| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
232,210 |
191,832 |
$15.90M |
| 99213 |
|
231,482 |
132,160 |
$1.42M |
| 99214 |
|
82,579 |
54,792 |
$815K |
| 99394 |
|
9,914 |
6,642 |
$496K |
| 99393 |
|
12,898 |
8,700 |
$492K |
| 99392 |
|
14,654 |
9,796 |
$459K |
| 92552 |
|
21,857 |
13,622 |
$359K |
| 99391 |
|
11,269 |
7,577 |
$358K |
| 95144 |
|
1,036 |
176 |
$281K |
| 99395 |
|
4,259 |
2,994 |
$167K |
| 96110 |
|
2,566 |
1,451 |
$141K |
| 95004 |
|
497 |
496 |
$108K |
| 90648 |
|
10,626 |
7,097 |
$105K |
| 87502 |
|
2,194 |
1,260 |
$94K |
| 99203 |
|
2,373 |
1,838 |
$90K |
| 90686 |
|
7,339 |
5,366 |
$90K |
| 90670 |
|
8,009 |
5,529 |
$85K |
| 90723 |
|
7,651 |
5,113 |
$75K |
| 90716 |
|
6,127 |
4,120 |
$66K |
| 90707 |
|
5,892 |
3,964 |
$64K |
| 90633 |
|
6,032 |
4,032 |
$62K |
| 90680 |
|
6,219 |
4,154 |
$61K |
| 99173 |
|
19,586 |
12,323 |
$60K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
10,147 |
10,147 |
$56K |
| 99381 |
|
1,151 |
752 |
$51K |
| 85018 |
|
37,167 |
25,093 |
$48K |
| 90651 |
|
4,132 |
2,802 |
$47K |
| 87804 |
|
2,456 |
2,332 |
$45K |
| 90620 |
|
2,936 |
1,960 |
$41K |
| 99396 |
|
2,018 |
1,437 |
$40K |
| 90734 |
|
2,852 |
1,997 |
$35K |
| 83655 |
|
4,528 |
2,822 |
$28K |
| 90715 |
|
2,260 |
1,599 |
$26K |
| 87651 |
|
1,278 |
820 |
$26K |
| 90671 |
|
2,492 |
1,496 |
$20K |
| 11721 |
|
576 |
354 |
$18K |
| 87635 |
|
502 |
347 |
$18K |
| 90696 |
|
1,705 |
1,150 |
$18K |
| 87426 |
|
511 |
455 |
$15K |
| 87880 |
|
1,628 |
1,520 |
$15K |
| 90700 |
|
1,356 |
870 |
$14K |
| 90682 |
|
219 |
179 |
$11K |
| 83036 |
|
1,801 |
1,314 |
$11K |
| 99212 |
|
2,571 |
991 |
$11K |
| 90619 |
|
1,449 |
960 |
$11K |
| 90792 |
|
87 |
86 |
$11K |
| 90688 |
|
609 |
605 |
$10K |
| 0011A |
|
230 |
122 |
$10K |
| 90833 |
|
249 |
235 |
$10K |
| 99204 |
|
49 |
49 |
$8K |
| 99243 |
|
59 |
59 |
$7K |
| 11750 |
|
50 |
25 |
$7K |
| 86580 |
|
1,464 |
1,160 |
$6K |
| 99406 |
|
683 |
413 |
$6K |
| J3420 |
Vitamin b12 injection |
1,328 |
962 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
1,299 |
925 |
$5K |
| 81002 |
|
3,997 |
2,785 |
$5K |
| 0012A |
|
94 |
48 |
$4K |
| 11730 |
|
72 |
30 |
$4K |
| 81025 |
|
1,363 |
975 |
$3K |
| 99442 |
|
892 |
810 |
$3K |
| 99383 |
|
65 |
43 |
$3K |
| 99244 |
|
12 |
12 |
$2K |
| 99354 |
|
136 |
132 |
$2K |
| 90656 |
|
297 |
198 |
$2K |
| 80305 |
|
230 |
164 |
$1K |
| 90649 |
|
96 |
94 |
$1K |
| 0002A |
|
31 |
16 |
$1K |
| 99211 |
|
980 |
979 |
$1K |
| 82962 |
|
663 |
508 |
$1K |
| 0001A |
|
29 |
15 |
$1K |
| 20550 |
|
17 |
12 |
$906.25 |
| J0696 |
Ceftriaxone sodium injection |
185 |
135 |
$754.58 |
| 11056 |
|
19 |
12 |
$728.76 |
| A4217 |
Sterile water/saline, 500 ml |
107 |
94 |
$671.50 |
| J3301 |
Triamcinolone acet inj nos |
90 |
86 |
$585.54 |
| 96372 |
|
219 |
190 |
$585.50 |
| 69209 |
|
38 |
27 |
$472.68 |
| G0447 |
Behavior counsel obesity 15m |
14 |
14 |
$467.46 |
| 90381 |
|
42 |
24 |
$324.00 |
| 95117 |
|
21 |
12 |
$297.78 |
| 99384 |
|
17 |
17 |
$295.98 |
| 96127 |
|
50 |
38 |
$274.36 |
| A6266 |
Impreg gauze no h20/sal/yard |
58 |
46 |
$237.85 |
| 90655 |
|
42 |
30 |
$216.00 |
| A6219 |
Gauze <= 16 sq in w/border |
25 |
20 |
$208.46 |
| 94640 |
|
57 |
42 |
$174.43 |
| 82044 |
|
29 |
29 |
$135.67 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
26 |
21 |
$112.86 |
| A6453 |
Self-adher band w <3"/yd |
97 |
88 |
$74.08 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
47 |
43 |
$70.44 |
| A6216 |
Non-sterile gauze<=16 sq in |
96 |
96 |
$44.81 |
| 99174 |
|
139 |
139 |
$22.36 |
| A6248 |
Hydrogel drsg gel filler |
26 |
21 |
$13.78 |
| 1160F |
|
35,294 |
30,730 |
$0.02 |
| 1159F |
|
35,304 |
30,740 |
$0.02 |
| 3008F |
|
36,663 |
33,837 |
$0.02 |
| 3077F |
|
7,528 |
4,621 |
$0.00 |
| 3078F |
|
67,320 |
39,812 |
$0.00 |
| 3725F |
|
751 |
750 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
400 |
400 |
$0.00 |
| 3046F |
|
132 |
94 |
$0.00 |
| 3075F |
|
9,513 |
5,953 |
$0.00 |
| 3079F |
|
12,318 |
7,563 |
$0.00 |
| G0008 |
Admin influenza virus vac |
83 |
83 |
$0.00 |
| 3074F |
|
65,176 |
38,521 |
$0.00 |
| 3080F |
|
1,622 |
1,029 |
$0.00 |
| Q2039 |
Influenza virus vaccine, nos |
65 |
65 |
$0.00 |
| 3044F |
|
955 |
718 |
$0.00 |
| G8433 |
Scr for dep not cpt doc rsn |
485 |
270 |
$0.00 |