| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
181,693 |
155,340 |
$22.33M |
| 00003 |
|
52,257 |
37,891 |
$11.81M |
| 99213 |
|
157,937 |
102,888 |
$458K |
| 97803 |
|
3,933 |
2,864 |
$275K |
| 97802 |
|
1,110 |
1,085 |
$154K |
| 99214 |
|
16,128 |
10,989 |
$83K |
| 90832 |
|
8,358 |
4,804 |
$81K |
| 90686 |
|
5,976 |
5,514 |
$77K |
| G9012 |
Other specified case mgmt |
364 |
189 |
$69K |
| 90651 |
|
1,233 |
1,137 |
$61K |
| 90670 |
|
3,885 |
3,308 |
$48K |
| 90791 |
|
1,816 |
1,426 |
$46K |
| 0002A |
|
632 |
614 |
$40K |
| 0001A |
|
638 |
612 |
$39K |
| S9445 |
Pt education noc individ |
2,114 |
1,582 |
$38K |
| 99391 |
|
5,457 |
3,632 |
$37K |
| 90648 |
|
4,337 |
3,662 |
$33K |
| 90688 |
|
3,066 |
2,607 |
$30K |
| 90677 |
|
714 |
604 |
$29K |
| 99211 |
|
4,832 |
4,004 |
$24K |
| 0011A |
|
353 |
353 |
$24K |
| 90723 |
|
3,055 |
2,577 |
$23K |
| H1003 |
Prenatal at risk education |
1,239 |
1,147 |
$22K |
| 99392 |
|
7,600 |
4,804 |
$20K |
| 99212 |
|
9,236 |
5,400 |
$19K |
| 59425 |
|
283 |
234 |
$17K |
| 99460 |
|
403 |
392 |
$16K |
| 90715 |
|
1,008 |
854 |
$16K |
| 99393 |
|
6,853 |
4,254 |
$16K |
| 90633 |
|
1,941 |
1,617 |
$15K |
| 90834 |
|
845 |
446 |
$14K |
| 0012A |
|
200 |
200 |
$13K |
| 0003A |
|
280 |
255 |
$13K |
| 99394 |
|
4,147 |
2,457 |
$12K |
| 90750 |
|
62 |
58 |
$11K |
| 90680 |
|
1,458 |
1,208 |
$10K |
| 92551 |
|
11,390 |
9,874 |
$9K |
| 83655 |
|
1,194 |
909 |
$9K |
| Q3014 |
Telehealth facility fee |
395 |
395 |
$9K |
| 99203 |
|
606 |
451 |
$9K |
| J7307 |
Etonogestrel implant system |
12 |
12 |
$9K |
| H2000 |
Comp multidisipln evaluation |
371 |
272 |
$8K |
| 90685 |
|
1,014 |
854 |
$8K |
| 99462 |
|
331 |
250 |
$7K |
| 90734 |
|
796 |
688 |
$7K |
| 92250 |
|
167 |
162 |
$7K |
| 0064A |
|
142 |
122 |
$7K |
| 0072A |
|
173 |
173 |
$7K |
| 90710 |
|
781 |
656 |
$6K |
| 0071A |
|
192 |
181 |
$5K |
| 81025 |
|
2,186 |
1,928 |
$5K |
| H0050 |
Alcohol/drug service 15 min |
198 |
194 |
$5K |
| 90649 |
|
517 |
367 |
$4K |
| 90662 |
|
211 |
187 |
$4K |
| 90681 |
|
451 |
373 |
$4K |
| 99215 |
Prolong outpt/office vis |
86 |
72 |
$3K |
| 99381 |
|
248 |
189 |
$3K |
| 90716 |
|
190 |
136 |
$3K |
| 97810 |
|
258 |
156 |
$3K |
| 96156 |
|
159 |
92 |
$2K |
| 90656 |
|
546 |
402 |
$2K |
| 94640 |
|
