| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
386,921 |
315,697 |
$80.82M |
| 00003 |
|
63,070 |
57,856 |
$16.26M |
| 99213 |
|
227,360 |
144,186 |
$1.35M |
| 98941 |
|
20,359 |
8,215 |
$530K |
| 99214 |
|
68,850 |
41,512 |
$454K |
| H1001 |
Antepartum management |
5,548 |
4,254 |
$381K |
| 97810 |
|
27,956 |
10,880 |
$309K |
| 90834 |
|
18,355 |
9,347 |
$291K |
| 90832 |
|
20,504 |
10,189 |
$233K |
| 99212 |
|
57,115 |
34,687 |
$232K |
| 90686 |
|
11,469 |
9,343 |
$137K |
| 98940 |
|
9,058 |
3,770 |
$136K |
| 0002A |
|
1,874 |
1,865 |
$97K |
| 59425 |
|
1,189 |
889 |
$73K |
| 90791 |
|
1,624 |
1,128 |
$72K |
| 0001A |
|
1,304 |
1,295 |
$68K |
| 0004A |
|
1,202 |
1,199 |
$59K |
| 92014 |
|
3,762 |
3,312 |
$48K |
| 97802 |
|
1,195 |
1,036 |
$47K |
| J3490 |
Drugs unclassified injection |
540 |
449 |
$45K |
| 0064A |
|
911 |
907 |
$44K |
| 97803 |
|
1,460 |
1,297 |
$38K |
| S9445 |
Pt education noc individ |
2,814 |
2,017 |
$34K |
| 99391 |
|
3,905 |
2,415 |
$31K |
| 99401 |
|
1,860 |
1,650 |
$26K |
| 59409 |
|
41 |
41 |
$22K |
| 90656 |
|
1,703 |
1,292 |
$18K |
| 99238 |
|
625 |
418 |
$12K |
| 90670 |
|
1,807 |
1,217 |
$11K |
| 99203 |
|
231 |
197 |
$11K |
| J7307 |
Etonogestrel implant system |
12 |
12 |
$11K |
| 99393 |
|
2,816 |
1,851 |
$9K |
| 0003A |
|
168 |
162 |
$8K |
| 99392 |
|
2,908 |
1,747 |
$8K |
| 99283 |
|
17,999 |
15,024 |
$8K |
| 96110 |
|
248 |
202 |
$8K |
| 99394 |
|
2,025 |
1,305 |
$7K |
| 76815 |
|
235 |
136 |
$7K |
| H2000 |
Comp multidisipln evaluation |
430 |
367 |
$7K |
| 99381 |
|
366 |
346 |
$7K |
| 59430 |
|
99 |
90 |
$7K |
| 57455 |
|
114 |
68 |
$6K |
| G9920 |
Scrning perf and negative |
198 |
187 |
$6K |
| 99215 |
Prolong outpt/office vis |
513 |
346 |
$5K |
| 58300 |
|
58 |
29 |
$5K |
| 96156 |
|
375 |
314 |
$5K |
| 90697 |
|
685 |
447 |
$5K |
| 11981 |
|
24 |
24 |
$5K |
| 90723 |
|
892 |
558 |
$5K |
| 87428 |
|
136 |
77 |
$5K |
| 90715 |
|
232 |
186 |
$4K |
| 90647 |
|
796 |
495 |
$4K |
| 81025 |
|
1,704 |
1,529 |
$4K |
| 90680 |
|
732 |
448 |
$4K |
| 0012A |
|
81 |
81 |
$4K |
| 90677 |
|
551 |
325 |
$4K |
| 90633 |
|
587 |
406 |
$3K |
| 99402 |
|
195 |
182 |
$3K |
| 90710 |
|
448 |
285 |
$3K |
| 90746 |
|
58 |
58 |
$3K |
| H1003 |
Prenatal at risk education |
297 |
237 |
$3K |
| 90681 |
|
343 |
221 |
$2K |
| 94010 |
|
228 |
209 |
$2K |
| 0011A |
|
42 |
42 |
$2K |
| H1000 |
Prenatal care atrisk assessm |
12 |
12 |
$2K |
| 59025 |
|
372 |
168 |
$2K |
| 99202 |
|
