| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
14,243 |
10,740 |
$1.04M |
| 99213 |
|
17,303 |
7,818 |
$450K |
| J1050 |
Medroxyprogesterone acetate |
1,068 |
1,052 |
$96K |
| 99395 |
|
1,585 |
932 |
$47K |
| 99214 |
|
782 |
530 |
$31K |
| 76817 |
|
553 |
447 |
$29K |
| 90832 |
|
1,261 |
504 |
$24K |
| 76805 |
|
218 |
208 |
$19K |
| Q3014 |
Telehealth facility fee |
1,382 |
608 |
$13K |
| 96372 |
|
909 |
890 |
$13K |
| 81025 |
|
2,589 |
1,900 |
$11K |
| 99212 |
|
933 |
577 |
$11K |
| 36415 |
|
5,902 |
3,798 |
$8K |
| 76830 |
|
109 |
101 |
$7K |
| 99396 |
|
141 |
75 |
$5K |
| 59430 |
|
150 |
106 |
$5K |
| 90471 |
|
212 |
128 |
$2K |
| 76801 |
|
33 |
32 |
$2K |
| 90834 |
|
77 |
33 |
$2K |
| 90715 |
|
68 |
37 |
$1K |
| 99385 |
|
117 |
116 |
$983.60 |
| 99401 |
|
92 |
41 |
$853.13 |
| 90837 |
|
26 |
14 |
$838.95 |
| 81003 |
|
621 |
360 |
$683.64 |
| 90686 |
|
39 |
24 |
$356.35 |
| H1000 |
Prenatal care atrisk assessm |
16 |
14 |
$164.62 |
| G8484 |
Flu immunize no admin |
6,593 |
3,128 |
$0.00 |
| G8938 |
Bmi doc onl fup nt doc |
6,624 |
2,832 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
20,262 |
10,538 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
9,796 |
5,293 |
$0.00 |
| 4004F |
|
7,946 |
4,277 |
$0.00 |
| G8482 |
Flu immunize order/admin |
362 |
121 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
223 |
85 |
$0.00 |
| 99203 |
|
85 |
79 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
14 |
14 |
$0.00 |
| G8428 |
Cur meds not document |
231 |
162 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
3,552 |
2,011 |
$0.00 |
| 1036F |
|
12,431 |
6,066 |
$0.00 |
| G9717 |
Doc pt dx bipol |
2,449 |
1,263 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
8,770 |
4,041 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
5,310 |
2,612 |
$0.00 |
| G8432 |
Dep scr not doc, rng |
4,027 |
2,391 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
9,239 |
4,730 |
$0.00 |
| G9906 |
Pt recv tbco cess interv |
5,135 |
2,537 |
$0.00 |
| G8433 |
Scr for dep not cpt doc rsn |
594 |
431 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
31 |
31 |
$0.00 |
| 3017F |
|
56 |
26 |
$0.00 |