| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
203,875 |
149,318 |
$29.53M |
| 00003 |
|
56,133 |
36,983 |
$9.40M |
| 98941 |
|
50,084 |
29,014 |
$95K |
| 99213 |
|
153,160 |
90,820 |
$79K |
| 0001A |
|
1,594 |
884 |
$71K |
| 0002A |
|
1,483 |
824 |
$66K |
| 92014 |
|
8,623 |
7,200 |
$62K |
| 90834 |
|
4,654 |
2,698 |
$42K |
| 0012A |
|
713 |
451 |
$31K |
| V2020 |
Vision svcs frames purchases |
1,693 |
1,690 |
$30K |
| 0011A |
|
705 |
445 |
$24K |
| 92340 |
|
1,358 |
1,356 |
$24K |
| 0064A |
|
574 |
398 |
$21K |
| 0004A |
|
452 |
311 |
$21K |
| 90791 |
|
1,282 |
933 |
$18K |
| 0071A |
|
453 |
270 |
$17K |
| 92015 |
|
10,006 |
8,397 |
$16K |
| G0467 |
Fqhc visit, estab pt |
3,182 |
2,259 |
$15K |
| 92004 |
|
1,280 |
1,112 |
$14K |
| 0072A |
|
374 |
243 |
$14K |
| 0031A |
|
208 |
118 |
$10K |
| 90832 |
|
1,254 |
840 |
$8K |
| 99214 |
|
33,699 |
20,912 |
$6K |
| G9920 |
Scrning perf and negative |
1,754 |
1,216 |
$5K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
1,317 |
1,306 |
$4K |
| 99203 |
|
3,715 |
2,591 |
$4K |
| 0013A |
|
77 |
44 |
$3K |
| 99212 |
|
12,143 |
7,840 |
$3K |
| 0134A |
|
38 |
38 |
$2K |
| 92341 |
|
53 |
53 |
$1K |
| 0034A |
|
26 |
16 |
$1K |
| 0124A |
|
27 |
27 |
$1K |
| 90715 |
|
1,118 |
872 |
$1K |
| 90837 |
|
110 |
53 |
$882.18 |
| 99202 |
|
503 |
324 |
$710.80 |
| G2025 |
Dis site tele svcs rhc/fqhc |
146 |
111 |
$600.18 |
| 90688 |
|
3,338 |
2,819 |
$539.26 |
| 99204 |
|
371 |
271 |
$350.02 |
| 81025 |
|
3,774 |
2,749 |
$251.21 |
| 85018 |
|
8,442 |
6,191 |
$204.06 |
| 98940 |
|
123 |
113 |
$199.72 |
| G9919 |
Scrn nd pos nd prov of rec |
75 |
61 |
$174.00 |
| 90670 |
|
502 |
410 |
$145.00 |
| J3301 |
Triamcinolone acet inj nos |
208 |
167 |
$97.89 |
| 81003 |
|
7,448 |
5,095 |
$88.42 |
| 90686 |
|
2,451 |
2,082 |
$63.00 |
| 86580 |
|
569 |
530 |
$51.05 |
| 99393 |
|
789 |
586 |
$45.58 |
| J1885 |
Ketorolac tromethamine inj |
435 |
329 |
$33.34 |
| 99173 |
|
4,329 |
3,155 |
$29.73 |
| 92551 |
|
4,416 |
3,185 |
$11.57 |
| 87880 |
|
902 |
645 |
$7.34 |
| 87811 |
|
6,125 |
4,619 |
$0.19 |
| 87428 |
|
523 |
355 |
$0.01 |
| D9430 |
|
681 |
655 |
$0.00 |
| 99392 |
|
776 |
617 |
$0.00 |
| D0274 |
|
756 |
754 |
$0.00 |
| 1159F |
|
10,793 |
7,820 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
2,140 |
1,175 |
$0.00 |
| 1160F |
|
10,791 |
7,820 |
$0.00 |
| D0220 |
|
1,071 |
1,055 |
$0.00 |
| 3078F |
|
19,885 |
15,685 |
$0.00 |
| S3000 |
Bilat dil retinal exam |
1,350 |
1,072 |
