| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
456,381 |
392,131 |
$82.54M |
| 00003 |
|
86,702 |
54,529 |
$19.85M |
| 99213 |
|
407,203 |
272,890 |
$321K |
| G9920 |
Scrning perf and negative |
23,827 |
15,457 |
$206K |
| 99392 |
|
19,855 |
15,162 |
$205K |
| 99393 |
|
13,097 |
9,999 |
$164K |
| 99394 |
|
8,894 |
6,545 |
$139K |
| 96110 |
|
5,544 |
4,135 |
$136K |
| 99391 |
|
13,127 |
10,988 |
$113K |
| 90834 |
|
4,243 |
1,950 |
$85K |
| 99212 |
|
63,427 |
43,184 |
$74K |
| 0071A |
|
1,024 |
534 |
$53K |
| 0072A |
|
792 |
405 |
$42K |
| 90686 |
|
19,724 |
14,407 |
$35K |
| 90791 |
|
1,114 |
571 |
$35K |
| 99214 |
|
35,469 |
23,084 |
$29K |
| 0001A |
|
513 |
286 |
$26K |
| 83655 |
|
6,068 |
4,897 |
$23K |
| 0002A |
|
411 |
233 |
$22K |
| 90633 |
|
4,759 |
3,966 |
$20K |
| 90651 |
|
4,702 |
3,718 |
$19K |
| 90680 |
|
4,884 |
4,294 |
$18K |
| 90670 |
|
7,163 |
6,133 |
$17K |
| 90460 |
|
50,322 |
35,064 |
$17K |
| 87426 |
|
11,319 |
7,729 |
$14K |
| 90698 |
|
3,923 |
3,550 |
$13K |
| 87811 |
|
20,551 |
14,945 |
$13K |
| 85018 |
|
34,600 |
25,942 |
$12K |
| J3490 |
Drugs unclassified injection |
8,808 |
5,823 |
$11K |
| 90697 |
|
3,373 |
2,708 |
$11K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
1,089 |
1,050 |
$10K |
| 87635 |
|
8,343 |
5,422 |
$10K |
| 92551 |
|
2,147 |
2,125 |
$10K |
| 90832 |
|
655 |
313 |
$10K |
| 90716 |
|
1,187 |
1,104 |
$9K |
| 90734 |
|
1,382 |
1,136 |
$9K |
| J7307 |
Etonogestrel implant system |
40 |
27 |
$9K |
| 99395 |
|
69 |
69 |
$8K |
| G0467 |
Fqhc visit, estab pt |
321 |
290 |
$8K |
| 90707 |
|
1,095 |
1,014 |
$8K |
| 90837 |
|
244 |
106 |
$6K |
| 90688 |
|
5,611 |
3,860 |
$6K |
| 90710 |
|
898 |
824 |
$6K |
| 90461 |
|
33,098 |
21,762 |
$6K |
| 90696 |
|
905 |
818 |
$6K |
| 90671 |
|
2,031 |
1,602 |
$6K |
| 90700 |
|
957 |
849 |
$6K |
| 90715 |
|
3,465 |
2,869 |
$6K |
| 0012A |
|
106 |
62 |
$5K |
| 90677 |
|
1,951 |
1,660 |
$5K |
| 90656 |
|
3,489 |
2,734 |
$5K |
| 90619 |
|
1,074 |
900 |
$5K |
| 90744 |
|
1,753 |
1,610 |
$5K |
| 0011A |
|
91 |
48 |
$4K |
| 90648 |
|
620 |
550 |
$4K |
| 0004A |
|
70 |
40 |
$4K |
| 99203 |
|
2,394 |
2,000 |
$3K |
| 81025 |
|
24,335 |
18,905 |
$3K |
| 90847 |
|
161 |
147 |
$3K |
| 0064A |
|
43 |
23 |
$2K |
| 99202 |
|
3,193 |
2,949 |
$2K |
| 0031A |
|
39 |
23 |
$2K |
| 90792 |
|
53 |
35 |
$2K |
| 90681 |
|
369 |
336 |
$1K |
| 81002 |
|
63,879 |
42,769 |
