| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
257,374 |
216,320 |
$44.66M |
| 00003 |
|
110,823 |
73,171 |
$26.05M |
| 99213 |
|
133,025 |
93,965 |
$922K |
| H1001 |
Antepartum management |
11,643 |
7,789 |
$667K |
| 59409 |
|
1,049 |
790 |
$503K |
| 99214 |
|
36,319 |
26,187 |
$497K |
| 59425 |
|
5,894 |
3,617 |
$355K |
| 90832 |
|
30,145 |
14,478 |
$353K |
| 99212 |
|
23,486 |
17,609 |
$163K |
| J3490 |
Drugs unclassified injection |
3,034 |
2,587 |
$155K |
| H1000 |
Prenatal care atrisk assessm |
852 |
831 |
$137K |
| 96110 |
|
3,939 |
3,512 |
$106K |
| 90834 |
|
2,780 |
1,539 |
$93K |
| 99215 |
Prolong outpt/office vis |
522 |
514 |
$88K |
| H1003 |
Prenatal at risk education |
4,635 |
3,921 |
$77K |
| 99238 |
|
1,651 |
1,303 |
$56K |
| 90791 |
|
2,081 |
1,581 |
$55K |
| 99391 |
|
8,388 |
5,765 |
$51K |
| 99401 |
|
4,108 |
3,598 |
$48K |
| 59430 |
|
799 |
774 |
$46K |
| 96156 |
|
3,542 |
2,862 |
$42K |
| 90715 |
|
1,311 |
1,102 |
$38K |
| 59025 |
|
1,540 |
631 |
$36K |
| 81025 |
|
13,267 |
11,241 |
$31K |
| 90688 |
|
2,025 |
1,594 |
$30K |
| 98940 |
|
1,414 |
838 |
$28K |
| 81002 |
|
15,743 |
11,509 |
$27K |
| 90472 |
|
4,810 |
3,375 |
$26K |
| H2000 |
Comp multidisipln evaluation |
1,872 |
1,680 |
$23K |
| 99392 |
|
9,892 |
6,699 |
$23K |
| 90471 |
|
11,920 |
8,619 |
$23K |
| 58300 |
|
101 |
97 |
$21K |
| 90746 |
|
371 |
286 |
$20K |
| 97802 |
|
1,400 |
990 |
$20K |
| 76815 |
|
490 |
302 |
$19K |
| 90686 |
|
3,110 |
2,581 |
$17K |
| S9445 |
Pt education noc individ |
1,294 |
1,114 |
$17K |
| 99231 |
|
562 |
394 |
$16K |
| 97803 |
|
1,536 |
1,392 |
$16K |
| 83655 |
|
2,014 |
1,417 |
$14K |
| 99393 |
|
4,645 |
3,232 |
$13K |
| 90677 |
|
1,074 |
611 |
$12K |
| J7307 |
Etonogestrel implant system |
15 |
15 |
$12K |
| 99402 |
|
601 |
586 |
$10K |
| 99221 |
|
358 |
240 |
$10K |
| 99188 |
|
729 |
461 |
$9K |
| 96372 |
|
761 |
455 |
$9K |
| 96152 |
|
713 |
650 |
$8K |
| 99283 |
|
18,139 |
16,354 |
$8K |
| 90792 |
|
169 |
100 |
$6K |
| 96151 |
|
591 |
541 |
$6K |
| 92250 |
|
124 |
124 |
$5K |
| 99394 |
|
1,066 |
770 |
$5K |
| 99203 |
|
178 |
121 |
$5K |
| 90837 |
|
155 |
106 |
$4K |
| S9452 |
Nutrition class |
496 |
470 |
$4K |
| 90656 |
|
695 |
481 |
$4K |
| 90658 |
|
302 |
220 |
$4K |
| 90697 |
|
832 |
487 |
$4K |
| 90680 |
|
826 |
670 |
$4K |
| 98941 |
|
319 |
152 |
$4K |
| 86328 |
|
248 |
175 |
$4K |
| 90670 |
|
818 |
809 |
$4K |
| 11981 |
|
13 |
13 |
$4K |
| Q3014 |
Telehealth facility fee |
113 |
113 |
$3K |
| 90698 |
