| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
45,103 |
41,621 |
$7.72M |
| 99213 |
|
52,079 |
46,923 |
$686K |
| 99214 |
|
19,174 |
18,223 |
$428K |
| G0467 |
Fqhc visit, estab pt |
10,069 |
8,881 |
$368K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,805 |
3,629 |
$196K |
| 99203 |
|
2,921 |
2,902 |
$111K |
| 96372 |
|
4,413 |
4,097 |
$55K |
| 99212 |
|
4,275 |
3,984 |
$48K |
| 0259 |
|
4,377 |
4,249 |
$42K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
1,752 |
1,622 |
$39K |
| 87633 |
|
327 |
315 |
$36K |
| 99202 |
|
859 |
857 |
$25K |
| 0241U |
|
532 |
519 |
$25K |
| 90686 |
|
1,368 |
1,368 |
$16K |
| 87804 |
|
2,370 |
2,348 |
$13K |
| 94640 |
|
1,188 |
1,156 |
$10K |
| 0250 |
|
1,250 |
1,172 |
$10K |
| 80053 |
|
2,106 |
1,953 |
$9K |
| 99221 |
|
574 |
447 |
$9K |
| 0636 |
|
951 |
942 |
$8K |
| 76641 |
|
882 |
757 |
$8K |
| 87581 |
|
536 |
521 |
$8K |
| 87486 |
|
536 |
521 |
$8K |
| 82948 |
|
6,320 |
5,919 |
$7K |
| 87086 |
|
1,732 |
1,678 |
$7K |
| 85025 |
|
2,385 |
2,219 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
1,592 |
1,530 |
$7K |
| 99000 |
|
3,175 |
3,030 |
$6K |
| 0761 |
|
959 |
726 |
$6K |
| 81003 |
|
4,814 |
4,497 |
$6K |
| 0361 |
|
55 |
54 |
$5K |
| 80061 |
|
675 |
673 |
$5K |
| J1100 |
Dexamethasone sodium phos |
703 |
676 |
$5K |
| 99204 |
|
549 |
546 |
$4K |
| 76819 |
|
1,308 |
746 |
$4K |
| 84443 |
|
397 |
392 |
$4K |
| J2405 |
Ondansetron hcl injection |
714 |
694 |
$4K |
| 82306 |
|
266 |
266 |
$4K |
| 87077 |
|
931 |
912 |
$3K |
| 93005 |
|
343 |
342 |
$3K |
| 87880 |
|
956 |
941 |
$3K |
| J0561 |
Penicillin g benzathine inj |
16 |
16 |
$3K |
| 83036 |
|
522 |
520 |
$3K |
| 59425 |
|
59 |
38 |
$2K |
| J3490 |
Drugs unclassified injection |
2,248 |
1,579 |
$2K |
| 81025 |
|
1,123 |
1,072 |
$2K |
| 87635 |
|
81 |
78 |
$2K |
| 99215 |
Prolong outpt/office vis |
49 |
49 |
$2K |
| 87186 |
|
323 |
316 |
$2K |
| 87070 |
|
292 |
289 |
$2K |
| 0710 |
|
644 |
531 |
$2K |
| 99396 |
|
26 |
26 |
$1K |
| 90670 |
|
12 |
12 |
$1K |
| 51798 |
|
142 |
139 |
$1K |
| 81001 |
|
1,051 |
959 |
$1K |
| 92552 |
|
121 |
121 |
$1K |
| 99211 |
|
1,107 |
859 |
$980.81 |
| 99201 |
|
82 |
82 |
$927.78 |
| 99394 |
|
41 |
41 |
$787.96 |
| J0696 |
Ceftriaxone sodium injection |
85 |
78 |
$744.80 |
| C9803 |
Hopd covid-19 spec collect |
69 |
68 |
$699.58 |
| J0780 |
Prochlorperazine injection |
33 |
32 |
$614.21 |
| U0002 |
Covid-19 lab test non-cdc |
12 |
12 |
$564.41 |
| J2001 |
Lidocaine injection |
376 |
343 |
$520.53 |
| 88305 |
|
177 |
171 |
$449.28 |
| E0114 |
Crutch underarm pair no wood |