$1K |
| 90480 |
|
109 |
86 |
$1K |
| 99403 |
|
204 |
162 |
$1K |
| 99381 |
|
204 |
175 |
$1K |
| 96372 |
|
10,436 |
7,365 |
$977.52 |
| 0124A |
|
14 |
14 |
$871.00 |
| 0154A |
|
13 |
13 |
$871.00 |
| 58300 |
|
137 |
69 |
$833.00 |
| H1003 |
Prenatal at risk education |
8,522 |
7,248 |
$776.52 |
| 87804 |
|
28,885 |
13,442 |
$734.47 |
| 11981 |
|
17 |
15 |
$626.58 |
| 88142 |
|
763 |
756 |
$612.00 |
| 90846 |
|
39 |
39 |
$528.50 |
| 76801 |
|
667 |
575 |
$473.05 |
| 87880 |
|
15,503 |
10,637 |
$424.66 |
| 90685 |
|
33 |
33 |
$288.00 |
| 99242 |
|
453 |
274 |
$283.20 |
| 90471 |
|
9,587 |
7,756 |
$257.85 |
| 58301 |
|
120 |
53 |
$244.38 |
| D1120 |
|
484 |
393 |
$225.00 |
| G2012 |
Brief check in by md/qhp |
16 |
15 |
$199.68 |
| 92014 |
|
1,125 |
629 |
$195.13 |
| 90381 |
|
31 |
29 |
$153.00 |
| 92060 |
|
1,350 |
758 |
$135.12 |
| D1206 |
|
903 |
722 |
$129.00 |
| 99451 |
|
93 |
93 |
$125.80 |
| 99000 |
|
695 |
655 |
$105.07 |
| 90472 |
|
353 |
304 |
$93.11 |
| 99211 |
|
603 |
450 |
$89.59 |
| G8510 |
Scr dep neg, no plan reqd |
1,221 |
1,123 |
$85.70 |
| 76817 |
|
52 |
29 |
$70.05 |
| 0111A |
|
17 |
13 |
$67.00 |
| 92015 |
|
1,657 |
914 |
$47.98 |
| J1885 |
Ketorolac tromethamine inj |
5,026 |
3,361 |
$28.44 |
| 83036 |
|
353 |
230 |
$23.97 |
| 82962 |
|
3,320 |
2,387 |
$20.73 |
| 99401 |
|
647 |
582 |
$16.82 |
| J1050 |
Medroxyprogesterone acetate |
1,661 |
1,341 |
$13.52 |
| J0696 |
Ceftriaxone sodium injection |
171 |
110 |
$11.10 |
| 90736 |
|
16 |
13 |
$9.00 |
| 1126F |
|
13,741 |
13,068 |
$9.00 |
| 88720 |
|
284 |
193 |
$8.52 |
| J0780 |
Prochlorperazine injection |
47 |
31 |
$8.21 |
| J7644 |
Ipratropium bromide non-comp |
296 |
204 |
$0.37 |
| 0502F |
|
19,008 |
16,330 |
$0.00 |
| 3078F |
|
11,308 |
10,847 |
$0.00 |
| 3077F |
|
3,215 |
3,136 |
$0.00 |
| 1160F |
|
21,514 |
20,942 |
$0.00 |
| 97803 |
|
184 |
184 |
$0.00 |
| 1159F |
|
20,518 |
20,008 |
$0.00 |
| Z6400 |
|
12,229 |
10,514 |
$0.00 |
| D0220 |
|
1,712 |
1,219 |
$0.00 |
| Z6300 |
|
13 |
13 |
$0.00 |
| D9993 |
|
842 |
677 |
$0.00 |
| 99173 |
|
1,212 |
1,192 |
$0.00 |
| D9430 |
|
55 |
31 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
378 |
310 |
$0.00 |
| 59425 |
|
1,169 |
1,009 |
$0.00 |
| 90658 |
|
55 |
51 |
$0.00 |
| 76802 |
|
628 |
538 |
$0.00 |
| Z6304 |
|
156 |
156 |
$0.00 |
| 99442 |
|
61 |
35 |
$0.00 |
| 90678 |
|
72 |
64 |
$0.00 |
| 1158F |
|
210 |
