| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
24,657 |
19,820 |
$4.45M |
| J2315 |
Naltrexone, depot form |
2,600 |
2,394 |
$3.21M |
| G9012 |
Other specified case mgmt |
36,166 |
17,942 |
$1.63M |
| H0043 |
Supported housing, per diem |
1,378 |
809 |
$125K |
| 87426 |
|
3,504 |
3,175 |
$118K |
| G9008 |
Mccd,phys coor-care ovrsght |
7,918 |
2,729 |
$47K |
| 99203 |
|
6,554 |
5,618 |
$37K |
| 87636 |
|
229 |
223 |
$32K |
| G9920 |
Scrning perf and negative |
835 |
818 |
$23K |
| 99213 |
|
6,449 |
5,388 |
$10K |
| 99214 |
|
3,778 |
3,139 |
$8K |
| 99204 |
|
1,551 |
1,343 |
$8K |
| 99205 |
Prolong outpt/office vis |
656 |
633 |
$6K |
| 0051A |
|
67 |
67 |
$4K |
| 0124A |
|
62 |
62 |
$4K |
| 0134A |
|
38 |
38 |
$3K |
| 99215 |
Prolong outpt/office vis |
1,727 |
1,582 |
$2K |
| 0052A |
|
16 |
16 |
$1K |
| 0121A |
|
16 |
16 |
$1K |
| 99212 |
|
3,092 |
2,690 |
$917.21 |
| 0011A |
|
12 |
12 |
$804.00 |
| 99000 |
|
666 |
590 |
$713.79 |
| 99490 |
Ccm add 20min |
43 |
39 |
$586.42 |
| G9919 |
Scrn nd pos nd prov of rec |
17 |
14 |
$435.00 |
| 96372 |
|
14 |
13 |
$308.14 |
| 99202 |
|
299 |
258 |
$274.40 |
| G0442 |
Annual alcohol screen 15 min |
354 |
233 |
$193.05 |
| 99395 |
|
33 |
19 |
$102.90 |
| 1126F |
|
1,942 |
1,542 |
$0.00 |
| 3008F |
|
1,380 |
1,298 |
$0.00 |
| 3079F |
|
584 |
494 |
$0.00 |
| 2001F |
|
1,382 |
1,301 |
$0.00 |
| 1000F |
|
1,385 |
1,279 |
$0.00 |
| 3074F |
|
1,300 |
984 |
$0.00 |
| 3080F |
|
362 |
295 |
$0.00 |
| 2000F |
|
1,381 |
1,299 |
$0.00 |
| 2010F |
|
1,388 |
1,305 |
$0.00 |
| 3075F |
|
252 |
177 |
$0.00 |
| 1170F |
|
1,520 |
914 |
$0.00 |
| 1034F |
|
463 |
441 |
$0.00 |
| 1036F |
|
1,292 |
773 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
385 |
242 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
283 |
175 |
$0.00 |
| 1125F |
|
541 |
327 |
$0.00 |
| 36415 |
|
73 |
41 |
$0.00 |
| 3078F |
|
1,039 |
734 |
$0.00 |
| 1159F |
|
761 |
678 |
$0.00 |
| 4004F |
|
789 |
768 |
$0.00 |
| 3077F |
|
429 |
334 |
$0.00 |
| 1160F |
|
1,868 |
1,244 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
860 |
524 |
$0.00 |
| 81003 |
|
340 |
213 |
$0.00 |
| 3288F |
|
1,460 |
870 |
$0.00 |
| 1158F |
|
188 |
131 |
$0.00 |
| 99173 |
|
272 |
167 |
$0.00 |
| 99442 |
|
37 |
35 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
94 |
85 |
$0.00 |
| 99072 |
|
13 |
13 |
$0.00 |
| 99396 |
|
46 |
29 |
$0.00 |