| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
299,410 |
260,120 |
$61.12M |
| 99213 |
|
319,259 |
187,194 |
$761K |
| H1001 |
Antepartum management |
3,032 |
2,370 |
$191K |
| 99214 |
|
35,014 |
21,706 |
$185K |
| 90834 |
|
9,091 |
4,730 |
$144K |
| 80305 |
|
12,725 |
7,761 |
$102K |
| 92014 |
|
10,173 |
8,825 |
$100K |
| 90832 |
|
9,910 |
4,894 |
$96K |
| 90686 |
|
10,211 |
7,024 |
$80K |
| 0004A |
|
697 |
696 |
$47K |
| 99391 |
|
6,030 |
3,911 |
$44K |
| 59425 |
|
610 |
486 |
$41K |
| G0442 |
Annual alcohol screen 15 min |
5,339 |
3,642 |
$40K |
| 0071A |
|
459 |
459 |
$31K |
| G9920 |
Scrning perf and negative |
1,724 |
1,252 |
$30K |
| 0072A |
|
426 |
426 |
$29K |
| 97810 |
|
2,112 |
1,169 |
$28K |
| 0064A |
|
355 |
355 |
$24K |
| 92015 |
|
10,534 |
8,389 |
$22K |
| 96110 |
|
851 |
498 |
$21K |
| 0002A |
|
364 |
364 |
$20K |
| 90715 |
|
1,646 |
1,083 |
$20K |
| 90837 |
|
494 |
232 |
$20K |
| 90670 |
|
3,661 |
2,418 |
$20K |
| 0134A |
|
277 |
276 |
$18K |
| 99392 |
|
6,615 |
4,080 |
$18K |
| 96372 |
|
2,046 |
1,228 |
$18K |
| 99212 |
|
14,858 |
8,629 |
$17K |
| 90723 |
|
3,254 |
2,135 |
$16K |
| 90647 |
|
3,103 |
1,996 |
$15K |
| 0001A |
|
373 |
370 |
$15K |
| H1000 |
Prenatal care atrisk assessm |
112 |
111 |
$14K |
| 99393 |
|
4,929 |
3,154 |
$14K |
| 96156 |
|
755 |
653 |
$11K |
| 99394 |
|
3,537 |
2,317 |
$11K |
| 87428 |
|
402 |
288 |
$11K |
| 97811 |
|
664 |
367 |
$10K |
| 99202 |
|
1,121 |
751 |
$10K |
| 99401 |
|
814 |
644 |
$10K |
| 90633 |
|
1,810 |
1,166 |
$9K |
| 98926 |
|
321 |
214 |
$7K |
| 90680 |
|
1,373 |
909 |
$6K |
| 90651 |
|
226 |
131 |
$6K |
| 81025 |
|
4,314 |
2,700 |
$6K |
| 92551 |
|
8,386 |
5,682 |
$5K |
| 90656 |
|
858 |
684 |
$5K |
| 99215 |
Prolong outpt/office vis |
1,323 |
844 |
$5K |
| 90649 |
|
873 |
597 |
$5K |
| 11750 |
|
180 |
79 |
$5K |
| S9445 |
Pt education noc individ |
272 |
211 |
$4K |
| 90460 |
|
567 |
398 |
$4K |
| 76815 |
|
449 |
373 |
$4K |
| 90471 |
|
2,133 |
1,752 |
$4K |
| H1003 |
Prenatal at risk education |
217 |
206 |
$3K |
| J3490 |
Drugs unclassified injection |
96 |
66 |
$3K |
| 90716 |
|
343 |
214 |
$3K |
| 90734 |
|
636 |
424 |
$3K |
| 90791 |
|
116 |
102 |
$2K |
| 90677 |
|
559 |
351 |
$2K |
| 99395 |
|
922 |
542 |
$2K |
| D1206 |
|
285 |
219 |
$2K |
| 90707 |
|
250 |
166 |
$2K |
| G0443 |
Brief alcohol misuse counsel |
253 |
156 |
$2K |
| 11976 |
|
60 |
15 |
$2K |
| 97803 |
|
182 |
162 |
$2K |
| 58300 |
|
42 |
12 |
$2K |
| 99381 |
|
85 |
67 |
$2K |
| 90710 |
|
307 |
210 |
$2K |
| 97802 |
|
69 |
67 |
$2K |
| 99402 |
|
67 |
65 |
$2K |
| 59430 |
|
24 |
24 |
$1K |
| 93000 |
|
909 |
574 |
$1K |
| 90461 |
|
286 |
189 |
$1K |
| 90700 |
|
214 |
140 |
$1K |
| H0049 |
Alcohol/drug screening |
73 |
73 |
$1K |
| 83036 |
|
3,348 |
3,227 |
$954.85 |
| 90681 |
|
183 |
115 |
$922.67 |
| H2000 |
Comp multidisipln evaluation |
85 |
81 |
$891.46 |
| G9919 |
Scrn nd pos nd prov of rec |
29 |
29 |
$841.00 |
| 90619 |
|
131 |
83 |
$720.00 |
| 87426 |
|
36 |
21 |
$706.60 |
| 92081 |
|
3,218 |
3,161 |
$695.97 |
| 11721 |
|
159 |
139 |
$668.47 |
| 99203 |
