| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
395,438 |
300,749 |
$50.87M |
| G0467 |
Fqhc visit, estab pt |
19,141 |
9,543 |
$524K |
| G9012 |
Other specified case mgmt |
1,786 |
1,593 |
$347K |
| 99232 |
|
49,656 |
14,312 |
$301K |
| G9008 |
Mccd,phys coor-care ovrsght |
706 |
695 |
$255K |
| 99213 |
|
218,182 |
140,043 |
$213K |
| 90832 |
|
8,712 |
4,308 |
$159K |
| 99212 |
|
85,994 |
57,286 |
$117K |
| 99222 |
|
6,438 |
4,950 |
$83K |
| 90791 |
|
1,961 |
1,515 |
$70K |
| 99238 |
|
11,167 |
8,646 |
$70K |
| 0001A |
|
575 |
454 |
$35K |
| 0002A |
|
456 |
357 |
$29K |
| 99391 |
|
9,878 |
7,734 |
$24K |
| 99460 |
|
1,458 |
1,220 |
$22K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
2,356 |
2,355 |
$22K |
| 99233 |
Prolong inpt eval add15 m |
1,180 |
424 |
$16K |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,043 |
954 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
722 |
578 |
$12K |
| 99231 |
|
1,801 |
605 |
$10K |
| 99381 |
|
649 |
516 |
$10K |
| 99239 |
|
1,087 |
939 |
$10K |
| 0012A |
|
133 |
133 |
$9K |
| J3490 |
Drugs unclassified injection |
2,073 |
1,528 |
$9K |
| 99214 |
|
17,073 |
11,592 |
$7K |
| G9920 |
Scrning perf and negative |
1,880 |
1,378 |
$5K |
| 99395 |
|
4,654 |
3,065 |
$4K |
| H1001 |
Antepartum management |
3,097 |
2,249 |
$4K |
| 0004A |
|
57 |
57 |
$4K |
| J7307 |
Etonogestrel implant system |
32 |
28 |
$4K |
| 99392 |
|
8,613 |
5,969 |
$3K |
| 81025 |
|
10,566 |
7,750 |
$3K |
| 99393 |
|
4,550 |
3,125 |
$2K |
| 0011A |
|
29 |
21 |
$2K |
| 90834 |
|
116 |
76 |
$2K |
| 99203 |
|
175 |
111 |
$2K |
| 99396 |
|
2,106 |
1,388 |
$2K |
| 11981 |
|
28 |
24 |
$1K |
| 99219 |
|
506 |
449 |
$845.20 |
| 88720 |
|
1,049 |
794 |
$712.31 |
| 90680 |
|
4,682 |
3,624 |
$632.25 |
| 90670 |
|
6,074 |
4,706 |
$564.75 |
| 90697 |
|
1,734 |
1,239 |
$536.50 |
| 90715 |
|
1,084 |
874 |
$470.58 |
| 99394 |
|
1,686 |
1,125 |
$441.39 |
| 99202 |
|
43 |
36 |
$439.03 |
| 92551 |
|
8,021 |
5,846 |
$431.47 |
| 90677 |
|
1,345 |
946 |
$344.50 |
| 90633 |
|
2,846 |
1,969 |
$323.00 |
| 59425 |
|
2,323 |
1,677 |
$302.40 |
| 90651 |
|
763 |
540 |
$289.00 |
| 85018 |
|
21,294 |
15,120 |
$284.40 |
| 87880 |
|
4,997 |
3,194 |
$246.82 |
| 90698 |
|
3,755 |
2,997 |
$231.75 |
| 90686 |
|
5,700 |
4,867 |
$223.43 |
| 83655 |
|
1,885 |
1,316 |
$217.86 |
| 11042 |
|
118 |
44 |
$207.74 |
| 59430 |
|
266 |
264 |
$205.96 |
| 87804 |
|
3,106 |
2,023 |
$189.23 |
| 83036 |
|
6,396 |
4,222 |
$174.20 |
| 81002 |
|
12,026 |
8,677 |
$168.99 |
| H1003 |
Prenatal at risk education |
691 |
690 |
$129.40 |
| 99173 |
|
8,604 |