207 |
$0.00 |
| 91311 |
|
25 |
13 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
27 |
26 |
$0.00 |
| T1013 |
Sign lang/oral interpreter |
57 |
55 |
$0.00 |
| D0274 |
|
159 |
134 |
$0.00 |
| Z6500 |
|
56 |
56 |
$0.00 |
| D0270 |
|
88 |
51 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
84 |
74 |
$0.00 |
| D9110 |
|
88 |
52 |
$0.00 |
| 99204 |
|
80 |
64 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
16 |
16 |
$0.00 |
| Z6414 |
|
14 |
14 |
$0.00 |
| 59025 |
|
22 |
14 |
$0.00 |
| 57500 |
|
14 |
13 |
$0.00 |
| Z6200 |
|
13 |
13 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
18 |
14 |
$0.00 |
| Z1034 |
|
3,942 |
3,281 |
$0.00 |
| 1125F |
|
9,374 |
9,309 |
$0.00 |
| 3079F |
|
3,071 |
3,013 |
$0.00 |
| 0501F |
|
765 |
595 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
2,331 |
2,293 |
$0.00 |
| 3351F |
|
6,279 |
5,979 |
$0.00 |
| Z1032 |
|
604 |
589 |
$0.00 |
| 3008F |
|
941 |
938 |
$0.00 |
| D1330 |
|
3,317 |
2,540 |
$0.00 |
| D1310 |
|
1,379 |
1,043 |
$0.00 |
| 3074F |
|
10,235 |
9,769 |
$0.00 |
| 36416 |
|
645 |
631 |
$0.00 |
| D0120 |
|
542 |
446 |
$0.00 |
| Q0162 |
Ondansetron oral |
202 |
202 |
$0.00 |
| 3075F |
|
1,002 |
992 |
$0.00 |
| 1111F |
|
375 |
375 |
$0.00 |
| 96156 |
|
541 |
539 |
$0.00 |
| 3080F |
|
231 |
225 |
$0.00 |
| D1208 |
|
43 |
37 |
$0.00 |
| 0500F |
|
590 |
575 |
$0.00 |
| 36415 |
|
56 |
54 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
740 |
513 |
$0.00 |
| 92004 |
|
209 |
115 |
$0.00 |
| Z6410 |
|
285 |
242 |
$0.00 |
| Z6406 |
|
579 |
504 |
$0.00 |
| S9445 |
Pt education noc individ |
134 |
113 |
$0.00 |
| D0230 |
|
743 |
405 |
$0.00 |
| Z1038 |
|
87 |
84 |
$0.00 |
| Z6204 |
|
168 |
168 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
50 |
34 |
$0.00 |
| 99243 |
|
86 |
64 |
$0.00 |
| Z6402 |
|
13 |
13 |
$0.00 |
| 0503F |
|
126 |
124 |
$0.00 |
| D0210 |
|
18 |
13 |
$0.00 |
| 94640 |
|
857 |
470 |
$0.00 |
| 86580 |
|
18 |
14 |
$0.00 |
| 87807 |
|
124 |
74 |
$0.00 |
| J2001 |
Lidocaine injection |
265 |
216 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
65 |
55 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
12 |
12 |
$0.00 |
| D0603 |
|
51 |
39 |
$0.00 |
| D0150 |
|
34 |
25 |
$0.00 |
| 59430 |
|
12 |
12 |
$0.00 |
| D0602 |
|
43 |
38 |
$0.00 |
| H1001 |
Antepartum management |
32 |
29 |
$0.00 |
| 94760 |
|
15 |
14 |
$0.00 |
| 3353F |
|
13 |
13 |
$0.00 |