| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
232,679 |
214,856 |
$32.81M |
| 00003 |
|
7,152 |
6,627 |
$1.60M |
| 99213 |
|
124,726 |
108,208 |
$1.37M |
| 99214 |
|
50,286 |
43,440 |
$773K |
| 96156 |
|
19,143 |
18,532 |
$560K |
| H1001 |
Antepartum management |
2,305 |
1,859 |
$197K |
| 99391 |
|
9,084 |
8,177 |
$197K |
| 99392 |
|
9,046 |
8,002 |
$192K |
| 96110 |
|
5,634 |
4,707 |
$171K |
| G0467 |
Fqhc visit, estab pt |
6,789 |
5,851 |
$129K |
| 99393 |
|
4,619 |
4,089 |
$125K |
| 59425 |
|
2,050 |
1,391 |
$121K |
| 96158 |
|
5,050 |
2,923 |
$118K |
| 90686 |
|
14,837 |
13,990 |
$91K |
| 0012A |
|
1,530 |
890 |
$78K |
| 0011A |
|
1,521 |
892 |
$64K |
| 99203 |
|
1,945 |
1,852 |
$63K |
| 99394 |
|
2,283 |
2,001 |
$60K |
| 99215 |
Prolong outpt/office vis |
1,242 |
1,081 |
$55K |
| 0001A |
|
1,196 |
654 |
$54K |
| 0002A |
|
1,002 |
551 |
$52K |
| 99204 |
|
1,031 |
1,000 |
$51K |
| 99212 |
|
8,581 |
7,820 |
$47K |
| 97802 |
|
1,116 |
942 |
$45K |
| 90670 |
|
7,535 |
6,375 |
$43K |
| 97811 |
|
2,969 |
1,779 |
$42K |
| 97810 |
|
3,017 |
1,809 |
$42K |
| 90715 |
|
1,729 |
1,682 |
$41K |
| 90677 |
|
1,588 |
1,023 |
$38K |
| 90651 |
|
1,023 |
968 |
$35K |
| 90471 |
|
13,144 |
11,891 |
$30K |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,607 |
1,418 |
$28K |
| 97803 |
|
1,154 |
952 |
$28K |
| G9920 |
Scrning perf and negative |
6,106 |
5,215 |
$27K |
| G8510 |
Scr dep neg, no plan reqd |
6,273 |
5,172 |
$26K |
| 59430 |
|
289 |
282 |
$24K |
| 99395 |
|
466 |
465 |
$24K |
| 96151 |
|
2,336 |
2,305 |
$24K |
| 0064A |
|
436 |
257 |
$22K |
| 90750 |
|
149 |
143 |
$22K |
| 96167 |
|
559 |
483 |
$20K |
| 90698 |
|
4,023 |
3,320 |
$19K |
| 96159 |
|
2,696 |
1,374 |
$18K |
| 0072A |
|
322 |
164 |
$17K |
| H1000 |
Prenatal care atrisk assessm |
111 |
110 |
$17K |
| 99396 |
|
184 |
176 |
$17K |
| D0150 |
|
431 |
427 |
$16K |
| 90633 |
|
2,624 |
2,472 |
$16K |
| 0071A |
|
354 |
181 |
$16K |
| D1110 |
|
274 |
273 |
$16K |
| 99051 |
|
3,382 |
3,213 |
$15K |
| 0004A |
|
293 |
165 |
$15K |
| D1120 |
|
644 |
625 |
$15K |
| 81003 |
|
23,159 |
17,660 |
$15K |
| 90681 |
|
2,669 |
2,133 |
$13K |
| 96372 |
|
2,033 |
1,884 |
$13K |
| D0120 |
|
467 |
464 |
$12K |
| 90656 |
|
1,397 |
1,036 |
$11K |
| 90744 |
|
1,977 |
1,948 |
$11K |
| 99385 |
|
138 |
138 |
$9K |
| T1027 |
Family training & counseling |
744 |
513 |
$8K |
| D0210 |
|
188 |
185 |
$8K |
| 81025 |
|
3,032 |
2,774 |
$7K |
| 90697 |
|
2,194 |
1,793 |
$7K |
| 90716 |
|
867 |
721 |
$7K |
| H2015 |
Comp comm supp svc, 15 min |
706 |
463 |
$7K |
| 90707 |
|
775 |
699 |
$7K |
| D1206 |
|
631 |
613 |
$6K |
| D0145 |
|
180 |
177 |
$6K |
| 90658 |
|
467 |
466 |
$6K |
| 90619 |
|
254 |
202 |
$6K |
| 83036 |
|
887 |
876 |
$5K |
| 90710 |
|
825 |
501 |
$5K |
| 90700 |
|
512 |
509 |
$5K |
| 92551 |
|
956 |
773 |
$5K |
| 90648 |
|
489 |
487 |
$4K |
| G0442 |
Annual alcohol screen 15 min |
2,988 |
2,953 |
$4K |
| 90734 |
|
793 |
455 |
$4K |
| D0230 |
|
253 |
238 |
$4K |
| 85018 |
|
3,521 |
3,291 |
$4K |
| 0054A |
|
66 |
39 |
$3K |
| 90832 |
|
79 |
64 |
$3K |
| 93000 |
|
201 |
191 |
$3K |
| 96127 |
|
2,503 |
1,458 |
$3K |
| 99401 |
|
272 |
254 |
$3K |
| 90696 |
|
406 |
341 |
$3K |
| 96170 |
|
138 |
83 |
$3K |
| 99386 |
|
25 |
25 |
$3K |
| 90472 |
|
2,033 |
1,659 |
$3K |
| D2392 |
|
43 |
30 |
$3K |
| 0124A |
|
40 |
40 |
$3K |
| 90649 |
|
604 |
121 |
$2K |
| 96150 |
|
138 |
134 |
$2K |
| 99202 |
|
144 |
144 |
$2K |
| G8431 |
Pos clin depres scrn f/u doc |
123 |
120 |
$2K |
| 90662 |
|
314 |
313 |
$1K |
| S9445 |
Pt education noc individ |
145 |
117 |
$1K |
| H1003 |
Prenatal at risk education |
72 |
66 |
$1K |
| 99234 |
|
12,157 |
9,790 |
$1K |
| 90685 |
|
141 |
138 |
$1K |
| 90480 |
|
70 |
41 |
$1K |
| H2027 |
Psychoed svc, per 15 min |
95 |
68 |
$1K |
| 85999 |
|
316 |
316 |
$951.16 |
| 90620 |
|
144 |
124 |
$893.46 |
| D0272 |
|
80 |
79 |
$814.00 |
| 99443 |
|
69 |
68 |
$777.27 |
| 85610 |
|
1,034 |
852 |
$740.61 |
| G0008 |
Admin influenza virus vac |
393 |
388 |
$617.34 |
| D0274 |
|
28 |
28 |
$561.60 |
| 90672 |
|
184 |
162 |
$549.00 |
| 82947 |
|
564 |
525 |
$456.42 |
| 99173 |
|
591 |
579 |
$449.80 |
| 99211 |
|
34 |
27 |
$413.54 |
| 99442 |
|
43 |
41 |
$367.84 |
| D0220 |
|
26 |
26 |
$284.00 |
| 91322 |
|
24 |
14 |
$218.88 |
| Q3014 |
Telehealth facility fee |
1,071 |
993 |
$195.25 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
14 |
12 |
$163.94 |
| J1885 |
Ketorolac tromethamine inj |
333 |
316 |
$103.95 |
| 99070 |
|
45 |
43 |
$101.81 |
| 96152 |
|
55 |
39 |
$78.74 |
| 96154 |
|
36 |
30 |
$64.65 |
| 81001 |
|
1,052 |
978 |
$62.00 |
| 99381 |
|
40 |
40 |
$60.29 |
| G0009 |
Admin pneumococcal vaccine |
17 |
12 |
$57.06 |
| 90461 |
|
236 |
220 |
$45.00 |
| 80053 |
|
2,136 |
1,660 |
$40.00 |
| J3490 |
Drugs unclassified injection |
235 |
194 |
$39.86 |
| 96160 |
|
4,478 |
4,349 |
$20.10 |
| 90660 |
|
23 |
14 |
$18.00 |
| 90746 |
|
24 |
24 |
$4.69 |
| 81002 |
|
25 |
19 |
$3.44 |
| 90460 |
|
438 |
409 |
$2.23 |
| Z1034 |
|
10,807 |
9,074 |
$0.00 |
| 83690 |
|
438 |
411 |
$0.00 |
| 3074F |
|
2,257 |
2,204 |
$0.00 |
| D0603 |
|
44 |
44 |