6,091 |
$113.53 |
| 90471 |
|
4,922 |
3,963 |
$101.79 |
| 17110 |
|
21 |
13 |
$99.78 |
| 96372 |
|
3,806 |
2,706 |
$99.01 |
| 11721 |
|
1,159 |
675 |
$73.84 |
| 82962 |
|
11,989 |
8,662 |
$72.91 |
| 90700 |
|
1,612 |
1,077 |
$72.00 |
| 90744 |
|
1,967 |
1,601 |
$69.75 |
| 90716 |
|
329 |
227 |
$63.00 |
| 90707 |
|
342 |
238 |
$63.00 |
| 90710 |
|
428 |
287 |
$54.00 |
| G8510 |
Scr dep neg, no plan reqd |
144,449 |
77,548 |
$19.48 |
| 90713 |
|
143 |
105 |
$18.00 |
| 90734 |
|
459 |
313 |
$17.00 |
| 90688 |
|
1,200 |
684 |
$15.95 |
| 96156 |
|
181 |
180 |
$15.14 |
| 86580 |
|
221 |
150 |
$10.36 |
| J1885 |
Ketorolac tromethamine inj |
857 |
700 |
$9.58 |
| 90380 |
|
15 |
12 |
$9.00 |
| 97803 |
|
84 |
84 |
$7.57 |
| 99401 |
|
84 |
84 |
$7.57 |
| J3301 |
Triamcinolone acet inj nos |
214 |
142 |
$4.02 |
| G2023 |
Specimen collect covid-19 |
886 |
536 |
$0.16 |
| 99406 |
|
1,120 |
699 |
$0.03 |
| G0439 |
Ppps, subseq visit |
6,086 |
5,755 |
$0.01 |
| 3075F |
|
7,809 |
4,702 |
$0.00 |
| 3074F |
|
16,843 |
10,070 |
$0.00 |
| 3079F |
|
11,959 |
7,138 |
$0.00 |
| G9226 |
3 comp foot exam completed |
4,653 |
3,074 |
$0.00 |
| Z1032 |
|
546 |
545 |
$0.00 |
| Z1034 |
|
8,253 |
5,887 |
$0.00 |
| 93000 |
|
18 |
12 |
$0.00 |
| Z1038 |
|
290 |
287 |
$0.00 |
| 99174 |
|
176 |
132 |
$0.00 |
| 3080F |
|
1,366 |
788 |
$0.00 |
| 3044F |
|
742 |
442 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
361 |
210 |
$0.00 |
| Z6204 |
|
81 |
81 |
$0.00 |
| Z6406 |
|
149 |
149 |
$0.00 |
| G0008 |
Admin influenza virus vac |
66 |
66 |
$0.00 |
| 20550 |
|
290 |
157 |
$0.00 |
| 90732 |
|
40 |
39 |
$0.00 |
| 96110 |
|
67 |
42 |
$0.00 |
| 11730 |
|
57 |
29 |
$0.00 |
| 90381 |
|
15 |
12 |
$0.00 |
| 90472 |
|
80 |
79 |
$0.00 |
| 3078F |
|
18,756 |
11,169 |
$0.00 |
| 3077F |
|
7,438 |
4,271 |
$0.00 |
| Z6400 |
|
1,102 |
1,102 |
$0.00 |
| Z6304 |
|
81 |
81 |
$0.00 |
| 3046F |
|
260 |
153 |
$0.00 |
| 90648 |
|
146 |
105 |
$0.00 |
| 3051F |
|
166 |
98 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
1,142 |
669 |
$0.00 |
| Z6500 |
|
210 |
209 |
$0.00 |
| G0438 |
Ppps, initial visit |
60 |
60 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
67 |
67 |
$0.00 |
| G9357 |
Pp eval/edu perf |
34 |
24 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
14 |
12 |
$0.00 |
| MUREP |
|
25 |
25 |
$0.00 |
| 94150 |
|
12 |
12 |
$0.00 |
| H1000 |
Prenatal care atrisk assessm |
46 |
46 |
$0.00 |
| A4614 |
Hand-held pefr meter |
13 |
13 |
$0.00 |
| 90746 |
|
13 |
13 |
$0.00 |
| 99382 |
|
12 |
12 |
$0.00 |
| H1002 |
Carecoordination prenatal |
26 |
26 |
$0.00 |