| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
472,584 |
354,956 |
$69.72M |
| T1040 |
Comm bh clinic svc per diem |
13,230 |
9,272 |
$911K |
| 99213 |
|
200,276 |
165,799 |
$656K |
| 99214 |
|
53,006 |
47,329 |
$253K |
| D0999 |
|
880 |
799 |
$109K |
| 90792 |
|
5,511 |
3,606 |
$103K |
| 99212 |
|
48,367 |
42,370 |
$85K |
| 91320 |
|
735 |
719 |
$75K |
| 90471 |
|
53,104 |
48,201 |
$52K |
| 99203 |
|
14,928 |
13,952 |
$45K |
| 99202 |
|
6,924 |
6,220 |
$39K |
| 0502F |
|
16,532 |
9,724 |
$33K |
| 90832 |
|
22,635 |
16,604 |
$29K |
| 90472 |
|
21,673 |
19,769 |
$26K |
| 96152 |
|
2,745 |
613 |
$23K |
| 96372 |
|
16,810 |
14,496 |
$20K |
| 90480 |
|
730 |
702 |
$19K |
| 0124A |
|
414 |
375 |
$17K |
| 90834 |
|
4,594 |
2,650 |
$17K |
| 90791 |
|
1,156 |
669 |
$16K |
| 99391 |
|
10,534 |
8,979 |
$12K |
| 90847 |
|
1,657 |
593 |
$11K |
| 99393 |
|
13,875 |
12,715 |
$11K |
| 99392 |
|
13,146 |
11,820 |
$10K |
| 96151 |
|
4,382 |
1,017 |
$10K |
| 90649 |
|
2,580 |
2,136 |
$9K |
| S5190 |
Wellness assessment by nonph |
4,454 |
3,632 |
$9K |
| 99394 |
|
10,496 |
9,578 |
$9K |
| 96153 |
|
2,315 |
456 |
$9K |
| 90686 |
|
22,247 |
20,035 |
$8K |
| 90734 |
|
7,039 |
6,444 |
$7K |
| 99395 |
|
6,890 |
6,354 |
$7K |
| 96154 |
|
375 |
95 |
$7K |
| 90620 |
|
2,651 |
2,406 |
$6K |
| 99215 |
Prolong outpt/office vis |
1,338 |
1,237 |
$5K |
| 90833 |
|
745 |
536 |
$5K |
| J7307 |
Etonogestrel implant system |
12 |
12 |
$5K |
| 99383 |
|
2,681 |
2,459 |
$5K |
| 90715 |
|
10,194 |
9,270 |
$5K |
| 90670 |
|
7,164 |
6,481 |
$5K |
| 0154A |
|
108 |
105 |
$5K |
| 90837 |
|
1,313 |
855 |
$5K |
| 59430 |
|
272 |
247 |
$4K |
| 87880 |
|
22,942 |
21,168 |
$4K |
| 99396 |
|
4,795 |
4,436 |
$4K |
| 90716 |
|
2,983 |
2,720 |
$4K |
| 90710 |
|
4,188 |
3,787 |
$4K |
| 90651 |
|
7,114 |
6,769 |
$4K |
| 94640 |
|
2,261 |
1,855 |
$4K |
| 0503F |
|
1,401 |
1,115 |
$4K |
| 90707 |
|
2,882 |
2,624 |
$3K |
| 99385 |
|
1,727 |
1,597 |
$3K |
| 90736 |
|
296 |
267 |
$3K |
| 0173A |
|
69 |
69 |
$3K |
| 81025 |
|
42,174 |
37,307 |
$3K |
| 99384 |
|
2,163 |
2,009 |
$3K |
| 93000 |
|
1,644 |
1,370 |
$3K |
| 90723 |
|
5,479 |
4,988 |
$2K |
| 90633 |
|
6,783 |
6,122 |
$2K |
| 91319 |
|
109 |
96 |
$2K |
| 90648 |
|
6,145 |
5,528 |
$2K |
| 99201 |
|
418 |
367 |
$2K |
| J1050 |
Medroxyprogesterone acetate |
5,747 |
4,951 |
$2K |
| 99382 |
|
921 |
836 |
$2K |
| 90696 |
|
3,291 |
3,030 |
$1K |
| 86580 |
|
717 |
602 |
$1K |
| 90746 |
|
1,559 |
1,462 |
$1K |
| 36415 |
|
52,695 |
47,153 |
$1K |
| 0500F |
|
1,692 |
1,597 |
$916.88 |
| 81000 |
|
17,634 |
15,179 |
$844.57 |
| 90682 |
|
49 |
47 |
$697.78 |
| 83036 |
|
9,716 |
9,034 |
$683.45 |
| 82962 |
|
5,498 |
4,381 |
$659.56 |
| 90680 |
|
1,880 |
1,689 |
$631.84 |
| 99204 |
|
3,196 |
3,074 |
$598.94 |
| 90474 |
|
3,364 |
3,062 |
$594.47 |
| 90678 |
|