228 |
191 |
$2K |
| 11981 |
|
12 |
12 |
$2K |
| 99283 |
|
9,742 |
8,485 |
$2K |
| 90746 |
|
33 |
33 |
$2K |
| 90700 |
|
217 |
187 |
$2K |
| 90696 |
|
238 |
190 |
$2K |
| 80305 |
|
168 |
149 |
$2K |
| 11976 |
|
24 |
13 |
$1K |
| 90707 |
|
89 |
62 |
$1K |
| 0031A |
|
17 |
17 |
$1K |
| 99395 |
|
360 |
222 |
$948.33 |
| 0124A |
|
12 |
12 |
$804.00 |
| 90732 |
|
14 |
14 |
$720.00 |
| 90733 |
|
53 |
52 |
$703.76 |
| 99396 |
|
184 |
121 |
$549.56 |
| 99202 |
|
122 |
94 |
$540.57 |
| 76815 |
|
15 |
12 |
$461.37 |
| 90619 |
|
90 |
59 |
$450.00 |
| J1885 |
Ketorolac tromethamine inj |
85 |
75 |
$416.65 |
| 90471 |
|
136 |
136 |
$343.42 |
| Z7500 |
|
14 |
14 |
$303.24 |
| 99383 |
|
44 |
30 |
$280.75 |
| 99401 |
|
13 |
13 |
$277.53 |
| 86710 |
|
385 |
372 |
$154.31 |
| 81003 |
|
380 |
363 |
$126.36 |
| 90472 |
|
14 |
14 |
$115.96 |
| 85018 |
|
1,413 |
1,378 |
$104.32 |
| T1014 |
Telehealth transmit, per min |
386 |
386 |
$92.64 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
629 |
523 |
$90.22 |
| 93000 |
|
26 |
24 |
$86.10 |
| J2550 |
Promethazine hcl injection |
14 |
13 |
$84.25 |
| J3301 |
Triamcinolone acet inj nos |
13 |
13 |
$71.28 |
| 87804 |
|
105 |
96 |
$61.95 |
| 83036 |
|
225 |
220 |
$54.63 |
| S0197 |
Prenatal vitamins 30 day |
25 |
25 |
$41.60 |
| 81002 |
|
54 |
42 |
$36.55 |
| 87430 |
|
62 |
60 |
$16.36 |
| 86580 |
|
94 |
64 |
$13.44 |
| 91321 |
|
13 |
13 |
$9.00 |
| 88720 |
|
44 |
40 |
$4.30 |
| G0467 |
Fqhc visit, estab pt |
8,169 |
7,616 |
$0.00 |
| 87426 |
|
137 |
135 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
989 |
927 |
$0.00 |
| Z6410 |
|
2,945 |
2,470 |
$0.00 |
| Z6204 |
|
1,258 |
655 |
$0.00 |
| G0008 |
Admin influenza virus vac |
30 |
30 |
$0.00 |
| Z6406 |
|
147 |
138 |
$0.00 |
| H0049 |
Alcohol/drug screening |
137 |
135 |
$0.00 |
| Z1034 |
|
223 |
187 |
$0.00 |
| Z1032 |
|
17 |
17 |
$0.00 |
| 99174 |
|
38 |
38 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
41 |
41 |
$0.00 |
| Z6414 |
|
372 |
290 |
$0.00 |
| Z6400 |
|
1,163 |
1,090 |
$0.00 |
| 99173 |
|
1,326 |
1,326 |
$0.00 |
| G0470 |
Fqhc visit, mh estab pt |
52 |
44 |
$0.00 |
| Z6500 |
|
198 |
197 |
$0.00 |
| Z6304 |
|
243 |
138 |
$0.00 |
| 87880 |
|
26 |
26 |
$0.00 |
| Z6308 |
|
18 |
17 |
$0.00 |
| 82948 |
|
22 |
22 |
$0.00 |