| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
223,979 |
187,105 |
$24.34M |
| 99213 |
|
126,373 |
109,859 |
$1.41M |
| 76816 |
|
12,233 |
8,340 |
$798K |
| 59409 |
|
990 |
953 |
$717K |
| 76830 |
|
6,340 |
6,022 |
$465K |
| 77067 |
|
9,015 |
8,635 |
$449K |
| 99000 |
|
55,812 |
50,409 |
$403K |
| 99231 |
|
9,144 |
2,466 |
$361K |
| 76805 |
|
3,401 |
3,195 |
$305K |
| 99214 |
|
32,608 |
29,827 |
$301K |
| 87637 |
|
2,826 |
2,310 |
$294K |
| 76819 |
|
5,220 |
2,608 |
$286K |
| 36415 |
|
38,720 |
35,806 |
$277K |
| 76801 |
|
3,984 |
3,598 |
$268K |
| 99232 |
|
4,645 |
1,507 |
$244K |
| 99223 |
Prolong inpt eval add15 m |
2,191 |
1,980 |
$232K |
| 76641 |
|
2,904 |
2,409 |
$186K |
| 76700 |
|
2,505 |
2,434 |
$185K |
| 59514 |
|
232 |
172 |
$151K |
| 76857 |
|
3,491 |
3,337 |
$146K |
| 76536 |
|
2,043 |
1,977 |
$143K |
| 80053 |
|
17,537 |
15,880 |
$122K |
| 90460 |
|
8,465 |
8,091 |
$122K |
| 77063 |
|
6,240 |
6,116 |
$109K |
| 80061 |
|
12,654 |
11,732 |
$108K |
| 90686 |
|
6,981 |
6,747 |
$108K |
| 99212 |
|
12,303 |
10,896 |
$99K |
| 85025 |
|
16,798 |
15,008 |
$99K |
| 96372 |
|
6,594 |
5,712 |
$84K |
| 93303 |
|
1,048 |
893 |
$82K |
| 99173 |
|
8,239 |
7,911 |
$81K |
| 92551 |
|
8,201 |
7,875 |
$78K |
| 84443 |
|
8,719 |
8,144 |
$74K |
| 99283 |
|
1,509 |
1,210 |
$70K |
| 99238 |
|
1,170 |
1,041 |
$69K |
| 90471 |
|
4,062 |
3,818 |
$66K |
| 99391 |
|
3,722 |
3,481 |
$65K |
| 76817 |
|
1,602 |
1,302 |
$64K |
| 90670 |
|
2,774 |
2,594 |
$63K |
| 90461 |
|
3,988 |
3,814 |
$62K |
| 99392 |
|
4,653 |
4,465 |
$61K |
| 83036 |
|
8,539 |
7,995 |
$56K |
| 94760 |
|
2,839 |
2,422 |
$54K |
| 99203 |
|
2,008 |
1,851 |
$51K |
| 76705 |
|
771 |
747 |
$42K |
| 99233 |
Prolong inpt eval add15 m |
446 |
193 |
$40K |
| 99393 |
|
2,793 |
2,686 |
$39K |
| 90834 |
|
5,053 |
4,377 |
$38K |
| 77066 |
Tomosynthesis, mammo |
603 |
542 |
$38K |
| 82306 |
|
2,724 |
2,618 |
$33K |
| 90633 |
|
1,436 |
1,328 |
$33K |
| 99239 |
|
586 |
529 |
$32K |
| 90723 |
|
1,706 |
1,610 |
$32K |
| 90647 |
|
1,603 |
1,511 |
$30K |
| J1040 |
Methylprednisolone 80 mg inj |
1,577 |
1,391 |
$30K |
| 90715 |
|
1,396 |
1,302 |
$29K |
| 90832 |
|
2,534 |
2,178 |
$29K |
| 76770 |
|
401 |
387 |
$27K |
| 90651 |
|
488 |
479 |
$27K |
| 76820 |
|
917 |
427 |
$26K |
| 99395 |
|
829 |
785 |
$26K |
| 90837 |
|
1,671 |
1,299 |
$26K |
| 99222 |
|
338 |
286 |
$24K |
| 93971 |
|
960 |
447 |
$24K |
| 87804 |
|
3,668 |
1,443 |
$23K |
| 90681 |
|
858 |
793 |
$23K |
| J3420 |
Vitamin b12 injection |
1,574 |
1,393 |
$22K |
| 59025 |
|
1,120 |
877 |
$21K |
| 99394 |
|
1,457 |
1,357 |
$21K |
| 93320 |
|
1,036 |
889 |
$20K |
| 96127 |
|
5,986 |
5,600 |
$19K |
| 76821 |
|
286 |
142 |
$18K |
| 84439 |
|
2,934 |
2,721 |
$17K |
| 93325 |
|
1,135 |
974 |
$17K |
| 0241U |
|
1,782 |
913 |
$16K |
| 96110 |
|
1,120 |
913 |
$16K |
| 87635 |
|
359 |
326 |
$15K |
| 99204 |
|
388 |
339 |
$15K |
| 90698 |
|
277 |
219 |
$15K |
| 99396 |
|
547 |
507 |
$15K |
| 87811 |
|
1,172 |
1,124 |
$14K |
| 87430 |
|
6,722 |
4,937 |
$14K |
| 80050 |
|
402 |
395 |
$13K |
| 90649 |
|
282 |
270 |
$13K |
