| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
399,729 |
276,229 |
$88.10M |
| 00003 |
|
14,903 |
10,580 |
$6.01M |
| 99213 |
|
106,067 |
95,146 |
$278K |
| 97110 |
|
13,508 |
7,243 |
$155K |
| 98940 |
|
9,739 |
7,057 |
$118K |
| 90834 |
|
12,356 |
9,335 |
$76K |
| 98941 |
|
9,452 |
6,732 |
$74K |
| 99203 |
|
2,455 |
2,451 |
$71K |
| 99212 |
|
29,219 |
27,556 |
$60K |
| 99214 |
|
76,144 |
68,553 |
$58K |
| G0467 |
Fqhc visit, estab pt |
1,480 |
1,233 |
$55K |
| 0134A |
|
635 |
630 |
$37K |
| 99202 |
|
1,042 |
1,041 |
$27K |
| 87591 |
|
7,163 |
6,890 |
$26K |
| 87491 |
|
7,155 |
6,863 |
$26K |
| G0470 |
Fqhc visit, mh estab pt |
328 |
212 |
$25K |
| 0013A |
|
401 |
370 |
$19K |
| 97140 |
|
2,688 |
1,587 |
$19K |
| 97161 |
|
378 |
369 |
$13K |
| 87389 |
|
6,194 |
6,073 |
$9K |
| 0012A |
|
153 |
152 |
$8K |
| 90853 |
|
327 |
79 |
$6K |
| 90791 |
|
2,032 |
1,948 |
$5K |
| 0011A |
|
119 |
119 |
$5K |
| G2025 |
Dis site tele svcs rhc/fqhc |
270 |
227 |
$4K |
| 90832 |
|
7,013 |
3,937 |
$3K |
| G0469 |
Fqhc visit, mh new pt |
35 |
30 |
$3K |
| 86592 |
|
8,548 |
8,449 |
$2K |
| J3490 |
Drugs unclassified injection |
38 |
38 |
$2K |
| 97162 |
|
970 |
956 |
$2K |
| 99401 |
|
460 |
457 |
$1K |
| 81025 |
|
1,442 |
1,415 |
$1K |
| Q0144 |
Azithromycin dihydrate, oral |
165 |
127 |
$1K |
| 90833 |
|
25 |
24 |
$827.76 |
| 96110 |
|
30 |
30 |
$820.71 |
| 80053 |
|
13,075 |
13,001 |
$813.53 |
| 97803 |
|
5,668 |
5,640 |
$797.87 |
| 90471 |
|
10,072 |
9,974 |
$727.66 |
| 87210 |
|
783 |
780 |
$631.62 |
| 98960 |
|
501 |
417 |
$520.05 |
| 90651 |
|
303 |
303 |
$490.54 |
| 97802 |
|
1,689 |
1,689 |
$455.25 |
| 99402 |
|
242 |
242 |
$445.06 |
| H1003 |
Prenatal at risk education |
56 |
50 |
$366.07 |
| 36415 |
|
7,707 |
7,515 |
$337.50 |
| 96156 |
|
95 |
87 |
$335.96 |
| 80061 |
|
6,810 |
6,802 |
$300.04 |
| 90674 |
|
1,291 |
1,290 |
$260.00 |
| J0696 |
Ceftriaxone sodium injection |
244 |
238 |
$248.52 |
| A4267 |
Male condom |
77 |
76 |
$239.94 |
| 85025 |
|
9,422 |
9,348 |
$238.40 |
| 84443 |
|
4,443 |
4,431 |
$221.40 |
| 83036 |
|
6,282 |
6,278 |
$204.96 |
| 90686 |
|
495 |
491 |
$200.00 |
| 97010 |
|
1,045 |
641 |
$192.60 |
| 97164 |
|
784 |
754 |
$148.24 |
| 81003 |
|
1,329 |
1,302 |
$138.92 |
| A9300 |
Exercise equipment |
388 |
345 |
$112.50 |
| 81015 |
|
1,209 |
1,176 |
$102.11 |
| 81001 |
|
130 |
128 |
$97.67 |
| J0561 |
Penicillin g benzathine inj |
43 |
41 |
$76.65 |
| 87522 |
Neg quan hep c or qual rna |
1,052 |
996 |
$76.58 |
| 87536 |
|
4,292 |
4,280 |
$75.57 |
| S5199 |
Personal care item nos each |
31 |
30 |
$71.92 |
| 0094A |
|
17 |
17 |
$67.00 |
| 86593 |
|
1,414 |
1,390 |
$63.06 |
| J3301 |
Triamcinolone acet inj nos |
3,559 |
3,470 |
$56.59 |
| 82274 |
|
15 |
15 |
$42.87 |
| 87880 |
