| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
87,783 |
76,058 |
$5.03M |
| 00003 |
|
8,646 |
6,144 |
$1.07M |
| 0002A |
|
1,491 |
1,087 |
$48K |
| 90686 |
|
10,443 |
8,716 |
$45K |
| 0001A |
|
1,345 |
974 |
$44K |
| 0012A |
|
1,300 |
1,112 |
$43K |
| 92014 |
|
3,579 |
2,844 |
$40K |
| H1001 |
Antepartum management |
2,486 |
1,774 |
$32K |
| 90791 |
|
797 |
594 |
$31K |
| 99213 |
|
86,840 |
68,109 |
$30K |
| 0011A |
|
1,111 |
938 |
$29K |
| 92004 |
|
1,361 |
1,018 |
$28K |
| 99393 |
|
3,928 |
2,851 |
$27K |
| 99394 |
|
3,560 |
2,476 |
$26K |
| G9920 |
Scrning perf and negative |
10,894 |
8,428 |
$19K |
| 0031A |
|
547 |
400 |
$19K |
| 90837 |
|
305 |
188 |
$18K |
| 99212 |
|
52,306 |
39,873 |
$18K |
| 99392 |
|
3,112 |
2,397 |
$17K |
| 0064A |
|
447 |
360 |
$14K |
| V2020 |
Vision svcs frames purchases |
623 |
623 |
$11K |
| 92551 |
|
4,117 |
3,263 |
$11K |
| 90750 |
|
308 |
274 |
$10K |
| 0004A |
|
348 |
261 |
$10K |
| 90832 |
|
850 |
415 |
$9K |
| 0071A |
|
320 |
210 |
$8K |
| 92015 |
|
6,990 |
5,535 |
$8K |
| 0054A |
|
253 |
194 |
$8K |
| 0072A |
|
296 |
203 |
$8K |
| 99214 |
|
17,046 |
14,201 |
$8K |
| 92552 |
|
6,676 |
4,897 |
$7K |
| 90656 |
|
1,203 |
1,070 |
$7K |
| 90834 |
|
338 |
179 |
$6K |
| 99211 |
|
7,930 |
6,095 |
$5K |
| 90715 |
|
1,136 |
781 |
$5K |
| 59425 |
|
134 |
105 |
$5K |
| 85018 |
|
9,885 |
7,600 |
$4K |
| 81025 |
|
3,449 |
2,396 |
$4K |
| 90460 |
|
1,531 |
1,086 |
$3K |
| 81002 |
|
8,337 |
4,383 |
$3K |
| 92250 |
|
1,755 |
1,470 |
$2K |
| 90471 |
|
2,639 |
2,307 |
$2K |
| 99396 |
|
1,262 |
1,093 |
$2K |
| 90651 |
|
1,395 |
1,015 |
$2K |
| 90677 |
|
281 |
203 |
$2K |
| 0052A |
|
49 |
37 |
$1K |
| H0002 |
Alcohol and/or drug screenin |
5,505 |
3,721 |
$1K |
| 90648 |
|
1,113 |
848 |
$1K |
| 99391 |
|
837 |
601 |
$1K |
| 90734 |
|
1,006 |
688 |
$1K |
| 99173 |
|
3,035 |
2,216 |
$1K |
| 99395 |
|
157 |
132 |
$1K |
| 92060 |
|
1,933 |
1,310 |
$1K |
| 96110 |
|
1,529 |
1,442 |
$911.40 |
| 90670 |
|
709 |
549 |
$882.00 |
| 88142 |
|
2,952 |
2,139 |
$774.76 |
| 3074F |
|
2,303 |
1,835 |
$752.93 |
| 0051A |
|
20 |
17 |
$707.00 |
| 90633 |
|
550 |
432 |
$621.00 |
| G0467 |
Fqhc visit, estab pt |
33 |
28 |
$512.00 |
| 90723 |
|
459 |
331 |
$504.00 |
| 59430 |
|
37 |
37 |
$483.84 |
| 93000 |
|
44 |
39 |
$426.30 |
| 3078F |
|
2,982 |
2,479 |
$383.94 |
| 90620 |
|
350 |
234 |
$378.00 |
| 99215 |
Prolong outpt/office vis |
334 |
291 |
$320.26 |
| 99384 |
|
35 |
25 |
$274.02 |
| 83026 |
|
236 |
167 |
$245.47 |
| 0124A |
|
29 |
27 |
$201.00 |
| 90681 |
|
96 |
65 |
$153.00 |
| 99383 |
|
19 |
12 |
