| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
470,230 |
417,876 |
$160.82M |
| 0510 |
|
371,708 |
345,446 |
$30.28M |
| 00003 |
|
17,655 |
14,708 |
$7.56M |
| G0467 |
Fqhc visit, estab pt |
9,501 |
8,671 |
$1.83M |
| 99078 |
|
15,094 |
5,704 |
$452K |
| 96164 |
|
10,878 |
1,069 |
$232K |
| 0002A |
|
9,851 |
7,438 |
$194K |
| 0001A |
|
10,603 |
7,658 |
$186K |
| 90832 |
|
3,573 |
771 |
$86K |
| 96152 |
|
2,398 |
523 |
$70K |
| 0004A |
|
1,384 |
1,384 |
$55K |
| 96158 |
|
2,422 |
367 |
$49K |
| 90791 |
|
1,811 |
615 |
$45K |
| 0054A |
|
1,097 |
1,097 |
$45K |
| 0124A |
|
727 |
646 |
$34K |
| 90837 |
|
1,016 |
358 |
$32K |
| 90853 |
|
560 |
145 |
$23K |
| 0064A |
|
565 |
565 |
$22K |
| 0011A |
|
1,680 |
982 |
$19K |
| 0012A |
|
1,665 |
1,023 |
$18K |
| 99213 |
|
295,959 |
186,377 |
$15K |
| 99391 |
|
12,680 |
8,452 |
$14K |
| S0197 |
Prenatal vitamins 30 day |
1,404 |
1,304 |
$14K |
| 0071A |
|
339 |
339 |
$13K |
| 90834 |
|
322 |
84 |
$12K |
| 0052A |
|
220 |
220 |
$9K |
| 96159 |
|
2,118 |
293 |
$8K |
| 99401 |
|
320 |
281 |
$7K |
| 0134A |
|
105 |
105 |
$7K |
| 91322 |
|
249 |
170 |
$6K |
| Z7500 |
|
241,069 |
225,915 |
$5K |
| 0051A |
|
123 |
123 |
$5K |
| 0003A |
|
116 |
116 |
$5K |
| H1003 |
Prenatal at risk education |
151 |
135 |
$4K |
| 90480 |
|
664 |
439 |
$4K |
| 0013A |
|
72 |
72 |
$3K |
| 0072A |
|
55 |
55 |
$3K |
| 0081A |
|
38 |
38 |
$2K |
| 0082A |
|
36 |
36 |
$2K |
| 0074A |
|
35 |
35 |
$2K |
| 96153 |
|
2,436 |
508 |
$2K |
| 99214 |
|
82,204 |
49,101 |
$1K |
| 90833 |
|
44 |
12 |
$1K |
| 87635 |
|
9,811 |
8,900 |
$948.03 |
| 0154A |
|
14 |
14 |
$938.00 |
| 36415 |
|
72,268 |
62,912 |
$498.23 |
| 87637 |
|
906 |
873 |
$260.52 |
| 83721 |
|
13,596 |
12,420 |
$175.84 |
| 80048 |
|
8,011 |
7,347 |
$158.78 |
| G0463 |
Hospital outpt clinic visit |
2,931 |
2,688 |
$146.58 |
| 85027 |
|
15,255 |
14,085 |
$116.80 |
| Q3014 |
Telehealth facility fee |
119,349 |
61,614 |
$109.50 |
| 87491 |
|
5,291 |
3,859 |
$103.87 |
| 87591 |
|
5,217 |
3,817 |
$103.86 |
| 83036 |
|
49,454 |
42,243 |
$100.20 |
| 96110 |
|
4,671 |
1,532 |
$93.24 |
| 99212 |
|
36,771 |
20,869 |
$82.04 |
| 90739 |
|
4,728 |
3,371 |
$77.42 |
| 85025 |
|
16,237 |
14,796 |
$58.70 |
| 84443 |
|
12,909 |
11,783 |
$58.34 |
| 84132 |
|
285 |
274 |
$55.30 |
| 82565 |
|
2,281 |
2,114 |
$55.30 |
| 80307 |
|
1,890 |
1,313 |
$51.72 |
| 80053 |
|
18,857 |
17,211 |
$47.03 |
| 92012 |
|
11,254 |
7,530 |
$37.15 |
| 82607 |
|
2,590 |
2,313 |
$34.70 |
| 86803 |
|
2,248 |
2,224 |