|
60 |
58 |
$41.94 |
| 96127 |
|
4,105 |
3,896 |
$23.65 |
| 90756 |
|
1,926 |
1,924 |
$20.00 |
| 99000 |
|
7,600 |
7,119 |
$18.15 |
| 86803 |
|
2,997 |
2,996 |
$11.31 |
| 85610 |
|
1,254 |
1,231 |
$6.92 |
| 87081 |
|
1,721 |
1,715 |
$5.62 |
| 85018 |
|
394 |
388 |
$1.66 |
| 86480 |
|
2,596 |
2,591 |
$0.00 |
| X3904 |
|
16,089 |
8,832 |
$0.00 |
| 90750 |
|
1,210 |
1,209 |
$0.00 |
| 90715 |
|
706 |
706 |
$0.00 |
| 3078F |
|
1,890 |
1,849 |
$0.00 |
| 90837 |
|
127 |
82 |
$0.00 |
| L1812 |
Ko elastic w/joints pre ots |
270 |
267 |
$0.00 |
| 86708 |
|
918 |
918 |
$0.00 |
| 20611 |
|
1,370 |
1,080 |
$0.00 |
| 80307 |
|
400 |
377 |
$0.00 |
| 99396 |
|
1,138 |
1,128 |
$0.00 |
| 59425 |
|
248 |
215 |
$0.00 |
| 83540 |
|
477 |
477 |
$0.00 |
| 99395 |
|
1,317 |
1,302 |
$0.00 |
| 90472 |
|
1,412 |
1,408 |
$0.00 |
| 99211 |
|
25 |
25 |
$0.00 |
| L3260 |
Ambulatory surgical boot eac |
83 |
80 |
$0.00 |
| 99173 |
|
201 |
201 |
$0.00 |
| 2028F |
|
447 |
441 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
537 |
537 |
$0.00 |
| 84439 |
|
264 |
259 |
$0.00 |
| 99204 |
|
1,265 |
1,265 |
$0.00 |
| 82570 |
|
570 |
570 |
$0.00 |
| 1158F |
|
325 |
325 |
$0.00 |
| J7321 |
Hyalgan supartz visco-3 dose |
333 |
183 |
$0.00 |
| L1836 |
Ko rigid w/o joints pre ots |
155 |
154 |
$0.00 |
| 90611 |
|
461 |
460 |
$0.00 |
| 85007 |
|
112 |
112 |
$0.00 |
| 81002 |
|
208 |
183 |
$0.00 |
| 85014 |
|
134 |
134 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
269 |
259 |
$0.00 |
| 84146 |
|
232 |
230 |
$0.00 |
| 99442 |
|
129 |
126 |
$0.00 |
| 80354 |
|
193 |
193 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
53 |
53 |
$0.00 |
| 96160 |
|
180 |
180 |
$0.00 |
| 90746 |
|
43 |
43 |
$0.00 |
| T1013 |
Sign lang/oral interpreter |
2,714 |
2,556 |
$0.00 |
| 91313 |
|
550 |
550 |
$0.00 |
| 90734 |
|
239 |
239 |
$0.00 |
| 87798 |
|
102 |
101 |
$0.00 |
| 90460 |
|
53 |
53 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
153 |
152 |
$0.00 |
| 84403 |
|
134 |
133 |
$0.00 |
| 87804 |
|
40 |
40 |
$0.00 |
| 99394 |
|
55 |
55 |
$0.00 |
| 87811 |
|
38 |
38 |
$0.00 |
| 83721 |
|
13 |
13 |
$0.00 |
| 99404 |
|
12 |
12 |
$0.00 |
| M0247 |
Sotrovimab infusion |
15 |
15 |
$0.00 |
| 1160F |
|
34 |
34 |
$0.00 |
| 76981 |
|
30 |
30 |
$0.00 |
| 99201 |
|
26 |
26 |
$0.00 |
| C1887 |
Catheter, guiding |
86 |
86 |
$0.00 |
| 76805 |
|
14 |
13 |
$0.00 |
| 90661 |
|
452 |
452 |
$0.00 |
| 11721 |
|
24 |
24 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
17 |
17 |
$0.00 |
| 69209 |
|
14 |
13 |
$0.00 |
| 84450 |
|
13 |
13 |
$0.00 |
| 97530 |
|
17 |
12 |
$0.00 |
| 90653 |
|
40 |
40 |
$0.00 |
| 84460 |
|
12 |
12 |
$0.00 |
| M0222 |
Bebtelovimab injection |
44 |
44 |
$0.00 |
| 97012 |
|
16 |
12 |
$0.00 |
| 4004F |
|
17 |
17 |
$0.00 |
