| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
69,439 |
53,937 |
$19.55M |
| T1016 |
Case management |
657 |
564 |
$14K |
| 99213 |
|
48,473 |
30,969 |
$14K |
| 99214 |
|
31,170 |
21,718 |
$7K |
| 99203 |
|
3,950 |
3,219 |
$2K |
| 99204 |
|
2,662 |
2,188 |
$1K |
| H0004 |
Alcohol and/or drug services |
1,040 |
556 |
$824.87 |
| 90832 |
|
1,861 |
1,018 |
$709.06 |
| 99202 |
|
929 |
835 |
$549.77 |
| 99212 |
|
2,197 |
1,968 |
$535.27 |
| 87635 |
|
613 |
602 |
$451.31 |
| 0064A |
|
101 |
90 |
$326.00 |
| 99392 |
|
435 |
251 |
$295.37 |
| H2014 |
Skills train and dev, 15 min |
1,734 |
1,380 |
$283.88 |
| 90471 |
|
8,118 |
7,333 |
$102.29 |
| 90686 |
|
3,010 |
2,877 |
$99.34 |
| 99396 |
|
558 |
316 |
$81.97 |
| 0012A |
|
59 |
56 |
$80.00 |
| 93005 |
|
1,287 |
1,218 |
$67.52 |
| 99442 |
|
217 |
206 |
$60.84 |
| T1002 |
Rn services up to 15 minutes |
76 |
74 |
$58.20 |
| 90472 |
|
2,668 |
2,371 |
$57.01 |
| 96152 |
|
197 |
117 |
$49.67 |
| 80053 |
|
9,593 |
8,909 |
$47.06 |
| 99394 |
|
842 |
510 |
$37.87 |
| G0101 |
Ca screen;pelvic/breast exam |
252 |
147 |
$37.26 |
| Q0091 |
Obtaining screen pap smear |
263 |
149 |
$23.04 |
| H0025 |
Alcohol and/or drug preventi |
435 |
368 |
$19.86 |
| 99211 |
|
191 |
148 |
$15.63 |
| 80061 |
|
6,440 |
6,069 |
$0.00 |
| 91322 |
|
135 |
120 |
$0.00 |
| 99395 |
|
1,053 |
616 |
$0.00 |
| 99393 |
|
873 |
520 |
$0.00 |
| 90715 |
|
1,709 |
1,616 |
$0.00 |
| 1159F |
|
3,007 |
2,544 |
$0.00 |
| 86480 |
|
502 |
451 |
$0.00 |
| 81003 |
|
2,627 |
2,348 |
$0.00 |
| 80074 |
|
956 |
879 |
$0.00 |
| 87491 |
|
3,316 |
3,104 |
$0.00 |
| 88175 |
|
593 |
573 |
$0.00 |
| 81025 |
|
2,004 |
1,848 |
$0.00 |
| 82570 |
|
1,823 |
1,733 |
$0.00 |
| 90670 |
|
391 |
336 |
$0.00 |
| 82274 |
|
139 |
133 |
$0.00 |
| 1160F |
|
2,037 |
1,880 |
$0.00 |
| 90649 |
|
166 |
152 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
41 |
40 |
$0.00 |
| 85007 |
|
506 |
484 |
$0.00 |
| H2027 |
Psychoed svc, per 15 min |
210 |
192 |
$0.00 |
| 83655 |
|
69 |
54 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
800 |
684 |
$0.00 |
| 3078F |
|
2,062 |
1,931 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 3077F |
|
465 |
438 |
$0.00 |
| 93010 |
|
30 |
30 |
$0.00 |
| 99391 |
|
423 |
250 |
$0.00 |
| C9803 |
Hopd covid-19 spec collect |
1,420 |
1,374 |
$0.00 |
| 84439 |
|
634 |
596 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
940 |
900 |
$0.00 |
| 86682 |
|
18 |
15 |
$0.00 |