$34.05 |
| 81002 |
|
25,550 |
12,782 |
$23.00 |
| 84520 |
|
249 |
238 |
$20.30 |
| 80061 |
|
6,238 |
5,954 |
$18.58 |
| 87389 |
|
3,280 |
3,163 |
$12.79 |
| 86364 |
|
277 |
277 |
$11.53 |
| 82784 |
|
376 |
375 |
$6.08 |
| 98941 |
|
12,609 |
2,874 |
$2.94 |
| 83718 |
|
6,871 |
5,959 |
$1.99 |
| 82465 |
|
6,790 |
5,881 |
$1.81 |
| 86706 |
|
416 |
408 |
$0.88 |
| 84550 |
|
797 |
728 |
$0.37 |
| 86592 |
|
2,097 |
2,007 |
$0.35 |
| Z7610 |
|
6,197 |
5,360 |
$0.00 |
| Z1034 |
|
15,018 |
11,967 |
$0.00 |
| 81001 |
|
1,009 |
884 |
$0.00 |
| 90471 |
|
48,036 |
32,815 |
$0.00 |
| Z6402 |
|
1,040 |
1,035 |
$0.00 |
| 90688 |
|
155 |
136 |
$0.00 |
| J3490 |
Drugs unclassified injection |
6,231 |
5,783 |
$0.00 |
| 88142 |
|
1,897 |
1,404 |
$0.00 |
| 99202 |
|
2,757 |
1,638 |
$0.00 |
| 97139 |
|
301 |
126 |
$0.00 |
| Z6406 |
|
3,252 |
2,914 |
$0.00 |
| 87625 |
|
802 |
564 |
$0.00 |
| 90686 |
|
39,521 |
16,859 |
$0.00 |
| 86901 |
|
1,817 |
1,740 |
$0.00 |
| 82306 |
|
3,092 |
2,735 |
$0.00 |
| G0399 |
Home sleep test/type 3 porta |
1,964 |
1,937 |
$0.00 |
| 99241 |
|
1,030 |
622 |
$0.00 |
| 90619 |
|
872 |
497 |
$0.00 |
| 76815 |
|
5,238 |
1,934 |
$0.00 |
| 86850 |
|
1,817 |
1,741 |
$0.00 |
| 90680 |
|
2,965 |
1,217 |
$0.00 |
| 90656 |
|
5,771 |
2,395 |
$0.00 |
| 87340 |
|
1,564 |
1,519 |
$0.00 |
| 85652 |
|
2,105 |
2,001 |
$0.00 |
| 90698 |
|
3,491 |
1,502 |
$0.00 |
| 87624 |
|
1,257 |
930 |
$0.00 |
| 87086 |
|
2,938 |
2,483 |
$0.00 |
| 90744 |
|
1,836 |
794 |
$0.00 |
| 11106 |
|
109 |
38 |
$0.00 |
| 86762 |
|
1,441 |
1,391 |
$0.00 |
| 88720 |
|
5,098 |
3,438 |
$0.00 |
| 0271 |
|
1,708 |
1,509 |
$0.00 |
| 90677 |
|
1,975 |
1,213 |
$0.00 |
| 90697 |
|
1,155 |
704 |
$0.00 |
| G0123 |
Screen cerv/vag thin layer |
135 |
104 |
$0.00 |
| 92002 |
|
2,131 |
1,352 |
$0.00 |
| 96372 |
|
1,339 |
1,093 |
$0.00 |
| Z6404 |
|
1,169 |
1,134 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
524 |
391 |
$0.00 |
| 92004 |
|
3,855 |
2,449 |
$0.00 |
| 86355 |
|
233 |
232 |
$0.00 |
| 86141 |
|
345 |
334 |
$0.00 |
| 82043 |
|
1,324 |
1,164 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
2,023 |
1,201 |
$0.00 |
| 92567 |
|
1,564 |
1,554 |
$0.00 |
| 83520 |
|
176 |
174 |
$0.00 |
| D1208 |
|
1,889 |
1,197 |
$0.00 |
| 85018 |
|
807 |
554 |
$0.00 |
| X6218 |
|
12 |
12 |
$0.00 |
| 83735 |
|
282 |
272 |
$0.00 |
| 88305 |
|
390 |
126 |
$0.00 |
| 86160 |
|
256 |
251 |
$0.00 |
| 82105 |
|
791 |
752 |
$0.00 |
| 87536 |
|
253 |
229 |
$0.00 |
| 84478 |
|
60 |
56 |
$0.00 |
| 20610 |
|
