| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
147,816 |
82,596 |
$12.98M |
| 99213 |
|
219,599 |
142,485 |
$2.09M |
| 98941 |
|
1,998 |
1,523 |
$231K |
| 99395 |
|
3,331 |
3,182 |
$88K |
| 94760 |
|
30,342 |
26,986 |
$83K |
| G0467 |
Fqhc visit, estab pt |
1,639 |
1,192 |
$77K |
| 99396 |
|
2,099 |
2,031 |
$61K |
| 92552 |
|
9,719 |
9,690 |
$52K |
| 99394 |
|
2,987 |
2,864 |
$52K |
| 99393 |
|
2,783 |
2,690 |
$43K |
| 81003 |
|
25,138 |
23,312 |
$39K |
| 3074F |
|
36,786 |
32,202 |
$27K |
| 3078F |
|
32,579 |
28,706 |
$21K |
| 99173 |
|
10,284 |
10,174 |
$21K |
| 93000 |
|
2,078 |
2,046 |
$18K |
| 85018 |
|
12,766 |
12,330 |
$18K |
| 82947 |
|
12,029 |
10,265 |
$14K |
| 96160 |
|
1,643 |
1,636 |
$14K |
| 3079F |
|
15,360 |
13,928 |
$10K |
| 81025 |
|
6,594 |
6,253 |
$10K |
| G2025 |
Dis site tele svcs rhc/fqhc |
828 |
498 |
$8K |
| 99000 |
|
4,934 |
4,879 |
$8K |
| 96127 |
|
2,886 |
2,867 |
$6K |
| 99392 |
|
1,263 |
1,200 |
$6K |
| 3075F |
|
8,719 |
8,149 |
$5K |
| 90686 |
|
1,631 |
1,606 |
$5K |
| 3077F |
|
5,883 |
5,306 |
$5K |
| G8510 |
Scr dep neg, no plan reqd |
2,219 |
2,209 |
$3K |
| 3080F |
|
2,990 |
2,708 |
$2K |
| 90688 |
|
101 |
100 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
443 |
333 |
$2K |
| 99391 |
|
372 |
355 |
$2K |
| 90656 |
|
256 |
254 |
$1K |
| 90658 |
|
48 |
47 |
$1K |
| 90756 |
|
194 |
193 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
250 |
177 |
$962.65 |
| Q0091 |
Obtaining screen pap smear |
295 |
291 |
$744.13 |
| 96110 |
|
14 |
14 |
$479.20 |
| 90649 |
|
44 |
44 |
$414.23 |
| 90651 |
|
91 |
91 |
$357.94 |
| 81002 |
|
103 |
61 |
$293.24 |
| 94640 |
|
180 |
142 |
$274.57 |
| 90734 |
|
49 |
49 |
$174.63 |
| 3015F |
|
73 |
72 |
$158.99 |
| D1206 |
|
173 |
173 |
$150.59 |
| 90670 |
|
28 |
28 |
$96.00 |
| 99203 |
|
16 |
13 |
$60.67 |
| 86580 |
|
86 |
86 |
$33.60 |
| 99188 |
|
13 |
13 |
$30.00 |
| 90715 |
|
47 |
47 |
$18.00 |
| 90620 |
|
24 |
24 |
$18.00 |
| 90647 |
|
14 |
14 |
$9.00 |
| G8511 |
Scr dep pos, no plan doc rng |
111 |
110 |
$0.00 |
| G9920 |
Scrning perf and negative |
1,568 |
1,561 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
13 |
13 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
15 |
12 |
$0.00 |
| 16020 |
|
18 |
12 |
$0.00 |
| 1111F |
|
105 |
104 |
$0.00 |
| 3044F |
|
40 |
39 |
$0.00 |
| 99381 |
|
13 |
13 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |