| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
63,529 |
52,461 |
$9.48M |
| D9450 |
|
162,685 |
103,256 |
$5.99M |
| D1110 |
|
36,169 |
26,021 |
$1.18M |
| D1120 |
|
18,930 |
18,339 |
$896K |
| D7140 |
|
19,780 |
6,498 |
$877K |
| D0120 |
|
45,622 |
36,470 |
$833K |
| D1351 |
|
22,992 |
7,536 |
$817K |
| D1206 |
|
28,759 |
27,836 |
$731K |
| D0140 |
|
30,968 |
18,291 |
$708K |
| G0467 |
Fqhc visit, estab pt |
20,529 |
16,887 |
$695K |
| D2740 |
|
1,499 |
1,015 |
$548K |
| D7210 |
|
5,698 |
2,708 |
$526K |
| D2392 |
|
11,777 |
7,122 |
$523K |
| D2391 |
|
14,453 |
7,381 |
$499K |
| D0210 |
|
13,117 |
9,054 |
$488K |
| 99214 |
|
25,709 |
23,368 |
$410K |
| D0274 |
|
15,737 |
11,954 |
$381K |
| D0150 |
|
12,052 |
9,313 |
$374K |
| G0470 |
Fqhc visit, mh estab pt |
8,250 |
6,450 |
$319K |
| D0220 |
|
31,339 |
18,923 |
$290K |
| 90834 |
|
9,512 |
7,299 |
$289K |
| D2331 |
|
5,397 |
2,850 |
$247K |
| D2335 |
|
3,096 |
1,745 |
$230K |
| D2332 |
|
3,631 |
2,034 |
$213K |
| 99395 |
|
1,257 |
1,252 |
$208K |
| D0330 |
|
4,771 |
3,140 |
$198K |
| D2150 |
|
4,761 |
2,493 |
$194K |
| D2393 |
|
3,927 |
2,748 |
$184K |
| D2330 |
|
4,831 |
2,323 |
$179K |
| D5212 |
|
523 |
343 |
$154K |
| 99393 |
|
928 |
925 |
$152K |
| D4341 |
|
2,860 |
1,062 |
$144K |
| 99394 |
|
885 |
881 |
$139K |
| 92340 |
|
4,389 |
3,873 |
$124K |
| G2025 |
Dis site tele svcs rhc/fqhc |
6,594 |
5,310 |
$123K |
| D4342 |
|
2,540 |
1,081 |
$123K |
| D0272 |
|
4,570 |
4,127 |
$119K |
| 99213 |
|
18,601 |
16,473 |
$111K |
| T1040 |
Comm bh clinic svc per diem |
1,133 |
858 |
$110K |
| D2160 |
|
2,458 |
1,288 |
$107K |
| 92014 |
|
2,146 |
2,140 |
$96K |
| 99392 |
|
471 |
469 |
$87K |
| D0230 |
|
11,931 |
5,298 |
$87K |
| 92004 |
|
1,283 |
1,283 |
$82K |
| D2140 |
|
2,167 |
1,126 |
$75K |
| D7230 |
|
566 |
356 |
$72K |
| 90677 |
|
280 |
275 |
$69K |
| D3330 |
|
174 |
159 |
$68K |
| D5211 |
|
255 |
162 |
$66K |
| D2954 |
|
607 |
487 |
$55K |
| D5110 |
|
141 |
86 |
$55K |
| 99391 |
|
290 |
272 |
$52K |
| G2023 |
Specimen collect covid-19 |
2,520 |
2,397 |
$52K |
| 92015 |
|
4,559 |
4,516 |
$52K |
| D9110 |
|
2,167 |
1,310 |
$50K |
| 90686 |
|
4,677 |
4,544 |
$44K |
| D0180 |
|
1,808 |
1,492 |
$43K |
| D2751 |
|
146 |
92 |
$42K |
| 90471 |
|
8,883 |
8,698 |
$39K |
| 90715 |
|
1,744 |
1,728 |
$38K |
| D2394 |
|
561 |
412 |
$37K |
| 92341 |
|
1,104 |
1,086 |
$37K |
| D1354 |
|
2,634 |
1,401 |
$37K |
| D0270 |
|
4,406 |
3,355 |
$33K |
| 83036 |
|
5,287 |
4,963 |
$30K |
| D2161 |
|
541 |
291 |
$29K |
| D7311 |
|
283 |
231 |
$25K |
| 90832 |
|
1,580 |
1,451 |
$25K |
| 99173 |
|
1,523 |
1,509 |
$22K |
| 87635 |
|
413 |
406 |
$21K |
| D2950 |
|
232 |
186 |
$20K |
| 96110 |
|
2,079 |
1,884 |
$18K |
| 87880 |
|
1,401 |
1,326 |
$17K |
| D3320 |
|
52 |
43 |
$16K |
| 90460 |
|
1,582 |
1,436 |
$15K |
| 90688 |
|
1,396 |
1,377 |
$14K |
| 90651 |
|
708 |
697 |
$14K |
| 99211 |
|
3,276 |
2,873 |
$14K |
| 99396 |
|
398 |
393 |
$12K |
| 90750 |
|
363 |
359 |
$12K |
| 90791 |
|
176 |
176 |
$12K |
| 90472 |
|
2,671 |
2,174 |
$12K |
| 99188 |
|
408 |
404 |
$10K |
| 81025 |
|
1,530 |
1,432 |
$9K |
| 96127 |
|
1,247 |
990 |
$9K |
| 87804 |
|
629 |
550 |
$8K |
| D5120 |
|
23 |
12 |
$7K |
| 96372 |
|
1,187 |
1,122 |
$6K |
| 81002 |
|
2,114 |
2,051 |
$5K |
| D3120 |
|
216 |
186 |
$5K |
| 93000 |
|
398 |
350 |
$5K |
| 99215 |
Prolong outpt/office vis |
