| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
228,135 |
151,873 |
$16.21M |
| 99199 |
|
386,229 |
222,630 |
$2.10M |
| 99391 |
|
8,468 |
6,533 |
$591K |
| 99392 |
|
6,551 |
5,645 |
$490K |
| 99393 |
|
5,261 |
4,427 |
$390K |
| 99394 |
|
5,140 |
4,138 |
$376K |
| 90460 |
|
8,298 |
6,605 |
$322K |
| 90471 |
|
12,219 |
9,826 |
$135K |
| 90472 |
|
8,207 |
6,718 |
$95K |
| 96110 |
|
7,560 |
6,356 |
$58K |
| 99395 |
|
1,091 |
848 |
$56K |
| 99401 |
|
3,990 |
2,053 |
$54K |
| 0001A |
|
1,369 |
722 |
$45K |
| 0002A |
|
1,405 |
676 |
$42K |
| 99051 |
|
3,063 |
2,420 |
$38K |
| 87210 |
|
8,698 |
6,632 |
$31K |
| 0011A |
|
664 |
469 |
$28K |
| 99213 |
|
1,038 |
799 |
$27K |
| 0012A |
|
552 |
415 |
$26K |
| 90651 |
|
3,632 |
2,836 |
$26K |
| 0071A |
|
571 |
340 |
$23K |
| 99381 |
|
389 |
287 |
$22K |
| 0072A |
|
416 |
294 |
$20K |
| 90474 |
|
1,860 |
1,637 |
$18K |
| 99238 |
|
324 |
278 |
$17K |
| 90734 |
|
3,740 |
2,863 |
$17K |
| 69210 |
|
625 |
467 |
$14K |
| J7307 |
Etonogestrel implant system |
20 |
13 |
$14K |
| 0064A |
|
318 |
215 |
$12K |
| 82120 |
|
2,589 |
1,968 |
$11K |
| 99384 |
|
136 |
102 |
$10K |
| 96372 |
|
1,615 |
1,166 |
$9K |
| 99460 |
|
155 |
128 |
$8K |
| 99214 |
|
438 |
326 |
$7K |
| 90620 |
|
1,585 |
1,200 |
$7K |
| S0280 |
Medical home, initial plan |
156 |
140 |
$7K |
| 93000 |
|
633 |
508 |
$6K |
| 87400 |
|
1,802 |
812 |
$6K |
| 0053A |
|
105 |
84 |
$5K |
| 0003A |
|
120 |
87 |
$5K |
| 99383 |
|
62 |
41 |
$5K |
| 90480 |
|
180 |
127 |
$4K |
| 0124A |
|
174 |
108 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
182 |
40 |
$4K |
| 90715 |
|
2,232 |
1,701 |
$3K |
| 90686 |
|
5,676 |
4,547 |
$3K |
| 0134A |
|
113 |
79 |
$3K |
| 99173 |
|
12,007 |
10,062 |
$3K |
| 90677 |
|
660 |
587 |
$2K |
| 92551 |
|
6,102 |
5,158 |
$2K |
| 81025 |
|
918 |
685 |
$2K |
| 82947 |
|
2,307 |
1,649 |
$2K |
| 87426 |
|
75 |
52 |
$2K |
| 87804 |
|
318 |
153 |
$1K |
| 96160 |
|
1,731 |
1,453 |
$1K |
| 0051A |
|
24 |
18 |
$1K |
| 87880 |
|
425 |
355 |
$1K |
| 0052A |
|
18 |
12 |
$975.00 |
| 90716 |
|
3,820 |
3,118 |
$734.41 |
| 90671 |
|
718 |
586 |
$457.41 |
| G2211 |
Complex e/m visit add on |
352 |
262 |
$454.16 |
| 90473 |
|
46 |
44 |
$446.40 |
| 99496 |
|
15 |
12 |
$423.24 |
| 99239 |
|
28 |
15 |
$403.84 |
| 81003 |
|
1,485 |
1,058 |
$326.64 |
| 90461 |
|
278 |
218 |
$270.18 |
| 91320 |
|
121 |
90 |
$265.47 |
| G0439 |
Ppps, subseq visit |
1,056 |
697 |
$206.50 |
| 90672 |
|
499 |
414 |
$198.41 |
| 94640 |
|
36 |
27 |
$180.82 |
| 96127 |
|
95 |
77 |
$167.90 |
| 90707 |
|
3,771 |
3,084 |
$166.97 |
| 99406 |
|
1,190 |
734 |
$109.26 |
| 91305 |
|
263 |
203 |
$88.06 |
| 90633 |
|
3,911 |
3,239 |
$87.85 |
| J0696 |
Ceftriaxone sodium injection |
61 |
55 |
$54.99 |
| 91313 |
|
77 |
55 |
$36.16 |
| J1885 |
Ketorolac tromethamine inj |
143 |
106 |
$34.16 |
| 91312 |
|
148 |
91 |
$31.41 |
| 90656 |
|
325 |
297 |
$21.47 |
| J1100 |
Dexamethasone sodium phos |
36 |
29 |
$4.80 |
| G0447 |
Behavior counsel obesity 15m |
1,451 |
897 |
$4.21 |
| 90681 |
|
2,062 |
1,787 |
$0.00 |
| 3077F |
|
800 |
611 |
$0.00 |
| 3078F |
|
1,449 |
1,115 |
$0.00 |
| 90700 |
|
1,361 |
1,160 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
414 |
319 |
$0.00 |
| 90670 |
|
4,519 |
3,847 |
$0.00 |
| 3288F |
|
4,530 |
3,403 |
$0.00 |
| 4004F |
|
1,550 |
1,181 |
$0.00 |
| G0444 |
Depression screen annual |
745 |
535 |
$0.00 |
| 90687 |
|
97 |
94 |
$0.00 |
| G9498 |
Abx reg prescribed |
20 |
12 |
$0.00 |
| 91300 |
|
2,135 |
1,214 |
$0.00 |
| G9920 |
Scrning perf and negative |
34 |
22 |
$0.00 |
| 90682 |
|
19 |
16 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
22 |
17 |
$0.00 |
| 91322 |
|
18 |
14 |
$0.00 |
| G0438 |
Ppps, initial visit |
25 |
12 |
$0.00 |
| 90647 |
|
3,878 |
3,302 |
$0.00 |
| G0008 |
Admin influenza virus vac |
113 |
98 |
$0.00 |
| 3074F |
|
1,557 |
1,184 |
$0.00 |
| 3008F |
|
3,894 |
3,115 |
$0.00 |
| 90723 |
|
3,721 |
3,203 |
$0.00 |
| 99308 |
|
2,017 |
1,130 |
$0.00 |
| 91307 |
|
536 |
391 |
$0.00 |
| 90697 |
|
625 |
556 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
1,901 |
1,528 |
$0.00 |
| 3080F |
|
198 |
153 |
$0.00 |
| 90696 |
|
1,753 |
1,399 |
$0.00 |
| 3075F |
|
622 |
494 |
$0.00 |
| 3079F |
|
1,339 |
1,055 |
$0.00 |
| 90680 |
|
478 |
422 |
$0.00 |
| 90688 |
|
116 |
109 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
609 |
479 |
$0.00 |
| 91306 |
|
155 |
115 |
$0.00 |
| 91301 |
|
980 |
749 |
$0.00 |
| 90381 |
|
20 |
13 |
$0.00 |
| 90660 |
|
15 |
14 |
$0.00 |
| 3044F |
|
35 |
25 |
$0.00 |