| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
910,961 |
639,386 |
$137.97M |
| T1040 |
Comm bh clinic svc per diem |
21,550 |
14,761 |
$1.50M |
| D0999 |
|
13,097 |
11,873 |
$1.49M |
| 59409 |
|
997 |
652 |
$905K |
| 59514 |
|
229 |
112 |
$232K |
| J7307 |
Etonogestrel implant system |
396 |
300 |
$179K |
| 0002A |
|
3,886 |
3,365 |
$162K |
| 0001A |
|
3,751 |
3,218 |
$154K |
| 90649 |
|
3,679 |
3,058 |
$68K |
| 99213 |
|
511,734 |
377,864 |
$64K |
| 90670 |
|
26,895 |
24,494 |
$54K |
| J7297 |
Liletta, 52 mg |
429 |
289 |
$52K |
| 99238 |
|
1,728 |
1,259 |
$50K |
| 58300 |
|
2,376 |
1,954 |
$46K |
| 99232 |
|
1,694 |
756 |
$41K |
| 90734 |
|
6,138 |
5,510 |
$41K |
| 0012A |
|
1,101 |
1,095 |
$39K |
| 59430 |
|
4,740 |
4,313 |
$38K |
| 90710 |
|
8,213 |
7,659 |
$37K |
| 11981 |
|
1,573 |
1,323 |
$31K |
| 0011A |
|
961 |
958 |
$22K |
| 99222 |
|
433 |
292 |
$21K |
| 0071A |
|
486 |
483 |
$20K |
| 90658 |
|
12,974 |
10,536 |
$20K |
| 0072A |
|
462 |
459 |
$19K |
| 0124A |
|
518 |
433 |
$19K |
| 99214 |
|
75,292 |
67,064 |
$14K |
| 99231 |
|
834 |
437 |
$14K |
| J7300 |
Intra copp contra (paragard) |
46 |
41 |
$12K |
| 90716 |
|
9,844 |
8,951 |
$12K |
| 0064A |
|
264 |
263 |
$11K |
| 0054A |
|
289 |
270 |
$10K |
| 90696 |
|
7,889 |
7,380 |
$10K |
| 90715 |
|
14,510 |
13,504 |
$10K |
| 90633 |
|
19,335 |
17,745 |
$9K |
| 99460 |
|
231 |
188 |
$9K |
| 0154A |
|
206 |
181 |
$9K |
| D1120 |
|
6,925 |
6,738 |
$8K |
| 0111A |
|
190 |
180 |
$8K |
| 90723 |
|
27,931 |
25,763 |
$8K |
| 90680 |
|
25,342 |
23,189 |
$8K |
| 90651 |
|
10,687 |
10,237 |
$7K |
| D2392 |
|
1,852 |
1,408 |
$7K |
| 90707 |
|
9,581 |
8,710 |
$6K |
| 90647 |
|
10,551 |
8,842 |
$6K |
| 91322 |
|
42 |
42 |
$6K |
| D0120 |
|
5,741 |
5,553 |
$5K |
| D1206 |
|
3,861 |
3,858 |
$5K |
| 0112A |
|
111 |
105 |
$5K |
| 90832 |
|
29,446 |
19,888 |
$4K |
| 99392 |
|
54,088 |
50,121 |
$4K |
| 99221 |
|
123 |
105 |
$4K |
| 90686 |
|
28,187 |
27,456 |
$4K |
| 0003A |
|
89 |
89 |
$4K |
| 90700 |
|
8,879 |
8,127 |
$3K |
| 99394 |
|
24,323 |
23,155 |
$3K |
| 99393 |
|
38,045 |
36,117 |
$3K |
| 90791 |
|
10,300 |
9,272 |
$3K |
| 99212 |
|
33,807 |
28,120 |
$3K |
| J1050 |
Medroxyprogesterone acetate |
1,894 |
1,833 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
40 |
27 |
$3K |
| 0500F |
|
3,377 |
3,082 |
$3K |
| 90834 |
|
12,864 |
9,169 |
$3K |
| D1351 |
|
1,914 |
782 |
$2K |
| D2391 |
|
1,609 |
1,173 |
$2K |
| 99391 |
|
51,887 |
46,343 |
$2K |
| 36415 |
|
22,629 |
18,154 |
$2K |
| 90837 |
|
5,851 |
4,159 |
$2K |
| 92551 |
|
26,942 |
24,872 |
$1K |
| 99173 |
|
29,711 |
27,286 |
$1K |
| 0004A |
|
30 |
30 |
$1K |
| 0013A |
|
31 |
31 |
$1K |
| 90460 |
|
23,540 |
21,351 |
$1K |
| 85018 |
|
48,816 |
42,224 |
