| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
312,287 |
251,041 |
$61.16M |
| 00003 |
|
88,763 |
68,118 |
$20.44M |
| 99213 |
|
202,968 |
133,573 |
$4.56M |
| 59425 |
|
24,400 |
17,232 |
$2.29M |
| 99392 |
|
16,702 |
10,720 |
$760K |
| 99214 |
|
23,618 |
16,640 |
$597K |
| 99393 |
|
10,012 |
6,819 |
$552K |
| 99391 |
|
12,687 |
8,547 |
$523K |
| 96110 |
|
5,853 |
3,902 |
$514K |
| 90686 |
|
39,462 |
29,727 |
$504K |
| 92551 |
|
26,920 |
17,952 |
$378K |
| 90832 |
|
9,010 |
7,022 |
$297K |
| 59409 |
|
338 |
338 |
$275K |
| 99394 |
|
3,769 |
2,680 |
$253K |
| 99212 |
|
15,579 |
10,469 |
$236K |
| H1003 |
Prenatal at risk education |
12,092 |
9,864 |
$218K |
| 90791 |
|
2,355 |
2,212 |
$198K |
| G0442 |
Annual alcohol screen 15 min |
11,527 |
8,725 |
$185K |
| 98940 |
|
9,521 |
4,822 |
$176K |
| 90834 |
|
3,551 |
2,943 |
$166K |
| 99215 |
Prolong outpt/office vis |
2,419 |
1,853 |
$159K |
| 99211 |
|
7,534 |
6,643 |
$142K |
| J7307 |
Etonogestrel implant system |
255 |
168 |
$138K |
| 99221 |
|
1,969 |
1,249 |
$122K |
| G9920 |
Scrning perf and negative |
4,008 |
2,899 |
$116K |
| 90648 |
|
10,224 |
6,696 |
$116K |
| 90670 |
|
9,615 |
6,316 |
$115K |
| 99173 |
|
26,288 |
17,487 |
$114K |
| J3490 |
Drugs unclassified injection |
3,607 |
2,723 |
$107K |
| 90750 |
|
866 |
642 |
$107K |
| 99395 |
|
1,253 |
841 |
$95K |
| 98941 |
|
3,253 |
1,700 |
$83K |
| 90723 |
|
6,911 |
4,548 |
$78K |
| 85018 |
|
53,034 |
34,578 |
$75K |
| 90837 |
|
924 |
770 |
$69K |
| 59025 |
|
4,084 |
1,884 |
$63K |
| 99401 |
|
2,993 |
2,901 |
$58K |
| 81025 |
|
22,556 |
16,867 |
$48K |
| 90651 |
|
2,759 |
2,120 |
$47K |
| 96156 |
|
2,154 |
2,033 |
$45K |
| 90633 |
|
3,727 |
2,455 |
$44K |
| G8510 |
Scr dep neg, no plan reqd |
4,613 |
3,070 |
$44K |
| 83036 |
|
7,704 |
5,848 |
$42K |
| 97803 |
|
2,344 |
1,661 |
$42K |
| 59430 |
|
448 |
431 |
$41K |
| 90715 |
|
2,165 |
1,461 |
$38K |
| S9445 |
Pt education noc individ |
2,054 |
1,845 |
$34K |
| 90677 |
|
964 |
632 |
$33K |
| 99238 |
|
935 |
758 |
$32K |
| 98960 |
|
829 |
759 |
$31K |
| 83655 |
|
3,488 |
2,250 |
$26K |
| 11981 |
|
290 |
179 |
$26K |
| 90656 |
|
2,482 |
1,751 |
$25K |
| G8431 |
Pos clin depres scrn f/u doc |
913 |
581 |
$25K |
| 90681 |
|
2,556 |
1,511 |
$25K |
| 82947 |
|
10,451 |
7,836 |
$23K |
| 90680 |
|
1,372 |
1,298 |
$23K |
| 81003 |
|
31,894 |
19,770 |
$22K |
| 96158 |
|
1,314 |
1,227 |
$22K |
| 97802 |
|
870 |
864 |
$22K |
| 87426 |
|
1,122 |
673 |
$21K |
| H0049 |
Alcohol/drug screening |
565 |
565 |
$20K |
| 90480 |
|
505 |
505 |
$20K |
| 92014 |
|
4,253 |
4,170 |
$20K |
| 90710 |
|
1,572 |
1,036 |
$19K |
| 87804 |
|
2,993 |
2,003 |
$19K |
| 91320 |
|
160 |
160 |
$17K |
| C9803 |
Hopd covid-19 spec collect |
1,151 |
744 |
$17K |
| 11976 |
|
346 |
114 |
$16K |
| 99490 |
Ccm add 20min |
375 |
205 |
$16K |
| 87428 |
|
358 |
244 |
$15K |
| G9012 |
Other specified case mgmt |
1,867 |
698 |
$14K |
| 87811 |
|
1,056 |
679 |
$14K |
| 87880 |
|
2,490 |
1,614 |
$13K |
| 96127 |
|
