| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
380,296 |
319,753 |
$101.86M |
| 00003 |
|
16,450 |
7,683 |
$5.27M |
| 99213 |
|
238,758 |
135,532 |
$670K |
| 99214 |
|
125,177 |
74,140 |
$546K |
| 90837 |
|
13,984 |
6,897 |
$528K |
| G0467 |
Fqhc visit, estab pt |
17,850 |
14,269 |
$376K |
| 90832 |
|
11,173 |
5,938 |
$217K |
| 90791 |
|
3,490 |
2,449 |
$166K |
| 90792 |
|
2,185 |
1,482 |
$131K |
| 90834 |
|
2,303 |
1,320 |
$69K |
| 99203 |
|
5,824 |
3,864 |
$56K |
| 99215 |
Prolong outpt/office vis |
7,052 |
3,885 |
$46K |
| 92014 |
|
20,157 |
12,572 |
$41K |
| D1206 |
|
6,468 |
4,149 |
$40K |
| 99212 |
|
31,360 |
17,697 |
$37K |
| D0220 |
|
9,476 |
5,661 |
$31K |
| 97810 |
|
7,462 |
4,005 |
$30K |
| D2391 |
|
1,282 |
567 |
$28K |
| D2392 |
|
932 |
510 |
$27K |
| D9430 |
|
4,983 |
3,032 |
$26K |
| 91322 |
|
1,628 |
1,146 |
$25K |
| D0150 |
|
2,886 |
1,921 |
$22K |
| 0012A |
|
270 |
270 |
$18K |
| 0011A |
|
264 |
264 |
$18K |
| 90677 |
|
1,541 |
972 |
$15K |
| 90739 |
|
1,195 |
794 |
$14K |
| G0470 |
Fqhc visit, mh estab pt |
551 |
414 |
$14K |
| D1120 |
|
690 |
471 |
$14K |
| D0120 |
|
2,189 |
1,255 |
$12K |
| G2025 |
Dis site tele svcs rhc/fqhc |
3,149 |
2,696 |
$12K |
| 90750 |
|
1,185 |
751 |
$12K |
| D1110 |
|
1,106 |
707 |
$12K |
| 0064A |
|
220 |
204 |
$11K |
| 90480 |
|
2,312 |
1,652 |
$9K |
| 96372 |
|
7,225 |
4,060 |
$9K |
| 92012 |
|
11,751 |
6,785 |
$9K |
| D4910 |
|
313 |
195 |
$9K |
| 86703 |
|
1,044 |
993 |
$8K |
| D0210 |
|
666 |
520 |
$8K |
| D0274 |
|
1,371 |
856 |
$7K |
| 99204 |
|
1,945 |
1,303 |
$7K |
| D4341 |
|
299 |
176 |
$7K |
| 99202 |
|
1,121 |
771 |
$7K |
| 90471 |
|
48,611 |
30,436 |
$7K |
| 98941 |
|
11,095 |
6,111 |
$6K |
| D0330 |
|
1,331 |
918 |
$6K |
| 90686 |
|
13,922 |
8,687 |
$5K |
| 99392 |
|
6,725 |
3,845 |
$5K |
| D0230 |
|
3,526 |
2,023 |
$5K |
| D7140 |
|
168 |
91 |
$4K |
| 90619 |
|
545 |
341 |
$4K |
| 99188 |
|
5,490 |
3,216 |
$3K |
| 0134A |
|
543 |
359 |
$3K |
| 99393 |
|
3,200 |
1,802 |
$3K |
| 92015 |
|
7,622 |
4,926 |
$3K |
| 91321 |
|
360 |
272 |
$2K |
| 90715 |
|
2,440 |
1,581 |
$2K |
| 92133 |
|
2,528 |
1,578 |
$2K |
| 92552 |
|
3,509 |
2,072 |
$2K |
| 11721 |
|
1,539 |
1,045 |
$2K |
| 99394 |
|
1,499 |
855 |
$2K |
| 80305 |
|
2,739 |
1,786 |
$2K |
