| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
65,195 |
47,866 |
$17.07M |
| T1016 |
Case management |
682 |
496 |
$10K |
| 99213 |
|
33,354 |
22,672 |
$3K |
| 99394 |
|
585 |
343 |
$2K |
| 99214 |
|
20,697 |
15,112 |
$1K |
| 99391 |
|
2,216 |
1,358 |
$1K |
| 99203 |
|
3,161 |
2,438 |
$1K |
| 99212 |
|
4,060 |
3,561 |
$700.00 |
| 99393 |
|
982 |
592 |
$447.00 |
| 99202 |
|
214 |
205 |
$320.00 |
| 80053 |
|
7,967 |
7,497 |
$277.08 |
| 90472 |
|
2,464 |
2,214 |
$171.03 |
| 86480 |
|
223 |
219 |
$126.28 |
| 96150 |
|
65 |
32 |
$90.00 |
| 93005 |
|
703 |
654 |
$81.35 |
| 99204 |
|
1,822 |
1,503 |
$34.54 |
| 90471 |
|
5,591 |
5,073 |
$33.98 |
| 90685 |
|
83 |
78 |
$15.59 |
| 36415 |
|
13,742 |
12,298 |
$0.00 |
| 85025 |
|
7,444 |
6,956 |
$0.00 |
| 77063 |
|
125 |
123 |
$0.00 |
| 87389 |
|
1,403 |
1,322 |
$0.00 |
| 86803 |
|
418 |
381 |
$0.00 |
| 82043 |
|
934 |
889 |
$0.00 |
| 3075F |
|
563 |
543 |
$0.00 |
| D0120 |
|
62 |
37 |
$0.00 |
| 84443 |
|
5,323 |
4,974 |
$0.00 |
| 83036 |
|
6,097 |
5,765 |
$0.00 |
| 96372 |
|
377 |
339 |
$0.00 |
| 82607 |
|
511 |
478 |
$0.00 |
| 87340 |
|
37 |
37 |
$0.00 |
| 90686 |
|
1,411 |
1,357 |
$0.00 |
| 81001 |
|
668 |
593 |
$0.00 |
| 90680 |
|
185 |
169 |
$0.00 |
| D0140 |
|
693 |
483 |
$0.00 |
| 86592 |
|
1,048 |
998 |
$0.00 |
| 82746 |
|
217 |
204 |
$0.00 |
| 87591 |
|
1,861 |
1,701 |
$0.00 |
| 90834 |
|
396 |
267 |
$0.00 |
| 85027 |
|
588 |
528 |
$0.00 |
| 1126F |
|
1,997 |
1,889 |
$0.00 |
| 3079F |
|
937 |
879 |
$0.00 |
| 87086 |
|
750 |
691 |
$0.00 |
| H0004 |
Alcohol and/or drug services |
5,728 |
2,812 |
$0.00 |
| 82306 |
|
3,053 |
2,876 |
$0.00 |
| 1125F |
|
632 |
603 |
$0.00 |
| 87536 |
|
490 |
456 |
$0.00 |
| 90697 |
|
180 |
171 |
$0.00 |
| 90792 |
|
202 |
159 |
$0.00 |
| 86780 |
|
474 |
398 |
$0.00 |
| 3074F |
|
2,076 |
1,937 |
$0.00 |
| 90474 |
|
232 |
205 |
$0.00 |
| H0025 |
Alcohol and/or drug preventi |
843 |
526 |
$0.00 |
| 3080F |
|
305 |
290 |
$0.00 |
| D0230 |
|
36 |
26 |
$0.00 |
| 80048 |
|
132 |
121 |
$0.00 |
| 90674 |
|
349 |
286 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
184 |
180 |
$0.00 |
| 90656 |
|
109 |
82 |
$0.00 |
| 90723 |
|
202 |
174 |
$0.00 |
| D1208 |
|
135 |
90 |
$0.00 |
| 90732 |
|
26 |
26 |
$0.00 |
| 87624 |
|
129 |
118 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
64 |
60 |
$0.00 |
| 87801 |
|
238 |
204 |
$0.00 |
| 83550 |
|
83 |
79 |
$0.00 |
| D7140 |
|
226 |
