| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
125,216 |
78,173 |
$17.57M |
| 00003 |
|
43,075 |
23,463 |
$6.58M |
| 99213 |
|
111,028 |
84,847 |
$1.58M |
| 99203 |
|
3,437 |
3,352 |
$249K |
| 99212 |
|
26,573 |
23,306 |
$132K |
| H1001 |
Antepartum management |
3,891 |
2,347 |
$108K |
| A4267 |
Male condom |
2,936 |
2,840 |
$44K |
| 99214 |
|
9,081 |
8,738 |
$43K |
| 99204 |
|
1,669 |
1,662 |
$30K |
| J3490 |
Drugs unclassified injection |
273 |
246 |
$25K |
| D4910 |
|
786 |
760 |
$23K |
| 99202 |
|
1,393 |
1,382 |
$22K |
| D0120 |
|
2,246 |
2,157 |
$20K |
| 92081 |
|
7,666 |
7,640 |
$18K |
| 92557 |
|
4,355 |
4,337 |
$15K |
| D1208 |
|
2,012 |
1,933 |
$13K |
| 99396 |
|
2,039 |
2,029 |
$13K |
| 99395 |
|
2,162 |
2,154 |
$12K |
| 59425 |
|
2,227 |
1,357 |
$11K |
| G9920 |
Scrning perf and negative |
2,537 |
2,491 |
$11K |
| D0274 |
|
2,127 |
2,024 |
$10K |
| 90832 |
|
2,455 |
1,749 |
$10K |
| 81025 |
|
6,366 |
6,199 |
$9K |
| 99394 |
|
2,080 |
2,078 |
$9K |
| D0150 |
|
667 |
640 |
$9K |
| D4341 |
|
451 |
199 |
$8K |
| D0220 |
|
2,985 |
2,685 |
$7K |
| D9430 |
|
1,264 |
1,056 |
$6K |
| D1110 |
|
482 |
469 |
$6K |
| 0001A |
|
1,077 |
1,013 |
$6K |
| S9445 |
Pt education noc individ |
483 |
467 |
$6K |
| 59430 |
|
430 |
376 |
$6K |
| D0210 |
|
526 |
511 |
$6K |
| 90649 |
|
604 |
594 |
$5K |
| 99393 |
|
1,669 |
1,665 |
$5K |
| H1003 |
Prenatal at risk education |
1,167 |
1,096 |
$5K |
| 90791 |
|
469 |
464 |
$4K |
| 93000 |
|
1,469 |
1,459 |
$4K |
| 81001 |
|
1,248 |
791 |
$4K |
| 81002 |
|
7,156 |
6,303 |
$4K |
| D0230 |
|
4,438 |
2,221 |
$4K |
| 92552 |
|
2,651 |
2,634 |
$3K |
| 90734 |
|
723 |
719 |
$3K |
| 90471 |
|
4,877 |
4,810 |
$2K |
| D1120 |
|
187 |
184 |
$2K |
| 90686 |
|
1,488 |
1,477 |
$2K |
| 90688 |
|
664 |
660 |
$2K |
| 99392 |
|
411 |
408 |
$2K |
| 93040 |
|
1,212 |
1,205 |
$2K |
| 90658 |
|
278 |
273 |
$2K |
| 0002A |
|
626 |
607 |
$2K |
| 96156 |
|
447 |
446 |
$2K |
| 76801 |
|
83 |
80 |
$1K |
| 85018 |
|
5,506 |
5,445 |
$1K |
| 99401 |
|
285 |
279 |
$1K |
| D2392 |
|
30 |
26 |
$1K |
| 85014 |
|
2,551 |
2,516 |
$1K |
| 90460 |
|
1,053 |
1,041 |
$1K |
| 90620 |
|
199 |
196 |
$1K |
| 90670 |
|
85 |
85 |
$1K |
| 90715 |
|
448 |
445 |
$1K |
| 90792 |
|
101 |
101 |
$990.19 |
| 90716 |
|
133 |
132 |
$948.00 |
| 91300 |
|
1,410 |
1,343 |
$871.11 |
| G2023 |
Specimen collect covid-19 |
229 |
223 |
$806.66 |
| 90707 |
|
125 |
125 |
$702.53 |
| 90682 |
|
242 |
242 |
$540.47 |
| 99211 |
|
1,434 |
1,407 |
$514.57 |
| 88150 |
|
1,728 |
1,727 |
$504.12 |
| 90472 |
|
929 |
923 |
$488.04 |
| 90651 |
|
370 |
369 |
$468.00 |
| 97140 |
|
282 |
199 |
$447.78 |
| 87811 |
|
62 |
59 |
$331.04 |
| 99215 |
Prolong outpt/office vis |
