| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
201,559 |
177,525 |
$28.45M |
| 99213 |
|
183,692 |
106,156 |
$332K |
| 90686 |
|
13,849 |
9,824 |
$117K |
| 99214 |
|
49,547 |
28,019 |
$102K |
| 97802 |
|
569 |
565 |
$98K |
| 90832 |
|
4,375 |
1,861 |
$84K |
| 96110 |
|
2,414 |
1,409 |
$81K |
| G9920 |
Screening performed and negative |
4,725 |
2,711 |
$67K |
| 90837 |
|
1,799 |
687 |
$50K |
| 97803 |
|
481 |
476 |
$44K |
| H0049 |
Alcohol and/or drug screening |
9,609 |
9,575 |
$38K |
| 83036 |
|
8,806 |
6,380 |
$36K |
| 96372 |
|
2,255 |
1,722 |
$36K |
| 99392 |
|
11,319 |
7,047 |
$35K |
| 99391 |
|
5,098 |
3,403 |
$34K |
| 99212 |
|
18,649 |
10,862 |
$29K |
| 90670 |
|
4,339 |
3,044 |
$28K |
| 90791 |
|
483 |
291 |
$24K |
| 99393 |
|
8,463 |
4,932 |
$23K |
| 90698 |
|
3,130 |
2,161 |
$18K |
| 80305 |
|
2,811 |
2,170 |
$17K |
| 90715 |
|
1,008 |
778 |
$17K |
| 90651 |
|
1,993 |
1,273 |
$17K |
| 92551 |
|
19,941 |
12,185 |
$15K |
| 90744 |
|
2,326 |
1,730 |
$14K |
| 90732 |
|
224 |
171 |
$14K |
| 90633 |
|
2,185 |
1,533 |
$13K |
| 99394 |
|
3,485 |
2,020 |
$12K |
| 90680 |
|
2,092 |
1,393 |
$12K |
| 91322 |
|
491 |
486 |
$10K |
| 90677 |
|
76 |
52 |
$9K |
| 90834 |
|
1,690 |
855 |
$8K |
| 90480 |
|
947 |
941 |
$7K |
| 99203 |
|
564 |
486 |
$7K |
| 90671 |
|
1,233 |
741 |
$7K |
| 99202 |
|
799 |
702 |
$6K |
| 0002A |
|
85 |
83 |
$6K |
| 0064A |
|
84 |
84 |
$5K |
| 0001A |
|
83 |
83 |
$5K |
| 0072A |
|
78 |
78 |
$5K |
| 0112A |
|
77 |
77 |
$5K |
| 90656 |
|
800 |
561 |
$5K |
| G9919 |
Screening performed and positive and provision of recommendations |
291 |
171 |
$4K |
| 87804 |
|
763 |
494 |
$4K |
| G9012 |
Other specified case management service not elsewhere classified |
21 |
12 |
$4K |
| 0071A |
|
59 |
59 |
$4K |
| 90697 |
|
735 |
429 |
$4K |
| 90710 |
|
607 |
450 |
$4K |
| J3490 |
Unclassified drugs |
66 |
66 |
$4K |
| 83655 |
|
724 |
454 |
$4K |
| 90734 |
|
662 |
444 |
$4K |
| 90696 |
|
563 |
405 |
$3K |
| 90746 |
|
87 |
63 |
$3K |
| 90716 |
|
459 |
361 |
$3K |
| 94640 |
|
370 |
268 |
$3K |
| 85018 |
|
17,953 |
11,518 |
$3K |
| 0004A |
|
47 |
47 |
$3K |
| 90685 |
|
506 |
329 |
$3K |
| 11721 |
|
193 |
145 |
$3K |
| 99211 |
|
364 |
330 |
$2K |
| 90700 |
|
333 |
263 |
$2K |
| 90688 |
|
294 |
226 |
$2K |
| 90707 |
|
316 |
255 |
$2K |
| 99283 |
|
2,189 |
2,046 |
$2K |
| 99381 |
|
116 |
111 |
$2K |
| 81000 |
|
1,878 |
1,556 |
$2K |
| 0134A |
|
82 |
82 |
$2K |
| 81025 |
|
659 |
543 |
$1K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
493 |
346 |
$1K |
| 81002 |
|
1,928 |
1,328 |
$1K |
| 99383 |
|
125 |
125 |
$1K |
| 0111A |
|
16 |
16 |
$1K |
| 0124A |
|
30 |
30 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
199 |
157 |
$994.18 |
| 99215 |
Prolong outpt/office vis |
755 |
392 |
$993.76 |
| 87210 |
|
331 |
306 |
$876.50 |
| 0074A |
|
12 |
12 |
$804.00 |
| 87880 |
|
1,317 |
1,003 |
$743.61 |
| 90619 |
|
121 |
70 |
$731.00 |
| 90662 |
|
110 |
106 |
$687.02 |
| 90648 |
|
73 |
61 |
$531.00 |
| 99396 |
|
113 |
72 |
$397.38 |
| 81015 |
|
222 |
167 |
$345.00 |
| 99395 |
|
83 |
71 |
$308.70 |
| 85610 |
|
164 |
105 |
$214.28 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
28 |
26 |
$183.17 |
| 90471 |
|
2,262 |
2,217 |
$171.08 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
45 |
27 |
$150.90 |
| 90621 |
|
24 |
13 |
$117.00 |
| 90713 |
|
15 |
13 |
$117.00 |
| 99382 |
|
12 |
12 |
$47.13 |
| 93000 |
|
37 |
27 |
$28.70 |
| 86580 |
|
41 |
40 |
$20.16 |
| 91321 |
|
116 |
115 |
$17.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
165 |
123 |
$16.96 |
| 99173 |
|
8,342 |
8,316 |
$5.29 |
| 90474 |
|
300 |
300 |
$0.00 |
| 99441 |
|
676 |
635 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
274 |
274 |
$0.00 |
| 99443 |
|
220 |
213 |
$0.00 |
| 87426 |
|
100 |
98 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
30 |
30 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
13 |
$0.00 |
| 99490 |
Ccm add 20min |
1,122 |
1,122 |
$0.00 |
| 90472 |
|
151 |
151 |
$0.00 |
| 99442 |
|
1,539 |
1,402 |
$0.00 |
| 99188 |
|
264 |
263 |
$0.00 |
| 97810 |
|
58 |
55 |
$0.00 |
| 91313 |
|
53 |
53 |
$0.00 |
| 99204 |
|
24 |
13 |
$0.00 |
| 99397 |
|
17 |
17 |
$0.00 |
| 97813 |
|
29 |
29 |
$0.00 |