|
90 |
56 |
$657.80 |
| J1885 |
Ketorolac tromethamine inj |
237 |
144 |
$597.90 |
| 0011A |
|
35 |
35 |
$592.90 |
| 99283 |
|
8,773 |
7,585 |
$554.53 |
| 99204 |
|
92 |
67 |
$538.66 |
| 90662 |
|
51 |
45 |
$490.00 |
| 90696 |
|
77 |
54 |
$441.00 |
| 69209 |
|
70 |
26 |
$383.72 |
| 81003 |
|
710 |
556 |
$382.74 |
| 99211 |
|
238 |
137 |
$291.82 |
| 90792 |
|
57 |
54 |
$258.21 |
| 99396 |
|
277 |
153 |
$255.56 |
| 97597 |
|
53 |
30 |
$252.66 |
| S9452 |
Nutrition class |
30 |
30 |
$252.30 |
| 81005 |
|
1,019 |
826 |
$249.36 |
| 90674 |
|
12 |
12 |
$108.00 |
| 96151 |
|
12 |
12 |
$100.92 |
| 90746 |
|
14 |
13 |
$70.00 |
| 83986 |
|
845 |
764 |
$68.05 |
| A4267 |
Male condom |
38 |
30 |
$50.96 |
| 11055 |
|
18 |
12 |
$50.26 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
14 |
12 |
$27.96 |
| 94150 |
|
16 |
13 |
$10.02 |
| 88720 |
|
14 |
12 |
$8.60 |
| 87430 |
|
195 |
190 |
$3.28 |
| A4208 |
3 cc sterile syringe&needle |
78 |
74 |
$2.00 |
| S5199 |
Personal care item nos each |
33 |
26 |
$1.83 |
| 1159F |
|
39,643 |
37,214 |
$0.00 |
| 3078F |
|
31,093 |
29,691 |
$0.00 |
| 96160 |
|
1,784 |
1,753 |
$0.00 |
| 1160F |
|
39,641 |
37,213 |
$0.00 |
| 4274F |
|
16,184 |
14,494 |
$0.00 |
| Z6304 |
|
191 |
188 |
$0.00 |
| 99173 |
|
514 |
514 |
$0.00 |
| 4004F |
|
491 |
476 |
$0.00 |
| 3077F |
|
2,958 |
2,833 |
$0.00 |
| 2028F |
|
172 |
168 |
$0.00 |
| 4040F |
|
1,399 |
1,343 |
$0.00 |
| Z6400 |
|
432 |
425 |
$0.00 |
| Z6300 |
|
262 |
259 |
$0.00 |
| Z6200 |
|
250 |
247 |
$0.00 |
| 82948 |
|
34 |
32 |
$0.00 |
| A4614 |
Hand-held pefr meter |
14 |
14 |
$0.00 |
| 99201 |
|
14 |
13 |
$0.00 |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
26 |
26 |
$0.00 |
| 90472 |
|
13 |
13 |
$0.00 |
| 2001F |
|
44,979 |
42,569 |
$0.00 |
| 3008F |
|
41,764 |
39,489 |
$0.00 |
| Z1034 |
|
5,076 |
4,188 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
11,994 |
10,500 |
$0.00 |
| 3079F |
|
4,105 |
3,980 |
$0.00 |
| 2010F |
|
51,481 |
48,502 |
$0.00 |
| 2000F |
|
43,943 |
41,558 |
$0.00 |
| 3074F |
|
27,812 |
26,622 |
$0.00 |
| 1036F |
|
14,672 |
14,057 |
$0.00 |
| 3075F |
|
3,630 |
3,548 |
$0.00 |
| 4010F |
|
5,140 |
4,656 |
$0.00 |
| 3353F |
|
108 |
108 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
9,549 |
8,022 |
$0.00 |
| 3351F |
|
2,966 |
2,907 |
$0.00 |
| Z6410 |
|
317 |
279 |
$0.00 |
| 4037F |
|
1,155 |
1,155 |
$0.00 |
| 3352F |
|
213 |
213 |
$0.00 |
| 2023F |
|
406 |
406 |
$0.00 |
| 1126F |
|
743 |
730 |
$0.00 |
| 3080F |
|
750 |
731 |
$0.00 |
| 1034F |
|
2,014 |
1,867 |
$0.00 |
| 1125F |
|
373 |
367 |
$0.00 |
| G0008 |
Admin influenza virus vac |
48 |
48 |
$0.00 |
| 3044F |
|
98 |
98 |
$0.00 |
| Z6204 |
|
208 |
204 |
$0.00 |
| Z6406 |
|
830 |
700 |
$0.00 |
| T1014 |
Telehealth transmit, per min |
185 |
176 |
$0.00 |
| Z6402 |
|
247 |
244 |
$0.00 |
| 92325 |
Contact lens gas impermeable |
36 |
33 |
$0.00 |
| Q3014 |
Telehealth facility fee |
185 |
176 |
$0.00 |
| Z1032 |
|
245 |
241 |
$0.00 |
| Z1038 |
|
13 |
13 |
$0.00 |
| J2001 |
Lidocaine injection |
35 |
32 |
$0.00 |
| 90632 |
|
12 |
12 |
$0.00 |