| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
283,236 |
234,689 |
$58.53M |
| 00003 |
|
132,347 |
80,138 |
$34.28M |
| 99213 |
|
300,128 |
176,731 |
$565K |
| 99214 |
|
28,534 |
18,198 |
$163K |
| 87428 |
|
4,224 |
2,629 |
$145K |
| 0001A |
|
1,869 |
1,853 |
$105K |
| H1001 |
Antepartum management |
1,666 |
1,315 |
$101K |
| 0002A |
|
1,571 |
1,571 |
$99K |
| 80305 |
|
11,163 |
5,844 |
$96K |
| 90834 |
|
7,835 |
4,402 |
$92K |
| 90686 |
|
14,346 |
11,017 |
$85K |
| G9920 |
Scrning perf and negative |
5,571 |
4,417 |
$85K |
| 0012A |
|
1,194 |
1,188 |
$68K |
| 90832 |
|
6,671 |
3,550 |
$48K |
| 0011A |
|
1,114 |
964 |
$44K |
| 97810 |
|
4,596 |
1,926 |
$38K |
| 0004A |
|
488 |
488 |
$33K |
| 96110 |
|
2,634 |
1,725 |
$25K |
| 99212 |
|
24,699 |
15,112 |
$22K |
| G0442 |
Annual alcohol screen 15 min |
2,734 |
1,795 |
$21K |
| 90837 |
|
830 |
508 |
$19K |
| 99393 |
|
9,321 |
6,032 |
$16K |
| 99391 |
|
2,921 |
2,081 |
$15K |
| 99394 |
|
5,678 |
3,687 |
$14K |
| 0072A |
|
183 |
183 |
$12K |
| 97811 |
|
2,395 |
1,024 |
$12K |
| 99392 |
|
6,955 |
4,791 |
$12K |
| 90649 |
|
2,551 |
1,837 |
$12K |
| 0031A |
|
184 |
183 |
$12K |
| 59409 |
|
21 |
18 |
$11K |
| 0071A |
|
156 |
156 |
$10K |
| 90792 |
|
148 |
97 |
$9K |
| 90656 |
|
1,766 |
1,353 |
$9K |
| 90715 |
|
1,410 |
1,014 |
$9K |
| 90633 |
|
2,275 |
1,657 |
$8K |
| 59514 |
|
15 |
12 |
$8K |
| 99215 |
Prolong outpt/office vis |
2,264 |
1,503 |
$8K |
| 90670 |
|
2,160 |
1,627 |
$8K |
| 0134A |
|
111 |
111 |
$7K |
| 0064A |
|
104 |
104 |
$7K |
| 92551 |
|
15,292 |
10,421 |
$6K |
| D1206 |
|
1,112 |
949 |
$6K |
| 90471 |
|
2,644 |
2,050 |
$6K |
| 90620 |
|
253 |
239 |
$6K |
| 90647 |
|
1,756 |
1,316 |
$6K |
| 11721 |
|
1,709 |
1,363 |
$5K |
| 90723 |
|
1,616 |
1,186 |
$5K |
| 11056 |
|
783 |
374 |
$5K |
| 96372 |
|
497 |
319 |
$5K |
| 95251 |
|
265 |
186 |
$5K |
| 90651 |
|
631 |
413 |
$4K |
| 90460 |
|
595 |
403 |
$4K |
| 90619 |
|
580 |
407 |
$4K |
| 90734 |
|
1,149 |
915 |
$4K |
| 11720 |
|
1,180 |
799 |
$4K |
| 90710 |
|
820 |
599 |
$3K |
| 0112A |
|
46 |
46 |
$3K |
| 81025 |
|
1,857 |
1,282 |
$3K |
| 97803 |
|
114 |
67 |
$3K |
| 90696 |
|
745 |
542 |
$3K |
| J3490 |
Drugs unclassified injection |
72 |
51 |
$3K |
| 90791 |
|
168 |
126 |
$2K |
| 90716 |
|
636 |
466 |
$2K |
| 99460 |
|
41 |
34 |
$2K |
| 0082A |
|
31 |
31 |
$2K |
| H0049 |
Alcohol/drug screening |
86 |
86 |
$2K |
| 90677 |
|
475 |
289 |
$2K |
| 97597 |
|
97 |
32 |
$2K |
| 0013A |
|
29 |
29 |
$2K |
| 0111A |
|
29 |
29 |
$2K |
| 99238 |
|
46 |
36 |
$2K |
| 99203 |
|
798 |
594 |
$2K |
| 90680 |
|
747 |
602 |
$2K |
| 76815 |
|
55 |
24 |
$2K |
| 92081 |
|
6,658 |
6,594 |
$2K |
| G9919 |
Scrn nd pos nd prov of rec |
55 |
54 |
$2K |
| 96156 |
|
156 |
138 |
$2K |
| 96160 |
|
5,006 |
4,805 |
$1K |
| 92014 |
|
113 |
82 |
$1K |
| 90662 |
|
88 |
79 |
$1K |
| 90461 |
|
199 |
122 |
$1K |
| 90707 |
|
363 |
267 |
$1K |
| 59425 |
|
76 |
54 |
$1K |
| 0081A |
|
15 |
15 |
$1K |
| 0144A |
|
14 |
14 |
$938.00 |
| 90700 |
|
400 |
325 |
$900.00 |
| 69209 |
|
142 |
47 |
$880.68 |
| 0074A |
|
13 |
13 |
$871.00 |
| 99283 |
|
10,652 |