| 83721 |
|
85 |
81 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 83540 |
|
89 |
85 |
$0.00 |
| 71046 |
|
71 |
58 |
$0.00 |
| 99201 |
|
47 |
31 |
$0.00 |
| 90837 |
|
31 |
25 |
$0.00 |
| 85610 |
|
28 |
26 |
$0.00 |
| H0031 |
Mh health assess by non-md |
69 |
69 |
$0.00 |
| 87338 |
|
49 |
37 |
$0.00 |
| 96158 |
|
75 |
47 |
$0.00 |
| 90662 |
|
39 |
37 |
$0.00 |
| 80307 |
|
42 |
39 |
$0.00 |
| 87481 |
|
48 |
43 |
$0.00 |
| 90653 |
|
25 |
25 |
$0.00 |
| 86703 |
|
46 |
44 |
$0.00 |
| 87631 |
|
118 |
113 |
$0.00 |
| 81513 |
|
48 |
43 |
$0.00 |
| 87186 |
|
27 |
24 |
$0.00 |
| 90750 |
|
16 |
16 |
$0.00 |
| 87430 |
|
95 |
92 |
$0.00 |
| 90732 |
|
353 |
339 |
$0.00 |
| 80048 |
|
1,314 |
1,247 |
$0.00 |
| 82306 |
|
2,769 |
2,605 |
$0.00 |
| 84443 |
|
5,340 |
4,981 |
$0.00 |
| 86592 |
|
2,165 |
2,046 |
$0.00 |
| 87591 |
|
3,316 |
3,104 |
$0.00 |
| 96372 |
|
1,261 |
1,174 |
$0.00 |
| 1125F |
|
640 |
608 |
$0.00 |
| 82043 |
|
1,756 |
1,685 |
$0.00 |
| 1126F |
|
2,066 |
1,943 |
$0.00 |
| 87389 |
|
4,033 |
3,789 |
$0.00 |
| 87086 |
|
1,098 |
1,011 |
$0.00 |
| 85025 |
|
7,552 |
6,977 |
$0.00 |
| 83036 |
|
8,448 |
7,944 |
$0.00 |
| 81001 |
|
928 |
862 |
$0.00 |
| 3048F |
|
42 |
42 |
$0.00 |
| 87624 |
|
71 |
68 |
$0.00 |
| 86780 |
|
708 |
601 |
$0.00 |
| 87651 |
|
152 |
148 |
$0.00 |
| 82607 |
|
244 |
219 |
$0.00 |
| 86704 |
|
265 |
213 |
$0.00 |
| 87340 |
|
263 |
237 |
$0.00 |
| 83550 |
|
88 |
84 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
181 |
172 |
$0.00 |
| 87801 |
|
203 |
179 |
$0.00 |
| 3079F |
|
460 |
448 |
$0.00 |
| 36415 |
|
18,797 |
16,816 |
$0.00 |
| 86803 |
|
1,083 |
1,023 |
$0.00 |
| 3074F |
|
1,556 |
1,480 |
$0.00 |
| 90834 |
|
679 |
401 |
$0.00 |
| 85027 |
|
507 |
485 |
$0.00 |
| 87205 |
|
14 |
12 |
$0.00 |
| 90674 |
|
534 |
461 |
$0.00 |
| 82728 |
|
88 |
87 |
$0.00 |
| 90656 |
|
315 |
199 |
$0.00 |
| 0241U |
|
102 |
95 |
$0.00 |
| 87081 |
|
31 |
29 |
$0.00 |
| 3075F |
|
682 |
665 |
$0.00 |
| 86706 |
|
280 |
220 |
$0.00 |
| 84480 |
|
83 |
74 |
$0.00 |
| 90480 |
|
136 |
120 |
$0.00 |
| 3044F |
|
79 |
79 |
$0.00 |
| 87077 |
|
27 |
24 |
$0.00 |
| 87661 |
|
48 |
43 |
$0.00 |
| 82746 |
|
92 |
79 |
$0.00 |
| 0011A |
|
25 |
25 |
$0.00 |
| 90474 |
|
12 |
12 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
13 |
13 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
13 |
12 |
$0.00 |
| 85652 |
|
38 |
31 |
$0.00 |
| 90677 |
|
18 |
18 |
$0.00 |
| 0031A |
|
25 |
15 |
$0.00 |