| Code | Description | Claims | Beneficiaries | Total Paid |
| G9008 |
Mccd,phys coor-care ovrsght |
103,358 |
83,333 |
$16.00M |
| G9012 |
Other specified case mgmt |
115,189 |
70,569 |
$12.08M |
| T1015 |
Clinic service |
75,207 |
60,007 |
$11.19M |
| H0043 |
Supported housing, per diem |
9,848 |
9,142 |
$1.59M |
| 00003 |
|
3,532 |
2,684 |
$623K |
| U0002 |
Covid-19 lab test non-cdc |
6,843 |
5,079 |
$112K |
| 0012A |
|
1,310 |
699 |
$68K |
| 87635 |
|
4,504 |
3,023 |
$57K |
| 99213 |
|
36,761 |
24,221 |
$54K |
| 0011A |
|
1,462 |
812 |
$54K |
| 0002A |
|
1,008 |
531 |
$52K |
| 99212 |
|
31,783 |
19,829 |
$52K |
| 0001A |
|
1,072 |
619 |
$41K |
| T2041 |
Support broker waiver/15 min |
195 |
161 |
$31K |
| 99393 |
|
4,106 |
2,816 |
$22K |
| 0031A |
|
471 |
253 |
$20K |
| 99394 |
|
3,991 |
2,661 |
$20K |
| 92551 |
|
10,272 |
7,348 |
$19K |
| 99202 |
|
1,957 |
1,444 |
$19K |
| T2040 |
Financial mgt waiver/15min |
455 |
437 |
$17K |
| 0072A |
|
321 |
166 |
$17K |
| G0467 |
Fqhc visit, estab pt |
714 |
596 |
$16K |
| 90686 |
|
4,033 |
2,824 |
$15K |
| 0071A |
|
341 |
197 |
$14K |
| 96156 |
|
2,639 |
2,639 |
$14K |
| 90832 |
|
3,229 |
1,684 |
$12K |
| 0003A |
|
279 |
165 |
$11K |
| 0013A |
|
201 |
105 |
$11K |
| 99392 |
|
1,911 |
1,251 |
$9K |
| 96110 |
|
2,312 |
1,467 |
$8K |
| 90674 |
|
1,639 |
1,058 |
$8K |
| 90834 |
|
1,339 |
645 |
$7K |
| Q3014 |
Telehealth facility fee |
6,756 |
3,824 |
$7K |
| G8510 |
Scr dep neg, no plan reqd |
15,725 |
9,954 |
$6K |
| 90791 |
|
384 |
245 |
$6K |
| 99441 |
|
5,609 |
3,296 |
$5K |
| 85018 |
|
13,557 |
9,787 |
$5K |
| 90651 |
|
1,411 |
968 |
$5K |
| 90756 |
|
361 |
324 |
$5K |
| G8431 |
Pos clin depres scrn f/u doc |
4,568 |
2,685 |
$5K |
| 90471 |
|
6,701 |
5,425 |
$4K |
| 90837 |
|
583 |
240 |
$4K |
| 88141 |
|
71 |
50 |
$4K |
| 90620 |
|
1,225 |
836 |
$4K |
| 99211 |
|
1,060 |
710 |
$3K |
| 87426 |
|
464 |
373 |
$3K |
| 90658 |
|
1,032 |
1,021 |
$3K |
| 0064A |
|
51 |
27 |
$3K |
| 90715 |
|
461 |
368 |
$3K |
| 0034A |
|
46 |
26 |
$2K |
| G0447 |
Behavior counsel obesity 15m |
3,773 |
2,261 |
$2K |
| 90734 |
|
870 |
579 |
$2K |
| G0442 |
Annual alcohol screen 15 min |
3,567 |
2,114 |
$2K |
| 99395 |
|
550 |
402 |
$2K |
| 96127 |
|
8,347 |
4,738 |
$2K |
| 86769 |
|
225 |
157 |
$2K |
| 99000 |
|
17,216 |
12,378 |
$2K |
| 99214 |
|
2,013 |
1,639 |
$2K |
| 97802 |
|
3,157 |
1,845 |
$2K |
| 90746 |
|
55 |
43 |
$2K |
| 92552 |
|
744 |
537 |
$1K |
| 86580 |
|
475 |
387 |
$1K |
| 90670 |
|
240 |
178 |
$1K |
| 90700 |
|
404 |
278 |
$1K |
| 99173 |
|
6,560 |
4,990 |
$989.14 |
| 99201 |
|
135 |
93 |
$965.27 |
| 82948 |
|
3,589 |
2,727 |
$854.41 |
| 90460 |
|
1,773 |
1,379 |
$850.49 |
| 90621 |
|
196 |
144 |
$690.06 |
| 90472 |
|
2,238 |
1,604 |
$687.98 |
| 90633 |
|
315 |
221 |
$674.51 |
| 90716 |
|
342 |
264 |
$674.09 |
| 3078F |
|
12,495 |
8,158 |
$607.62 |
| 92004 |
|
284 |
192 |
$605.39 |
| 90661 |
|
219 |
153 |
$577.68 |
| 99396 |
|
873 |
710 |
$572.85 |
| 90656 |
|
122 |
85 |
$489.58 |
| 90672 |
|
112 |
112 |
$487.70 |
| Q0091 |
Obtaining screen pap smear |
226 |
159 |
$487.25 |
| 90657 |
|
270 |
218 |
$486.00 |
| 3074F |
|
10,884 |
7,214 |
$474.25 |
| 99490 |
Ccm add 20min |
641 |
602 |
$458.61 |
| 91322 |
|
106 |
64 |
$446.76 |
| 90647 |