| 99403 |
|
336 |
334 |
$2K |
| D0140 |
|
1,043 |
645 |
$2K |
| 90472 |
|
16,829 |
10,298 |
$2K |
| 90682 |
|
1,942 |
1,374 |
$2K |
| D9999 |
|
367 |
197 |
$2K |
| 0004A |
|
28 |
27 |
$2K |
| 0031A |
|
24 |
24 |
$2K |
| D0270 |
|
955 |
586 |
$1K |
| 90707 |
|
75 |
45 |
$1K |
| D1354 |
|
136 |
50 |
$1K |
| 99391 |
|
2,370 |
1,508 |
$1K |
| 90656 |
|
1,267 |
946 |
$1K |
| D1320 |
|
809 |
514 |
$1K |
| 99401 |
|
434 |
394 |
$1K |
| 0124A |
|
303 |
196 |
$1K |
| 99402 |
|
209 |
208 |
$1K |
| 90710 |
|
725 |
546 |
$1K |
| 92083 |
|
1,237 |
754 |
$884.48 |
| 87811 |
|
315 |
200 |
$867.34 |
| 90839 |
|
17 |
13 |
$724.15 |
| G0466 |
Fqhc visit new patient |
28 |
28 |
$690.15 |
| 97802 |
|
1,627 |
1,435 |
$669.71 |
| D1310 |
|
3,392 |
2,315 |
$598.00 |
| 93000 |
|
236 |
154 |
$536.27 |
| 90697 |
|
1,075 |
667 |
$529.17 |
| 83655 |
|
2,813 |
1,609 |
$520.54 |
| 92134 |
|
764 |
490 |
$519.15 |
| 97012 |
|
3,173 |
1,627 |
$445.77 |
| 87804 |
|
801 |
496 |
$433.38 |
| 96156 |
|
313 |
281 |
$428.74 |
| 87880 |
|
848 |
528 |
$391.16 |
| 97803 |
|
2,348 |
1,915 |
$363.58 |
| 96150 |
|
26 |
18 |
$305.79 |
| 99395 |
|
186 |
98 |
$293.27 |
| D9110 |
|
283 |
136 |
$280.00 |
| J1380 |
Estradiol valerate 10 mg inj |
386 |
206 |
$268.85 |
| H1003 |
Prenatal at risk education |
206 |
198 |
$260.46 |
| 90633 |
|
1,738 |
1,444 |
$242.26 |
| 99385 |
|
182 |
105 |
$228.20 |
| 90632 |
|
90 |
55 |
$212.23 |
| 99484 |
|
184 |
172 |
$198.15 |
| 81025 |
|
1,997 |
1,268 |
$185.46 |
| D0603 |
|
3,108 |
1,930 |
$180.00 |
| Q0144 |
Azithromycin dihydrate, oral |
241 |
161 |
$175.47 |
| 90732 |
|
246 |
170 |
$171.65 |
| 11056 |
|
411 |
242 |
$126.60 |
| 90746 |
|
220 |
154 |
$126.39 |
| 90688 |
|
329 |
200 |
$119.36 |
| 99383 |
|
611 |
390 |
$109.11 |
| 93005 |
|
114 |
82 |
$103.40 |
| 99211 |
|
1,223 |
707 |
$95.97 |
| 99173 |
|
4,937 |
2,903 |
$91.91 |
| D0272 |
|
39 |
25 |
$90.00 |
| 11057 |
|
20 |
12 |
$80.43 |
| 87426 |
|
22 |
14 |
$76.71 |
| 0081A |
|
22 |
13 |
$67.00 |
| 92551 |
|
576 |
320 |
$66.87 |
| 98940 |
|
166 |
114 |
$63.46 |
| 11720 |
|
265 |
187 |
$59.19 |
| 81003 |
|
3,325 |
1,836 |
$57.91 |
| 99381 |
|
23 |
16 |
$44.88 |
| 83036 |
|
710 |
527 |
$34.16 |
| 90648 |
|
22 |
13 |
$29.58 |
| J0696 |
Ceftriaxone sodium injection |
