| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
125,400 |
106,112 |
$18.59M |
| 00003 |
|
13,298 |
10,661 |
$3.53M |
| 99213 |
|
124,691 |
94,057 |
$1.14M |
| 90832 |
|
21,824 |
14,440 |
$784K |
| 59425 |
|
9,464 |
6,228 |
$774K |
| 99214 |
|
76,908 |
57,035 |
$596K |
| 99394 |
|
4,055 |
3,373 |
$226K |
| 90791 |
|
3,777 |
3,514 |
$210K |
| 99393 |
|
4,476 |
3,619 |
$208K |
| 90686 |
|
12,687 |
11,003 |
$191K |
| 99392 |
|
3,930 |
3,293 |
$186K |
| 90471 |
|
19,301 |
17,767 |
$143K |
| 90834 |
|
2,520 |
2,160 |
$120K |
| 99395 |
|
3,869 |
3,095 |
$98K |
| 90715 |
|
4,940 |
4,052 |
$96K |
| 99212 |
|
15,541 |
12,054 |
$95K |
| 99391 |
|
2,061 |
1,671 |
$95K |
| 92551 |
|
10,981 |
8,937 |
$94K |
| 96110 |
|
1,767 |
1,284 |
$68K |
| 87428 |
|
1,469 |
990 |
$57K |
| 90750 |
|
370 |
330 |
$55K |
| H1003 |
Prenatal at risk education |
2,214 |
2,070 |
$55K |
| J7307 |
Etonogestrel implant system |
106 |
76 |
$53K |
| G0467 |
Fqhc visit, estab pt |
5,633 |
4,908 |
$51K |
| 90651 |
|
2,361 |
2,025 |
$51K |
| 90837 |
|
583 |
534 |
$43K |
| 99173 |
|
12,755 |
10,692 |
$42K |
| 90670 |
|
2,082 |
1,848 |
$31K |
| 99204 |
|
1,557 |
1,300 |
$27K |
| 99215 |
Prolong outpt/office vis |
494 |
410 |
$24K |
| 85018 |
|
17,102 |
13,806 |
$24K |
| 99396 |
|
4,334 |
3,468 |
$23K |
| 0002A |
|
555 |
555 |
$22K |
| 87880 |
|
3,637 |
3,114 |
$22K |
| 90734 |
|
1,470 |
1,301 |
$22K |
| 90677 |
|
1,015 |
780 |
$21K |
| 0001A |
|
486 |
486 |
$19K |
| 81003 |
|
19,935 |
13,614 |
$18K |
| 81025 |
|
7,725 |
5,909 |
$17K |
| 90633 |
|
1,405 |
1,259 |
$15K |
| 90656 |
|
1,687 |
1,314 |
$14K |
| 90723 |
|
1,392 |
1,164 |
$13K |
| G9012 |
Other specified case mgmt |
174 |
127 |
$12K |
| 83036 |
|
2,870 |
2,246 |
$11K |
| 59409 |
|
13 |
13 |
$11K |
| 59430 |
|
130 |
126 |
$11K |
| 90648 |
|
802 |
799 |
$10K |
| 90620 |
|
373 |
320 |
$10K |
| 59025 |
|
425 |
129 |
$10K |
| 0064A |
|
244 |
244 |
$10K |
| 0004A |
|
234 |
234 |
$9K |
| 99401 |
|
669 |
656 |
$9K |
| 96372 |
|
799 |
504 |
$9K |
| 90662 |
|
744 |
620 |
$8K |
| 11981 |
|
75 |
52 |
$8K |
| 90647 |
|
1,020 |
765 |
$7K |
| 99403 |
|
168 |
167 |
$7K |
| 0071A |
|
182 |
182 |
$7K |
| 99203 |
|
492 |
440 |
$7K |
| 90716 |
|
349 |
315 |
$7K |
| J3490 |
Drugs unclassified injection |
120 |
91 |
$7K |
| 0072A |
|
158 |
157 |
$6K |
| 96156 |
|
498 |
490 |
$6K |
| 0031A |
|
175 |
175 |
$6K |
| 99202 |
|
464 |
454 |
$6K |
| 90710 |
|
352 |
315 |
$6K |
| 0011A |
|
148 |
147 |
$6K |
| 0012A |
|
134 |
129 |
$5K |
| G9920 |
Scrning perf and negative |
200 |
187 |
$5K |
| G0442 |
Annual alcohol screen 15 min |
577 |
551 |
$5K |
| 58300 |
|
128 |
63 |
$5K |
| 90707 |
|
234 |
204 |
$5K |
| 90700 |
|
298 |
271 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
586 |
511 |
$4K |
| 90630 |
|
164 |
161 |
$4K |
| 99188 |
|
348 |
248 |
$4K |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,375 |
919 |
$4K |
| 96127 |
|
593 |
561 |
$3K |
| 97802 |
|
202 |
164 |
$3K |
| 90696 |
|
158 |
144 |
$2K |
| 90681 |
|
182 |
155 |
$2K |
| 58301 |
|
80 |
42 |
$2K |
| 86580 |
|
406 |
380 |
$1K |
| 0013A |
|
34 |
34 |
$1K |
| J2360 |
Orphenadrine injection |
133 |
124 |
$1K |
| 99384 |
|
42 |
39 |
$1K |
| 99238 |
|
31 |
24 |