98 |
$0.00 |
| 87635 |
|
91 |
90 |
$0.00 |
| 82728 |
|
130 |
119 |
$0.00 |
| 83001 |
|
12 |
12 |
$0.00 |
| 87430 |
|
48 |
45 |
$0.00 |
| 0064A |
|
29 |
26 |
$0.00 |
| 0031A |
|
24 |
19 |
$0.00 |
| 3044F |
|
27 |
27 |
$0.00 |
| 99385 |
|
47 |
25 |
$0.00 |
| 0012A |
|
15 |
15 |
$0.00 |
| 99381 |
|
24 |
14 |
$0.00 |
| 87651 |
|
31 |
31 |
$0.00 |
| 0011A |
|
12 |
12 |
$0.00 |
| 84270 |
|
13 |
13 |
$0.00 |
| 99384 |
|
20 |
12 |
$0.00 |
| 0241U |
|
15 |
15 |
$0.00 |
| 87491 |
|
1,862 |
1,702 |
$0.00 |
| 82570 |
|
1,015 |
958 |
$0.00 |
| 82274 |
|
153 |
136 |
$0.00 |
| 90715 |
|
369 |
357 |
$0.00 |
| D0270 |
|
42 |
27 |
$0.00 |
| 3077F |
|
441 |
419 |
$0.00 |
| D1110 |
|
15 |
13 |
$0.00 |
| 90837 |
|
1,339 |
608 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
162 |
158 |
$0.00 |
| 86360 |
|
500 |
468 |
$0.00 |
| 90832 |
|
848 |
531 |
$0.00 |
| 80061 |
|
6,299 |
5,948 |
$0.00 |
| 3078F |
|
1,803 |
1,691 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
1,382 |
1,242 |
$0.00 |
| 1159F |
|
4,482 |
3,871 |
$0.00 |
| 84439 |
|
315 |
298 |
$0.00 |
| D0330 |
|
131 |
101 |
$0.00 |
| 86359 |
|
500 |
468 |
$0.00 |
| 99392 |
|
1,497 |
879 |
$0.00 |
| 85007 |
|
588 |
528 |
$0.00 |
| 81003 |
|
1,573 |
1,348 |
$0.00 |
| 90670 |
|
548 |
498 |
$0.00 |
| 1160F |
|
3,922 |
3,566 |
$0.00 |
| H2027 |
Psychoed svc, per 15 min |
816 |
573 |
$0.00 |
| 90648 |
|
435 |
391 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
399 |
171 |
$0.00 |
| D0220 |
|
897 |
665 |
$0.00 |
| 81025 |
|
702 |
642 |
$0.00 |
| 80074 |
|
388 |
367 |
$0.00 |
| 85610 |
|
75 |
65 |
$0.00 |
| 88175 |
|
524 |
461 |
$0.00 |
| 86703 |
|
166 |
163 |
$0.00 |
| H2014 |
Skills train and dev, 15 min |
109 |
80 |
$0.00 |
| 90671 |
|
108 |
101 |
$0.00 |
| C9803 |
Hopd covid-19 spec collect |
204 |
201 |
$0.00 |
| 90681 |
|
52 |
42 |
$0.00 |
| 77067 |
|
131 |
129 |
$0.00 |
| 83540 |
|
97 |
93 |
$0.00 |
| H0031 |
Mh health assess by non-md |
62 |
57 |
$0.00 |
| G0101 |
Ca screen;pelvic/breast exam |
341 |
155 |
$0.00 |
| 90633 |
|
70 |
55 |
$0.00 |
| 99395 |
|
93 |
53 |
$0.00 |
| 87631 |
|
43 |
43 |
$0.00 |
| 99396 |
|
32 |
12 |
$0.00 |
| 83655 |
|
31 |
25 |
$0.00 |
| 82652 |
|
20 |
17 |
$0.00 |
| 80307 |
|
48 |
38 |
$0.00 |
| 90791 |
|
21 |
13 |
$0.00 |
| 84403 |
|
13 |
13 |
$0.00 |
| 90649 |
|
17 |
15 |
$0.00 |
| 91322 |
|
16 |
12 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
13 |
12 |
$0.00 |