382 |
232 |
$29.18 |
| D0602 |
|
492 |
281 |
$15.00 |
| 90698 |
|
399 |
254 |
$9.00 |
| 90670 |
|
1,134 |
930 |
$9.00 |
| 90681 |
|
90 |
59 |
$9.00 |
| H2000 |
Comp multidisipln evaluation |
12 |
12 |
$8.41 |
| 85018 |
|
1,744 |
955 |
$6.21 |
| J0561 |
Penicillin g benzathine inj |
56 |
38 |
$0.96 |
| J7613 |
Albuterol non-comp unit |
92 |
54 |
$0.26 |
| 90611 |
|
290 |
204 |
$0.05 |
| D1330 |
|
14,218 |
9,128 |
$0.00 |
| 90744 |
|
539 |
337 |
$0.00 |
| D9995 |
|
2,347 |
1,175 |
$0.00 |
| 97804 |
|
42 |
27 |
$0.00 |
| D5899 |
|
1,437 |
734 |
$0.00 |
| Z6406 |
|
186 |
165 |
$0.00 |
| Z6402 |
|
107 |
106 |
$0.00 |
| 99441 |
|
259 |
225 |
$0.00 |
| 90651 |
|
378 |
293 |
$0.00 |
| D0999 |
|
431 |
416 |
$0.00 |
| 11055 |
|
20 |
14 |
$0.00 |
| J0578 |
Inj brixadi, more than 7 day |
133 |
126 |
$0.00 |
| 86580 |
|
143 |
112 |
$0.00 |
| Z6204 |
|
47 |
42 |
$0.00 |
| 99384 |
|
144 |
85 |
$0.00 |
| G0008 |
Admin influenza virus vac |
88 |
86 |
$0.00 |
| 90696 |
|
51 |
47 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
25 |
14 |
$0.00 |
| 91307 |
|
116 |
82 |
$0.00 |
| D6999 |
|
31 |
14 |
$0.00 |
| 92250 |
|
23 |
13 |
$0.00 |
| Z6404 |
|
15 |
14 |
$0.00 |
| 91317 |
|
37 |
28 |
$0.00 |
| 0173A |
|
19 |
12 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
18 |
12 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |
| Z6200 |
|
150 |
148 |
$0.00 |
| D0180 |
|
545 |
537 |
$0.00 |
| 2022F |
|
1,673 |
1,669 |
$0.00 |
| Z6304 |
|
44 |
43 |
$0.00 |
| 90662 |
|
43 |
41 |
$0.00 |
| D0190 |
|
1,583 |
805 |
$0.00 |
| 91313 |
|
362 |
249 |
$0.00 |
| 91300 |
|
50 |
28 |
$0.00 |
| 96160 |
|
1,154 |
1,151 |
$0.00 |
| 90713 |
|
116 |
101 |
$0.00 |
| Z6308 |
|
13 |
12 |
$0.00 |
| 2028F |
|
180 |
179 |
$0.00 |
| Z6300 |
|
120 |
117 |
$0.00 |
| S0013 |
Esketamine, nasal spray |
134 |
62 |
$0.00 |
| Z6400 |
|
260 |
251 |
$0.00 |
| 99382 |
|
88 |
53 |
$0.00 |
| 91312 |
|
166 |
111 |
$0.00 |
| 90700 |
|
46 |
41 |
$0.00 |
| 90734 |
|
73 |
47 |
$0.00 |
| 91308 |
|
50 |
50 |
$0.00 |
| 99396 |
|
90 |
50 |
$0.00 |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
15 |
15 |
$0.00 |
| Z6414 |
|
26 |
24 |
$0.00 |
| 99442 |
|
14 |
14 |
$0.00 |
| 82948 |
|
27 |
12 |
$0.00 |
| 0071A |
|
33 |
17 |
$0.00 |
| 90621 |
|
15 |
14 |
$0.00 |