246 |
246 |
$309.82 |
| 86580 |
|
569 |
558 |
$290.23 |
| 99201 |
|
18 |
13 |
$287.26 |
| 90700 |
|
117 |
117 |
$284.52 |
| 76816 |
|
13 |
13 |
$259.19 |
| 90662 |
|
69 |
68 |
$235.60 |
| 36415 |
|
7,818 |
7,605 |
$223.20 |
| D2150 |
|
26 |
13 |
$203.00 |
| 82962 |
|
1,357 |
1,234 |
$163.10 |
| 90656 |
|
227 |
226 |
$152.81 |
| 97803 |
|
46 |
43 |
$130.65 |
| 69210 |
|
15 |
13 |
$116.00 |
| 90461 |
|
332 |
330 |
$107.52 |
| G0447 |
Behavior counsel obesity 15m |
206 |
184 |
$100.15 |
| 97802 |
|
18 |
18 |
$100.13 |
| 99173 |
|
1,192 |
1,186 |
$98.07 |
| 90633 |
|
40 |
40 |
$90.00 |
| 90756 |
|
45 |
45 |
$84.03 |
| 90713 |
|
40 |
39 |
$81.87 |
| 90647 |
|
12 |
12 |
$68.30 |
| 90671 |
|
26 |
25 |
$63.00 |
| 3074F |
|
11,240 |
10,330 |
$57.69 |
| 99000 |
|
457 |
437 |
$57.36 |
| G0444 |
Depression screen annual |
1,967 |
1,962 |
$49.58 |
| D0140 |
|
47 |
39 |
$46.20 |
| H2000 |
Comp multidisipln evaluation |
24 |
24 |
$41.73 |
| 3078F |
|
10,206 |
9,460 |
$40.29 |
| 3008F |
|
14,737 |
13,489 |
$33.61 |
| 3079F |
|
2,818 |
2,705 |
$29.00 |
| D0272 |
|
26 |
25 |
$24.00 |
| 1160F |
|
11,623 |
9,682 |
$23.49 |
| 96372 |
|
15 |
14 |
$22.25 |
| 1158F |
|
312 |
311 |
$18.00 |
| 0011A |
|
96 |
96 |
$17.92 |
| D0603 |
|
2,010 |
1,956 |
$10.00 |
| 1159F |
|
16,683 |
13,466 |
$9.02 |
| G8510 |
Scr dep neg, no plan reqd |
300 |
300 |
$0.03 |
| Q0091 |
Obtaining screen pap smear |
792 |
789 |
$0.00 |
| 3077F |
|
450 |
441 |
$0.00 |
| 3046F |
|
143 |
122 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
28 |
28 |
$0.00 |
| 3015F |
|
92 |
91 |
$0.00 |
| 3725F |
|
465 |
463 |
$0.00 |
| 99072 |
|
49 |
49 |
$0.00 |
| 1124F |
|
17 |
17 |
$0.00 |
| 3051F |
|
185 |
157 |
$0.00 |
| 99391 |
|
13 |
13 |
$0.00 |
| 87880 |
|
12 |
12 |
$0.00 |
| G0101 |
Ca screen;pelvic/breast exam |
18 |
18 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
12 |
12 |
$0.00 |
| 90672 |
|
20 |
20 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
841 |
837 |
$0.00 |
| D0602 |
|
114 |
112 |
$0.00 |
| D1330 |
|
1,122 |
1,093 |
$0.00 |
| 1036F |
|
13,027 |
10,621 |
$0.00 |
| 3044F |
|
2,735 |
2,300 |
$0.00 |
| 3017F |
|
80 |
78 |
$0.00 |
| 1157F |
|
120 |
117 |
$0.00 |
| 3075F |
|
1,690 |
1,637 |
$0.00 |
| 3080F |
|
157 |
154 |
$0.00 |
| 3014F |
|
108 |
105 |
$0.00 |
| 1034F |
|
810 |
661 |
$0.00 |
| 91301 |
|
139 |
139 |
$0.00 |
| 99441 |
|
312 |
232 |
$0.00 |
| 0012A |
|
64 |
64 |
$0.00 |
| 3052F |
|
77 |
69 |
$0.00 |
| 57454 |
|
12 |
12 |
$0.00 |
| G0439 |
Ppps, subseq visit |
49 |
49 |
$0.00 |
| 99384 |
|
14 |
14 |
$0.00 |
| 1123F |
|
104 |
103 |
$0.00 |
| 1126F |
|
60 |
60 |
$0.00 |
| 92567 |
|
14 |
14 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |