| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
430,702 |
367,496 |
$79.25M |
| 00003 |
|
54,639 |
51,290 |
$12.64M |
| G9012 |
Other specified case mgmt |
38,036 |
22,752 |
$1.67M |
| 0001A |
|
22,232 |
16,572 |
$1.09M |
| 0002A |
|
19,910 |
14,685 |
$988K |
| H0043 |
Supported housing, per diem |
7,922 |
7,125 |
$922K |
| G9008 |
Mccd,phys coor-care ovrsght |
30,424 |
15,726 |
$849K |
| 99213 |
|
192,938 |
171,876 |
$683K |
| 90834 |
|
18,693 |
12,072 |
$608K |
| 90791 |
|
5,370 |
3,814 |
$277K |
| 90832 |
|
10,367 |
7,145 |
$245K |
| 99214 |
|
18,415 |
16,572 |
$169K |
| T2041 |
Support broker waiver/15 min |
1,338 |
1,168 |
$160K |
| 0004A |
|
2,903 |
2,736 |
$159K |
| 99212 |
|
33,172 |
32,014 |
$52K |
| 0072A |
|
857 |
852 |
$48K |
| 0064A |
|
739 |
690 |
$43K |
| 0071A |
|
736 |
732 |
$43K |
| 92014 |
|
1,966 |
1,562 |
$39K |
| 90853 |
|
3,044 |
1,323 |
$29K |
| 92004 |
|
1,056 |
757 |
$22K |
| 99205 |
Prolong outpt/office vis |
660 |
506 |
$22K |
| 99215 |
Prolong outpt/office vis |
1,743 |
1,620 |
$20K |
| G0467 |
Fqhc visit, estab pt |
562 |
498 |
$19K |
| 0011A |
|
319 |
301 |
$19K |
| 0003A |
|
349 |
278 |
$18K |
| G9920 |
Scrning perf and negative |
28,959 |
26,911 |
$18K |
| V2020 |
Vision svcs frames purchases |
1,610 |
1,288 |
$17K |
| H2016 |
Comp comm supp svc, per diem |
1,126 |
486 |
$12K |
| 92015 |
|
3,094 |
2,332 |
$10K |
| 92341 |
|
632 |
537 |
$10K |
| 0124A |
|
123 |
123 |
$8K |
| 99202 |
|
1,866 |
1,829 |
$8K |
| 92340 |
|
871 |
664 |
$7K |
| 87491 |
|
20,198 |
19,747 |
$7K |
| 87591 |
|
20,233 |
19,421 |
$6K |
| J3490 |
Drugs unclassified injection |
299 |
274 |
$6K |
| 99203 |
|
1,037 |
1,016 |
$5K |
| 81025 |
|
6,427 |
6,259 |
$5K |
| 0031A |
|
103 |
63 |
$5K |
| 92552 |
|
15,683 |
15,409 |
$4K |
| 0012A |
|
72 |
57 |
$3K |
| 99393 |
|
4,002 |
3,951 |
$3K |
| 90651 |
|
1,475 |
1,460 |
$2K |
| 11981 |
|
24 |
15 |
$2K |
| 99392 |
|
6,214 |
6,187 |
$1K |
| 90686 |
|
8,384 |
8,317 |
$1K |
| 99394 |
|
2,749 |
2,718 |
$1K |
| 90837 |
|
36 |
25 |
$1K |
| T2040 |
Financial mgt waiver/15min |
107 |
69 |
$1K |
| 90472 |
|
96 |
96 |
$1K |
| 0082A |
|
15 |
15 |
$1K |
| 80053 |
|
33,021 |
32,504 |
$942.04 |
| 96110 |
|
3,561 |
3,427 |
$925.60 |
| D4341 |
|
612 |
494 |
$848.85 |
| 0013A |
|
12 |
12 |
$804.00 |
| 0081A |
|
28 |
28 |
$670.00 |
| G9919 |
Scrn nd pos nd prov of rec |
121 |
104 |
$667.00 |
| A4267 |
Male condom |
56 |
56 |
$568.63 |
| 99000 |
|
22,346 |
21,578 |
$506.85 |
| 80061 |
|
15,130 |
14,828 |
$459.06 |
| D9999 |
|
412 |
329 |
$432.00 |
| D0120 |
|
1,131 |
1,083 |
$405.00 |
| 90734 |
|
943 |
933 |
$393.00 |
| 99391 |
|
5,403 |
5,352 |
$383.13 |
| 90633 |
|
2,746 |
2,734 |
$335.16 |
| 58300 |
|
23 |
