| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
67,743 |
56,846 |
$6.49M |
| 99213 |
|
51,218 |
31,832 |
$56K |
| G0467 |
Fqhc visit, estab pt |
1,739 |
1,462 |
$44K |
| 99212 |
|
22,082 |
14,804 |
$42K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
827 |
827 |
$11K |
| G9920 |
Scrning perf and negative |
2,632 |
1,735 |
$5K |
| 99214 |
|
3,098 |
2,075 |
$1K |
| J3490 |
Drugs unclassified injection |
202 |
152 |
$858.00 |
| 81025 |
|
1,915 |
1,404 |
$693.20 |
| 99396 |
|
303 |
210 |
$490.66 |
| 99395 |
|
182 |
124 |
$222.51 |
| 99394 |
|
343 |
240 |
$207.44 |
| 90686 |
|
1,609 |
1,436 |
$183.72 |
| 87880 |
|
1,440 |
874 |
$158.62 |
| 92551 |
|
2,441 |
1,765 |
$141.76 |
| 83036 |
|
2,515 |
1,758 |
$136.58 |
| 81002 |
|
3,969 |
2,719 |
$93.26 |
| 87804 |
|
623 |
407 |
$78.50 |
| 99173 |
|
4,791 |
3,372 |
$75.16 |
| 82962 |
|
4,678 |
3,196 |
$60.78 |
| 90471 |
|
1,299 |
1,019 |
$48.11 |
| 99393 |
|
134 |
109 |
$43.41 |
| 85018 |
|
4,458 |
3,200 |
$40.96 |
| 90715 |
|
110 |
104 |
$36.73 |
| 90688 |
|
618 |
334 |
$32.63 |
| 90658 |
|
21 |
13 |
$22.70 |
| G8510 |
Scr dep neg, no plan reqd |
25,232 |
13,770 |
$3.20 |
| G2023 |
Specimen collect covid-19 |
184 |
109 |
$0.02 |
| 3074F |
|
4,372 |
2,620 |
$0.00 |
| G9226 |
3 comp foot exam completed |
317 |
220 |
$0.00 |
| 3075F |
|
502 |
308 |
$0.00 |
| 3079F |
|
835 |
490 |
$0.00 |
| 96372 |
|
112 |
70 |
$0.00 |
| G0439 |
Ppps, subseq visit |
632 |
614 |
$0.00 |
| 3044F |
|
151 |
102 |
$0.00 |
| Z1034 |
|
66 |
49 |
$0.00 |
| 90651 |
|
63 |
49 |
$0.00 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$0.00 |
| 3078F |
|
5,601 |
3,415 |
$0.00 |
| 3077F |
|
625 |
394 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
152 |
85 |
$0.00 |
| 90734 |
|
54 |
37 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
12 |
12 |
$0.00 |
| 90472 |
|
13 |
13 |
$0.00 |
| 90832 |
|
13 |
13 |
$0.00 |
| Z6400 |
|
15 |
15 |
$0.00 |
| H1003 |
Prenatal at risk education |
12 |
12 |
$0.00 |