271 |
266 |
$560.04 |
| 90700 |
|
2,400 |
2,170 |
$552.38 |
| 0051A |
|
12 |
12 |
$523.20 |
| 91318 |
|
37 |
33 |
$517.43 |
| 90677 |
|
2,238 |
2,173 |
$465.14 |
| 96150 |
|
39 |
16 |
$410.95 |
| 85018 |
|
5,763 |
5,168 |
$408.40 |
| 11982 |
|
27 |
24 |
$396.00 |
| 90750 |
|
2,348 |
2,225 |
$364.53 |
| 90674 |
|
113 |
95 |
$263.49 |
| 90732 |
|
242 |
222 |
$261.00 |
| 99173 |
|
8,679 |
7,338 |
$244.26 |
| 99386 |
|
760 |
718 |
$237.76 |
| 82270 |
|
165 |
145 |
$207.40 |
| 96160 |
|
3,411 |
2,446 |
$167.70 |
| 99211 |
|
1,098 |
891 |
$148.28 |
| J0561 |
Penicillin g benzathine inj |
653 |
561 |
$145.47 |
| 99381 |
|
500 |
465 |
$124.05 |
| 90681 |
|
2,301 |
2,095 |
$123.11 |
| 90656 |
|
2,091 |
2,016 |
$116.97 |
| 87210 |
|
706 |
605 |
$97.32 |
| 11981 |
|
39 |
36 |
$88.00 |
| 90744 |
|
267 |
259 |
$72.84 |
| 90632 |
|
84 |
81 |
$70.54 |
| J0696 |
Ceftriaxone sodium injection |
2,634 |
2,354 |
$64.56 |
| 90653 |
|
75 |
73 |
$50.04 |
| 90697 |
|
938 |
907 |
$33.42 |
| 90713 |
|
413 |
375 |
$33.21 |
| 90694 |
|
118 |
115 |
$32.87 |
| 80305 |
|
2,820 |
2,457 |
$18.96 |
| 81003 |
|
7,671 |
7,208 |
$17.58 |
| 96110 |
|
38 |
37 |
$16.08 |
| 93005 |
|
3,327 |
3,165 |
$15.71 |
| J1885 |
Ketorolac tromethamine inj |
2,306 |
2,100 |
$14.65 |
| J7620 |
Albuterol ipratrop non-comp |
672 |
657 |
$12.33 |
| 87220 |
|
58 |
55 |
$4.70 |
| 82948 |
|
4,153 |
3,893 |
$3.44 |
| Q3014 |
Telehealth facility fee |
103 |
79 |
$2.00 |
| 90853 |
|
345 |
185 |
$0.00 |
| 3046F |
|
900 |
854 |
$0.00 |
| 83655 |
|
1,114 |
837 |
$0.00 |
| 3051F |
|
615 |
577 |
$0.00 |
| 90460 |
|
925 |
900 |
$0.00 |
| 90846 |
|
367 |
148 |
$0.00 |
| 69209 |
|
187 |
154 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
33 |
30 |
$0.00 |
| D0220 |
|
163 |
156 |
$0.00 |
| 90380 |
|
45 |
35 |
$0.00 |
| D0274 |
|
13 |
13 |
$0.00 |
| D1120 |
|
101 |
100 |
$0.00 |
| 96381 |
|
68 |
68 |
$0.00 |
| 82274 |
|
14 |
14 |
$0.00 |
| 90473 |
|
18 |
18 |
$0.00 |
| 3044F |
|
1,654 |
1,572 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
13 |
13 |
$0.00 |
| 90647 |
|
657 |
615 |
$0.00 |
| 58301 |
|
15 |
14 |
$0.00 |
| D1206 |
|
90 |
89 |
$0.00 |
| 90381 |
|
49 |
41 |
$0.00 |
| 96127 |
|
231 |
229 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
306 |
282 |
$0.00 |
| 90660 |
|
34 |
32 |
$0.00 |
| D0150 |
|
182 |
180 |
$0.00 |
| 3052F |
|
174 |
166 |
$0.00 |
| D7140 |
|
62 |
59 |
$0.00 |
| 96156 |
|
71 |
64 |
$0.00 |
| 88142 |
|
27 |
25 |
$0.00 |
| D0272 |
|
12 |
12 |
$0.00 |
| D0120 |
|
49 |
49 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
135 |
128 |
$0.00 |
| 99403 |
|
16 |
13 |
$0.00 |
| D0230 |
|
48 |
45 |
$0.00 |
| D0210 |
|
15 |
15 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
22 |
17 |
$0.00 |
| 90839 |
|
18 |
14 |
$0.00 |
| 90636 |
|
12 |
12 |
$0.00 |
| 57454 |
|
15 |
12 |
$0.00 |