$147.03 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
40 |
40 |
$140.31 |
| 86580 |
|
43 |
42 |
$96.44 |
| 90710 |
|
32 |
27 |
$81.00 |
| 90696 |
|
43 |
38 |
$72.00 |
| G8510 |
Scr dep neg, no plan reqd |
201 |
132 |
$42.00 |
| 97802 |
|
3,947 |
3,050 |
$16.83 |
| 90716 |
|
15 |
12 |
$9.00 |
| 90707 |
|
17 |
12 |
$9.00 |
| 92081 |
|
2,580 |
1,926 |
$7.00 |
| 99000 |
|
122 |
107 |
$3.63 |
| 91307 |
|
243 |
224 |
$0.01 |
| 1126F |
|
855 |
771 |
$0.00 |
| 91301 |
|
350 |
343 |
$0.00 |
| 82962 |
|
34 |
29 |
$0.00 |
| Z1034 |
|
3,969 |
2,855 |
$0.00 |
| 1125F |
|
107 |
98 |
$0.00 |
| 1170F |
|
2,009 |
1,766 |
$0.00 |
| 92227 |
|
206 |
206 |
$0.00 |
| 3075F |
|
161 |
150 |
$0.00 |
| 3044F |
|
114 |
109 |
$0.00 |
| Z6406 |
|
232 |
232 |
$0.00 |
| 2023F |
|
592 |
488 |
$0.00 |
| 2033F |
|
797 |
678 |
$0.00 |
| 91305 |
|
124 |
122 |
$0.00 |
| Z1032 |
|
308 |
307 |
$0.00 |
| 1111F |
|
111 |
109 |
$0.00 |
| Z6204 |
|
232 |
232 |
$0.00 |
| 3079F |
|
242 |
212 |
$0.00 |
| D0150 |
|
14 |
14 |
$0.00 |
| 96156 |
|
222 |
219 |
$0.00 |
| 99202 |
|
89 |
75 |
$0.00 |
| 1123F |
|
20 |
19 |
$0.00 |
| 91306 |
|
46 |
46 |
$0.00 |
| D1330 |
|
21 |
20 |
$0.00 |
| 81000 |
|
68 |
60 |
$0.00 |
| H0049 |
Alcohol/drug screening |
163 |
100 |
$0.00 |
| J3490 |
Drugs unclassified injection |
14 |
14 |
$0.00 |
| Z1038 |
|
25 |
25 |
$0.00 |
| 91303 |
|
37 |
37 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
16 |
13 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| 97803 |
|
4,144 |
3,422 |
$0.00 |
| 1160F |
|
2,901 |
2,544 |
$0.00 |
| 91300 |
|
690 |
637 |
$0.00 |
| 1159F |
|
2,902 |
2,546 |
$0.00 |
| 82274 |
|
285 |
283 |
$0.00 |
| 2022F |
|
232 |
197 |
$0.00 |
| 2028F |
|
472 |
403 |
$0.00 |
| Z6304 |
|
232 |
232 |
$0.00 |
| Z6400 |
|
570 |
569 |
$0.00 |
| 3077F |
|
116 |
103 |
$0.00 |
| 90461 |
|
251 |
175 |
$0.00 |
| H2014 |
Skills train and dev, 15 min |
135 |
133 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
68 |
41 |
$0.00 |
| 83037 |
|
261 |
245 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
132 |
110 |
$0.00 |
| Z6500 |
|
27 |
27 |
$0.00 |
| 1158F |
|
20 |
19 |
$0.00 |
| 99201 |
|
30 |
24 |
$0.00 |
| 99188 |
|
19 |
17 |
$0.00 |
| 91312 |
|
26 |
26 |
$0.00 |
| G0444 |
Depression screen annual |
304 |
288 |
$0.00 |
| 87210 |
|
12 |
12 |
$0.00 |
| 0502F |
|
30 |
23 |
$0.00 |
| 99408 |
|
61 |
61 |
$0.00 |
| 90472 |
|
49 |
40 |
$0.00 |
| Z6200 |
|
14 |
14 |
$0.00 |
| 99401 |
|
124 |
124 |
$0.00 |
| D1120 |
|
12 |
12 |
$0.00 |
| 92083 |
|
16 |
14 |
$0.00 |
| 99203 |
|
37 |
28 |
$0.00 |
| 99499 |
|
13 |
13 |
$0.00 |