|
486 |
486 |
$3K |
| 82962 |
|
1,545 |
855 |
$3K |
| 96150 |
|
207 |
155 |
$3K |
| 85018 |
|
18,940 |
12,680 |
$3K |
| 90633 |
|
480 |
439 |
$3K |
| 99396 |
|
80 |
54 |
$3K |
| 99381 |
|
354 |
275 |
$3K |
| 90662 |
|
113 |
97 |
$3K |
| 99211 |
|
281 |
239 |
$2K |
| G0467 |
Fqhc visit, estab pt |
5,295 |
4,737 |
$2K |
| 92551 |
|
2,870 |
2,305 |
$2K |
| 90651 |
|
342 |
241 |
$2K |
| 90744 |
|
210 |
210 |
$2K |
| 0002A |
|
27 |
27 |
$2K |
| 87210 |
|
386 |
376 |
$2K |
| 0001A |
|
25 |
25 |
$2K |
| 90716 |
|
189 |
188 |
$2K |
| 99403 |
|
170 |
168 |
$2K |
| 90654 |
|
110 |
75 |
$1K |
| 0031A |
|
16 |
16 |
$1K |
| 0004A |
|
37 |
37 |
$1K |
| 0071A |
|
38 |
38 |
$938.00 |
| 58301 |
|
14 |
14 |
$870.63 |
| 0072A |
|
15 |
15 |
$804.00 |
| 90707 |
|
92 |
92 |
$702.00 |
| 76817 |
|
19 |
12 |
$657.36 |
| 90685 |
|
67 |
67 |
$594.00 |
| 99383 |
|
20 |
15 |
$525.12 |
| 90480 |
|
198 |
198 |
$520.00 |
| 99307 |
|
898 |
759 |
$493.20 |
| 87804 |
|
103 |
54 |
$469.05 |
| 99204 |
|
18 |
12 |
$434.07 |
| 83036 |
|
52 |
45 |
$340.59 |
| 0124A |
|
44 |
44 |
$335.00 |
| 90696 |
|
30 |
30 |
$275.95 |
| 90619 |
|
65 |
45 |
$261.00 |
| 86580 |
|
368 |
359 |
$238.56 |
| 87880 |
|
336 |
201 |
$151.53 |
| 91320 |
|
82 |
82 |
$149.00 |
| 99395 |
|
41 |
25 |
$102.90 |
| J1885 |
Ketorolac tromethamine inj |
15 |
15 |
$96.51 |
| H0049 |
Alcohol/drug screening |
36 |
36 |
$96.00 |
| G0470 |
Fqhc visit, mh estab pt |
162 |
136 |
$47.52 |
| T1014 |
Telehealth transmit, per min |
113 |
113 |
$27.12 |
| 90474 |
|
74 |
74 |
$0.00 |
| Z6406 |
|
1,765 |
1,653 |
$0.00 |
| Z1034 |
|
13,176 |
10,937 |
$0.00 |
| Z6402 |
|
961 |
925 |
$0.00 |
| Z6204 |
|
684 |
658 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,165 |
1,002 |
$0.00 |
| Z6404 |
|
103 |
103 |
$0.00 |
| Z1032 |
|
518 |
516 |
$0.00 |
| H0048 |
Spec coll non-blood:a/d test |
19 |
19 |
$0.00 |
| Z1038 |
|
193 |
192 |
$0.00 |
| Z6410 |
|
120 |
117 |
$0.00 |
| 91318 |
|
14 |
14 |
$0.00 |
| 87426 |
|
37 |
37 |
$0.00 |
| G0008 |
Admin influenza virus vac |
65 |
65 |
$0.00 |
| 91307 |
|
20 |
20 |
$0.00 |
| 96380 |
|
15 |
15 |
$0.00 |
| Z6400 |
|
2,967 |
2,693 |
$0.00 |
| Z6200 |
|
440 |
437 |
$0.00 |
| Z6308 |
|
807 |
769 |
$0.00 |
| Z6414 |
|
1,318 |
1,245 |
$0.00 |
| Z6300 |
|
295 |
293 |
$0.00 |
| Z6208 |
|
234 |
229 |
$0.00 |
| Z6304 |
|
536 |
529 |
$0.00 |
| Z6202 |
|
65 |
64 |
$0.00 |
| 91300 |
|
49 |
48 |
$0.00 |
| Z6302 |
|
15 |
15 |
$0.00 |
| 91312 |
|
28 |
28 |
$0.00 |
| 90749 |
|
12 |
12 |
$0.00 |