| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
229,938 |
171,903 |
$27.75M |
| H2020 |
Ther behav svc, per diem |
16,881 |
10,174 |
$1.63M |
| 99051 |
|
1,075 |
916 |
$6K |
| 99213 |
|
154,907 |
118,923 |
$1K |
| 99214 |
|
4,895 |
3,905 |
$366.47 |
| 99212 |
|
51,245 |
41,584 |
$161.13 |
| 90792 |
|
1,644 |
846 |
$61.54 |
| 0002A |
|
133 |
36 |
$37.08 |
| J0696 |
Ceftriaxone sodium injection |
18,105 |
13,928 |
$0.00 |
| J3420 |
Vitamin b12 injection |
858 |
689 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
15,038 |
12,494 |
$0.00 |
| 87081 |
|
9,440 |
6,678 |
$0.00 |
| 96372 |
|
82,813 |
44,121 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
28,725 |
21,508 |
$0.00 |
| 92551 |
|
8,618 |
5,816 |
$0.00 |
| 82962 |
|
6,320 |
4,754 |
$0.00 |
| 87807 |
|
1,988 |
1,515 |
$0.00 |
| 90680 |
|
1,540 |
1,232 |
$0.00 |
| 90723 |
|
813 |
697 |
$0.00 |
| 85018 |
|
3,786 |
2,505 |
$0.00 |
| 86308 |
|
967 |
810 |
$0.00 |
| 90471 |
|
11,171 |
8,176 |
$0.00 |
| 99308 |
|
13,442 |
11,822 |
$0.00 |
| 90696 |
|
158 |
135 |
$0.00 |
| 90834 |
|
2,465 |
1,256 |
$0.00 |
| 90688 |
|
805 |
642 |
$0.00 |
| 90697 |
|
1,263 |
872 |
$0.00 |
| 90651 |
|
272 |
199 |
$0.00 |
| 99202 |
|
34 |
31 |
$0.00 |
| 20610 |
|
378 |
326 |
$0.00 |
| 90647 |
|
1,070 |
873 |
$0.00 |
| 90698 |
|
18 |
15 |
$0.00 |
| 51798 |
|
437 |
312 |
$0.00 |
| 90744 |
|
15 |
12 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
25 |
20 |
$0.00 |
| 90716 |
|
47 |
41 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
13 |
12 |
$0.00 |
| 0001A |
|
157 |
37 |
$0.00 |
| G0506 |
Comp asses care plan ccm svc |
50 |
47 |
$0.00 |
| 90619 |
|
37 |
17 |
$0.00 |
| 99391 |
|
4,673 |
3,056 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
18,702 |
14,139 |
$0.00 |
| 99394 |
|
3,365 |
2,214 |
$0.00 |
| 90472 |
|
13,376 |
6,028 |
$0.00 |
| 87804 |
|
16,648 |
7,846 |
$0.00 |
| 90734 |
|
302 |
246 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
46 |
40 |
$0.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
2,255 |
2,083 |
$0.00 |
| 90670 |
|
2,564 |
2,165 |
$0.00 |
| 90671 |
|
1,235 |
706 |
$0.00 |
| 99173 |
|
9,068 |
5,880 |
$0.00 |
| 81003 |
|
7,824 |
5,716 |
$0.00 |
| 87811 |
|
9,854 |
7,977 |
$0.00 |
| 99393 |
|
5,254 |
3,299 |
$0.00 |
| 90633 |
|
1,379 |
1,121 |
$0.00 |
| 99392 |
|
6,567 |
4,393 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
483 |
353 |
$0.00 |
| 99203 |
|
439 |
324 |
$0.00 |
| 90710 |
|
199 |
160 |
$0.00 |
| 81025 |
|
3,345 |
2,811 |
$0.00 |
| 11719 |
|
1,192 |
977 |
$0.00 |
| 90791 |
|
188 |
76 |
$0.00 |
| 90685 |
|
194 |
149 |
$0.00 |
| 87880 |
|
1,171 |
1,007 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
1,091 |
899 |
$0.00 |
| 90832 |
|
1,724 |
793 |
$0.00 |
| 90837 |
|
1,373 |
669 |
$0.00 |
| 11721 |
|
1,383 |
1,215 |
$0.00 |
| 11720 |
|
23 |
21 |
$0.00 |
| 91300 |
|
255 |
71 |
$0.00 |
| 90715 |
|
80 |
54 |
$0.00 |
| 90700 |
|
20 |
16 |
$0.00 |
| 90833 |
|
372 |
61 |
$0.00 |
| 11056 |
|
137 |
106 |
$0.00 |
| 93005 |
|
13 |
13 |
$0.00 |
| 90681 |
|
98 |
45 |
$0.00 |
| 90707 |
|
61 |
54 |
$0.00 |
| 99395 |
|
163 |
141 |
$0.00 |
| 99396 |
|
135 |
117 |
$0.00 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
26 |
14 |
$0.00 |
| 99204 |
|
16 |
12 |
$0.00 |
| 93010 |
|
13 |
13 |
$0.00 |
| 86318 |
|
12 |
12 |
$0.00 |