| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
340,032 |
257,489 |
$60.63M |
| 00003 |
|
35,851 |
26,916 |
$8.44M |
| 90834 |
|
8,336 |
6,872 |
$47K |
| 99214 |
|
48,194 |
44,555 |
$33K |
| G0467 |
Fqhc visit, estab pt |
1,365 |
1,186 |
$32K |
| 0124A |
|
586 |
515 |
$31K |
| 99213 |
|
81,044 |
72,475 |
$28K |
| G0470 |
Fqhc visit, mh estab pt |
217 |
172 |
$23K |
| 0134A |
|
368 |
367 |
$21K |
| 0004A |
|
368 |
351 |
$20K |
| 90791 |
|
2,308 |
2,297 |
$19K |
| 0013A |
|
287 |
277 |
$17K |
| H1001 |
Antepartum management |
194 |
169 |
$12K |
| 0002A |
|
180 |
175 |
$11K |
| 0001A |
|
165 |
162 |
$9K |
| 0071A |
|
179 |
171 |
$7K |
| G9920 |
Scrning perf and negative |
1,517 |
1,487 |
$6K |
| 0072A |
|
95 |
94 |
$6K |
| 90832 |
|
3,656 |
3,253 |
$6K |
| 87491 |
|
6,542 |
6,446 |
$5K |
| 87591 |
|
6,537 |
6,445 |
$5K |
| 0154A |
|
89 |
89 |
$4K |
| G2025 |
Dis site tele svcs rhc/fqhc |
313 |
285 |
$4K |
| 98960 |
|
1,316 |
1,213 |
$4K |
| 99212 |
|
21,420 |
20,071 |
$3K |
| 0111A |
|
67 |
67 |
$2K |
| 0003A |
|
38 |
36 |
$2K |
| 0073A |
|
37 |
37 |
$2K |
| 0012A |
|
25 |
25 |
$1K |
| 90480 |
|
252 |
251 |
$1K |
| 0011A |
|
33 |
33 |
$1K |
| 97803 |
|
7,709 |
7,657 |
$873.69 |
| 81025 |
|
7,311 |
7,112 |
$872.39 |
| 90686 |
|
6,916 |
6,912 |
$863.00 |
| 96156 |
|
34 |
33 |
$752.33 |
| H1003 |
Prenatal at risk education |
47 |
47 |
$595.06 |
| 90471 |
|
16,194 |
16,061 |
$554.48 |
| 96110 |
|
777 |
777 |
$524.15 |
| 90756 |
|
3,040 |
3,039 |
$460.00 |
| 99215 |
Prolong outpt/office vis |
125 |
123 |
$457.60 |
| 97139 |
|
22 |
14 |
$380.20 |
| 87210 |
|
4,316 |
4,266 |
$198.16 |
| 80053 |
|
8,902 |
8,866 |
$189.00 |
| 99395 |
|
3,991 |
3,925 |
$102.90 |
| 80061 |
|
8,233 |
8,223 |
$92.32 |
| 86480 |
|
1,838 |
1,833 |
$55.04 |
| 84443 |
|
7,111 |
7,095 |
$44.28 |
| 90746 |
|
208 |
208 |
$43.55 |
| 87389 |
|
5,157 |
5,137 |
$40.52 |
| 85025 |
|
9,407 |
9,345 |
$40.50 |
| 86803 |
|
2,269 |
2,264 |
$37.71 |
| 86704 |
|
2,610 |
2,605 |
$32.49 |
| 86706 |
|
2,845 |
2,840 |
$28.53 |
| 87340 |
|
877 |
877 |
$27.36 |
| 96127 |
|
5,822 |
5,488 |
$18.16 |
| 83036 |
|
7,131 |
7,121 |
$17.08 |
| 86592 |
|
5,225 |
5,199 |
$7.68 |
| 99000 |
|
7,394 |
7,210 |
$7.26 |
| 85018 |
|
4,487 |
4,443 |
$6.19 |
| 36415 |
|
7,979 |
7,718 |
$4.50 |
| 99173 |
|
8,791 |
8,773 |
$3.51 |
| 81002 |
|
7,286 |
5,454 |
$2.15 |
| X4110 |
|
2,007 |
894 |
$0.00 |
| 99393 |
|
4,781 |
4,780 |
$0.00 |
| 83540 |
|
898 |
897 |
$0.00 |
| 90710 |
|
964 |
964 |
$0.00 |
| Z6400 |
|
2,832 |
2,371 |
$0.00 |
| 85610 |
|
440 |
410 |
$0.00 |
| 90734 |
|
961 |
961 |
$0.00 |
| 90750 |
|
728 |
728 |
$0.00 |
| 90472 |
|
3,371 |
3,369 |
$0.00 |
| 90670 |
|
3,432 |
3,431 |
$0.00 |
| 91312 |
|
424 |
424 |
$0.00 |
| 99204 |
|
830 |
830 |
$0.00 |
| 84460 |
|
1,153 |
1,149 |
$0.00 |
| 99392 |
|
5,775 |
5,771 |
$0.00 |
| 69209 |
|
380 |
364 |
$0.00 |
| 90648 |
|
805 |
803 |
$0.00 |
| 90715 |
|
2,372 |
2,371 |
$0.00 |
| 90700 |
|
1,037 |
1,036 |
$0.00 |
| 82570 |
|
741 |
735 |
$0.00 |
| 99391 |
|
4,936 |
4,863 |
$0.00 |
| 96160 |
|
4,771 |
4,753 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
3,761 |
3,710 |
$0.00 |
| 99394 |
|
3,216 |
3,213 |
$0.00 |
| 99401 |
|
744 |
738 |
$0.00 |
| 84439 |
|
420 |
416 |
$0.00 |
| 90461 |
|
4,321 |
4,317 |
$0.00 |
| 90460 |
|
7,514 |
7,499 |
$0.00 |
| 87880 |
|
2,222 |
2,205 |
$0.00 |
| Z6304 |
|
908 |
878 |
$0.00 |
| 99404 |
|
945 |
941 |
$0.00 |
| A4267 |
Male condom |
476 |
470 |
$0.00 |
| Z6300 |
|
568 |
567 |
$0.00 |
| 59025 |
|
152 |
117 |
$0.00 |
| 99396 |
|
2,514 |
2,482 |
$0.00 |
| 87804 |
|
614 |
607 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
307 |
306 |
$0.00 |
| 2028F |
|
425 |
421 |
$0.00 |
| 84450 |
|
1,145 |
1,141 |
$0.00 |
| 90707 |
|
1,011 |
1,010 |
$0.00 |
| 99203 |
|
1,905 |
1,903 |
$0.00 |
| 90633 |
|
2,378 |
2,312 |
$0.00 |
| 91313 |
|
295 |
295 |
$0.00 |
| 80307 |
|
174 |
169 |
$0.00 |
| 81003 |
|
3,539 |
3,481 |
$0.00 |
| 82274 |
|
13 |
13 |
$0.00 |
| 82947 |
|
790 |
781 |
$0.00 |
| Z6208 |
|
103 |
95 |
$0.00 |
| Z6414 |
|
72 |
66 |
$0.00 |
| Z6200 |
|
335 |
334 |
$0.00 |
| T1013 |
Sign lang/oral interpreter |
1,102 |
1,059 |
$0.00 |
| 99201 |
|
54 |
54 |
$0.00 |
| 80354 |
|
73 |
72 |
$0.00 |
| 90473 |
|
76 |
76 |
$0.00 |
| 97810 |
|
1,064 |
798 |
$0.00 |
| X3904 |
|
530 |
294 |
$0.00 |
| 92553 |
|
445 |
445 |
$0.00 |
| 99188 |
|
255 |
255 |
$0.00 |
| 90681 |
|
383 |
383 |
$0.00 |
| 99442 |
|
13 |
13 |
$0.00 |
| 91322 |
|
55 |
55 |
$0.00 |
| 87798 |
|
327 |
322 |
$0.00 |
| Z6308 |
|
168 |
156 |
$0.00 |
| 91321 |
|
117 |
117 |
$0.00 |
| 90380 |
|
58 |
58 |
$0.00 |
| 85007 |
|
27 |
27 |
$0.00 |
| 82465 |
|
25 |
25 |
$0.00 |
| 90837 |
|
238 |
219 |
$0.00 |
| 3078F |
|
154 |
151 |
$0.00 |
| 83718 |
|
25 |
25 |
$0.00 |
| 91300 |
|
34 |
34 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
60 |
60 |
$0.00 |
| 90661 |
|
264 |
264 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
44 |
44 |
$0.00 |
| 84550 |
|
42 |
42 |
$0.00 |
| 84702 |
|
12 |
12 |
$0.00 |
| 91311 |
|
22 |
22 |
$0.00 |
| 85014 |
|
25 |
25 |
$0.00 |
| 82247 |
|
47 |
38 |
$0.00 |
| 99382 |
|
16 |
16 |
$0.00 |
| 97811 |
|
15 |
15 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
13 |
13 |
$0.00 |
| Z6500 |
|
31 |
30 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
12 |
12 |
$0.00 |
| 86708 |
|
12 |
12 |
$0.00 |
| 82248 |
|
15 |
12 |
$0.00 |
| 11721 |
|
12 |
12 |
$0.00 |
| S5199 |
Personal care item nos each |
13 |
13 |
$0.00 |
| 87081 |
|
898 |
896 |
$0.00 |
| 90716 |
|
1,016 |
1,015 |
$0.00 |
| Z1034 |
|
9,779 |
7,276 |
$0.00 |
| 90619 |
|
791 |
791 |
$0.00 |
| 99459 |
|
548 |
