| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
71,263 |
46,984 |
$11.58M |
| 99213 |
|
40,112 |
29,270 |
$580K |
| 99214 |
|
11,288 |
9,003 |
$179K |
| T1016 |
Case management |
2,205 |
826 |
$60K |
| 96372 |
|
4,476 |
3,166 |
$55K |
| 99212 |
|
7,879 |
5,527 |
$45K |
| 99203 |
|
1,116 |
1,016 |
$33K |
| 90471 |
|
5,701 |
4,342 |
$31K |
| 87880 |
|
3,645 |
2,575 |
$22K |
| 90834 |
|
691 |
563 |
$22K |
| 90853 |
|
1,432 |
438 |
$18K |
| J3301 |
Triamcinolone acet inj nos |
1,091 |
936 |
$17K |
| 99393 |
|
1,314 |
1,025 |
$16K |
| G0467 |
Fqhc visit, estab pt |
8,500 |
5,783 |
$16K |
| J0696 |
Ceftriaxone sodium injection |
393 |
334 |
$13K |
| 90472 |
|
4,783 |
2,537 |
$13K |
| 99394 |
|
763 |
640 |
$11K |
| J1885 |
Ketorolac tromethamine inj |
440 |
358 |
$7K |
| 99392 |
|
2,358 |
1,692 |
$7K |
| 87428 |
|
1,972 |
1,285 |
$6K |
| 90674 |
|
237 |
208 |
$6K |
| 99406 |
|
92 |
79 |
$6K |
| 92551 |
|
74 |
69 |
$5K |
| 87804 |
|
890 |
615 |
$5K |
| 99173 |
|
72 |
67 |
$5K |
| D0150 |
|
202 |
192 |
$5K |
| 99391 |
|
2,098 |
1,443 |
$4K |
| 90832 |
|
401 |
266 |
$3K |
| H0031 |
Mh health assess by non-md |
173 |
140 |
$3K |
| 90686 |
|
295 |
267 |
$3K |
| D0330 |
|
106 |
103 |
$3K |
| G2023 |
Specimen collect covid-19 |
115 |
111 |
$2K |
| 81002 |
|
125 |
102 |
$2K |
| D1110 |
|
48 |
48 |
$2K |
| 99396 |
|
142 |
88 |
$2K |
| 90670 |
|
1,438 |
913 |
$2K |
| 81003 |
|
81 |
78 |
$1K |
| D0274 |
|
70 |
67 |
$1K |
| D0220 |
|
234 |
211 |
$1K |
| 90837 |
|
96 |
77 |
$1K |
| D1120 |
|
46 |
38 |
$1K |
| G2012 |
Brief check in by md/qhp |
127 |
116 |
$984.50 |
| 99219 |
|
14 |
14 |
$887.17 |
| 90723 |
|
83 |
79 |
$880.00 |
| 99202 |
|
113 |
104 |
$866.50 |
| 99232 |
|
42 |
24 |
$713.96 |
| 80305 |
|
324 |
171 |
$688.72 |
| D1208 |
|
74 |
57 |
$687.61 |
| 90474 |
|
1,023 |
646 |
$640.81 |
| 99382 |
|
14 |
14 |
$600.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
452 |
440 |
$581.49 |
| 90680 |
|
900 |
556 |
$575.20 |
| G2025 |
Dis site tele svcs rhc/fqhc |
159 |
141 |
$556.97 |
| G0466 |
Fqhc visit new patient |
208 |
150 |
$460.00 |
| 99222 |
|
12 |
12 |
$367.33 |
| 90648 |
|
140 |
134 |
$300.00 |
| 90756 |
|
362 |
328 |
$275.34 |
| 90651 |
|
62 |
41 |
$253.60 |
| 99231 |
|
36 |
13 |
$242.53 |
| D0272 |
|
13 |
13 |
$215.06 |
| D0120 |
|
21 |
12 |
$200.39 |
| D0230 |
|
69 |
34 |
$183.32 |
| 90633 |
|
562 |
373 |
$159.55 |
| 87426 |
|
158 |
92 |
$140.80 |
| H0004 |
Alcohol and/or drug services |
151 |
71 |
$129.52 |
| 87807 |
|
169 |
114 |
$128.26 |
| 90698 |
|
101 |
75 |
$112.00 |
| 96127 |
|
245 |
222 |
$58.00 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
63 |
62 |
$34.65 |
| 1101F |
|
2,863 |
2,345 |
$25.59 |
| 4010F |
|
981 |
824 |
$0.66 |
| 3074F |
|
834 |
734 |
$0.63 |
| 3078F |
|
785 |
706 |
$0.44 |
| 3079F |
|
388 |
351 |
$0.20 |
| 3075F |
|
281 |
241 |
$0.19 |
| D1330 |
|
25 |
25 |
$0.11 |
| 3046F |
|
13 |
13 |
$0.10 |
| 3044F |
|
15 |
13 |
$0.08 |
| 3077F |
|
153 |
132 |
$0.07 |
| 3080F |
|
52 |
45 |
$0.02 |
| 90697 |
|
188 |
126 |
$0.00 |
| 3008F |
|
455 |
370 |
$0.00 |
| 90677 |
|
303 |
274 |
$0.00 |
| G0008 |
Admin influenza virus vac |
57 |
57 |
$0.00 |
| 99383 |
|
19 |
19 |
$0.00 |
| 36416 |
|
32 |
13 |
$0.00 |
| 85018 |
|
47 |
28 |
$0.00 |
| 99381 |
|
15 |
12 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 90696 |
|
16 |
14 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90734 |
|
120 |
96 |
$0.00 |
| 90681 |
|
106 |
83 |
$0.00 |
| 90710 |
|
249 |
162 |
$0.00 |
| 0521F |
|
16 |
13 |
$0.00 |
| 11721 |
|
16 |
12 |
$0.00 |
| 11720 |
|
19 |
12 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |
| 83655 |
|
37 |
27 |
$0.00 |
| 81025 |
|
18 |
18 |
$0.00 |
| D1999 |
|
13 |
13 |
$0.00 |
| 90661 |
|
14 |
13 |
$0.00 |
| 90715 |
|
21 |
12 |
$0.00 |