| 76856 |
|
171 |
169 |
$12K |
| 81025 |
|
740 |
648 |
$11K |
| G2023 |
Specimen collect covid-19 |
613 |
485 |
$11K |
| 76815 |
|
330 |
281 |
$10K |
| G0279 |
Tomosynthesis, mammo |
534 |
524 |
$10K |
| 90632 |
|
137 |
134 |
$10K |
| 90707 |
|
322 |
294 |
$9K |
| 90710 |
|
399 |
365 |
$9K |
| 90716 |
|
340 |
319 |
$8K |
| 90733 |
|
361 |
314 |
$8K |
| 77080 |
|
409 |
399 |
$8K |
| 99381 |
|
754 |
716 |
$8K |
| 54150 |
|
121 |
99 |
$8K |
| 94640 |
|
236 |
219 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
378 |
331 |
$7K |
| 90472 |
|
250 |
236 |
$7K |
| 90744 |
|
96 |
64 |
$7K |
| G0008 |
Admin influenza virus vac |
1,064 |
983 |
$6K |
| 93010 |
|
335 |
297 |
$6K |
| J7613 |
Albuterol non-comp unit |
159 |
152 |
$5K |
| 87400 |
|
1,906 |
348 |
$5K |
| 90685 |
|
76 |
54 |
$4K |
| 90696 |
|
278 |
263 |
$4K |
| 86769 |
|
316 |
109 |
$4K |
| 90853 |
|
105 |
52 |
$3K |
| 69210 |
|
101 |
94 |
$3K |
| 99202 |
|
81 |
79 |
$3K |
| 77065 |
Tomosynthesis, mammo |
66 |
54 |
$3K |
| 99385 |
|
111 |
106 |
$3K |
| 90791 |
|
332 |
298 |
$2K |
| 90680 |
|
43 |
28 |
$2K |
| 99383 |
|
89 |
87 |
$2K |
| 90656 |
|
463 |
437 |
$2K |
| 0011A |
|
325 |
222 |
$2K |
| 0012A |
|
211 |
181 |
$2K |
| 90620 |
|
51 |
49 |
$2K |
| 93005 |
|
367 |
353 |
$1K |
| 81001 |
|
324 |
309 |
$1K |
| 81002 |
|
1,158 |
1,034 |
$1K |
| 90700 |
|
173 |
168 |
$1K |
| 99217 |
|
26 |
25 |
$1K |
| 71046 |
|
68 |
67 |
$1K |
| 99384 |
|
34 |
33 |
$958.86 |
| 99309 |
|
2,206 |
1,971 |
$899.56 |
| 90732 |
|
77 |
55 |
$849.28 |
| 80048 |
|
152 |
144 |
$785.49 |
| 0031A |
|
52 |
30 |
$750.00 |
| J1030 |
Methylprednisolone 40 mg inj |
144 |
124 |
$695.15 |
| 99308 |
|
3,629 |
3,024 |
$681.00 |
| 99441 |
|
199 |
166 |
$627.79 |
| 85018 |
|
277 |
267 |
$559.39 |
| 0004A |
|
24 |
24 |
$400.00 |
| 0064A |
|
70 |
68 |
$360.00 |
| 0002A |
|
78 |
72 |
$360.00 |
| 85014 |
|
162 |
159 |
$334.22 |
| 99307 |
|
923 |
870 |
$321.17 |
| 93306 |
|
12 |
12 |
$287.32 |
| G0009 |
Admin pneumococcal vaccine |
14 |
14 |
$278.06 |
| 99305 |
|
213 |
197 |
$273.96 |
| 85610 |
|
55 |
37 |
$244.91 |
| 0071A |
|
104 |
104 |
$240.00 |
| 80069 |
|
50 |
48 |
$233.49 |
| 0072A |
|
88 |
88 |
$160.00 |
| 0001A |
|
64 |
61 |
$160.00 |
| 90792 |
|
167 |
163 |
$139.54 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$136.98 |
| 99442 |
|
49 |
45 |
$103.93 |
| J1010 |
Inj, methylpred acetate 1 mg |
130 |
113 |
$84.60 |
| 87210 |
|
14 |
12 |
$62.88 |
| G0467 |
Fqhc visit, estab pt |
2,324 |
2,070 |
$3.21 |
| H0033 |
Oral med adm direct observe |
106 |
94 |
$0.00 |
| 90677 |
|
403 |
385 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
178 |
80 |
$0.00 |
| 90636 |
|
119 |
115 |
$0.00 |
| 96131 |
|
32 |
26 |
$0.00 |
| 87807 |
|
147 |
142 |
$0.00 |
| 3075F |
|
17 |
17 |
$0.00 |
| 90833 |
|
728 |
674 |
$0.00 |
| G0470 |
Fqhc visit, mh estab pt |
56 |
54 |
$0.00 |
| 96137 |
|
72 |
55 |
$0.00 |
| 90746 |
|
32 |
31 |
$0.00 |
| 99348 |
|
14 |
14 |
$0.00 |
| 90734 |
|
129 |
128 |
$0.00 |
| 99306 |
Prolong nursin fac eval 15m |
27 |
26 |
$0.00 |
| 96130 |
|
54 |
43 |
$0.00 |
| 96136 |
|
53 |
42 |
$0.00 |