2,157 |
1,899 |
$13K |
| G0444 |
Depression screen annual |
770 |
615 |
$12K |
| Q3014 |
Telehealth facility fee |
376 |
365 |
$12K |
| 90746 |
|
361 |
272 |
$11K |
| 99203 |
|
149 |
110 |
$11K |
| 99222 |
|
120 |
95 |
$10K |
| 90734 |
|
712 |
531 |
$10K |
| 99381 |
|
289 |
210 |
$9K |
| 90792 |
|
90 |
90 |
$9K |
| 99396 |
|
210 |
172 |
$8K |
| 99231 |
|
366 |
253 |
$8K |
| 96151 |
|
314 |
284 |
$7K |
| 90662 |
|
544 |
506 |
$7K |
| 90678 |
|
49 |
28 |
$6K |
| 87807 |
|
1,255 |
752 |
$6K |
| 90700 |
|
431 |
285 |
$5K |
| 90696 |
|
401 |
293 |
$5K |
| 82247 |
|
1,987 |
1,237 |
$5K |
| 90707 |
|
228 |
146 |
$4K |
| 96152 |
|
151 |
116 |
$4K |
| 0124A |
|
61 |
61 |
$4K |
| 99188 |
|
211 |
171 |
$4K |
| 86580 |
|
645 |
619 |
$4K |
| 59514 |
|
14 |
14 |
$3K |
| T1014 |
Telehealth transmit, per min |
389 |
376 |
$3K |
| 90732 |
|
60 |
44 |
$3K |
| 90632 |
|
58 |
55 |
$3K |
| 96150 |
|
109 |
109 |
$3K |
| 0072A |
|
43 |
43 |
$3K |
| 0082A |
|
41 |
41 |
$3K |
| 90716 |
|
235 |
148 |
$3K |
| 90847 |
|
57 |
57 |
$3K |
| 0001A |
|
36 |
36 |
$2K |
| 69210 |
|
251 |
90 |
$2K |
| 0154A |
|
32 |
32 |
$2K |
| 90853 |
|
75 |
41 |
$2K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
70 |
70 |
$2K |
| G9008 |
Mccd,phys coor-care ovrsght |
324 |
123 |
$2K |
| S9452 |
Nutrition class |
106 |
106 |
$1K |
| 90685 |
|
68 |
64 |
$1K |
| 80305 |
|
180 |
79 |
$1K |
| 0002A |
|
16 |
15 |
$1K |
| 0081A |
|
14 |
14 |
$938.00 |
| 0112A |
|
13 |
13 |
$871.00 |
| 0094A |
|
13 |
12 |
$804.00 |
| 0074A |
|
12 |
12 |
$804.00 |
| 90688 |
|
40 |
40 |
$720.00 |
| G9919 |
Scrn nd pos nd prov of rec |
21 |
16 |
$667.00 |
| 93000 |
|
24 |
24 |
$624.47 |
| A6242 |
Hydrogel drg <=16 in w/o bdr |
34 |
25 |
$520.49 |
| T1027 |
Family training & counseling |
74 |
74 |
$517.52 |
| 90619 |
|
43 |
26 |
$432.00 |
| A4267 |
Male condom |
117 |
106 |
$417.77 |
| G2012 |
Brief check in by md/qhp |
177 |
159 |
$280.80 |
| G2025 |
Dis site tele svcs rhc/fqhc |
982 |
894 |
$128.93 |
| 92015 |
|
3,931 |
3,930 |
$8.01 |
| 03 |
Instill, bupivac and meloxic |
138,870 |
31,570 |
$0.00 |
| Z6304 |
|
1,655 |
1,554 |
$0.00 |
| Z6308 |
|
547 |
483 |
$0.00 |
| Z6200 |
|
1,308 |
1,238 |
$0.00 |
| Z6300 |
|
1,383 |
1,303 |
$0.00 |
| Z6400 |
|
8,860 |
7,090 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
524 |
523 |
$0.00 |
| Z6414 |
|
1,276 |
1,112 |
$0.00 |
| Z6412 |
|
156 |
108 |
$0.00 |
| H0043 |
Supported housing, per diem |
17 |
16 |
$0.00 |
| V2020 |
Vision svcs frames purchases |
76 |
76 |
$0.00 |
| 92340 |
|
12 |
12 |
$0.00 |
| 99442 |
|
18 |
17 |
$0.00 |
| H2015 |
Comp comm supp svc, 15 min |
12 |
12 |
$0.00 |
| 98968 |
|
18 |
18 |
$0.00 |
| Z1034 |
|
22,708 |
17,190 |
$0.00 |
| Z6410 |
|
3,817 |
2,858 |
$0.00 |
| Z6406 |
|
1,266 |
1,212 |
$0.00 |
| Z6204 |
|
3,426 |
2,083 |
$0.00 |
| Z1032 |
|
1,280 |
1,273 |
$0.00 |
| Z1038 |
|
759 |
711 |
$0.00 |
| Z6402 |
|
1,253 |
1,195 |
$0.00 |
| 99441 |
|
12 |
12 |
$0.00 |
| 92250 |
|
14 |
14 |
$0.00 |
| 99443 |
|
13 |
13 |
$0.00 |