858 |
283 |
$0.00 |
| 86704 |
|
410 |
401 |
$0.00 |
| 90696 |
|
390 |
131 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
50 |
42 |
$0.00 |
| 97750 |
|
52 |
27 |
$0.00 |
| 82728 |
|
1,507 |
1,371 |
$0.00 |
| 99243 |
|
295 |
176 |
$0.00 |
| 82670 |
|
349 |
345 |
$0.00 |
| 86481 |
|
132 |
124 |
$0.00 |
| 83519 |
|
41 |
39 |
$0.00 |
| 90674 |
|
139 |
69 |
$0.00 |
| 86225 |
|
151 |
149 |
$0.00 |
| 90651 |
|
870 |
476 |
$0.00 |
| 99384 |
|
29 |
18 |
$0.00 |
| J3420 |
Vitamin b12 injection |
461 |
375 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
25 |
25 |
$0.00 |
| 90716 |
|
184 |
65 |
$0.00 |
| 90647 |
|
42 |
13 |
$0.00 |
| 0636 |
|
13 |
13 |
$0.00 |
| Z1032 |
|
41 |
41 |
$0.00 |
| 99381 |
|
20 |
13 |
$0.00 |
| D1310 |
|
138 |
117 |
$0.00 |
| 86800 |
|
25 |
25 |
$0.00 |
| 90732 |
|
52 |
29 |
$0.00 |
| 97140 |
|
50 |
30 |
$0.00 |
| 0761 |
|
94 |
94 |
$0.00 |
| 82985 |
|
40 |
40 |
$0.00 |
| 83921 |
|
43 |
43 |
$0.00 |
| 0700 |
|
32 |
31 |
$0.00 |
| Z1038 |
|
60 |
55 |
$0.00 |
| 0031A |
|
70 |
37 |
$0.00 |
| 86376 |
|
25 |
25 |
$0.00 |
| 87426 |
|
21 |
21 |
$0.00 |
| Z6204 |
|
14 |
14 |
$0.00 |
| Z6410 |
|
26 |
26 |
$0.00 |
| 96150 |
|
28 |
14 |
$0.00 |
| 87661 |
|
26 |
26 |
$0.00 |
| 87081 |
|
22 |
12 |
$0.00 |
| 83986 |
|
13 |
13 |
$0.00 |
| 90620 |
|
16 |
12 |
$0.00 |
| 11055 |
|
25 |
13 |
$0.00 |
| 84402 |
|
13 |
13 |
$0.00 |
| 82746 |
|
13 |
13 |
$0.00 |
| 84703 |
|
12 |
12 |
$0.00 |
| 90472 |
|
2,796 |
1,923 |
$0.00 |
| 84460 |
|
2,249 |
2,030 |
$0.00 |
| 80076 |
|
2,980 |
2,802 |
$0.00 |
| 99203 |
|
15,798 |
9,893 |
$0.00 |
| Z6300 |
|
1,034 |
1,031 |
$0.00 |
| G2012 |
Brief check in by md/qhp |
96,259 |
50,196 |
$0.00 |
| 92557 |
|
1,233 |
1,231 |
$0.00 |
| 83068 |
|
255 |
241 |
$0.00 |
| 82274 |
|
131 |
126 |
$0.00 |
| 99393 |
|
13,450 |
8,053 |
$0.00 |
| 86900 |
|
1,816 |
1,740 |
$0.00 |
| 95801 |
|
1,905 |
1,902 |
$0.00 |
| 97110 |
|
1,262 |
577 |
$0.00 |
| 99392 |
|
14,302 |
8,673 |
$0.00 |
| 99394 |
|
8,951 |
5,115 |
$0.00 |
| 97811 |
|
4,849 |
1,136 |
$0.00 |
| 83655 |
|
1,175 |
1,103 |
$0.00 |
| 90715 |
|
3,169 |
1,687 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
2,838 |
1,581 |
$0.00 |
| 90670 |
|
6,901 |
3,081 |
$0.00 |
| 0272 |
|
2,402 |
2,101 |
$0.00 |
| 86708 |
|
384 |
376 |
$0.00 |
| 86200 |
|
231 |
231 |
$0.00 |
| 90750 |
|
1,197 |
717 |
$0.00 |
| 81025 |
|
508 |
400 |
$0.00 |
| 11056 |
|
1,266 |
474 |
$0.00 |
| Z6200 |
|
1,020 |
1,017 |
$0.00 |
| 82947 |
|
390 |
354 |
$0.00 |
| 99211 |
|
3,557 |
2,077 |
