| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
202,919 |
155,664 |
$25.50M |
| H2020 |
Ther behav svc, per diem |
35,038 |
18,532 |
$2.92M |
| 99051 |
|
11,643 |
10,063 |
$81K |
| D0999 |
|
1,834 |
892 |
$39K |
| 3074F |
|
55,294 |
44,818 |
$8K |
| 3078F |
|
47,192 |
38,566 |
$7K |
| 3079F |
|
29,212 |
24,896 |
$6K |
| 87811 |
|
25,683 |
20,575 |
$4K |
| 3077F |
|
15,168 |
13,014 |
$3K |
| 3075F |
|
12,960 |
11,438 |
$3K |
| 0001A |
|
502 |
230 |
$2K |
| 0002A |
|
454 |
211 |
$2K |
| 3080F |
|
6,990 |
6,068 |
$1K |
| 0011A |
|
1,077 |
543 |
$1K |
| 0012A |
|
928 |
470 |
$1K |
| 99213 |
|
138,590 |
107,677 |
$982.53 |
| 0064A |
|
293 |
96 |
$751.13 |
| 96127 |
|
8,019 |
6,594 |
$750.75 |
| 99214 |
|
27,846 |
23,281 |
$500.00 |
| 0031A |
|
213 |
113 |
$148.98 |
| 87804 |
|
19,819 |
8,167 |
$110.00 |
| 80305 |
|
11,796 |
8,100 |
$90.00 |
| 3044F |
|
294 |
269 |
$70.00 |
| 99050 |
|
21 |
20 |
$66.90 |
| 0004A |
|
58 |
31 |
$50.00 |
| 96160 |
|
103,552 |
82,000 |
$45.00 |
| 99212 |
|
3,716 |
2,935 |
$42.23 |
| 99202 |
|
2,332 |
2,045 |
$41.38 |
| 90832 |
|
9,151 |
5,860 |
$30.00 |
| 99177 |
|
634 |
562 |
$10.11 |
| 81003 |
|
19,934 |
15,063 |
$0.00 |
| D1110 |
|
404 |
174 |
$0.00 |
| 1160F |
|
23,850 |
18,426 |
$0.00 |
| 87880 |
|
11,652 |
9,019 |
$0.00 |
| 99173 |
|
9,658 |
7,408 |
$0.00 |
| 1159F |
|
22,456 |
17,192 |
$0.00 |
| 90472 |
|
3,576 |
1,863 |
$0.00 |
| 82947 |
|
10,957 |
7,703 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
6,554 |
5,268 |
$0.00 |
| D0330 |
|
294 |
137 |
$0.00 |
| 99203 |
|
7,257 |
6,342 |
$0.00 |
| 81025 |
|
1,967 |
1,687 |
$0.00 |
| 99393 |
|
3,013 |
2,708 |
$0.00 |
| 90633 |
|
263 |
242 |
$0.00 |
| 90853 |
|
666 |
460 |
$0.00 |
| 90670 |
|
649 |
612 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
388 |
338 |
$0.00 |
| 99394 |
|
1,025 |
906 |
$0.00 |
| 90734 |
|
146 |
108 |
$0.00 |
| 99392 |
|
1,323 |
1,184 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
198 |
161 |
$0.00 |
| G8404 |
Low extemity neur exam docum |
225 |
197 |
$0.00 |
| 90791 |
|
1,405 |
1,068 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
56 |
37 |
$0.00 |
| 99391 |
|
904 |
805 |
$0.00 |
| 90648 |
|
109 |
108 |
$0.00 |
| 99395 |
|
126 |
111 |
$0.00 |
| 99188 |
|
727 |
559 |
$0.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
418 |
386 |
$0.00 |
| 90672 |
|
511 |
391 |
$0.00 |
| G0466 |
Fqhc visit new patient |
182 |
182 |
$0.00 |
| G0438 |
Ppps, initial visit |
44 |
39 |
$0.00 |
| 90837 |
|
68 |
54 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
200 |
170 |
$0.00 |
| G8477 |
Bp sys>=140 and/or dias >=90 |
113 |
106 |
$0.00 |
| 99396 |
|
288 |
260 |
$0.00 |
| 91300 |
|
1,313 |
519 |
$0.00 |
| 90836 |
|
64 |
30 |
$0.00 |
| 1158F |
|
50 |
42 |
$0.00 |
| 90461 |
|
206 |
166 |
$0.00 |
| G0101 |
Ca screen;pelvic/breast exam |
56 |
37 |
$0.00 |
| 99401 |
|
28 |
28 |
$0.00 |
| 90460 |
|
340 |
278 |
$0.00 |
| 90756 |
|
102 |
89 |
$0.00 |
| 90700 |
|
14 |
13 |
$0.00 |
| 99211 |
|
339 |
244 |
$0.00 |
| D0274 |
|
158 |
59 |
$0.00 |
| G8476 |
Bp sys <140 and dias <90 |
107 |
