| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
185,817 |
119,251 |
$30.36M |
| 90832 |
|
61,975 |
18,371 |
$1.53M |
| 99213 |
|
56,953 |
30,163 |
$1.52M |
| 90834 |
|
25,772 |
7,477 |
$1.06M |
| 99214 |
|
47,446 |
25,110 |
$860K |
| 90792 |
|
11,125 |
6,459 |
$816K |
| 90837 |
|
11,384 |
3,343 |
$685K |
| 99307 |
|
50,045 |
27,920 |
$460K |
| 99308 |
|
15,552 |
6,026 |
$284K |
| 90791 |
|
3,456 |
2,049 |
$237K |
| G0467 |
Fqhc visit, estab pt |
339 |
255 |
$17K |
| 99203 |
|
2,366 |
1,458 |
$12K |
| 99215 |
Prolong outpt/office vis |
1,072 |
593 |
$12K |
| G0444 |
Depression screen annual |
7,212 |
6,656 |
$6K |
| G8510 |
Scr dep neg, no plan reqd |
6,566 |
5,997 |
$6K |
| G0442 |
Annual alcohol screen 15 min |
347 |
347 |
$6K |
| 99396 |
|
174 |
169 |
$5K |
| 36415 |
|
3,841 |
3,678 |
$5K |
| H0049 |
Alcohol/drug screening |
4,469 |
4,176 |
$5K |
| 99211 |
|
2,657 |
2,345 |
$5K |
| 99490 |
Ccm add 20min |
1,260 |
971 |
$4K |
| G8431 |
Pos clin depres scrn f/u doc |
509 |
472 |
$4K |
| G0447 |
Behavior counsel obesity 15m |
5,362 |
4,686 |
$3K |
| 99173 |
|
1,144 |
1,130 |
$3K |
| 99000 |
|
5,972 |
5,544 |
$3K |
| 87811 |
|
408 |
371 |
$3K |
| G0470 |
Fqhc visit, mh estab pt |
85 |
65 |
$3K |
| 99395 |
|
194 |
181 |
$2K |
| 99205 |
Prolong outpt/office vis |
59 |
33 |
$2K |
| 90686 |
|
313 |
313 |
$2K |
| 99202 |
|
233 |
178 |
$2K |
| 92551 |
|
345 |
344 |
$2K |
| 90471 |
|
635 |
613 |
$1K |
| 90460 |
|
437 |
433 |
$1K |
| 99442 |
|
2,832 |
1,943 |
$1K |
| 99204 |
|
122 |
85 |
$1K |
| 90461 |
|
264 |
264 |
$1K |
| 99304 |
|
55 |
31 |
$877.24 |
| 99392 |
|
129 |
76 |
$800.00 |
| 99309 |
|
73 |
43 |
$792.00 |
| 81002 |
|
494 |
470 |
$648.28 |
| G2023 |
Specimen collect covid-19 |
76 |
74 |
$514.51 |
| G9920 |
Scrning perf and negative |
1,960 |
1,934 |
$417.42 |
| 90688 |
|
82 |
81 |
$400.00 |
| 99383 |
|
42 |
28 |
$400.00 |
| 93000 |
|
70 |
69 |
$334.49 |
| 99406 |
|
80 |
73 |
$320.51 |
| 96372 |
|
444 |
385 |
$193.88 |
| J1885 |
Ketorolac tromethamine inj |
12 |
12 |
$181.36 |
| 81025 |
|
12 |
12 |
$150.00 |
| 99212 |
|
563 |
272 |
$124.47 |
| Q0091 |
Obtaining screen pap smear |
53 |
53 |
$77.56 |
| J3420 |
Vitamin b12 injection |
36 |
34 |
$4.71 |
| J0696 |
Ceftriaxone sodium injection |
13 |
12 |
$1.59 |
| 3074F |
|
10,768 |
9,465 |
$1.22 |
| 3078F |
|
9,901 |
8,817 |
$0.98 |
| 3079F |
|
4,957 |
4,603 |
$0.95 |
| 3075F |
|
3,354 |
3,158 |
$0.49 |
| 3077F |
|
1,135 |
1,063 |
$0.26 |
| G9919 |
Scrn nd pos nd prov of rec |
604 |
596 |
$0.15 |
| 2028F |
|
163 |
156 |
$0.08 |
| 3044F |
|
538 |
535 |
$0.05 |
| 1036F |
|
93 |
93 |
$0.00 |
| 80053 |
|
57 |
57 |
$0.00 |
| 99443 |
|
588 |
449 |
$0.00 |
| 3080F |
|
299 |
276 |
$0.00 |
| 3008F |
|
261 |
225 |
$0.00 |
| 90723 |
|
40 |
40 |
$0.00 |
| 3351F |
|
57 |
57 |
$0.00 |
| 87624 |
|
12 |
12 |
$0.00 |
| G0123 |
Screen cerv/vag thin layer |
29 |
29 |
$0.00 |
| 99441 |
|
30 |
17 |
$0.00 |
| 2001F |
|
49 |
44 |
$0.00 |
| G9226 |
3 comp foot exam completed |
14 |
14 |
$0.00 |
| 82043 |
|
29 |
29 |
$0.00 |
| 87635 |
|
23 |
22 |
$0.00 |
| 83036 |
|
12 |
12 |
$0.00 |
| 88141 |
|
14 |
14 |
$0.00 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
2,263 |
1,649 |
$0.00 |
| 3725F |
|
175 |
175 |
$0.00 |
| 90671 |
|
47 |
47 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90648 |
|
45 |
45 |
$0.00 |
| 99449 |
|
176 |
99 |
$0.00 |
| 99446 |
|
96 |
82 |
$0.00 |
| 90473 |
|
12 |
12 |
$0.00 |
| 82570 |
|
13 |
13 |
$0.00 |
| 99491 |
Ccm add 20min |
38 |
38 |
$0.00 |
| G0101 |
Ca screen;pelvic/breast exam |
28 |
28 |
$0.00 |
| 90472 |
|
16 |
16 |
$0.00 |
| G0476 |
Hpv combo assay ca screen |
29 |
29 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |