| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
718,309 |
655,601 |
$298.90M |
| 99393 |
|
52,037 |
39,635 |
$723K |
| 99392 |
|
47,287 |
38,251 |
$688K |
| 99394 |
|
31,656 |
24,001 |
$609K |
| 92014 |
|
27,987 |
16,169 |
$592K |
| G9920 |
Scrning perf and negative |
63,657 |
43,580 |
$553K |
| 96110 |
|
8,295 |
7,173 |
$412K |
| 90834 |
|
14,382 |
6,784 |
$284K |
| 99391 |
|
14,705 |
13,176 |
$266K |
| 92551 |
|
103,579 |
76,139 |
$237K |
| 90686 |
|
102,989 |
75,041 |
$218K |
| 92004 |
|
7,630 |
4,196 |
$162K |
| 0002A |
|
3,263 |
1,840 |
$157K |
| 90791 |
|
4,075 |
2,074 |
$128K |
| 0072A |
|
2,344 |
1,275 |
$115K |
| 0001A |
|
6,485 |
2,373 |
$115K |
| 99395 |
|
1,399 |
1,392 |
$115K |
| 99213 |
|
449,578 |
265,239 |
$111K |
| 99214 |
|
98,371 |
59,611 |
$109K |
| 90832 |
|
7,150 |
3,453 |
$89K |
| 90460 |
|
181,922 |
125,648 |
$72K |
| 83655 |
|
11,281 |
9,806 |
$71K |
| 90633 |
|
10,316 |
9,180 |
$65K |
| 90651 |
|
12,521 |
10,413 |
$62K |
| 90670 |
|
13,241 |
11,524 |
$58K |
| 99383 |
|
1,674 |
1,450 |
$55K |
| 99244 |
|
3,572 |
2,531 |
$49K |
| 90680 |
|
5,947 |
5,507 |
$46K |
| 90723 |
|
5,727 |
5,209 |
$40K |
| 90734 |
|
5,812 |
5,037 |
$39K |
| 90716 |
|
3,762 |
3,633 |
$36K |
| 90647 |
|
6,390 |
5,709 |
$35K |
| 0071A |
|
2,860 |
1,711 |
$34K |
| 90710 |
|
4,162 |
3,962 |
$32K |
| 90696 |
|
3,986 |
3,806 |
$32K |
| 90707 |
|
3,524 |
3,398 |
$32K |
| 90715 |
|
3,829 |
3,636 |
$30K |
| 90700 |
|
3,529 |
3,358 |
$29K |
| 99382 |
|
977 |
831 |
$24K |
| 99243 |
|
2,567 |
2,034 |
$23K |
| 85018 |
|
28,413 |
22,782 |
$23K |
| 90697 |
|
3,649 |
3,249 |
$21K |
| 99384 |
|
579 |
487 |
$21K |
| 99381 |
|
655 |
627 |
$20K |
| 99212 |
|
84,943 |
46,352 |
$18K |
| 90656 |
|
8,553 |
6,515 |
$18K |
| 0004A |
|
350 |
196 |
$17K |
| 0112A |
|
354 |
340 |
$17K |
| 90461 |
|
82,386 |
53,968 |
$17K |
| 87635 |
|
2,706 |
1,739 |
$12K |
| 90671 |
|
2,401 |
2,059 |
$12K |
| 90480 |
|
4,101 |
2,789 |
$12K |
| 90619 |
|
1,870 |
1,719 |
$12K |
| 90648 |
|
1,403 |
1,368 |
$12K |
| 90846 |
|
476 |
470 |
$12K |
| 90677 |
|
2,143 |
1,948 |
$11K |
| 92012 |
|
5,250 |
3,029 |
$9K |
| 0124A |
|
944 |
663 |
$8K |
| 91321 |
|
537 |
464 |
$7K |
| 99203 |
|
1,466 |
915 |
$7K |
| 90847 |
|
324 |
311 |
$6K |
| 91320 |
|
837 |
678 |
$6K |
| 92015 |
|
23,480 |
13,735 |
$5K |
| 90620 |
|
526 |
469 |
$5K |
| 90744 |
|
487 |
481 |
$4K |
| 99204 |
|
740 |
593 |
$3K |
| 87426 |
|
538 |
426 |
$3K |
| 0154A |
|
332 |
251 |
$3K |
| 87811 |
|
1,728 |
1,055 |
$3K |
| 91319 |
|
252 |
222 |
$2K |
| 90713 |
|
259 |
254 |
$2K |
| 90681 |
|
302 |
290 |
$2K |
| 99245 |
|
30 |
15 |
$2K |
| 99173 |
|
82,156 |
54,481 |
