| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
257,554 |
225,595 |
$38.04M |
| 99213 |
|
220,366 |
192,523 |
$1.94M |
| 99214 |
|
111,088 |
98,574 |
$1.47M |
| 59425 |
|
5,522 |
3,520 |
$415K |
| 99392 |
|
12,357 |
12,308 |
$361K |
| 96110 |
|
6,133 |
6,089 |
$323K |
| 99393 |
|
8,814 |
8,802 |
$312K |
| 99394 |
|
5,093 |
5,077 |
$261K |
| 99395 |
|
2,898 |
2,886 |
$250K |
| 99203 |
|
6,956 |
6,917 |
$248K |
| 97802 |
|
3,291 |
3,266 |
$198K |
| 99215 |
Prolong outpt/office vis |
2,431 |
2,381 |
$195K |
| 99391 |
|
7,667 |
7,582 |
$192K |
| G2025 |
Dis site tele svcs rhc/fqhc |
8,554 |
7,314 |
$182K |
| 90686 |
|
17,182 |
17,149 |
$171K |
| 99244 |
|
1,689 |
1,684 |
$150K |
| 87426 |
|
5,745 |
5,662 |
$143K |
| 99396 |
|
2,006 |
1,999 |
$135K |
| 99204 |
|
2,551 |
2,533 |
$135K |
| 90750 |
|
824 |
821 |
$130K |
| 96372 |
|
5,411 |
4,709 |
$122K |
| 99406 |
|
12,794 |
11,286 |
$114K |
| 90715 |
|
4,088 |
4,075 |
$113K |
| 93306 |
|
745 |
389 |
$111K |
| 99174 |
|
2,809 |
2,799 |
$103K |
| 92250 |
|
2,042 |
2,031 |
$97K |
| 92551 |
|
19,243 |
19,175 |
$97K |
| 97803 |
|
2,652 |
2,513 |
$92K |
| 90670 |
|
5,936 |
5,892 |
$79K |
| 90471 |
|
10,094 |
9,950 |
$76K |
| 99188 |
|
3,734 |
3,725 |
$66K |
| 0002A |
|
1,142 |
604 |
$60K |
| 90651 |
|
3,060 |
3,056 |
$57K |
| 87880 |
|
9,037 |
8,866 |
$55K |
| 99212 |
|
9,073 |
8,542 |
$54K |
| H1003 |
Prenatal at risk education |
2,109 |
1,694 |
$53K |
| 71046 |
|
2,086 |
2,065 |
$46K |
| 95886 |
|
752 |
375 |
$46K |
| 0001A |
|
857 |
452 |
$45K |
| 99211 |
|
5,397 |
5,085 |
$43K |
| J3490 |
Drugs unclassified injection |
1,736 |
1,724 |
$43K |
| G0467 |
Fqhc visit, estab pt |
17,873 |
14,302 |
$40K |
| 93010 |
|
2,597 |
2,552 |
$37K |
| 90633 |
|
4,309 |
4,281 |
$32K |
| H1001 |
Antepartum management |
383 |
254 |
$31K |
| 17110 |
|
274 |
236 |
$31K |
| 93005 |
|
2,567 |
2,522 |
$29K |
| 90647 |
|
4,281 |
4,250 |
$29K |
| 0072A |
|
531 |
311 |
$28K |
| 90723 |
|
4,200 |
4,148 |
$28K |
| 0064A |
|
538 |
380 |
$28K |
| 99202 |
|
1,148 |
1,143 |
$27K |
| 90716 |
|
1,896 |
1,880 |
$27K |
| 0071A |
|
503 |
331 |
$26K |
| 90734 |
|
2,117 |
2,111 |
$25K |
| 0969 |
|
371 |
220 |
$25K |
| 90707 |
|
1,782 |
1,766 |
$24K |
| 90837 |
|
926 |
440 |
$22K |
| 99243 |
|
323 |
323 |
$22K |
| 82274 |
|
1,177 |
1,168 |
$20K |
| G9920 |
Scrning perf and negative |
7,960 |
7,938 |
$20K |
| 90710 |
|
1,619 |
1,616 |
$20K |
| 81025 |
|
6,296 |
6,149 |
$19K |
| 90680 |
|
2,393 |
2,357 |
$19K |
| 0004A |
|
339 |
195 |
$18K |
| 90677 |
|
863 |
860 |
$17K |
| 81002 |
|
16,736 |
15,717 |
$17K |
| 90700 |
|
1,711 |
1,697 |
$16K |
| 73562 |
|
711 |
690 |
$15K |
| 87637 |
|
83 |
83 |
$15K |
| 90696 |
|
1,454 |
1,451 |
$14K |
| 73030 |
|
553 |
501 |
$12K |
| 99385 |
|
127 |
127 |
$12K |
| 99245 |
|
93 |
92 |