$1K |
| 90847 |
|
24 |
17 |
$1K |
| 99211 |
|
849 |
681 |
$1K |
| 0034A |
|
29 |
29 |
$1K |
| 83655 |
|
163 |
117 |
$1K |
| 0003A |
|
27 |
27 |
$1K |
| 11982 |
|
22 |
13 |
$1K |
| 90472 |
|
2,060 |
2,029 |
$836.96 |
| 99402 |
|
26 |
26 |
$826.54 |
| 99383 |
|
30 |
29 |
$728.49 |
| 97803 |
|
52 |
51 |
$656.00 |
| 82948 |
|
348 |
288 |
$654.06 |
| G9919 |
Scrn nd pos nd prov of rec |
58 |
51 |
$612.65 |
| 90713 |
|
42 |
41 |
$461.49 |
| S9445 |
Pt education noc individ |
41 |
39 |
$446.32 |
| Q3014 |
Telehealth facility fee |
18 |
15 |
$412.92 |
| G0444 |
Depression screen annual |
40 |
39 |
$288.80 |
| J3420 |
Vitamin b12 injection |
47 |
43 |
$240.89 |
| 99385 |
|
30 |
29 |
$233.33 |
| 96158 |
|
26 |
25 |
$216.00 |
| 87400 |
|
179 |
163 |
$159.94 |
| 94640 |
|
126 |
108 |
$150.45 |
| 80307 |
|
516 |
353 |
$123.33 |
| 99201 |
|
16 |
16 |
$86.94 |
| J0696 |
Ceftriaxone sodium injection |
12 |
12 |
$62.27 |
| T1014 |
Telehealth transmit, per min |
18 |
15 |
$58.08 |
| 93000 |
|
23 |
13 |
$21.53 |
| 82247 |
|
19 |
18 |
$12.27 |
| Q0091 |
Obtaining screen pap smear |
125 |
123 |
$0.75 |
| G8510 |
Scr dep neg, no plan reqd |
47 |
30 |
$0.14 |
| 1036F |
|
22,899 |
16,827 |
$0.00 |
| 3008F |
|
19,486 |
18,229 |
$0.00 |
| G8754 |
Dias bp less 90 |
13,571 |
11,916 |
$0.00 |
| 1034F |
|
741 |
649 |
$0.00 |
| 3074F |
|
19,984 |
14,954 |
$0.00 |
| Z1034 |
|
7,887 |
5,204 |
$0.00 |
| D0210 |
|
553 |
552 |
$0.00 |
| D0150 |
|
736 |
735 |
$0.00 |
| 1111F |
|
1,315 |
1,236 |
$0.00 |
| Z6410 |
|
316 |
309 |
$0.00 |
| 3079F |
|
6,864 |
5,401 |
$0.00 |
| Z1032 |
|
402 |
400 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
558 |
528 |
$0.00 |
| 3075F |
|
3,703 |
2,982 |
$0.00 |
| D0603 |
|
800 |
799 |
$0.00 |
| Z6204 |
|
125 |
122 |
$0.00 |
| D0230 |
|
1,834 |
437 |
$0.00 |
| D1206 |
|
986 |
986 |
$0.00 |
| 3080F |
|
1,433 |
1,182 |
$0.00 |
| D0602 |
|
245 |
245 |
$0.00 |
| 3044F |
|
943 |
766 |
$0.00 |
| 2001F |
|
19,505 |
18,239 |
$0.00 |
| D0120 |
|
605 |
605 |
$0.00 |
| Z6402 |
|
177 |
175 |
$0.00 |
| D0140 |
|
348 |
346 |
$0.00 |
| D2392 |
|
332 |
300 |
$0.00 |
| 3351F |
|
48 |
47 |
$0.00 |
| G0008 |
Admin influenza virus vac |
52 |
51 |
$0.00 |
| Z6406 |
|
122 |
120 |
$0.00 |
| 3052F |
|
192 |
139 |
$0.00 |
| Z1038 |
|
72 |
72 |
$0.00 |
| D1352 |
|
32 |
24 |
$0.00 |
| D0601 |
|
73 |
73 |
$0.00 |
| D4342 |
|
28 |
12 |
$0.00 |
| 3046F |
|
559 |
381 |
$0.00 |
| 3077F |
|
3,207 |
2,643 |
$0.00 |
| 80305 |
|
1,566 |
721 |
$0.00 |
| Z6200 |
|
299 |
299 |
$0.00 |
| Z6202 |
|
25 |
25 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
2,094 |
1,840 |
$0.00 |
| 3078F |
|
18,743 |
14,140 |
$0.00 |
| G8752 |
Sys bp less 140 |
12,238 |
10,782 |
$0.00 |
| Z6400 |
|
1,457 |
1,358 |
$0.00 |
| D4910 |
|
192 |
192 |
$0.00 |
| Z6304 |
|
105 |
104 |
$0.00 |
| D4341 |
|
434 |
243 |
$0.00 |
| D1120 |
|
490 |
490 |
$0.00 |
| D0220 |
|
822 |
817 |
$0.00 |
| D9430 |
|
1,212 |
1,029 |
$0.00 |
| D0274 |
|
331 |
331 |
$0.00 |
| 3051F |
|
400 |
318 |
$0.00 |
| Z6300 |
|
188 |
185 |
$0.00 |
| D1110 |
|
192 |
192 |
$0.00 |
| A4550 |
Surgical trays |
124 |
122 |
$0.00 |
| D2391 |
|
177 |
139 |
$0.00 |
| D0270 |
|
163 |
163 |
$0.00 |
| D7210 |
|
196 |
140 |
$0.00 |