545 |
$0.00 |
| 90792 |
|
724 |
724 |
$0.00 |
| 80048 |
|
757 |
750 |
$0.00 |
| Z1032 |
|
498 |
497 |
$0.00 |
| 99385 |
|
287 |
286 |
$0.00 |
| 97802 |
|
2,393 |
2,388 |
$0.00 |
| 81015 |
|
3,652 |
3,566 |
$0.00 |
| 90698 |
|
1,845 |
1,845 |
$0.00 |
| 87086 |
|
3,738 |
3,658 |
$0.00 |
| 90694 |
|
14 |
14 |
$0.00 |
| 82951 |
|
794 |
791 |
$0.00 |
| 90674 |
|
566 |
566 |
$0.00 |
| 82728 |
|
883 |
882 |
$0.00 |
| Z6406 |
|
680 |
650 |
$0.00 |
| 90696 |
|
810 |
809 |
$0.00 |
| 87428 |
|
2,506 |
2,476 |
$0.00 |
| 93000 |
|
1,662 |
1,650 |
$0.00 |
| 81001 |
|
578 |
559 |
$0.00 |
| 99381 |
|
998 |
995 |
$0.00 |
| 36416 |
|
558 |
549 |
$0.00 |
| 90680 |
|
2,148 |
2,148 |
$0.00 |
| 92551 |
|
9,999 |
9,984 |
$0.00 |
| 90651 |
|
2,810 |
2,809 |
$0.00 |
| 99384 |
|
41 |
41 |
$0.00 |
| 58100 |
|
13 |
13 |
$0.00 |
| 90688 |
|
280 |
279 |
$0.00 |
| 90656 |
|
548 |
548 |
$0.00 |
| 84153 |
|
94 |
94 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
1,763 |
1,752 |
$0.00 |
| 87070 |
|
1,565 |
1,554 |
$0.00 |
| 83550 |
|
861 |
860 |
$0.00 |
| Z1038 |
|
263 |
261 |
$0.00 |
| Z6204 |
|
1,295 |
1,268 |
$0.00 |
| 96372 |
|
1,357 |
1,320 |
$0.00 |
| 99202 |
|
789 |
789 |
$0.00 |
| 87635 |
|
120 |
120 |
$0.00 |
| 3074F |
|
156 |
153 |
$0.00 |
| Z6402 |
|
566 |
566 |
$0.00 |
| Z6410 |
|
1,035 |
964 |
$0.00 |
| 99406 |
|
689 |
657 |
$0.00 |
| 94760 |
|
1,359 |
1,228 |
$0.00 |
| 99383 |
|
44 |
44 |
$0.00 |
| 90697 |
|
1,341 |
1,341 |
$0.00 |
| X4304 |
|
759 |
323 |
$0.00 |
| 90677 |
|
992 |
992 |
$0.00 |
| 82043 |
|
675 |
672 |
$0.00 |
| 86140 |
|
397 |
396 |
$0.00 |
| 90732 |
|
152 |
152 |
$0.00 |
| 86769 |
|
77 |
77 |
$0.00 |
| 99402 |
|
296 |
292 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
153 |
152 |
$0.00 |
| 85651 |
|
1,105 |
1,102 |
$0.00 |
| 80050 |
|
281 |
280 |
$0.00 |
| 90744 |
|
1,375 |
1,373 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
12 |
12 |
$0.00 |
| 90739 |
|
193 |
193 |
$0.00 |
| 83690 |
|
59 |
59 |
$0.00 |
| 90381 |
|
53 |
53 |
$0.00 |
| 91307 |
|
47 |
47 |
$0.00 |
| S9445 |
Pt education noc individ |
183 |
176 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
52 |
45 |
$0.00 |
| J7611 |
Albuterol non-comp con |
104 |
88 |
$0.00 |
| X3908 |
|
20 |
13 |
$0.00 |
| 99070 |
|
259 |
259 |
$0.00 |
| 91301 |
|
13 |
13 |
$0.00 |
| 3008F |
|
153 |
151 |
$0.00 |
| 85027 |
|
13 |
13 |
$0.00 |
| 94640 |
|
89 |
78 |
$0.00 |
| H0001 |
Alcohol and/or drug assess |
47 |
28 |
$0.00 |
| 99441 |
|
33 |
33 |
$0.00 |
| G0108 |
Diab manage trn per indiv |
66 |
66 |
$0.00 |
| 86580 |
|
154 |
153 |
$0.00 |
| G8433 |
Scr for dep not cpt doc rsn |
64 |
64 |
$0.00 |
| J3490 |
Drugs unclassified injection |
14 |
14 |
$0.00 |
| 87536 |
|
15 |
15 |
$0.00 |
| 96161 |
|
77 |
77 |
$0.00 |
| 90474 |
|
16 |
16 |
$0.00 |
| X3924 |
|
17 |
15 |
$0.00 |