12 |
$330.12 |
| 90715 |
|
1,911 |
1,901 |
$256.29 |
| D0220 |
|
1,759 |
1,554 |
$235.00 |
| D1110 |
|
391 |
377 |
$234.50 |
| 83655 |
|
3,498 |
3,410 |
$212.49 |
| D0210 |
|
547 |
515 |
$197.00 |
| D4910 |
|
146 |
140 |
$185.00 |
| D0230 |
|
4,129 |
1,142 |
$182.70 |
| 86703 |
|
66 |
64 |
$167.47 |
| 92250 |
|
1,354 |
1,329 |
$153.67 |
| D1320 |
|
435 |
325 |
$142.50 |
| D0140 |
|
1,407 |
858 |
$138.60 |
| D0150 |
|
342 |
329 |
$118.00 |
| D9430 |
|
325 |
243 |
$110.00 |
| G0444 |
Depression screen annual |
12,014 |
10,657 |
$109.99 |
| 99395 |
|
475 |
473 |
$102.90 |
| 85018 |
|
8,679 |
8,496 |
$99.38 |
| 99381 |
|
167 |
165 |
$95.19 |
| D1310 |
|
6,252 |
4,375 |
$92.00 |
| D0274 |
|
488 |
470 |
$84.60 |
| 99188 |
|
1,204 |
1,200 |
$71.82 |
| 3074F |
|
74,954 |
69,562 |
$68.93 |
| 99201 |
|
167 |
165 |
$68.47 |
| D1120 |
|
388 |
387 |
$67.50 |
| 99442 |
|
6,960 |
6,091 |
$54.88 |
| 99396 |
|
538 |
537 |
$47.03 |
| D7140 |
|
21 |
12 |
$45.10 |
| 96127 |
|
771 |
758 |
$43.29 |
| 81001 |
|
20,997 |
15,807 |
$42.11 |
| 99173 |
|
18,058 |
17,789 |
$34.63 |
| 99441 |
|
2,910 |
2,736 |
$33.40 |
| D1208 |
|
450 |
448 |
$31.00 |
| D0603 |
|
2,267 |
1,785 |
$30.00 |
| D2391 |
|
211 |
149 |
$30.00 |
| 82274 |
|
843 |
837 |
$29.54 |
| 83036 |
|
447 |
438 |
$28.81 |
| 82947 |
|
3,976 |
3,864 |
$27.46 |
| 82043 |
|
875 |
871 |
$22.36 |
| 82570 |
|
875 |
871 |
$20.24 |
| 90688 |
|
1,677 |
1,674 |
$19.17 |
| 90670 |
|
2,644 |
2,628 |
$17.91 |
| 36415 |
|
15,279 |
15,102 |
$17.00 |
| D0350 |
|
1,874 |
1,017 |
$16.80 |
| 86780 |
|
13 |
12 |
$11.40 |
| 90716 |
|
912 |
909 |
$9.00 |
| 85049 |
|
1,615 |
1,583 |
$3.77 |
| 90611 |
|
140 |
139 |
$1.28 |
| D0602 |
|
813 |
674 |
$1.00 |
| 0501F |
|
2,462 |
2,401 |
$0.00 |
| 3080F |
|
821 |
786 |
$0.00 |
| Z1032 |
|
2,323 |
2,241 |
$0.00 |
| 90723 |
|
720 |
715 |
$0.00 |
| V2100 |
Lens spher single plano 4.00 |
176 |
176 |
$0.00 |
| 3079F |
|
6,466 |
6,301 |
$0.00 |
| Z1034 |
|
17,368 |
13,011 |
$0.00 |
| 82270 |
|
743 |
736 |
$0.00 |
| 3008F |
|
15,388 |
14,843 |
$0.00 |
| 76815 |
|
129 |
127 |
$0.00 |
| 90697 |
|
2,770 |
2,762 |
$0.00 |
| D1330 |
|
5,015 |
3,784 |
$0.00 |
| Z6410 |
|
18,842 |
11,325 |
$0.00 |
| 3075F |
|
3,594 |
3,532 |
$0.00 |
| INPOS |
|
3,639 |
3,564 |
$0.00 |
| 90647 |
|
803 |
801 |
$0.00 |
| 90677 |
|
2,468 |
2,461 |
$0.00 |
| 96161 |
|
133 |
133 |
$0.00 |
| H0002 |
Alcohol and/or drug screenin |
1,672 |
1,589 |
$0.00 |
| 88720 |
|
106 |
90 |
$0.00 |
| Z6404 |
|
1,412 |
1,411 |
$0.00 |
| 1170F |
|
239 |
238 |
$0.00 |
| 0503F |
|
188 |
184 |
$0.00 |
| D1206 |
|
129 |
123 |
$0.00 |
| 94760 |
|
137 |
137 |
$0.00 |
| 82105 |
|
301 |
300 |
$0.00 |
| D0999 |
|
804 |
536 |
$0.00 |
| 87529 |
|
73 |
