| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
110,748 |
89,165 |
$25.07M |
| 99214 |
|
42,640 |
37,380 |
$991K |
| 99213 |
|
41,314 |
36,617 |
$904K |
| 87880 |
|
26,337 |
24,687 |
$132K |
| 99215 |
Prolong outpt/office vis |
3,360 |
3,184 |
$114K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
3,885 |
3,847 |
$90K |
| 81002 |
|
2,413 |
2,296 |
$63K |
| 99203 |
|
2,266 |
2,247 |
$58K |
| 80305 |
|
1,847 |
1,725 |
$37K |
| 83036 |
|
1,553 |
1,529 |
$29K |
| 87804 |
|
4,379 |
4,221 |
$26K |
| 96127 |
|
6,775 |
6,423 |
$21K |
| 96372 |
|
4,189 |
3,881 |
$20K |
| 99204 |
|
1,933 |
1,915 |
$19K |
| 81025 |
|
784 |
763 |
$16K |
| 91300 |
|
96 |
94 |
$16K |
| J1885 |
Ketorolac tromethamine inj |
1,712 |
1,601 |
$13K |
| 87428 |
|
20,216 |
18,877 |
$9K |
| 91301 |
|
95 |
94 |
$9K |
| 20553 |
|
1,231 |
1,142 |
$8K |
| G0444 |
Depression screen annual |
1,283 |
1,231 |
$6K |
| J8499 |
Oral prescrip drug non chemo |
503 |
448 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
549 |
536 |
$6K |
| 20610 |
|
303 |
262 |
$5K |
| 90686 |
|
224 |
222 |
$5K |
| 99308 |
|
203 |
135 |
$3K |
| 99212 |
|
559 |
548 |
$3K |
| 2014F |
|
863 |
834 |
$3K |
| 99490 |
Ccm add 20min |
115 |
109 |
$3K |
| 99309 |
|
17 |
12 |
$3K |
| J2930 |
Methylprednisolone injection |
521 |
493 |
$2K |
| 86580 |
|
28 |
26 |
$2K |
| 90633 |
|
86 |
85 |
$2K |
| J1030 |
Methylprednisolone 40 mg inj |
2,166 |
1,947 |
$2K |
| 90656 |
|
58 |
58 |
$2K |
| 95886 |
|
12 |
12 |
$2K |
| 87426 |
|
2,912 |
2,763 |
$2K |
| 90756 |
|
56 |
56 |
$1K |
| 90677 |
|
92 |
92 |
$1K |
| 90471 |
|
215 |
208 |
$1K |
| G0447 |
Behavior counsel obesity 15m |
833 |
738 |
$1K |
| 90734 |
|
74 |
74 |
$1K |
| J2405 |
Ondansetron hcl injection |
103 |
102 |
$1K |
| 90651 |
|
90 |
89 |
$883.36 |
| 90696 |
|
33 |
31 |
$790.23 |
| G2025 |
Dis site tele svcs rhc/fqhc |
37 |
36 |
$786.12 |
| 96160 |
|
69 |
67 |
$735.28 |
| J2919 |
Inj, methylpred sod succ 5mg |
98 |
90 |
$600.83 |
| 99202 |
|
41 |
41 |
$595.93 |
| 90460 |
|
1,686 |
1,671 |
$588.14 |
| 96360 |
|
93 |
87 |
$550.95 |
| 99205 |
Prolong outpt/office vis |
84 |
83 |
$535.98 |
| 99406 |
|
771 |
732 |
$526.27 |
| 3288F |
|
53 |
52 |
$495.16 |
| 95251 |
|
284 |
268 |
$408.10 |
| G0438 |
Ppps, initial visit |
12 |
12 |
$384.01 |
| 99385 |
|
19 |
19 |
$367.23 |
| 87807 |
|
276 |
271 |
$340.46 |
| 99395 |
|
131 |
129 |
$307.80 |
| J1010 |
Inj, methylpred acetate 1 mg |
358 |
314 |
$289.47 |
| J2360 |
Orphenadrine injection |
471 |
440 |
$279.12 |
| A7003 |
Nebulizer administration set |
83 |
83 |
$256.66 |
| 90833 |
|
15 |
15 |
$208.89 |
| 0011A |
|
121 |
121 |
$207.95 |
| 99393 |
|
409 |
409 |
$203.14 |
| 0012A |
|
111 |
111 |
$195.88 |
| 90715 |
|
53 |
53 |
$164.13 |
| 96365 |
|
12 |
12 |
$106.25 |
| 90694 |
|
17 |
17 |
$104.82 |
| 90661 |
|
13 |
13 |
$91.67 |
| J0561 |
Penicillin g benzathine inj |
46 |
27 |
$82.82 |
| 90710 |
|
15 |
15 |
$78.89 |
| 4450F |
|
20 |
19 |
$29.20 |
| 90832 |
|
19 |
19 |
$14.90 |
| 20552 |
|
13 |
13 |
$11.75 |
| J7620 |
Albuterol ipratrop non-comp |
27 |
27 |
$8.45 |
| 94640 |
|
25 |
25 |
$7.42 |
| J7030 |
Normal saline solution infus |
89 |
84 |
$2.57 |
| J1100 |
Dexamethasone sodium phos |
13 |
13 |
$0.15 |
| G8431 |
Pos clin depres scrn f/u doc |
325 |
321 |
$0.00 |
| 90461 |
|
1,109 |
1,102 |
$0.00 |
| 99442 |
|
14 |
14 |
$0.00 |
| 3725F |
|
58 |
58 |
$0.00 |
| 99392 |
|
526 |
524 |
$0.00 |
| 99391 |
|
172 |
164 |
$0.00 |
| 0002A |
|
290 |
290 |
$0.00 |
| 99394 |
|
212 |
212 |
$0.00 |
| 90671 |
|
94 |
94 |
$0.00 |
| 0003A |
|
56 |
56 |
$0.00 |
| 99396 |
|
90 |
86 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
19 |
19 |
$0.00 |
| 86756 |
|
97 |
95 |
$0.00 |
| 0013A |
|
33 |
33 |
$0.00 |
| G9509 |
Adit mdd dys rem 12 mnths |
98 |
94 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
17 |
17 |
$0.00 |
| 0071A |
|
13 |
13 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 0001A |
|
202 |
201 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
79 |
79 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
896 |
866 |
$0.00 |
| G9717 |
Doc pt dx bipol |
13 |
12 |
$0.00 |
| 87635 |
|
13 |
13 |
$0.00 |
| J3480 |
Inj potassium chloride |
13 |
12 |
$0.00 |
| 96361 |
|
18 |
17 |
$0.00 |
| 1101F |
|
45 |
43 |
$0.00 |