| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
320,534 |
258,157 |
$49.53M |
| 00003 |
|
100,409 |
88,397 |
$23.57M |
| 99213 |
|
240,088 |
154,514 |
$1.15M |
| 99214 |
|
92,927 |
64,952 |
$904K |
| 90834 |
|
15,976 |
6,726 |
$384K |
| 99203 |
|
8,696 |
6,479 |
$304K |
| 92004 |
|
11,967 |
8,534 |
$297K |
| H1001 |
Antepartum management |
3,874 |
2,905 |
$245K |
| 99204 |
|
6,500 |
5,022 |
$210K |
| 90837 |
|
7,492 |
3,069 |
$184K |
| 59425 |
|
1,785 |
1,192 |
$109K |
| 98941 |
|
15,496 |
8,027 |
$105K |
| 90792 |
|
1,318 |
808 |
$97K |
| 99212 |
|
19,999 |
13,464 |
$91K |
| 20552 |
|
1,583 |
969 |
$67K |
| 92015 |
|
16,069 |
11,013 |
$67K |
| 20553 |
|
1,732 |
990 |
$64K |
| 99391 |
|
7,621 |
4,929 |
$57K |
| 98940 |
|
5,747 |
2,936 |
$52K |
| 90686 |
|
5,387 |
3,446 |
$49K |
| 92014 |
|
3,009 |
2,067 |
$46K |
| 96372 |
|
5,040 |
3,244 |
$45K |
| 90715 |
|
2,830 |
1,850 |
$40K |
| 90648 |
|
7,043 |
4,493 |
$38K |
| 87635 |
|
1,303 |
759 |
$37K |
| 90670 |
|
6,296 |
3,984 |
$35K |
| 87651 |
|
1,856 |
1,065 |
$32K |
| 90723 |
|
5,411 |
3,477 |
$29K |
| 90832 |
|
1,646 |
992 |
$28K |
| 90633 |
|
4,828 |
2,997 |
$28K |
| S9445 |
Pt education noc individ |
708 |
569 |
$27K |
| 0241U |
|
294 |
197 |
$27K |
| 99244 |
|
328 |
181 |
$24K |
| 99215 |
Prolong outpt/office vis |
1,172 |
869 |
$24K |
| 93306 |
|
330 |
330 |
$23K |
| 0012A |
|
424 |
223 |
$22K |
| 90791 |
|
303 |
192 |
$22K |
| 0002A |
|
389 |
204 |
$21K |
| 0001A |
|
384 |
206 |
$20K |
| 92133 |
|
1,106 |
827 |
$19K |
| 90707 |
|
1,241 |
835 |
$19K |
| 11721 |
|
2,004 |
1,788 |
$17K |
| 90651 |
|
2,082 |
1,340 |
$16K |
| J3420 |
Vitamin b12 injection |
4,514 |
2,764 |
$16K |
| 99392 |
|
9,894 |
6,024 |
$15K |
| 80305 |
|
2,145 |
1,701 |
$15K |
| 0064A |
|
272 |
149 |
$15K |
| 99283 |
|
12,071 |
11,156 |
$14K |
| 87502 |
|
299 |
185 |
$13K |
| 90710 |
|
2,219 |
1,356 |
$12K |
| 90716 |
|
1,569 |
1,028 |
$12K |
| 90688 |
|
1,073 |
647 |
$11K |
| 90746 |
|
204 |
150 |
$11K |
| 83655 |
|
1,680 |
982 |
$11K |
| 90677 |
|
878 |
618 |
$11K |
| 0011A |
|
200 |
106 |
$10K |
| 99381 |
|
462 |
329 |
$10K |
| 99309 |
|
1,510 |
1,361 |
$10K |
| 90680 |
|
1,692 |
1,149 |
$9K |
| 90685 |
|
1,653 |
1,010 |
$9K |
| 0004A |
|
160 |
102 |
$9K |
| 92012 |
|
314 |
306 |
$9K |
| H1003 |
Prenatal at risk education |
351 |
335 |
$9K |
| 90700 |
|
1,515 |
924 |
$9K |
| 0071A |
|
155 |
83 |
$8K |
| 90696 |
|
1,379 |
854 |
$8K |
| 90734 |
|
1,334 |
805 |
$8K |
| J3490 |
Drugs unclassified injection |
873 |
792 |
$7K |
| G2025 |
Dis site tele svcs rhc/fqhc |
117 |
112 |
$7K |
| 99393 |
|
4,802 |
2,852 |
$7K |
| 99394 |
|
2,840 |
1,665 |
$6K |
| 94640 |
|
525 |
411 |
$6K |
| 90750 |
|
54 |
43 |
$5K |
| 93005 |
|
271 |
263 |
$5K |
| 90656 |
|
367 |
366 |
$5K |
| 90681 |
|
954 |
625 |
$5K |
| 83036 |
|
1,052 |
740 |
$5K |
| 92134 |
|
1,013 |
936 |
$4K |
| 0072A |
|
81 |
56 |
$4K |
| 92002 |
|
81 |
81 |
$4K |
| 99202 |
|
635 |
458 |
$4K |
| 90732 |
|
59 |
54 |
$4K |
| 87804 |
|
704 |
347 |
$3K |
| 81025 |
|
1,454 |
981 |
$3K |
| 99243 |
|
45 |
31 |
$3K |
| 93000 |
|
68 |
68 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
188 |
162 |
$3K |
| 90649 |
|
424 |
261 |
$2K |
| 90833 |
|
53 |
38 |
$2K |
| 99201 |
|
520 |
520 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
177 |
98 |
$2K |
| 85018 |
|
20,020 |
12,238 |
$2K |
| 69210 |
|
147 |
106 |
$2K |
| 92083 |
|
106 |
83 |
$2K |
| 99386 |
|
12 |
12 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
107 |
89 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
117 |
104 |
$1K |
| 93016 |
|
42 |
42 |
$1K |
| 90672 |
|
330 |
211 |
$1K |
| 90658 |
|
151 |
151 |
$1K |
| 88720 |
|
482 |
242 |
$1K |
| 87880 |
|
2,822 |
2,085 |
$1K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
342 |
330 |
$1K |
| 11056 |
|
43 |
25 |
$1K |
| 81000 |
|
7,741 |
5,009 |
$1K |
| 93018 |
|
42 |
42 |
$1K |
| 99401 |
|
65 |
44 |
$1K |
| 81003 |
|
886 |
558 |
$1K |
| 90471 |
|
2,658 |
2,537 |
$1K |
| 92553 |
|
1,191 |
812 |
$1K |
| 99307 |
|
1,196 |
1,169 |
$1K |
| 93350 |
|
14 |
14 |
$941.92 |
| 90660 |
|
132 |
90 |
$792.00 |
| 87807 |
|
158 |
86 |
$702.74 |
| 90657 |
|
80 |
68 |
$603.00 |
| 96127 |
|
390 |
298 |
$500.24 |
| 99205 |
Prolong outpt/office vis |
78 |
75 |
$483.27 |
| 90674 |
|
34 |
26 |
$477.62 |
| 99460 |
|
16 |
13 |
$436.13 |
| 92250 |
|
137 |
116 |
$417.98 |
| 99383 |
|
99 |
54 |
$383.81 |
| 90687 |
|
66 |
39 |
$360.00 |
| 90713 |
|
50 |
27 |
$261.00 |
| 90644 |
|
24 |
23 |
$207.00 |
| 81002 |
|
1,875 |
1,101 |
$202.96 |
| 17999 |
|
117 |
112 |
$159.65 |
| 99211 |
|
65 |
65 |
$144.00 |
| 95117 |
|
25 |
12 |
$113.40 |
| 92551 |
|
396 |
243 |
$111.18 |
| 90744 |
|
23 |
12 |
$108.00 |
| 90472 |
|
85 |
82 |
$75.82 |
| 99499 |
|
95 |
94 |
$66.75 |
| 82948 |
|
214 |
204 |
$35.59 |
| 86580 |
|
162 |
148 |
$26.88 |
| 99070 |
|
361 |
360 |
$15.00 |
| J7613 |
Albuterol non-comp unit |
77 |
46 |
$2.08 |
| G0008 |
Admin influenza virus vac |
57 |
57 |
$0.00 |
| Z1034 |
|
3,920 |
3,069 |
$0.00 |
| 99308 |
|
88 |
84 |
$0.00 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
74 |
74 |
$0.00 |
| Z1032 |
|
26 |
25 |
$0.00 |
| Z6410 |
|
260 |
221 |
$0.00 |
| 99443 |
|
54 |
54 |
$0.00 |
| Z6402 |
|
24 |
24 |
$0.00 |
| 90694 |
|
16 |
16 |
$0.00 |
| Z7500 |
|
12 |
12 |
$0.00 |
| Z6400 |
|
193 |
192 |
$0.00 |
| 99173 |
|
60 |
60 |
$0.00 |
| 99395 |
|
58 |
31 |
$0.00 |
| 99442 |
|
112 |
110 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
16 |
16 |
$0.00 |
| G0127 |
Trim nail(s) |
151 |
151 |
$0.00 |
| 99396 |
|
12 |
12 |
$0.00 |
| 90661 |
|
36 |
36 |
$0.00 |