$1K |
| 58301 |
|
1,115 |
1,058 |
$1K |
| D0150 |
|
1,860 |
1,814 |
$1K |
| 99462 |
|
70 |
40 |
$1K |
| D0274 |
|
1,655 |
1,611 |
$957.12 |
| 90688 |
|
9,548 |
9,327 |
$921.89 |
| 90648 |
|
25,791 |
24,294 |
$893.44 |
| 99203 |
|
8,421 |
7,643 |
$834.11 |
| 0074A |
|
129 |
93 |
$794.20 |
| 99233 |
Prolong inpt eval add15 m |
24 |
12 |
$771.10 |
| 76815 |
|
6,309 |
5,382 |
$737.97 |
| 90471 |
|
70,717 |
68,337 |
$694.70 |
| 96110 |
|
11,700 |
10,437 |
$668.78 |
| 81025 |
|
20,226 |
18,592 |
$668.47 |
| 90677 |
|
9,064 |
8,737 |
$653.64 |
| D0272 |
|
1,835 |
1,799 |
$643.22 |
| 99395 |
|
6,407 |
6,167 |
$618.90 |
| 0151A |
|
14 |
14 |
$610.40 |
| 99204 |
|
3,064 |
2,921 |
$594.77 |
| 87880 |
|
8,728 |
8,201 |
$588.50 |
| 59025 |
|
10,008 |
5,143 |
$566.29 |
| 90792 |
|
2,371 |
2,285 |
$497.76 |
| 99202 |
|
1,008 |
848 |
$486.14 |
| 99215 |
Prolong outpt/office vis |
2,312 |
2,232 |
$460.54 |
| 0503F |
|
4,160 |
3,626 |
$454.35 |
| 96372 |
|
7,262 |
6,689 |
$408.16 |
| D0140 |
|
670 |
656 |
$401.52 |
| 99385 |
|
539 |
518 |
$385.59 |
| 90461 |
|
11,678 |
9,946 |
$335.00 |
| 81002 |
|
18,240 |
16,910 |
$315.20 |
| 11982 |
|
856 |
845 |
$272.65 |
| 99396 |
|
2,122 |
2,075 |
$259.95 |
| 83036 |
|
10,704 |
10,091 |
$236.50 |
| D0220 |
|
771 |
752 |
$224.74 |
| 90657 |
|
5,920 |
4,303 |
$223.60 |
| D1208 |
|
2,961 |
2,783 |
$218.40 |
| 99397 |
|
45 |
44 |
$213.80 |
| 17110 |
|
584 |
533 |
$204.72 |
| 1160F |
|
6,624 |
5,822 |
$186.22 |
| 90472 |
|
31,978 |
30,895 |
$184.00 |
| G2012 |
Brief check in by md/qhp |
21 |
14 |
$158.28 |
| 96127 |
|
9,694 |
9,138 |
$148.23 |
| D1110 |
|
243 |
243 |
$145.14 |
| 99381 |
|
8,469 |
8,230 |
$145.05 |
| 99383 |
|
1,737 |
1,581 |
$141.75 |
| 86580 |
|
1,075 |
876 |
$114.00 |
| 99384 |
|
1,666 |
1,559 |
$113.96 |
| D7140 |
|
93 |
79 |
$107.10 |
| 90713 |
|
526 |
510 |
$106.87 |
| 99386 |
|
82 |
81 |
$104.96 |
| G8510 |
Scr dep neg, no plan reqd |
9,041 |
8,567 |
$104.83 |
| 90685 |
|
334 |
306 |
$101.40 |
| 82962 |
|
12,400 |
11,014 |
$100.09 |
| D2393 |
|
91 |
86 |
$87.55 |
| 90474 |
|
11,453 |
10,944 |
$87.00 |
| G8431 |
Pos clin depres scrn f/u doc |
5,352 |
5,130 |
$73.00 |
| 76830 |
|
277 |
254 |
$71.90 |
| D0210 |
|
172 |
172 |
$71.04 |
| 93000 |
|
2,047 |
1,885 |
$69.45 |
| 81005 |
|
1,633 |
1,377 |
$63.64 |
| 20610 |
|
152 |
150 |
$63.60 |
| 90847 |
|
501 |
376 |
$57.39 |
| 90619 |
|
5,579 |
5,353 |
$50.13 |
| 90656 |
|
2,036 |
1,985 |
$37.35 |
| 99201 |
|
117 |
114 |
$34.55 |
| 90750 |
|
139 |
136 |
$32.80 |
| 90833 |
|
229 |
149 |
$32.00 |
| 87210 |
|
4,967 |
4,697 |
$25.10 |
| 76801 |
|
2,908 |
2,451 |
$21.00 |
| 90853 |
|
734 |
454 |
$14.91 |
| D1354 |
|
168 |
102 |
$14.85 |
| 94640 |
|
805 |
760 |
$14.43 |
| J3301 |