$0.00 |
| 90649 |
|
4,029 |
2,343 |
$0.00 |
| 86787 |
|
1,261 |
1,224 |
$0.00 |
| 86431 |
|
336 |
335 |
$0.00 |
| 98940 |
|
7,617 |
1,827 |
$0.00 |
| 99204 |
|
3,344 |
2,157 |
$0.00 |
| 81003 |
|
995 |
951 |
$0.00 |
| Z6414 |
|
105 |
95 |
$0.00 |
| 90633 |
|
6,546 |
2,396 |
$0.00 |
| 84466 |
|
652 |
592 |
$0.00 |
| 82570 |
|
1,502 |
1,300 |
$0.00 |
| 94060 |
|
856 |
428 |
$0.00 |
| Z6500 |
|
778 |
773 |
$0.00 |
| 90685 |
|
44 |
42 |
$0.00 |
| 59025 |
|
2,337 |
653 |
$0.00 |
| 81220 |
|
328 |
327 |
$0.00 |
| 92014 |
|
85 |
54 |
$0.00 |
| 85014 |
|
134 |
92 |
$0.00 |
| 83540 |
|
692 |
631 |
$0.00 |
| 99201 |
|
2,892 |
2,183 |
$0.00 |
| 86480 |
|
223 |
217 |
$0.00 |
| 98926 |
|
2,554 |
633 |
$0.00 |
| 99242 |
|
470 |
282 |
$0.00 |
| 90710 |
|
2,594 |
779 |
$0.00 |
| 84450 |
|
1,107 |
1,060 |
$0.00 |
| 96165 |
|
10,608 |
1,002 |
$0.00 |
| 99188 |
|
593 |
349 |
$0.00 |
| 59425 |
|
1,852 |
1,399 |
$0.00 |
| 93005 |
|
107 |
102 |
$0.00 |
| Z6400 |
|
2,403 |
2,394 |
$0.00 |
| 11721 |
|
2,908 |
1,245 |
$0.00 |
| 90671 |
|
1,107 |
678 |
$0.00 |
| 86038 |
|
398 |
395 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
542 |
465 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
26 |
26 |
$0.00 |
| 81329 |
|
490 |
489 |
$0.00 |
| 85610 |
|
609 |
534 |
$0.00 |
| 97810 |
|
4,185 |
976 |
$0.00 |
| 90700 |
|
209 |
60 |
$0.00 |
| 97161 |
|
29 |
29 |
$0.00 |
| 83013 |
|
167 |
165 |
$0.00 |
| 86359 |
|
233 |
232 |
$0.00 |
| 84155 |
|
187 |
183 |
$0.00 |
| 90734 |
|
56 |
56 |
$0.00 |
| S4993 |
Contraceptive pills for bc |
268 |
258 |
$0.00 |
| 92588 |
|
167 |
162 |
$0.00 |
| V5060 |
Behind ear hearing aid |
131 |
131 |
$0.00 |
| 73630 |
|
910 |
366 |
$0.00 |
| 84165 |
|
187 |
183 |
$0.00 |
| 99395 |
|
351 |
208 |
$0.00 |
| 93010 |
|
66 |
66 |
$0.00 |
| 87338 |
|
24 |
24 |
$0.00 |
| V5010 |
Assessment for hearing aid |
67 |
67 |
$0.00 |
| 86682 |
|
127 |
127 |
$0.00 |
| 90662 |
|
80 |
65 |
$0.00 |
| 86360 |
|
131 |
130 |
$0.00 |
| 92579 |
|
30 |
28 |
$0.00 |
| 94727 |
|
58 |
29 |
$0.00 |
| 94729 |
|
58 |
29 |
$0.00 |
| 80365 |
|
37 |
37 |
$0.00 |
| 80348 |
|
83 |
76 |
$0.00 |
| 97530 |
|
27 |
24 |
$0.00 |
| 20605 |
|
246 |
76 |
$0.00 |
| 85045 |
|
15 |
15 |
$0.00 |
| 80361 |
|
37 |
37 |
$0.00 |
| 90707 |
|
121 |
36 |
$0.00 |
| 90658 |
|
31 |
21 |
$0.00 |
| 84425 |
|
26 |
26 |
$0.00 |
| 86235 |
|
39 |
39 |
$0.00 |
| Z6304 |
|
14 |
14 |
$0.00 |
| 87210 |
|
71 |
51 |
$0.00 |
| 11750 |
|
53 |
16 |
$0.00 |
| 81420 |
|
95 |
95 |
$0.00 |
| 99396 |
|
27 |
15 |
$0.00 |