|
164 |
113 |
$434.41 |
| 87806 |
|
25 |
25 |
$422.73 |
| 1000F |
|
7,473 |
5,052 |
$420.37 |
| 99442 |
|
5,357 |
3,245 |
$366.27 |
| 82947 |
|
2,084 |
1,641 |
$363.87 |
| 90723 |
|
54 |
41 |
$336.63 |
| 99383 |
|
96 |
72 |
$314.22 |
| 90707 |
|
192 |
155 |
$298.00 |
| 90461 |
|
786 |
638 |
$287.16 |
| 3077F |
|
3,815 |
2,370 |
$243.91 |
| G2025 |
Dis site tele svcs rhc/fqhc |
13 |
13 |
$232.03 |
| 1036F |
|
6,976 |
4,356 |
$217.12 |
| 3725F |
|
2,767 |
1,705 |
$212.10 |
| H0049 |
Alcohol/drug screening |
4,217 |
2,814 |
$208.69 |
| 3079F |
|
4,080 |
2,655 |
$195.74 |
| 99203 |
|
23 |
16 |
$174.65 |
| 92250 |
|
245 |
189 |
$168.52 |
| 93000 |
|
39 |
38 |
$143.40 |
| 99382 |
|
19 |
14 |
$139.98 |
| 81002 |
|
495 |
388 |
$134.46 |
| 99406 |
|
303 |
188 |
$133.72 |
| G0270 |
Mnt subs tx for change dx |
1,433 |
1,197 |
$133.49 |
| 3008F |
|
10,883 |
6,809 |
$116.29 |
| 4010F |
|
3,629 |
2,669 |
$105.46 |
| 93005 |
|
46 |
32 |
$97.44 |
| 3075F |
|
3,216 |
2,104 |
$97.05 |
| 90688 |
|
29 |
29 |
$84.00 |
| 92015 |
|
120 |
120 |
$80.10 |
| H0050 |
Alcohol/drug service 15 min |
909 |
650 |
$78.90 |
| 92002 |
|
25 |
18 |
$74.30 |
| 90744 |
|
111 |
93 |
$73.91 |
| 90648 |
|
64 |
49 |
$72.00 |
| 99384 |
|
18 |
12 |
$65.12 |
| 90671 |
|
20 |
13 |
$62.91 |
| 2026F |
|
106 |
83 |
$60.23 |
| 90696 |
|
20 |
12 |
$54.00 |
| 90649 |
|
91 |
80 |
$54.00 |
| 1159F |
|
6,437 |
4,245 |
$52.76 |
| 1125F |
|
1,871 |
1,334 |
$33.11 |
| 99070 |
|
133 |
96 |
$33.00 |
| 99001 |
|
28 |
20 |
$22.67 |
| 81003 |
|
130 |
70 |
$12.71 |
| 36415 |
|
2,211 |
1,699 |
$8.83 |
| 94760 |
|
75 |
43 |
$5.59 |
| 99366 |
|
189 |
181 |
$4.50 |
| 1170F |
|
3,984 |
2,664 |
$3.63 |
| 81000 |
|
78 |
65 |
$2.58 |
| 3080F |
|
1,677 |
1,009 |
$0.02 |
| 3044F |
|
818 |
613 |
$0.01 |
| 1034F |
|
475 |
305 |
$0.00 |
| 3048F |
|
476 |
382 |
$0.00 |
| 2000F |
|
2,565 |
1,750 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
722 |
443 |
$0.00 |
| D0150 |
|
387 |
386 |
$0.00 |
| 1101F |
|
121 |
116 |
$0.00 |
| D0603 |
|
227 |
227 |
$0.00 |
| 3049F |
|
120 |
102 |
$0.00 |
| 1126F |
|
276 |
184 |
$0.00 |
| 3017F |
|
533 |
405 |
$0.00 |
| 2033F |
|
237 |
201 |
$0.00 |
| D0210 |
|
269 |
268 |
$0.00 |
| D4342 |
|
20 |
14 |
$0.00 |
| 0134A |
|
25 |
25 |
$0.00 |
| D2392 |
|
124 |
90 |
$0.00 |
| D1330 |
|
136 |
135 |
$0.00 |
| D1206 |
|
66 |
65 |
$0.00 |
| D0230 |
|
125 |
33 |
$0.00 |
| 3072F |
|
61 |
40 |
$0.00 |
| D0120 |
|
81 |
81 |
$0.00 |
| 3061F |
|
83 |
55 |
$0.00 |
| 99443 |
|
34 |
16 |
$0.00 |
| D1310 |
|
13 |
13 |
$0.00 |
| D5899 |
|
17 |
12 |
$0.00 |
| 1158F |
|
1,611 |
1,225 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
7,864 |
4,779 |
$0.00 |
| 3015F |
|
51 |
51 |
$0.00 |
| 1160F |
|
5,056 |
3,264 |
$0.00 |
| 3288F |
|
456 |
404 |
$0.00 |
| D0330 |
|
310 |
308 |
$0.00 |
| 0124A |
|
38 |
38 |
$0.00 |
| D1110 |
|
135 |
132 |
$0.00 |
| D9430 |
|
245 |
213 |
$0.00 |
| 4013F |
|
600 |
570 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
27 |
14 |
$0.00 |
| D2391 |
|
56 |
38 |
$0.00 |
| 3050F |
|
92 |
68 |
$0.00 |
| D0274 |
|
29 |
29 |
$0.00 |
| 3062F |
|
32 |
28 |
$0.00 |
| 98960 |
|
101 |
60 |
$0.00 |
| D0220 |
|
54 |
51 |
$0.00 |
| G0444 |
Depression screen annual |
19 |
12 |
$0.00 |
| 3511F |
|
19 |
19 |
$0.00 |