Triamcinolone acet inj nos |
325 |
316 |
$13.49 |
| 93005 |
|
58 |
58 |
$6.79 |
| D0230 |
|
33 |
33 |
$4.48 |
| 83026 |
|
3,325 |
3,155 |
$2.41 |
| 57454 |
|
444 |
428 |
$2.00 |
| 99382 |
|
544 |
515 |
$1.00 |
| J7613 |
Albuterol non-comp unit |
887 |
843 |
$0.21 |
| 69209 |
|
138 |
138 |
$0.00 |
| D4341 |
|
135 |
65 |
$0.00 |
| 96381 |
|
244 |
244 |
$0.00 |
| S4993 |
Contraceptive pills for bc |
87 |
80 |
$0.00 |
| 3078F |
|
14,422 |
12,997 |
$0.00 |
| 3046F |
|
2,426 |
2,186 |
$0.00 |
| 0502F |
|
12,301 |
6,861 |
$0.00 |
| 3050F |
|
612 |
569 |
$0.00 |
| 3077F |
|
5,405 |
4,969 |
$0.00 |
| 1159F |
|
6,735 |
5,926 |
$0.00 |
| 3051F |
|
2,056 |
1,942 |
$0.00 |
| 87804 |
|
147 |
143 |
$0.00 |
| 90746 |
|
654 |
645 |
$0.00 |
| 15853 |
|
157 |
152 |
$0.00 |
| 90380 |
|
672 |
635 |
$0.00 |
| 88164 |
|
64 |
45 |
$0.00 |
| 80305 |
|
27 |
27 |
$0.00 |
| 90672 |
|
26 |
26 |
$0.00 |
| 90863 |
|
191 |
95 |
$0.00 |
| 80307 |
|
49 |
49 |
$0.00 |
| 99188 |
|
27 |
27 |
$0.00 |
| 96160 |
|
157 |
156 |
$0.00 |
| 11983 |
|
24 |
24 |
$0.00 |
| 10060 |
|
15 |
15 |
$0.00 |
| 90661 |
|
3,935 |
3,839 |
$0.00 |
| D0180 |
|
51 |
51 |
$0.00 |
| 90473 |
|
28 |
28 |
$0.00 |
| D0270 |
|
12 |
12 |
$0.00 |
| 90687 |
|
12 |
12 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
296 |
274 |
$0.00 |
| 90744 |
|
525 |
515 |
$0.00 |
| 1036F |
|
12,895 |
11,836 |
$0.00 |
| 94760 |
|
3,701 |
2,790 |
$0.00 |
| 3049F |
|
728 |
675 |
$0.00 |
| D0603 |
|
3,754 |
3,533 |
$0.00 |
| 3008F |
|
48,085 |
42,774 |
$0.00 |
| 4015F |
|
946 |
912 |
$0.00 |
| 1126F |
|
361 |
338 |
$0.00 |
| 76817 |
|
2,706 |
2,545 |
$0.00 |
| 4010F |
|
6,590 |
6,009 |
$0.00 |
| D0601 |
|
1,888 |
1,741 |
$0.00 |
| D1310 |
|
12 |
12 |
$0.00 |
| D0602 |
|
1,056 |
994 |
$0.00 |
| G0439 |
Ppps, subseq visit |
249 |
134 |
$0.00 |
| 90381 |
|
989 |
865 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
114 |
97 |
$0.00 |
| 3075F |
|
5,552 |
5,271 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
234 |
187 |
$0.00 |
| 3074F |
|
14,437 |
12,971 |
$0.00 |
| 3044F |
|
3,811 |
3,561 |
$0.00 |
| 3052F |
|
1,229 |
1,150 |
$0.00 |
| 99459 |
|
435 |
428 |
$0.00 |
| 96380 |
|
1,112 |
1,110 |
$0.00 |
| 3079F |
|
8,246 |
7,673 |
$0.00 |
| 3048F |
|
1,686 |
1,599 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
91 |
81 |
$0.00 |
| 3080F |
|
2,708 |
2,517 |
$0.00 |
| 58100 |
|
118 |
117 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 84703 |
|
36 |
13 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
229 |
131 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
19 |
19 |
$0.00 |
| 17250 |
|
25 |
25 |
$0.00 |
| 86701 |
|
25 |
25 |
$0.00 |
| 1125F |
|
27 |
27 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
46 |
46 |
$0.00 |