$12K |
| 90662 |
|
523 |
523 |
$11K |
| 59430 |
|
138 |
136 |
$11K |
| 73630 |
|
523 |
504 |
$11K |
| 72100 |
|
405 |
405 |
$10K |
| 94640 |
|
734 |
702 |
$10K |
| 90688 |
|
622 |
619 |
$7K |
| J3420 |
Vitamin b12 injection |
1,006 |
923 |
$6K |
| 90681 |
|
991 |
987 |
$6K |
| 0012A |
|
112 |
60 |
$6K |
| 99173 |
|
9,078 |
9,064 |
$6K |
| 96127 |
|
1,286 |
1,234 |
$5K |
| 90682 |
|
75 |
75 |
$4K |
| 83036 |
|
368 |
367 |
$4K |
| 0003A |
|
67 |
37 |
$4K |
| 90697 |
|
534 |
532 |
$3K |
| 86580 |
|
710 |
697 |
$3K |
| 90685 |
|
264 |
264 |
$3K |
| 0011A |
|
49 |
27 |
$3K |
| 99386 |
|
16 |
16 |
$3K |
| 99241 |
|
55 |
55 |
$2K |
| 99205 |
Prolong outpt/office vis |
17 |
17 |
$2K |
| 76815 |
|
78 |
27 |
$2K |
| 0761 |
|
62 |
61 |
$2K |
| 90791 |
|
38 |
15 |
$2K |
| 93226 |
|
24 |
24 |
$2K |
| 73610 |
|
79 |
77 |
$2K |
| 72110 |
|
49 |
49 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
240 |
234 |
$1K |
| G9919 |
Scrn nd pos nd prov of rec |
132 |
131 |
$1K |
| 82948 |
|
703 |
668 |
$1K |
| 0054A |
|
17 |
17 |
$1K |
| 90746 |
|
26 |
26 |
$1K |
| 96156 |
|
38 |
34 |
$1K |
| 90674 |
|
109 |
109 |
$1K |
| 99384 |
|
27 |
27 |
$1K |
| 20610 |
|
25 |
24 |
$966.21 |
| 87635 |
|
13 |
13 |
$900.51 |
| 69209 |
|
63 |
57 |
$795.10 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
140 |
129 |
$788.78 |
| 59025 |
|
27 |
14 |
$777.48 |
| 99401 |
|
123 |
121 |
$755.58 |
| J0696 |
Ceftriaxone sodium injection |
117 |
84 |
$746.39 |
| 90834 |
|
15 |
12 |
$740.55 |
| C9803 |
Hopd covid-19 spec collect |
21 |
21 |
$603.54 |
| G0442 |
Annual alcohol screen 15 min |
28 |
27 |
$571.00 |
| 73502 |
|
14 |
12 |
$471.82 |
| H0049 |
Alcohol/drug screening |
14 |
14 |
$416.40 |
| 93227 |
|
13 |
12 |
$405.05 |
| 73620 |
|
28 |
26 |
$369.20 |
| 73560 |
|
25 |
25 |
$347.29 |
| J3301 |
Triamcinolone acet inj nos |
44 |
43 |
$326.52 |
| 94664 |
|
32 |
31 |
$309.79 |
| D1206 |
|
13 |
13 |
$302.40 |
| J1071 |
Inj testosterone cypionate |
37 |
26 |
$298.78 |
| 90671 |
|
32 |
32 |
$288.00 |
| 69210 |
|
79 |
71 |
$284.68 |
| 77077 |
|
12 |
12 |
$276.97 |
| 73110 |
|
13 |
12 |
$262.98 |
| 72040 |
|
12 |
12 |
$257.64 |
| 90713 |
|
26 |
26 |
$245.09 |
| A4649 |
Surgical supplies |
104 |
104 |
$165.83 |
| 90744 |
|
14 |
14 |
$154.63 |
| 85018 |
|
55 |
55 |
$132.85 |
| 90472 |
|
203 |
200 |
$84.30 |
| J7611 |
Albuterol non-comp con |
15 |
14 |
$2.50 |
| J7644 |
Ipratropium bromide non-comp |
13 |
12 |
$0.30 |
| Z1034 |
|
3,766 |
2,755 |
$0.00 |
| 90656 |
|
413 |
412 |
$0.00 |
| Z6410 |
|
188 |
119 |
$0.00 |
| J7609 |
Albuterol comp unit |
31 |
31 |
$0.00 |
| 90480 |
|
12 |
12 |
$0.00 |
| 0636 |
|
17 |
16 |
$0.00 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$0.00 |
| Z1032 |
|
12 |
12 |
$0.00 |
| Z6400 |
|
745 |
717 |
$0.00 |
| 91322 |
|
13 |
13 |
$0.00 |