| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
384,739 |
327,225 |
$60.25M |
| 99213 |
|
389,956 |
326,934 |
$6.30M |
| 00003 |
|
11,170 |
9,287 |
$2.46M |
| 99214 |
|
41,040 |
38,789 |
$1.31M |
| 59425 |
|
12,486 |
7,105 |
$1.08M |
| 99203 |
|
12,316 |
12,223 |
$652K |
| 99393 |
|
7,942 |
7,762 |
$447K |
| 98941 |
|
17,021 |
11,815 |
$406K |
| 99212 |
|
32,127 |
30,129 |
$389K |
| 99394 |
|
5,470 |
5,367 |
$387K |
| 99392 |
|
7,077 |
6,922 |
$365K |
| 99215 |
Prolong outpt/office vis |
3,295 |
2,778 |
$271K |
| 90791 |
|
3,917 |
3,585 |
$266K |
| 92551 |
|
20,707 |
20,238 |
$260K |
| 90837 |
|
4,051 |
3,366 |
$249K |
| 99202 |
|
7,778 |
7,702 |
$230K |
| 90834 |
|
6,868 |
5,391 |
$230K |
| 99395 |
|
2,090 |
2,083 |
$195K |
| 98940 |
|
9,076 |
7,032 |
$158K |
| 99204 |
|
1,347 |
1,307 |
$152K |
| 96110 |
|
3,751 |
3,728 |
$142K |
| 90686 |
|
8,874 |
8,795 |
$135K |
| 99391 |
|
2,611 |
2,581 |
$133K |
| 99243 |
|
1,504 |
1,442 |
$128K |
| 0002A |
|
2,974 |
1,712 |
$115K |
| 0001A |
|
2,934 |
1,697 |
$102K |
| 92004 |
|
4,568 |
4,548 |
$96K |
| 90715 |
|
4,268 |
4,230 |
$96K |
| 90651 |
|
3,703 |
3,650 |
$89K |
| 99396 |
|
1,480 |
1,479 |
$89K |
| 90832 |
|
3,007 |
2,415 |
$85K |
| 90670 |
|
3,949 |
3,886 |
$76K |
| 99173 |
|
20,936 |
20,470 |
$76K |
| 87804 |
|
13,080 |
6,553 |
$68K |
| 92014 |
|
7,331 |
7,308 |
$55K |
| 90648 |
|
3,621 |
3,573 |
$53K |
| 0003A |
|
1,234 |
752 |
$49K |
| 90633 |
|
2,997 |
2,935 |
$49K |
| 90734 |
|
2,587 |
2,539 |
$46K |
| 87880 |
|
9,098 |
8,868 |
$45K |
| 59430 |
|
499 |
426 |
$43K |
| 90620 |
|
1,383 |
1,372 |
$43K |
| 81003 |
|
32,805 |
31,458 |
$39K |
| 90723 |
|
2,737 |
2,710 |
$39K |
| 90716 |
|
1,373 |
1,346 |
$37K |
| 85018 |
|
27,657 |
26,928 |
$36K |
| 90682 |
|
1,253 |
1,252 |
$35K |
| U0002 |
Covid-19 lab test non-cdc |
807 |
797 |
$35K |
| J3490 |
Drugs unclassified injection |
503 |
497 |
$35K |
| 0072A |
|
838 |
452 |
$35K |
| 0071A |
|
816 |
431 |
$33K |
| 97814 |
|
3,059 |
1,953 |
$31K |
| 90750 |
|
169 |
169 |
$27K |
| 90710 |
|
1,511 |
1,490 |
$27K |
| 90707 |
|
1,081 |
1,060 |
$25K |
| 90696 |
|
1,380 |
1,358 |
$24K |
| G8510 |
Scr dep neg, no plan reqd |
7,459 |
7,398 |
$23K |
| 92250 |
|
2,469 |
2,467 |
$22K |
| 97813 |
|
3,001 |
2,054 |
$21K |
| 90680 |
|
1,466 |
1,457 |
$19K |
| G9920 |
Scrning perf and negative |
947 |
947 |
$19K |
| J1885 |
Ketorolac tromethamine inj |
4,209 |
4,027 |
$16K |
| 90700 |
|
866 |
849 |
$16K |
| 81025 |
|
6,638 |
6,401 |
$14K |
| 93000 |
|
524 |
522 |
$14K |
| 92083 |
|
1,306 |
1,304 |
$13K |
| 90677 |
|
332 |
332 |
$12K |
| 99383 |
|
129 |
127 |
$12K |
| 81002 |
|
14,837 |
8,364 |
$11K |
| 99244 |
|
75 |
75 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
1,912 |
1,798 |
$8K |
| 99381 |
|
157 |
155 |
$8K |
| 92133 |
