| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
112,147 |
82,817 |
$23.14M |
| 90834 |
|
3,861 |
3,307 |
$34K |
| G0467 |
Fqhc visit, estab pt |
1,259 |
969 |
$32K |
| 99214 |
|
26,590 |
23,223 |
$30K |
| 0134A |
|
110 |
110 |
$7K |
| 0013A |
|
124 |
118 |
$6K |
| 0034A |
|
62 |
62 |
$4K |
| 99213 |
|
25,774 |
22,064 |
$2K |
| G0470 |
Fqhc visit, mh estab pt |
22 |
18 |
$2K |
| 90791 |
|
1,139 |
1,138 |
$2K |
| 90792 |
|
229 |
229 |
$2K |
| 0012A |
|
23 |
19 |
$1K |
| G2025 |
Dis site tele svcs rhc/fqhc |
110 |
108 |
$1K |
| 0011A |
|
90 |
87 |
$1K |
| 90674 |
|
494 |
492 |
$260.00 |
| 90471 |
|
3,882 |
3,837 |
$224.40 |
| 96127 |
|
1,766 |
1,694 |
$86.45 |
| 85025 |
|
5,267 |
5,244 |
$20.04 |
| 99406 |
|
1,228 |
1,142 |
$20.00 |
| 80053 |
|
5,638 |
5,621 |
$18.38 |
| 83036 |
|
4,638 |
4,634 |
$16.90 |
| 84443 |
|
4,137 |
4,135 |
$14.61 |
| 80061 |
|
4,946 |
4,944 |
$11.42 |
| 36415 |
|
4,219 |
4,013 |
$4.50 |
| 99000 |
|
3,160 |
2,661 |
$0.00 |
| 96372 |
|
1,110 |
1,030 |
$0.00 |
| 86704 |
|
807 |
807 |
$0.00 |
| 82043 |
|
586 |
586 |
$0.00 |
| 81015 |
|
1,291 |
1,255 |
$0.00 |
| 86706 |
|
1,114 |
1,113 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
271 |
254 |
$0.00 |
| 87389 |
|
2,143 |
2,140 |
$0.00 |
| 86592 |
|
1,760 |
1,757 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
374 |
354 |
$0.00 |
| 90739 |
|
374 |
373 |
$0.00 |
| 83550 |
|
189 |
188 |
$0.00 |
| 87086 |
|
501 |
485 |
$0.00 |
| 86803 |
|
1,242 |
1,242 |
$0.00 |
| 87340 |
|
177 |
177 |
$0.00 |
| 90694 |
|
35 |
35 |
$0.00 |
| 90677 |
|
315 |
315 |
$0.00 |
| 87591 |
|
1,490 |
1,484 |
$0.00 |
| 87070 |
|
14 |
14 |
$0.00 |
| 80048 |
|
383 |
381 |
$0.00 |
| 82728 |
|
126 |
125 |
$0.00 |
| 97802 |
|
116 |
115 |
$0.00 |
| 84153 |
|
156 |
156 |
$0.00 |
| 93000 |
|
335 |
331 |
$0.00 |
| 80050 |
|
71 |
71 |
$0.00 |
| G8433 |
Scr for dep not cpt doc rsn |
27 |
27 |
$0.00 |
| 81001 |
|
102 |
97 |
$0.00 |
| 94760 |
|
119 |
118 |
$0.00 |
| 85018 |
|
155 |
141 |
$0.00 |
| 87428 |
|
170 |
170 |
$0.00 |
| 0031A |
|
28 |
28 |
$0.00 |
| 90651 |
|
98 |
98 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |
| 4000F |
|
121 |
111 |
$0.00 |
| 91301 |
|
97 |
97 |
$0.00 |
| 90686 |
|
142 |
142 |
$0.00 |
| 86580 |
|
66 |
66 |
$0.00 |
| H0001 |
Alcohol and/or drug assess |
31 |
13 |
$0.00 |
| 91303 |
|
28 |
28 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
321 |
319 |
$0.00 |
| 99202 |
|
92 |
91 |
$0.00 |
| 92551 |
|
12 |
12 |
$0.00 |
| 90632 |
|
27 |
27 |
$0.00 |
| 90636 |
|
14 |
14 |
$0.00 |
| 85651 |
|
13 |
13 |
$0.00 |
| 99402 |
|
12 |
12 |
$0.00 |
| 99459 |
|
13 |
13 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| 85610 |
|
701 |
601 |
$0.00 |
| 97803 |
|
899 |
894 |
$0.00 |
| 99395 |
|
914 |
907 |
$0.00 |
| 99404 |
|
12 |
12 |
$0.00 |
| 90472 |
|
419 |
414 |
$0.00 |
| 99203 |
|
521 |
521 |
$0.00 |
| 90832 |
|
790 |
761 |
$0.00 |
| 99212 |
|
5,622 |
5,154 |
$0.00 |
| 82570 |
|
576 |
575 |
$0.00 |
| 99204 |
|
407 |
406 |
$0.00 |
| 81025 |
|
313 |
303 |
$0.00 |
| 82947 |
|
210 |
187 |
$0.00 |
| 80307 |
|
753 |
736 |
$0.00 |
| 96160 |
|
239 |
239 |
$0.00 |
| 99396 |
|
886 |
878 |
$0.00 |
| 90756 |
|
764 |
763 |
$0.00 |
| 81003 |
|
1,262 |
1,227 |
$0.00 |
| 87491 |
|
1,481 |
1,475 |
$0.00 |
| 86480 |
|
484 |
483 |
$0.00 |
| 83540 |
|
198 |
197 |
$0.00 |
| 80354 |
|
321 |
314 |
$0.00 |
| 90750 |
|
258 |
258 |
$0.00 |
| 90715 |
|
158 |
158 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
624 |
615 |
$0.00 |
| 80305 |
|
74 |
72 |
$0.00 |
| 87210 |
|
230 |
227 |
$0.00 |
| 90661 |
|
200 |
200 |
$0.00 |
| 91313 |
|
15 |
15 |
$0.00 |
| 99201 |
|
16 |
16 |
$0.00 |
| 87798 |
|
252 |
250 |
$0.00 |
| 99173 |
|
65 |
65 |
$0.00 |
| 90837 |
|
13 |
12 |
$0.00 |
| 80076 |
|
110 |
110 |
$0.00 |
| 84439 |
|
51 |
51 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
14 |
13 |
$0.00 |
| 87811 |
|
15 |
15 |
$0.00 |
| 87804 |
|
29 |
29 |
$0.00 |
| 2028F |
|
32 |
32 |
$0.00 |
| 83721 |
|
30 |
30 |
$0.00 |
| 87880 |
|
14 |
14 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
12 |
12 |
$0.00 |