$0.00 |
| 0250 |
|
585 |
548 |
$0.00 |
| 96161 |
|
611 |
552 |
$0.00 |
| 0301 |
|
59 |
56 |
$0.00 |
| 83605 |
|
95 |
82 |
$0.00 |
| 3075F |
|
470 |
459 |
$0.00 |
| 84484 |
|
315 |
282 |
$0.00 |
| 85025 |
|
2,407 |
1,844 |
$0.00 |
| Z1032 |
|
655 |
651 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
27 |
26 |
$0.00 |
| 3079F |
|
477 |
461 |
$0.00 |
| 0258 |
|
79 |
75 |
$0.00 |
| 71045 |
|
375 |
355 |
$0.00 |
| 0306 |
|
364 |
350 |
$0.00 |
| 83735 |
|
786 |
549 |
$0.00 |
| Z6402 |
|
12 |
12 |
$0.00 |
| 96375 |
|
308 |
265 |
$0.00 |
| 99283 |
|
2,556 |
2,328 |
$0.00 |
| 0324 |
|
128 |
122 |
$0.00 |
| Z1038 |
|
295 |
288 |
$0.00 |
| 87635 |
|
48 |
47 |
$0.00 |
| Z6410 |
|
240 |
202 |
$0.00 |
| 87636 |
|
677 |
617 |
$0.00 |
| 0370 |
|
12 |
12 |
$0.00 |
| 87637 |
|
126 |
118 |
$0.00 |
| 96374 |
|
458 |
416 |
$0.00 |
| 85730 |
|
426 |
405 |
$0.00 |
| 0270 |
|
524 |
433 |
$0.00 |
| 0352 |
|
45 |
42 |
$0.00 |
| 0420 |
|
99 |
96 |
$0.00 |
| 80048 |
|
379 |
345 |
$0.00 |
| 84443 |
|
13 |
12 |
$0.00 |
| 3080F |
|
70 |
68 |
$0.00 |
| D0601 |
|
118 |
116 |
$0.00 |
| 0206 |
|
82 |
79 |
$0.00 |
| 86901 |
|
44 |
41 |
$0.00 |
| 86850 |
|
44 |
41 |
$0.00 |
| 0949 |
|
27 |
26 |
$0.00 |
| 0710 |
|
42 |
40 |
$0.00 |
| 0255 |
|
13 |
12 |
$0.00 |
| 99441 |
|
14 |
14 |
$0.00 |
| 3078F |
|
4,699 |
4,495 |
$0.00 |
| 84100 |
|
425 |
277 |
$0.00 |
| 84702 |
|
237 |
221 |
$0.00 |
| 3077F |
|
1,441 |
1,335 |
$0.00 |
| 93005 |
|
846 |
786 |
$0.00 |
| 0300 |
|
540 |
505 |
$0.00 |
| 0320 |
|
40 |
39 |
$0.00 |
| G9656 |
Pt trans from anest to pacu |
165 |
160 |
$0.00 |
| 76705 |
|
14 |
13 |
$0.00 |
| Z6304 |
|
279 |
270 |
$0.00 |
| 0450 |
|
293 |
280 |
$0.00 |
| 0430 |
|
63 |
63 |
$0.00 |
| 0521 |
|
110 |
78 |
$0.00 |
| 74177 |
|
180 |
176 |
$0.00 |
| C9803 |
Hopd covid-19 spec collect |
1,001 |
922 |
$0.00 |
| 80307 |
|
84 |
79 |
$0.00 |
| Z6414 |
|
102 |
100 |
$0.00 |
| 0390 |
|
44 |
42 |
$0.00 |
| 99354 |
|
113 |
112 |
$0.00 |
| 99201 |
|
36 |
36 |
$0.00 |
| 0360 |
|
238 |
161 |
$0.00 |
| 0402 |
|
39 |
38 |
$0.00 |
| 0730 |
|
106 |
102 |
$0.00 |
| Z6300 |
|
14 |
14 |
$0.00 |
| 99336 |
|
15 |
14 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
288 |
276 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
87 |
43 |
$0.00 |
| Z6200 |
|
41 |
37 |
$0.00 |
| 71046 |
|
89 |
86 |
$0.00 |
| 0160 |
|
13 |
12 |
$0.00 |
| 92504 |
|
26 |
25 |
$0.00 |
| Z6202 |
|
70 |
70 |
$0.00 |
| 86900 |
|
44 |
41 |
$0.00 |
| 0121 |
|
13 |
12 |
$0.00 |
| 70450 |
|
24 |
24 |
$0.00 |
| 91321 |
|
20 |
12 |
$0.00 |
| 0760 |
|
229 |
178 |
$0.00 |