| 91200 |
|
782 |
781 |
$0.00 |
| 86769 |
|
48 |
48 |
$0.00 |
| 90732 |
|
399 |
399 |
$0.00 |
| 3074F |
|
2,259 |
2,200 |
$0.00 |
| 93000 |
|
892 |
882 |
$0.00 |
| 90792 |
|
1,792 |
1,790 |
$0.00 |
| 92250 |
|
25 |
25 |
$0.00 |
| 20610 |
|
2,511 |
2,140 |
$0.00 |
| 84153 |
|
54 |
54 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
1,298 |
1,291 |
$0.00 |
| X3906 |
|
957 |
826 |
$0.00 |
| 3079F |
|
155 |
155 |
$0.00 |
| X3908 |
|
5,503 |
3,334 |
$0.00 |
| 99406 |
|
899 |
851 |
$0.00 |
| 90677 |
|
500 |
500 |
$0.00 |
| 99459 |
|
177 |
177 |
$0.00 |
| 87340 |
|
849 |
847 |
$0.00 |
| 99441 |
|
257 |
250 |
$0.00 |
| 90619 |
|
342 |
342 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 86140 |
|
507 |
502 |
$0.00 |
| 90739 |
|
1,012 |
1,008 |
$0.00 |
| 80048 |
|
961 |
947 |
$0.00 |
| X3924 |
|
9,737 |
8,354 |
$0.00 |
| X3910 |
|
2,297 |
1,549 |
$0.00 |
| 86706 |
|
2,564 |
2,564 |
$0.00 |
| 90632 |
|
89 |
89 |
$0.00 |
| S9445 |
Pt education noc individ |
456 |
431 |
$0.00 |
| 83550 |
|
415 |
415 |
$0.00 |
| 97014 |
|
249 |
154 |
$0.00 |
| 96372 |
|
1,999 |
1,924 |
$0.00 |
| 82043 |
|
553 |
553 |
$0.00 |
| G0108 |
Diab manage trn per indiv |
90 |
90 |
$0.00 |
| 3008F |
|
642 |
626 |
$0.00 |
| 82728 |
|
372 |
372 |
$0.00 |
| 92551 |
|
176 |
176 |
$0.00 |
| 80050 |
|
139 |
139 |
$0.00 |
| 86704 |
|
2,176 |
2,175 |
$0.00 |
| 94760 |
|
1,085 |
1,009 |
$0.00 |
| 1126F |
|
15 |
15 |
$0.00 |
| 1170F |
|
20 |
20 |
$0.00 |
| X3936 |
|
17 |
17 |
$0.00 |
| 85651 |
|
665 |
656 |
$0.00 |
| 87086 |
|
525 |
518 |
$0.00 |
| J2001 |
Lidocaine injection |
231 |
228 |
$0.00 |
| X3902 |
|
31 |
20 |
$0.00 |
| 90688 |
|
28 |
28 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
48 |
48 |
$0.00 |
| G9012 |
Other specified case mgmt |
183 |
119 |
$0.00 |
| 97139 |
|
18 |
15 |
$0.00 |
| 0031A |
|
80 |
80 |
$0.00 |
| 90694 |
|
137 |
137 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
13 |
13 |
$0.00 |
| 99385 |
|
26 |
26 |
$0.00 |
| 87428 |
|
128 |
126 |
$0.00 |
| G0439 |
Ppps, subseq visit |
43 |
43 |
$0.00 |
| L3809 |
Whfo w/o joints pre ots |
14 |
14 |
$0.00 |
| 85027 |
|
76 |
76 |
$0.00 |
| A4467 |
Belt strap sleev grmnt cover |
104 |
104 |
$0.00 |
| 94640 |
|
14 |
13 |
$0.00 |
| 91301 |
|
95 |
95 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
488 |
336 |
$0.00 |
| 91303 |
|
81 |
81 |
$0.00 |
| J7611 |
Albuterol non-comp con |
14 |
13 |
$0.00 |
| 20550 |
|
39 |
38 |
$0.00 |
| 90656 |
|
17 |
17 |
$0.00 |
| 91309 |
|
24 |
24 |
$0.00 |
| H1001 |
Antepartum management |
14 |
14 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
13 |
12 |
$0.00 |
| 90636 |
|
12 |
12 |
$0.00 |
| 87070 |
|
13 |
13 |
$0.00 |
| 83735 |
|
13 |
12 |
$0.00 |
| H0001 |
Alcohol and/or drug assess |
23 |
12 |
$0.00 |