553 |
536 |
$4K |
| 99384 |
|
25 |
24 |
$3K |
| 92551 |
|
363 |
356 |
$3K |
| 99050 |
|
71 |
70 |
$3K |
| 82962 |
|
8,142 |
7,537 |
$3K |
| 99204 |
|
277 |
274 |
$3K |
| 99385 |
|
12 |
12 |
$3K |
| 0004A |
|
100 |
98 |
$3K |
| 90461 |
|
656 |
614 |
$3K |
| 0011A |
|
91 |
91 |
$2K |
| 99383 |
|
13 |
13 |
$2K |
| 0001A |
|
49 |
49 |
$2K |
| 99203 |
|
413 |
412 |
$2K |
| 90670 |
|
176 |
176 |
$2K |
| G8510 |
Scr dep neg, no plan reqd |
8,699 |
8,104 |
$2K |
| 87275 |
|
200 |
199 |
$2K |
| 90792 |
|
28 |
28 |
$1K |
| D5650 |
|
34 |
12 |
$1K |
| 99442 |
|
165 |
164 |
$1K |
| 92012 |
|
31 |
30 |
$1K |
| 97803 |
|
36 |
36 |
$1K |
| D4346 |
|
26 |
26 |
$1K |
| G0466 |
Fqhc visit new patient |
16 |
16 |
$965.11 |
| 0012A |
|
34 |
34 |
$957.40 |
| D3310 |
|
20 |
13 |
$750.00 |
| 98967 |
|
42 |
42 |
$624.30 |
| 0064A |
|
49 |
49 |
$565.81 |
| 98966 |
|
88 |
86 |
$560.04 |
| 97810 |
|
19 |
13 |
$507.11 |
| 92370 |
|
37 |
37 |
$414.03 |
| 92133 |
|
27 |
27 |
$402.81 |
| 97811 |
|
19 |
13 |
$383.61 |
| 90707 |
|
24 |
24 |
$376.56 |
| G0008 |
Admin influenza virus vac |
448 |
415 |
$365.32 |
| 99443 |
|
30 |
28 |
$355.36 |
| 81003 |
|
170 |
168 |
$310.34 |
| 0054A |
|
49 |
49 |
$297.21 |
| 99202 |
|
22 |
22 |
$284.05 |
| D9230 |
|
15 |
15 |
$231.00 |
| D0273 |
|
14 |
12 |
$223.00 |
| 90734 |
|
225 |
224 |
$216.85 |
| 86580 |
|
26 |
25 |
$157.04 |
| 36416 |
|
1,503 |
1,430 |
$138.01 |
| G8417 |
Calc bmi abv up param f/u |
6,157 |
5,774 |
$78.14 |
| 99408 |
|
17 |
16 |
$55.48 |
| 99406 |
|
340 |
333 |
$52.92 |
| 99000 |
|
1,625 |
1,424 |
$52.72 |
| 99212 |
|
152 |
148 |
$35.57 |
| 85018 |
|
12 |
12 |
$25.08 |
| 96160 |
|
133 |
133 |
$17.12 |
| J1885 |
Ketorolac tromethamine inj |
251 |
243 |
$0.52 |
| J1050 |
Medroxyprogesterone acetate |
24 |
24 |
$0.01 |
| 1000F |
|
2,118 |
2,006 |
$0.00 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
4,000 |
2,098 |
$0.00 |
| V2784 |
Lens polycarb or equal |
1,484 |
783 |
$0.00 |
| D0603 |
|
69 |
44 |
$0.00 |
| 91301 |
|
1,112 |
1,109 |
$0.00 |
| V2799 |
Misc vision item or service |
168 |
151 |
$0.00 |
| V2100 |
Lens spher single plano 4.00 |
912 |
579 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
927 |
880 |
$0.00 |
| V2782 |
Lens, 1.54-1.65 p/1.60-1.79g |
4,156 |
1,862 |
$0.00 |
| 99441 |
|
18 |
16 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| H0049 |
Alcohol/drug screening |
698 |
682 |
$0.00 |
| G0439 |
Ppps, subseq visit |
53 |
53 |
$0.00 |
| 3008F |
|
40 |
39 |
$0.00 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
37 |
26 |
$0.00 |
| 91305 |
|
16 |
16 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
12 |
12 |
$0.00 |
| 90689 |
|
19 |
19 |
$0.00 |
| 94760 |
|
14 |
14 |
$0.00 |
| G8418 |
Calc bmi blw low param f/u |
12 |
12 |
$0.00 |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
819 |
490 |
$0.00 |
| V2020 |
Vision svcs frames purchases |
3,874 |
3,497 |
$0.00 |
| 99051 |
|
667 |
646 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
424 |
423 |
$0.00 |
| 90746 |
|
55 |
54 |
$0.00 |
| 90633 |
|
270 |
269 |
$0.00 |
| G0468 |
Fqhc visit, ippe or awv |
67 |
67 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
224 |
221 |
$0.00 |
| 91300 |
|
388 |
373 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| G0444 |
Depression screen annual |
16 |
16 |
$0.00 |
| 90687 |
|
56 |
56 |
$0.00 |
| D0400 |
|
59 |
36 |
$0.00 |