| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
12,606 |
11,063 |
$909K |
| 99213 |
|
18,880 |
9,354 |
$347K |
| 99212 |
|
3,078 |
1,681 |
$37K |
| 87426 |
|
1,936 |
1,043 |
$30K |
| 87880 |
|
2,192 |
1,126 |
$12K |
| 99202 |
|
527 |
291 |
$9K |
| 99203 |
|
371 |
184 |
$9K |
| 87804 |
|
927 |
386 |
$5K |
| 99214 |
|
57 |
33 |
$2K |
| G0467 |
Fqhc visit, estab pt |
76 |
62 |
$2K |
| 87428 |
|
61 |
39 |
$1K |
| 96372 |
|
118 |
68 |
$791.19 |
| 81003 |
|
205 |
112 |
$163.89 |
| 71046 |
|
22 |
12 |
$161.92 |
| Q3014 |
Telehealth facility fee |
116 |
71 |
$148.96 |
| 99441 |
|
25 |
14 |
$127.12 |
| J1100 |
Dexamethasone sodium phos |
21 |
13 |
$13.94 |
| J1885 |
Ketorolac tromethamine inj |
21 |
12 |
$8.16 |
| G8482 |
Flu immunize order/admin |
351 |
171 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
8,757 |
4,538 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
6,487 |
3,349 |
$0.00 |
| G8484 |
Flu immunize no admin |
9,363 |
4,710 |
$0.00 |
| 4004F |
|
4,464 |
2,290 |
$0.00 |
| G8752 |
Sys bp less 140 |
70 |
36 |
$0.00 |
| G8754 |
Dias bp less 90 |
160 |
76 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
4,365 |
2,237 |
$0.00 |
| G9906 |
Pt recv tbco cess interv |
3,940 |
2,014 |
$0.00 |
| 1036F |
|
4,184 |
2,182 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
4,181 |
2,181 |
$0.00 |
| 3017F |
|
577 |
307 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
1,151 |
592 |
$0.00 |
| G9717 |
Doc pt dx bipol |
100 |
57 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
55 |
26 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
130 |
74 |
$0.00 |
| G9908 |
No pt tbco cess interv rng |
21 |
12 |
$0.00 |