| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
94,220 |
87,171 |
$4.20M |
| 99214 |
|
51,739 |
47,367 |
$3.11M |
| T1015 |
Clinic service |
26,659 |
20,762 |
$1.02M |
| 90832 |
|
17,618 |
13,754 |
$897K |
| 99391 |
|
6,529 |
5,677 |
$356K |
| 99392 |
|
5,414 |
5,347 |
$319K |
| 87428 |
|
4,400 |
4,256 |
$238K |
| V2020 |
Vision svcs frames purchases |
5,446 |
5,218 |
$237K |
| G0467 |
Fqhc visit, estab pt |
6,166 |
5,157 |
$219K |
| 90471 |
|
25,860 |
25,015 |
$202K |
| 92014 |
|
5,087 |
4,861 |
$193K |
| 99393 |
|
2,990 |
2,984 |
$175K |
| 90472 |
|
10,395 |
10,138 |
$166K |
| 87804 |
|
10,801 |
5,434 |
$108K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,854 |
2,631 |
$107K |
| 99394 |
|
1,566 |
1,565 |
$103K |
| 87880 |
|
10,445 |
10,269 |
$98K |
| 99215 |
Prolong outpt/office vis |
951 |
921 |
$92K |
| 90792 |
|
635 |
624 |
$92K |
| 99051 |
|
3,629 |
3,440 |
$85K |
| 99212 |
|
2,667 |
2,414 |
$85K |
| 2000F |
|
523 |
472 |
$71K |
| 2001F |
|
506 |
458 |
$69K |
| 90834 |
|
888 |
808 |
$69K |
| 92340 |
|
3,999 |
3,892 |
$67K |
| 3008F |
|
499 |
454 |
$67K |
| 99395 |
|
1,269 |
1,233 |
$66K |
| 83036 |
|
3,911 |
3,792 |
$60K |
| S0580 |
Polycarb lens |
2,638 |
2,543 |
$59K |
| J1050 |
Medroxyprogesterone acetate |
834 |
827 |
$50K |
| 99396 |
|
665 |
655 |
$41K |
| 1159F |
|
265 |
244 |
$37K |
| 1160F |
|
265 |
244 |
$37K |
| 99238 |
|
688 |
591 |
$37K |
| 1000F |
|
284 |
258 |
$35K |
| 87426 |
|
1,072 |
1,063 |
$34K |
| 82962 |
|
1,614 |
1,467 |
$34K |
| 99460 |
|
727 |
611 |
$33K |
| 3078F |
|
243 |
221 |
$32K |
| 96372 |
|
1,881 |
1,541 |
$30K |
| 81025 |
|
4,939 |
4,770 |
$25K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
4,518 |
3,465 |
$20K |
| G2012 |
Brief check in by md/qhp |
4,386 |
3,356 |
$19K |
| 96110 |
|
1,234 |
1,225 |
$17K |
| 3074F |
|
125 |
114 |
$16K |
| V2100 |
Lens spher single plano 4.00 |
355 |
343 |
$15K |
| 76801 |
|
300 |
294 |
$14K |
| 90460 |
|
715 |
670 |
$12K |
| 90791 |
|
88 |
88 |
$11K |
| G0008 |
Admin influenza virus vac |
417 |
359 |
$11K |
| 90461 |
|
325 |
312 |
$11K |
| 95004 |
|
319 |
311 |
$10K |
| S0621 |
Routine ophthalmological exa |
220 |
220 |
$9K |
| 94010 |
|
422 |
389 |
$9K |
| 94664 |
|
751 |
663 |
$8K |
| 94760 |
|
1,504 |
1,367 |
$7K |
| G2023 |
Specimen collect covid-19 |
370 |
322 |
$7K |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
242 |
219 |
$7K |
| 99203 |
|
95 |
95 |
$7K |
| 81002 |
|
2,173 |
2,126 |
$6K |
| 1220F |
|
58 |
54 |
$6K |
| 90473 |
|
610 |
602 |
$6K |
| 93000 |
|
252 |
235 |
$6K |
| 3075F |
|
41 |
40 |
$6K |
| 92004 |
|
100 |
100 |
$5K |
| 92250 |
|
177 |
169 |
$5K |
| G2025 |
Dis site tele svcs rhc/fqhc |
274 |
227 |
$5K |
| 99202 |
|
95 |
95 |
$5K |
| V2784 |
Lens polycarb or equal |
159 |
98 |
$5K |
| 87210 |
|
1,065 |
1,040 |
$4K |
| 99385 |
|
39 |
39 |
$4K |
| 3079F |
|
28 |
27 |
$3K |
| 76817 |
|
66 |
66 |
$3K |
| 0012A |
|
82 |
82 |
$3K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
40 |
40 |
$3K |
| 17110 |
|
88 |
82 |
$3K |
| 2028F |
|
15 |
15 |
$2K |
| 99462 |
|
91 |
77 |
$2K |
| 90847 |
|
28 |
24 |
$2K |
| 90662 |
|
100 |
82 |
$2K |
| 76815 |
|
39 |
27 |
$2K |
| 92341 |
|
101 |
98 |
$2K |
| 99211 |
|
77 |
75 |
$2K |
| 94640 |
|
102 |
90 |
$1K |
| 96127 |
|
101 |
97 |
$1K |
| 90480 |
|
34 |
29 |
$1K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
28 |
27 |
$906.38 |
| 99442 |
|
69 |
62 |
$763.86 |
| 11721 |
|
32 |
32 |
$724.31 |
| 0011A |
|
29 |
29 |
$636.34 |
| 76856 |
|
12 |
12 |
$618.31 |
| 92012 |
|
20 |
19 |
$517.68 |
| 96160 |
|
66 |
64 |
$437.50 |
| 90694 |
|
21 |
16 |
$364.85 |
| T1017 |
Targeted case management |
19 |
16 |
$332.85 |
| 99173 |
|
57 |
57 |
$323.23 |
| 69209 |
|
12 |
12 |
$113.19 |
| 90686 |
|
380 |
377 |
$11.68 |
| J7610 |
Albuterol comp con |
13 |
13 |
$5.54 |
| 90674 |
|
127 |
103 |
$5.30 |
| J7620 |
Albuterol ipratrop non-comp |
15 |
13 |
$1.18 |
| 90677 |
|
42 |
42 |
$0.42 |
| 90697 |
|
34 |
34 |
$0.34 |
| 90715 |
|
32 |
32 |
$0.32 |
| H0033 |
Oral med adm direct observe |
16 |
16 |
$0.16 |
| 90681 |
|
13 |
13 |
$0.13 |
| 90619 |
|
12 |
12 |
$0.12 |
| 90656 |
|
13 |
12 |
$0.09 |
| T1016 |
Case management |
28 |
20 |
$0.00 |