73 |
$0.00 |
| 2033F |
|
684 |
663 |
$0.00 |
| 99384 |
|
150 |
150 |
$0.00 |
| D9995 |
|
370 |
361 |
$0.00 |
| 90656 |
|
287 |
287 |
$0.00 |
| 1111F |
|
914 |
895 |
$0.00 |
| 90696 |
|
121 |
121 |
$0.00 |
| 91307 |
|
363 |
362 |
$0.00 |
| 90620 |
|
25 |
25 |
$0.00 |
| D0170 |
|
30 |
18 |
$0.00 |
| V2784 |
Lens polycarb or equal |
46 |
46 |
$0.00 |
| Z6402 |
|
220 |
220 |
$0.00 |
| 76817 |
|
32 |
31 |
$0.00 |
| Z1038 |
|
189 |
184 |
$0.00 |
| H0033 |
Oral med adm direct observe |
60 |
56 |
$0.00 |
| 80048 |
|
29 |
29 |
$0.00 |
| V2200 |
Lens spher bifoc plano 4.00d |
39 |
39 |
$0.00 |
| 90680 |
|
27 |
27 |
$0.00 |
| 91318 |
|
26 |
26 |
$0.00 |
| J3420 |
Vitamin b12 injection |
219 |
211 |
$0.00 |
| 0500F |
|
445 |
444 |
$0.00 |
| 97802 |
|
64 |
64 |
$0.00 |
| 90744 |
|
30 |
30 |
$0.00 |
| 87807 |
|
16 |
16 |
$0.00 |
| 99383 |
|
53 |
53 |
$0.00 |
| 1126F |
|
27 |
27 |
$0.00 |
| G0439 |
Ppps, subseq visit |
29 |
29 |
$0.00 |
| 91315 |
|
47 |
46 |
$0.00 |
| 91317 |
|
28 |
28 |
$0.00 |
| 6WKFU |
|
17 |
17 |
$0.00 |
| 90381 |
|
35 |
35 |
$0.00 |
| 1125F |
|
16 |
15 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| D4342 |
|
13 |
13 |
$0.00 |
| Z6202 |
|
2,871 |
2,856 |
$0.00 |
| 3078F |
|
84,133 |
78,447 |
$0.00 |
| 3077F |
|
7,361 |
7,085 |
$0.00 |
| 0502F |
|
17,246 |
12,905 |
$0.00 |
| D9993 |
|
1,257 |
1,200 |
$0.00 |
| 91300 |
|
1,177 |
1,148 |
$0.00 |
| H0050 |
Alcohol/drug service 15 min |
2,118 |
2,059 |
$0.00 |
| 87880 |
|
65 |
65 |
$0.00 |
| Z6414 |
|
1,067 |
719 |
$0.00 |
| 1160F |
|
917 |
881 |
$0.00 |
| 90700 |
|
177 |
172 |
$0.00 |
| 90681 |
|
1,195 |
1,192 |
$0.00 |
| 90710 |
|
316 |
314 |
$0.00 |
| Z6200 |
|
1,481 |
1,478 |
$0.00 |
| Z6400 |
|
3,534 |
3,526 |
$0.00 |
| Z6500 |
|
597 |
596 |
$0.00 |
| 81420 |
|
436 |
428 |
$0.00 |
| Z6302 |
|
1,507 |
1,505 |
$0.00 |
| 1158F |
|
230 |
229 |
$0.00 |
| 99211 |
|
400 |
392 |
$0.00 |
| Z6300 |
|
242 |
242 |
$0.00 |
| D0270 |
|
119 |
108 |
$0.00 |
| 91312 |
|
95 |
91 |
$0.00 |
| 1WKFU |
|
385 |
376 |
$0.00 |
| 92100 |
|
338 |
336 |
$0.00 |
| 90707 |
|
445 |
443 |
$0.00 |
| 87804 |
|
273 |
272 |
$0.00 |
| 90746 |
|
187 |
186 |
$0.00 |
| 2026F |
|
193 |
189 |
$0.00 |
| 2WKFU |
|
246 |
242 |
$0.00 |
| 1159F |
|
239 |
238 |
$0.00 |
| 99204 |
|
38 |
38 |
$0.00 |
| 2022F |
|
61 |
61 |
$0.00 |
| J7040 |
Normal saline solution infus |
40 |
40 |
$0.00 |
| D2140 |
|
83 |
66 |
$0.00 |
| M0239 |
Bamlanivimab-xxxx infusion |
40 |
40 |
$0.00 |
| Z6208 |
|
71 |
71 |
$0.00 |
| D2150 |
|
75 |
64 |
$0.00 |
| Z6308 |
|
15 |
15 |
$0.00 |
| 90380 |
|
13 |
13 |
$0.00 |
| LTFUP |
|
13 |
13 |
$0.00 |
| G0438 |
Ppps, initial visit |
13 |
13 |
$0.00 |
| 3046F |
|
47 |
47 |
$0.00 |
| 90713 |
|
16 |
16 |
$0.00 |