150 |
122 |
$2K |
| 90651 |
|
255 |
177 |
$2K |
| 99232 |
|
60 |
30 |
$2K |
| 0013A |
|
25 |
25 |
$1K |
| 92015 |
|
821 |
789 |
$1K |
| 99460 |
|
21 |
19 |
$1K |
| 92133 |
|
46 |
29 |
$1K |
| 0124A |
|
14 |
14 |
$938.00 |
| 90632 |
|
15 |
15 |
$822.99 |
| 81002 |
|
2,909 |
2,323 |
$689.91 |
| 83655 |
|
75 |
53 |
$648.43 |
| G0467 |
Fqhc visit, estab pt |
5,510 |
4,181 |
$619.50 |
| 94640 |
|
49 |
44 |
$587.34 |
| 90700 |
|
87 |
51 |
$436.62 |
| 11721 |
|
125 |
116 |
$430.70 |
| 87426 |
|
18 |
12 |
$423.96 |
| 99462 |
|
29 |
25 |
$388.08 |
| 90734 |
|
67 |
43 |
$387.00 |
| S9452 |
Nutrition class |
32 |
29 |
$269.12 |
| 99395 |
|
76 |
50 |
$205.80 |
| J1885 |
Ketorolac tromethamine inj |
37 |
34 |
$185.21 |
| G0442 |
Annual alcohol screen 15 min |
22 |
15 |
$148.50 |
| 94150 |
|
64 |
53 |
$147.18 |
| 99406 |
|
26 |
13 |
$145.74 |
| 99204 |
|
21 |
13 |
$137.80 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
12 |
12 |
$133.50 |
| 83036 |
|
599 |
580 |
$120.97 |
| 90471 |
|
159 |
133 |
$120.42 |
| 90674 |
|
13 |
13 |
$117.00 |
| 90619 |
|
21 |
13 |
$117.00 |
| 99396 |
|
34 |
28 |
$109.90 |
| 99383 |
|
22 |
15 |
$109.66 |
| 99211 |
|
86 |
86 |
$109.33 |
| 90837 |
|
162 |
139 |
$98.02 |
| 90620 |
|
18 |
12 |
$90.00 |
| T1014 |
Telehealth transmit, per min |
182 |
175 |
$42.48 |
| 85018 |
|
221 |
207 |
$23.96 |
| 93005 |
|
40 |
40 |
$16.40 |
| 81001 |
|
54 |
54 |
$11.08 |
| 86580 |
|
54 |
54 |
$10.08 |
| 81003 |
|
13 |
12 |
$5.49 |
| Z6300 |
|
562 |
561 |
$0.00 |
| Z6400 |
|
152 |
150 |
$0.00 |
| Z6200 |
|
564 |
562 |
$0.00 |
| 87880 |
|
96 |
85 |
$0.00 |
| Z6414 |
|
237 |
216 |
$0.00 |
| Z6202 |
|
56 |
54 |
$0.00 |
| 90653 |
|
96 |
95 |
$0.00 |
| G0470 |
Fqhc visit, mh estab pt |
330 |
232 |
$0.00 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
58 |
58 |
$0.00 |
| 9212 |
|
126 |
107 |
$0.00 |
| Z6302 |
|
86 |
62 |
$0.00 |
| 91322 |
|
15 |
14 |
$0.00 |
| 93010 |
|
26 |
26 |
$0.00 |
| 90853 |
|
21 |
14 |
$0.00 |
| A4550 |
Surgical trays |
19 |
12 |
$0.00 |
| Z6406 |
|
1,586 |
1,429 |
$0.00 |
| Z1034 |
|
6,389 |
5,263 |
$0.00 |
| Z6402 |
|
547 |
547 |
$0.00 |
| Z6204 |
|
991 |
930 |
$0.00 |
| Z6410 |
|
3,399 |
2,541 |
$0.00 |
| Z1032 |
|
134 |
134 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
2,865 |
2,351 |
$0.00 |
| G0008 |
Admin influenza virus vac |
110 |
110 |
$0.00 |
| 9213 |
|
661 |
613 |
$0.00 |
| 2000F |
|
15 |
15 |
$0.00 |
| Z1038 |
|
12 |
12 |
$0.00 |
| 9214 |
|
59 |
56 |
$0.00 |