12 |
12 |
$415.25 |
| A4217 |
Sterile water/saline, 500 ml |
472 |
367 |
$348.00 |
| 87798 |
|
141 |
139 |
$337.72 |
| 20610 |
|
25 |
25 |
$312.95 |
| J1200 |
Diphenhydramine hcl injectio |
91 |
82 |
$262.53 |
| Q3014 |
Telehealth facility fee |
13 |
12 |
$229.40 |
| 99443 |
|
74 |
72 |
$223.84 |
| G2025 |
Dis site tele svcs rhc/fqhc |
553 |
517 |
$223.48 |
| 73610 |
|
14 |
14 |
$218.92 |
| 0271 |
|
27 |
26 |
$209.17 |
| 59025 |
|
1,182 |
598 |
$209.10 |
| 73630 |
|
12 |
12 |
$188.88 |
| 86580 |
|
105 |
102 |
$154.56 |
| 73140 |
|
13 |
13 |
$147.83 |
| J7120 |
Ringers lactate infusion |
268 |
250 |
$144.56 |
| S0020 |
Injection, bupivicaine hydro |
34 |
30 |
$110.11 |
| 99173 |
|
80 |
80 |
$90.91 |
| A4649 |
Surgical supplies |
645 |
401 |
$72.54 |
| J1030 |
Methylprednisolone 40 mg inj |
24 |
24 |
$67.61 |
| J2704 |
Inj, propofol, 10 mg |
96 |
89 |
$49.40 |
| J7613 |
Albuterol non-comp unit |
392 |
381 |
$39.16 |
| J7050 |
Normal saline solution infus |
313 |
196 |
$37.85 |
| 99442 |
|
157 |
150 |
$31.43 |
| J3010 |
Fentanyl citrate injection |
504 |
410 |
$16.91 |
| 81015 |
|
97 |
95 |
$11.65 |
| 82570 |
|
15 |
13 |
$11.04 |
| 84550 |
|
12 |
12 |
$10.43 |
| 83690 |
|
14 |
13 |
$7.11 |
| J2250 |
Inj midazolam hydrochloride |
514 |
422 |
$5.24 |
| J7030 |
Normal saline solution infus |
284 |
244 |
$2.58 |
| 36415 |
|
1,480 |
1,281 |
$0.00 |
| A9270 |
Non-covered item or service |
286 |
267 |
$0.00 |
| Z7610 |
|
1,995 |
1,641 |
$0.00 |
| 87651 |
|
320 |
316 |
$0.00 |
| J1170 |
Hydromorphone injection |
25 |
16 |
$0.00 |
| 0370 |
|
132 |
124 |
$0.00 |
| 85730 |
|
27 |
27 |
$0.00 |
| 76817 |
|
27 |
27 |
$0.00 |
| 0270 |
|
312 |
266 |
$0.00 |
| 96365 |
|
83 |
53 |
$0.00 |
| 90471 |
|
40 |
40 |
$0.00 |
| X6218 |
|
176 |
176 |
$0.00 |
| 87426 |
|
271 |
205 |
$0.00 |
| G0008 |
Admin influenza virus vac |
206 |
206 |
$0.00 |
| 93000 |
|
13 |
13 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
23 |
18 |
$0.00 |
| Z1034 |
|
22 |
12 |
$0.00 |
| 45378 |
|
12 |
12 |
$0.00 |
| 0272 |
|
476 |
364 |
$0.00 |
| 76805 |
|
138 |
134 |
$0.00 |
| 85610 |
|
42 |
41 |
$0.00 |
| 90460 |
|
609 |
604 |
$0.00 |
| 90461 |
|
234 |
234 |
$0.00 |
| 88312 |
|
28 |
28 |
$0.00 |
| 77066 |
Tomosynthesis, mammo |
61 |
61 |
$0.00 |
| J7040 |
Normal saline solution infus |
99 |
85 |
$0.00 |
| 99392 |
|
12 |
12 |
$0.00 |
| 77062 |
|
33 |
33 |
$0.00 |
| 43239 |
|
29 |
29 |
$0.00 |
| J1756 |
Iron sucrose injection |
60 |
30 |
$0.00 |
| 71046 |
|
13 |
13 |
$0.00 |
| 0360 |
|
13 |
13 |
$0.00 |
| 0750 |
|
29 |
26 |
$0.00 |
| 99393 |
|
12 |
12 |
$0.00 |