|
570 |
569 |
$8K |
| 0031A |
|
227 |
138 |
$7K |
| 90656 |
|
648 |
647 |
$7K |
| 87426 |
|
188 |
179 |
$7K |
| 90619 |
|
472 |
471 |
$5K |
| 90647 |
|
452 |
451 |
$5K |
| 92015 |
|
10,798 |
10,794 |
$5K |
| 0013A |
|
114 |
65 |
$5K |
| 0053A |
|
70 |
70 |
$4K |
| 0124A |
|
87 |
87 |
$4K |
| 90671 |
|
244 |
243 |
$3K |
| 99384 |
|
24 |
24 |
$2K |
| 94640 |
|
252 |
246 |
$2K |
| 90673 |
|
75 |
75 |
$2K |
| 0052A |
|
34 |
34 |
$2K |
| 90732 |
|
24 |
24 |
$2K |
| 99242 |
|
22 |
22 |
$2K |
| 92134 |
|
617 |
615 |
$2K |
| 96372 |
|
55 |
48 |
$2K |
| G8431 |
Pos clin depres scrn f/u doc |
194 |
194 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
142 |
140 |
$1K |
| 87807 |
|
306 |
303 |
$1K |
| Q3014 |
Telehealth facility fee |
41 |
41 |
$1K |
| 92002 |
|
16 |
16 |
$1K |
| J1040 |
Methylprednisolone 80 mg inj |
149 |
149 |
$1K |
| 92557 |
|
12 |
12 |
$1K |
| 92567 |
|
25 |
25 |
$1K |
| 86580 |
|
322 |
310 |
$1K |
| 90681 |
|
63 |
63 |
$1K |
| 82962 |
|
544 |
515 |
$926.21 |
| 0054A |
|
14 |
14 |
$871.00 |
| 90672 |
|
56 |
54 |
$792.00 |
| 90662 |
|
64 |
64 |
$585.00 |
| 97810 |
|
55 |
43 |
$561.54 |
| 69210 |
|
19 |
14 |
$530.00 |
| 76514 |
|
73 |
73 |
$492.68 |
| 99211 |
|
65 |
64 |
$488.97 |
| 0121A |
|
13 |
13 |
$469.00 |
| 91320 |
|
35 |
35 |
$393.30 |
| 97811 |
|
30 |
16 |
$355.27 |
| 83655 |
|
21 |
21 |
$223.23 |
| 99188 |
|
185 |
185 |
$148.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
1,261 |
1,259 |
$144.00 |
| 92020 |
|
15 |
15 |
$134.01 |
| 90480 |
|
12 |
12 |
$120.00 |
| T1014 |
Telehealth transmit, per min |
41 |
41 |
$38.52 |
| J7613 |
Albuterol non-comp unit |
341 |
331 |
$17.68 |
| G2025 |
Dis site tele svcs rhc/fqhc |
94 |
82 |
$4.30 |
| 3075F |
|
4,475 |
4,322 |
$0.00 |
| Z1032 |
|
346 |
343 |
$0.00 |
| Z1034 |
|
12,224 |
7,122 |
$0.00 |
| 3079F |
|
9,112 |
8,578 |
$0.00 |
| 3074F |
|
23,164 |
21,308 |
$0.00 |
| 3044F |
|
655 |
621 |
$0.00 |
| 3008F |
|
18,188 |
16,927 |
$0.00 |
| 2001F |
|
18,193 |
16,932 |
$0.00 |
| 3080F |
|
2,309 |
2,200 |
$0.00 |
| 1036F |
|
20,008 |
16,554 |
$0.00 |
| G0008 |
Admin influenza virus vac |
220 |
220 |
$0.00 |
| Z1038 |
|
81 |
66 |
$0.00 |
| 3052F |
|
172 |
161 |
$0.00 |
| 3048F |
|
92 |
91 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
42 |
40 |
$0.00 |
| S0257 |
End of life counseling |
45 |
43 |
$0.00 |
| 0011A |
|
25 |
25 |
$0.00 |
| 3077F |
|
5,140 |
4,793 |
$0.00 |
| U0004 |
Cov-19 test non-cdc hgh thru |
455 |
450 |
$0.00 |
| 3051F |
|
218 |
206 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
500 |
499 |
$0.00 |
| 3078F |
|
21,711 |
20,048 |
$0.00 |
| 3046F |
|
479 |
429 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
121 |
118 |
$0.00 |
| 90461 |
|
14 |
14 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
14 |
14 |
$0.00 |