$0.00 |
| 3725F |
|
15,182 |
12,080 |
$0.00 |
| 99395 |
|
189 |
163 |
$0.00 |
| 99391 |
|
463 |
358 |
$0.00 |
| D1120 |
|
762 |
745 |
$0.00 |
| 3077F |
|
632 |
521 |
$0.00 |
| 99394 |
|
344 |
254 |
$0.00 |
| D0270 |
|
297 |
293 |
$0.00 |
| 90472 |
|
13 |
13 |
$0.00 |
| D4341 |
|
258 |
145 |
$0.00 |
| 90658 |
|
143 |
143 |
$0.00 |
| 90681 |
|
67 |
51 |
$0.00 |
| 90649 |
|
78 |
60 |
$0.00 |
| D2391 |
|
14 |
12 |
$0.00 |
| 90633 |
|
94 |
82 |
$0.00 |
| 92133 |
|
20 |
12 |
$0.00 |
| 99396 |
|
102 |
69 |
$0.00 |
| 99499 |
|
46 |
46 |
$0.00 |
| 11720 |
|
20 |
12 |
$0.00 |
| D1110 |
|
39 |
39 |
$0.00 |
| 90734 |
|
51 |
38 |
$0.00 |
| 91300 |
|
33 |
31 |
$0.00 |
| 59425 |
|
15 |
12 |
$0.00 |
| D2150 |
|
16 |
13 |
$0.00 |
| 3079F |
|
6,099 |
4,999 |
$0.00 |
| 3008F |
|
27,818 |
21,553 |
$0.00 |
| 90471 |
|
231 |
228 |
$0.00 |
| 83036 |
|
127 |
125 |
$0.00 |
| 1126F |
|
11,814 |
9,385 |
$0.00 |
| 1125F |
|
5,657 |
4,140 |
$0.00 |
| D0603 |
|
296 |
293 |
$0.00 |
| 1034F |
|
741 |
536 |
$0.00 |
| D0230 |
|
6,761 |
1,501 |
$0.00 |
| 99381 |
|
16 |
13 |
$0.00 |
| D0210 |
|
197 |
197 |
$0.00 |
| 1036F |
|
23,154 |
17,437 |
$0.00 |
| 3074F |
|
21,601 |
16,904 |
$0.00 |
| D0120 |
|
1,011 |
1,002 |
$0.00 |
| D1208 |
|
706 |
697 |
$0.00 |
| 3080F |
|
43 |
30 |
$0.00 |
| 3075F |
|
3,757 |
3,155 |
$0.00 |
| D1206 |
|
113 |
111 |
$0.00 |
| 90723 |
|
219 |
178 |
$0.00 |
| D2392 |
|
92 |
78 |
$0.00 |
| 90647 |
|
334 |
271 |
$0.00 |
| 36415 |
|
276 |
251 |
$0.00 |
| 92227 |
|
106 |
86 |
$0.00 |
| H1001 |
Antepartum management |
55 |
45 |
$0.00 |
| 82962 |
|
201 |
155 |
$0.00 |
| 90697 |
|
15 |
12 |
$0.00 |
| D0150 |
|
331 |
326 |
$0.00 |
| D0272 |
|
13 |
13 |
$0.00 |
| G9226 |
3 comp foot exam completed |
142 |
111 |
$0.00 |
| 93000 |
|
99 |
74 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 91306 |
|
80 |
79 |
$0.00 |
| 90792 |
|
42 |
37 |
$0.00 |
| 91307 |
|
145 |
138 |
$0.00 |
| 99383 |
|
32 |
32 |
$0.00 |
| 96372 |
|
81 |
79 |
$0.00 |
| D0602 |
|
121 |
119 |
$0.00 |
| Z1034 |
|
104 |
76 |
$0.00 |
| J3490 |
Drugs unclassified injection |
54 |
54 |
$0.00 |
| D0140 |
|
76 |
75 |
$0.00 |
| 87426 |
|
159 |
91 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
22 |
12 |
$0.00 |
| 99441 |
|
25 |
25 |
$0.00 |
| 1035F |
|
55 |
40 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
19 |
14 |
$0.00 |
| 90732 |
|
13 |
13 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
13 |
12 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |