| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
21,542 |
18,713 |
$4.37M |
| 99213 |
|
102,046 |
96,394 |
$1.70M |
| 99214 |
|
35,455 |
33,733 |
$699K |
| 90832 |
|
3,996 |
3,007 |
$196K |
| G0467 |
Fqhc visit, estab pt |
6,498 |
5,621 |
$166K |
| 90834 |
|
2,280 |
1,632 |
$109K |
| 99391 |
|
5,184 |
5,030 |
$106K |
| 90791 |
|
991 |
986 |
$92K |
| 99212 |
|
7,574 |
7,200 |
$73K |
| 99392 |
|
3,732 |
3,715 |
$54K |
| 36415 |
|
35,341 |
34,277 |
$54K |
| 99393 |
|
2,312 |
2,309 |
$42K |
| 90837 |
|
500 |
374 |
$36K |
| 90686 |
|
4,984 |
4,940 |
$26K |
| 99203 |
|
709 |
705 |
$26K |
| 97802 |
|
381 |
380 |
$23K |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,249 |
1,141 |
$18K |
| G2023 |
Specimen collect covid-19 |
854 |
833 |
$18K |
| 90471 |
|
3,703 |
3,638 |
$17K |
| 97803 |
|
444 |
383 |
$16K |
| 81025 |
|
2,411 |
2,368 |
$14K |
| 99204 |
|
213 |
210 |
$12K |
| 99394 |
|
350 |
350 |
$10K |
| 99188 |
|
1,424 |
1,326 |
$9K |
| 87635 |
|
227 |
222 |
$9K |
| 99215 |
Prolong outpt/office vis |
150 |
147 |
$7K |
| G0101 |
Ca screen;pelvic/breast exam |
404 |
402 |
$7K |
| 90697 |
|
800 |
794 |
$6K |
| 90677 |
|
338 |
334 |
$5K |
| 99177 |
|
1,579 |
1,569 |
$4K |
| 90670 |
|
3,081 |
3,061 |
$4K |
| 99381 |
|
94 |
91 |
$4K |
| 99442 |
|
220 |
213 |
$4K |
| 83036 |
|
1,136 |
1,119 |
$4K |
| 0012A |
|
93 |
93 |
$4K |
| 36416 |
|
2,096 |
1,930 |
$3K |
| 87880 |
|
230 |
230 |
$3K |
| 91200 |
|
136 |
135 |
$3K |
| 90648 |
|
1,834 |
1,821 |
$3K |
| 54150 |
|
40 |
39 |
$3K |
| 99202 |
|
66 |
66 |
$2K |
| 90723 |
|
1,299 |
1,289 |
$2K |
| 96110 |
|
245 |
231 |
$2K |
| 80305 |
|
189 |
181 |
$2K |
| 91322 |
|
42 |
41 |
$2K |
| 0072A |
|
44 |
44 |
$2K |
| 0011A |
|
72 |
66 |
$2K |
| 90633 |
|
966 |
960 |
$2K |
| 90715 |
|
143 |
143 |
$2K |
| D1206 |
|
91 |
91 |
$1K |
| 0071A |
|
35 |
35 |
$1K |
| 90792 |
|
15 |
15 |
$1K |
| 90681 |
|
782 |
780 |
$1K |
| 99385 |
|
12 |
12 |
$1K |
| 90480 |
|
57 |
56 |
$1K |
| 0064A |
|
26 |
26 |
$1K |
| 0031A |
|
28 |
28 |
$960.00 |
| 99395 |
|
14 |
14 |
$945.78 |
| 99441 |
|
75 |
74 |
$945.75 |
| G0108 |
Diab manage trn per indiv |
26 |
24 |
$864.87 |
| 90651 |
|
180 |
177 |
$831.45 |
| 87210 |
|
236 |
234 |
$828.46 |
| 99460 |
|
12 |
12 |
$819.43 |
| 3008F |
|
76,644 |
73,015 |
$713.62 |
| 90710 |
|
486 |
485 |
$710.22 |
| 99383 |
|
12 |
12 |
$645.43 |
| 0134A |
|
15 |
15 |
$560.00 |
| 90682 |
|
12 |
12 |
$559.52 |
| 92250 |
|
42 |
40 |
$552.96 |
| 99443 |
|
13 |
13 |
$523.08 |
| 0001A |
|
13 |
13 |
$520.00 |
| 90472 |
|
234 |
234 |
$278.72 |
| 90672 |
|
37 |
37 |
$273.90 |
| 99606 |
|
85 |
85 |
$270.00 |
| 81003 |
|
152 |
150 |
$239.28 |
| 90685 |
|
136 |
136 |
$223.26 |
| 96372 |
|
44 |
40 |
$219.78 |
| 90688 |
|
107 |
107 |
$200.28 |
| 82274 |
|
12 |
12 |
$126.64 |
| 90473 |
|
12 |
12 |
$120.28 |
| 90734 |
|
46 |
46 |
$91.80 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
17 |
17 |
$64.38 |
| G0008 |
Admin influenza virus vac |
394 |
388 |
$61.38 |
| 90698 |
|
36 |
36 |
$44.10 |
| 1159F |
|
3,035 |
2,938 |
$32.21 |
| 85014 |
|
74 |
73 |
$27.66 |
| 85018 |
|
74 |
73 |
$27.66 |
| 90700 |
|
12 |
12 |
$19.69 |
| 90656 |
|
30 |
30 |
$11.92 |
| 3725F |
|
2,561 |
2,495 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
336 |
334 |
$0.00 |
| 1160F |
|
877 |
850 |
$0.00 |
| 3078F |
|
1,662 |
1,629 |
$0.00 |
| U0001 |
2019-ncov diagnostic p |
242 |
228 |
$0.00 |
| 90662 |
|
55 |
52 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
16 |
16 |
$0.00 |
| 3079F |
|
516 |
512 |
$0.00 |
| 1036F |
|
274 |
260 |
$0.00 |
| 3074F |
|
2,013 |
1,972 |
$0.00 |
| 1034F |
|
1,702 |
1,609 |
$0.00 |
| 1035F |
|
769 |
723 |
$0.00 |
| 3075F |
|
98 |
97 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
12 |
12 |
$0.00 |
| 91303 |
|
14 |
14 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 91301 |
|
15 |
15 |
$0.00 |