8,918 |
$851.26 |
| 59430 |
|
14 |
13 |
$846.72 |
| 11055 |
|
174 |
78 |
$829.75 |
| 99401 |
|
75 |
70 |
$824.18 |
| 83036 |
|
2,209 |
2,121 |
$719.39 |
| A4267 |
Male condom |
187 |
141 |
$714.06 |
| 92004 |
|
896 |
889 |
$696.92 |
| H1003 |
Prenatal at risk education |
42 |
41 |
$681.21 |
| H2000 |
Comp multidisipln evaluation |
70 |
62 |
$639.16 |
| 93000 |
|
616 |
369 |
$600.36 |
| 59025 |
|
55 |
24 |
$565.44 |
| 90853 |
|
48 |
17 |
$527.12 |
| 99462 |
|
19 |
14 |
$526.68 |
| 99395 |
|
170 |
101 |
$411.60 |
| S9445 |
Pt education noc individ |
23 |
20 |
$327.99 |
| S9452 |
Nutrition class |
36 |
28 |
$302.76 |
| 99211 |
|
322 |
244 |
$253.64 |
| 81003 |
|
605 |
499 |
$197.02 |
| 99202 |
|
292 |
192 |
$181.79 |
| 83655 |
|
31 |
18 |
$159.45 |
| 90681 |
|
25 |
12 |
$126.00 |
| 99204 |
|
264 |
263 |
$68.90 |
| 92015 |
|
1,641 |
1,641 |
$48.06 |
| 11057 |
|
17 |
13 |
$35.00 |
| 81005 |
|
450 |
385 |
$31.42 |
| S5199 |
Personal care item nos each |
123 |
88 |
$31.10 |
| 87430 |
|
846 |
830 |
$16.36 |
| J7613 |
Albuterol non-comp unit |
40 |
29 |
$1.33 |
| 3078F |
|
30,779 |
29,145 |
$0.00 |
| 4274F |
|
21,416 |
19,533 |
$0.00 |
| Z6208 |
|
97 |
79 |
$0.00 |
| 1159F |
|
37,667 |
35,285 |
$0.00 |
| Z6400 |
|
728 |
670 |
$0.00 |
| 11719 |
|
47 |
47 |
$0.00 |
| 1160F |
|
37,664 |
35,282 |
$0.00 |
| Z6200 |
|
188 |
187 |
$0.00 |
| 3077F |
|
1,340 |
1,287 |
$0.00 |
| 4040F |
|
2,137 |
2,027 |
$0.00 |
| Z6304 |
|
710 |
631 |
$0.00 |
| 99173 |
|
958 |
958 |
$0.00 |
| Z6300 |
|
187 |
186 |
$0.00 |
| Z6414 |
|
210 |
180 |
$0.00 |
| Z6206 |
|
164 |
163 |
$0.00 |
| 2028F |
|
63 |
63 |
$0.00 |
| Z6308 |
|
195 |
167 |
$0.00 |
| 91322 |
|
15 |
15 |
$0.00 |
| 4004F |
|
88 |
88 |
$0.00 |
| 99396 |
|
23 |
12 |
$0.00 |
| 91321 |
|
28 |
28 |
$0.00 |
| 90785 |
|
16 |
16 |
$0.00 |
| 2000F |
|
39,038 |
36,638 |
$0.00 |
| 3008F |
|
40,366 |
38,019 |
$0.00 |
| 2010F |
|
49,003 |
45,811 |
$0.00 |
| 3079F |
|
2,431 |
2,352 |
$0.00 |
| 2001F |
|
42,585 |
40,097 |
$0.00 |
| 3074F |
|
28,839 |
27,323 |
$0.00 |
| 1036F |
|
10,059 |
9,641 |
$0.00 |
| 3351F |
|
3,567 |
3,531 |
$0.00 |
| 4010F |
|
3,229 |
2,924 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
12,976 |
10,828 |
$0.00 |
| 3075F |
|
2,393 |
2,319 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
6,142 |
5,314 |
$0.00 |
| G0008 |
Admin influenza virus vac |
44 |
44 |
$0.00 |
| Z1034 |
|
2,236 |
1,783 |
$0.00 |
| Z6406 |
|
800 |
709 |
$0.00 |
| 2023F |
|
214 |
214 |
$0.00 |
| 4037F |
|
1,639 |
1,639 |
$0.00 |
| Z6410 |
|
1,965 |
1,730 |
$0.00 |
| Q3014 |
Telehealth facility fee |
207 |
193 |
$0.00 |
| Z6404 |
|
12 |
12 |
$0.00 |
| 1125F |
|
110 |
107 |
$0.00 |
| Z6402 |
|
149 |
148 |
$0.00 |
| 1034F |
|
267 |
249 |
$0.00 |
| 3352F |
|
106 |
100 |
$0.00 |
| Z6204 |
|
289 |
267 |
$0.00 |
| 3044F |
|
99 |
99 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
83 |
80 |
$0.00 |
| 94640 |
|
77 |
74 |
$0.00 |
| T1014 |
Telehealth transmit, per min |
195 |
183 |
$0.00 |
| 3353F |
|
16 |
15 |
$0.00 |
| 3080F |
|
152 |
148 |
$0.00 |
| 96127 |
|
42 |
41 |
$0.00 |
| 1126F |
|
100 |
95 |
$0.00 |