100 |
$0.00 |
| D0220 |
|
65 |
28 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
60 |
53 |
$0.00 |
| 3725F |
|
16 |
13 |
$0.00 |
| 81002 |
|
19 |
18 |
$0.00 |
| 90710 |
|
91 |
91 |
$0.00 |
| 90685 |
|
32 |
25 |
$0.00 |
| G0468 |
Fqhc visit, ippe or awv |
76 |
51 |
$0.00 |
| 90715 |
|
39 |
32 |
$0.00 |
| 99442 |
|
22 |
15 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
13 |
12 |
$0.00 |
| 90661 |
|
16 |
13 |
$0.00 |
| 2028F |
|
15 |
13 |
$0.00 |
| 99382 |
|
38 |
25 |
$0.00 |
| G0008 |
Admin influenza virus vac |
2,811 |
1,910 |
$0.00 |
| 1125F |
|
3,860 |
3,067 |
$0.00 |
| 97802 |
|
1,148 |
801 |
$0.00 |
| 92551 |
|
6,486 |
5,741 |
$0.00 |
| 36415 |
|
504 |
436 |
$0.00 |
| 87426 |
|
11,282 |
5,107 |
$0.00 |
| 83036 |
|
4,974 |
3,967 |
$0.00 |
| D7140 |
|
237 |
100 |
$0.00 |
| 90471 |
|
3,112 |
2,790 |
$0.00 |
| 85018 |
|
7,181 |
5,473 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
3,997 |
2,907 |
$0.00 |
| 36416 |
|
1,684 |
1,391 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
1,614 |
1,415 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
952 |
768 |
$0.00 |
| 96110 |
|
2,930 |
2,461 |
$0.00 |
| 82043 |
|
1,728 |
1,374 |
$0.00 |
| 3011F |
|
211 |
193 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
4,947 |
4,165 |
$0.00 |
| 90792 |
|
5,596 |
2,987 |
$0.00 |
| 1111F |
|
3,967 |
3,282 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
4,689 |
3,204 |
$0.00 |
| 3008F |
|
6,970 |
5,969 |
$0.00 |
| 1126F |
|
4,635 |
3,841 |
$0.00 |
| 90834 |
|
7,316 |
4,380 |
$0.00 |
| 94760 |
|
326 |
245 |
$0.00 |
| 0513F |
|
13 |
13 |
$0.00 |
| 99383 |
|
238 |
232 |
$0.00 |
| 96161 |
|
750 |
653 |
$0.00 |
| 90674 |
|
158 |
147 |
$0.00 |
| G0439 |
Ppps, subseq visit |
224 |
181 |
$0.00 |
| 91306 |
|
307 |
102 |
$0.00 |
| 90688 |
|
73 |
60 |
$0.00 |
| D0120 |
|
98 |
32 |
$0.00 |
| 00000 |
|
224 |
168 |
$0.00 |
| 90686 |
|
1,265 |
1,116 |
$0.00 |
| 99406 |
|
722 |
452 |
$0.00 |
| 00111 |
|
15 |
15 |
$0.00 |
| 91301 |
|
1,989 |
986 |
$0.00 |
| 3061F |
|
213 |
198 |
$0.00 |
| 87807 |
|
556 |
485 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
634 |
242 |
$0.00 |
| 90680 |
|
89 |
85 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
116 |
103 |
$0.00 |
| 99402 |
|
94 |
86 |
$0.00 |
| D0150 |
|
84 |
53 |
$0.00 |
| 99386 |
|
46 |
45 |
$0.00 |
| 96372 |
|
46 |
38 |
$0.00 |
| 87636 |
|
456 |
368 |
$0.00 |
| 82270 |
|
27 |
25 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
190 |
146 |
$0.00 |
| 86308 |
|
687 |
581 |
$0.00 |
| 99000 |
|
332 |
286 |
$0.00 |
| 90723 |
|
28 |
26 |
$0.00 |
| 99385 |
|
99 |
95 |
$0.00 |
| 90697 |
|
43 |
40 |
$0.00 |
| T1502 |
Medication admin visit |
100 |
74 |
$0.00 |
| 99381 |
|
47 |
39 |
$0.00 |
| 2000F |
|
13 |
13 |
$0.00 |
| 90651 |
|
37 |
28 |
$0.00 |
| J2360 |
Orphenadrine injection |
32 |
27 |
$0.00 |
| 99384 |
|
53 |
48 |
$0.00 |
| 1170F |
|
50 |
42 |
$0.00 |
| D0140 |
|
13 |
13 |
$0.00 |
| 90698 |
|
44 |
44 |
$0.00 |
| 91303 |
|
224 |
118 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
12 |
12 |
$0.00 |
| 90647 |
|
13 |
12 |
$0.00 |