$2K |
| 0074A |
|
68 |
51 |
$2K |
| G9919 |
Scrn nd pos nd prov of rec |
63 |
62 |
$2K |
| 92060 |
|
9,383 |
5,352 |
$2K |
| 0144A |
|
39 |
38 |
$2K |
| 90471 |
|
1,569 |
1,424 |
$1K |
| 90685 |
|
147 |
147 |
$1K |
| 97802 |
|
347 |
347 |
$1K |
| 99215 |
Prolong outpt/office vis |
1,519 |
1,037 |
$1K |
| 90792 |
|
40 |
18 |
$995.94 |
| 90732 |
|
106 |
106 |
$936.00 |
| 91322 |
|
75 |
68 |
$606.84 |
| 86580 |
|
305 |
261 |
$573.00 |
| 90381 |
|
63 |
57 |
$567.00 |
| 90688 |
|
265 |
184 |
$540.72 |
| G9012 |
Other specified case mgmt |
762 |
264 |
$276.36 |
| 99000 |
|
166 |
147 |
$265.66 |
| 99441 |
|
26 |
25 |
$264.16 |
| 36416 |
|
1,543 |
1,290 |
$262.90 |
| 99211 |
|
3,631 |
1,602 |
$259.53 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
3,808 |
3,493 |
$173.32 |
| J3490 |
Drugs unclassified injection |
403 |
273 |
$165.80 |
| 86756 |
|
192 |
125 |
$145.47 |
| 87880 |
|
2,134 |
1,315 |
$96.81 |
| 93000 |
|
168 |
145 |
$85.23 |
| 81002 |
|
469 |
299 |
$80.79 |
| 99242 |
|
408 |
375 |
$50.99 |
| 3351F |
|
6,543 |
6,080 |
$46.90 |
| 87804 |
|
5,497 |
2,498 |
$35.13 |
| 3074F |
|
14,511 |
14,120 |
$25.77 |
| 3078F |
|
14,136 |
13,761 |
$25.77 |
| 88720 |
|
74 |
54 |
$12.54 |
| 90472 |
|
556 |
529 |
$8.92 |
| 1126F |
|
15,899 |
15,462 |
$0.30 |
| G0447 |
Behavior counsel obesity 15m |
3,175 |
3,076 |
$0.00 |
| 0111A |
|
41 |
27 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
668 |
373 |
$0.00 |
| 3008F |
|
3,746 |
3,735 |
$0.00 |
| 99202 |
|
381 |
323 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
975 |
942 |
$0.00 |
| 91307 |
|
2,520 |
1,850 |
$0.00 |
| 36415 |
|
430 |
265 |
$0.00 |
| 94640 |
|
654 |
311 |
$0.00 |
| 0091A |
|
20 |
12 |
$0.00 |
| 1125F |
|
330 |
330 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
175 |
98 |
$0.00 |
| 91315 |
|
215 |
142 |
$0.00 |
| 96372 |
|
115 |
88 |
$0.00 |
| 90474 |
|
106 |
103 |
$0.00 |
| J8540 |
Oral dexamethasone |
208 |
129 |
$0.00 |
| J2001 |
Lidocaine injection |
17 |
13 |
$0.00 |
| 99355 |
|
19 |
13 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
20 |
12 |
$0.00 |
| 90378 |
|
30 |
26 |
$0.00 |
| Q0162 |
Ondansetron oral |
14 |
14 |
$0.00 |
| 90660 |
|
17 |
15 |
$0.00 |
| 91309 |
|
21 |
13 |
$0.00 |
| H0033 |
Oral med adm direct observe |
18 |
12 |
$0.00 |
| 91300 |
|
3,990 |
2,373 |
$0.00 |
| 97803 |
|
809 |
808 |
$0.00 |
| 1160F |
|
2,727 |
2,646 |
$0.00 |
| 91311 |
|
247 |
181 |
$0.00 |
| 1159F |
|
528 |
502 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
251 |
248 |
$0.00 |
| 91312 |
|
704 |
440 |
$0.00 |
| 90473 |
|
43 |
43 |
$0.00 |
| 17110 |
|
18 |
12 |
$0.00 |
| 90736 |
|
22 |
14 |
$0.00 |