |
$0.00 |
| 90685 |
|
32 |
32 |
$0.00 |
| 99203 |
|
14 |
14 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
7,498 |
7,398 |
$0.00 |
| G0439 |
Ppps, subseq visit |
779 |
779 |
$0.00 |
| 90716 |
|
265 |
265 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
884 |
814 |
$0.00 |
| 90834 |
|
6,548 |
5,304 |
$0.00 |
| G0008 |
Admin influenza virus vac |
260 |
260 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 81000 |
|
588 |
572 |
$0.00 |
| 90680 |
|
311 |
311 |
$0.00 |
| V2784 |
Lens polycarb or equal |
212 |
212 |
$0.00 |
| V2100 |
Lens spher single plano 4.00 |
75 |
75 |
$0.00 |
| 90647 |
|
315 |
315 |
$0.00 |
| 90792 |
|
236 |
236 |
$0.00 |
| 90723 |
|
385 |
385 |
$0.00 |
| 96372 |
|
228 |
214 |
$0.00 |
| G0396 |
Alcohol/subs interv 15-30mn |
121 |
121 |
$0.00 |
| 99443 |
|
127 |
115 |
$0.00 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
257 |
256 |
$0.00 |
| J3420 |
Vitamin b12 injection |
14 |
12 |
$0.00 |
| 92250 |
|
388 |
387 |
$0.00 |
| H0001 |
Alcohol and/or drug assess |
84 |
84 |
$0.00 |
| 99402 |
|
105 |
104 |
$0.00 |
| 82044 |
|
15 |
15 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| 99386 |
|
12 |
12 |
$0.00 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
14 |
14 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
12 |
12 |
$0.00 |
| 20610 |
|
13 |
13 |
$0.00 |