| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
113,858 |
97,282 |
$14.75M |
| 00003 |
|
61,954 |
45,251 |
$9.74M |
| 99213 |
|
82,091 |
51,971 |
$132K |
| 98940 |
|
612 |
289 |
$92K |
| 99212 |
|
29,507 |
20,500 |
$84K |
| G0467 |
Fqhc visit, estab pt |
2,576 |
2,071 |
$65K |
| 90791 |
|
337 |
255 |
$18K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
1,299 |
1,299 |
$14K |
| 90832 |
|
404 |
287 |
$12K |
| G9920 |
Scrning perf and negative |
4,107 |
2,870 |
$8K |
| 98941 |
|
46 |
26 |
$7K |
| 90834 |
|
97 |
74 |
$3K |
| J3490 |
Drugs unclassified injection |
360 |
258 |
$3K |
| 99391 |
|
2,531 |
1,956 |
$2K |
| 81025 |
|
5,973 |
4,401 |
$2K |
| 99214 |
|
4,860 |
3,223 |
$2K |
| 99393 |
|
2,205 |
1,399 |
$1K |
| 59425 |
|
295 |
223 |
$1K |
| 99392 |
|
3,276 |
2,161 |
$1K |
| 99394 |
|
1,905 |
1,187 |
$1K |
| 99395 |
|
779 |
521 |
$1K |
| 99396 |
|
653 |
446 |
$903.72 |
| 92551 |
|
5,613 |
3,687 |
$513.82 |
| 90686 |
|
5,020 |
3,769 |
$481.59 |
| H1002 |
Carecoordination prenatal |
25 |
25 |
$407.49 |
| 90651 |
|
666 |
429 |
$352.00 |
| 90680 |
|
1,298 |
1,016 |
$171.00 |
| 87880 |
|
3,066 |
1,868 |
$164.41 |
| 99173 |
|
6,356 |
4,150 |
$162.19 |
| 90670 |
|
1,423 |
1,123 |
$162.00 |
| 90633 |
|
905 |
585 |
$144.00 |
| 90697 |
|
585 |
410 |
$144.00 |
| 83036 |
|
3,612 |
2,590 |
$141.89 |
| 83655 |
|
681 |
433 |
$116.05 |
| 85018 |
|
6,249 |
3,842 |
$107.98 |
| 90677 |
|
582 |
394 |
$107.00 |
| 87804 |
|
1,430 |
1,003 |
$102.14 |
| 81002 |
|
7,041 |
4,836 |
$72.64 |
| 90698 |
|
797 |
668 |
$72.00 |
| 90734 |
|
470 |
303 |
$70.00 |
| 99202 |
|
31 |
27 |
$68.60 |
| H1001 |
Antepartum management |
416 |
317 |
$60.48 |
| H1003 |
Prenatal at risk education |
166 |
166 |
$50.38 |
| 90471 |
|
2,460 |
1,893 |
$48.53 |
| 90716 |
|
142 |
93 |
$45.00 |
| 96156 |
|
221 |
221 |
$38.69 |
| 90707 |
|
102 |
63 |
$36.00 |
| 99401 |
|
100 |
100 |
$31.12 |
| 97803 |
|
100 |
100 |
$31.12 |
| 90700 |
|
634 |
389 |
$27.00 |
| 90744 |
|
406 |
346 |
$27.00 |
| G8510 |
Scr dep neg, no plan reqd |
34,719 |
20,619 |
$22.67 |
| 88720 |
|
72 |
64 |
$17.04 |
| 90621 |
|
27 |
14 |
$9.00 |
| 90713 |
|
115 |
76 |
$9.00 |
| 90715 |
|
455 |
352 |
$9.00 |
| 86580 |
|
185 |
124 |
$3.33 |
| G2023 |
Specimen collect covid-19 |
864 |
576 |
$0.18 |
| G8511 |
Scr dep pos, no plan doc rng |
614 |
425 |
$0.01 |
| 3077F |
|
1,942 |
1,208 |
$0.00 |
| 3078F |
|
8,499 |
5,361 |
$0.00 |
| Z6304 |
|
224 |
224 |
$0.00 |
| Z6500 |
|
164 |
164 |
$0.00 |
| Z6400 |
|
403 |
403 |
$0.00 |
| G9357 |
Pp eval/edu perf |
32 |
31 |
$0.00 |
| 3051F |
|
16 |
12 |
$0.00 |
| 3046F |
|
45 |
41 |
$0.00 |
| 90710 |
|
55 |
31 |
$0.00 |
| 90472 |
|
19 |
12 |
$0.00 |
| 3074F |
|
6,474 |
4,104 |
$0.00 |
| 3075F |
|
2,420 |
1,556 |
$0.00 |
| G0439 |
Ppps, subseq visit |
2,157 |
2,069 |
$0.00 |
| Z1038 |
|
31 |
31 |
$0.00 |
| 3044F |
|
534 |
365 |
$0.00 |
| G9226 |
3 comp foot exam completed |
1,620 |
1,133 |
$0.00 |
| 3079F |
|
2,655 |
1,660 |
$0.00 |
| Z6406 |
|
224 |
224 |
$0.00 |
| Z1034 |
|
2,169 |
1,661 |
$0.00 |
| Z1032 |
|
234 |
234 |
$0.00 |
| Z6204 |
|
224 |
224 |
$0.00 |
| 82962 |
|
635 |
527 |
$0.00 |
| 90688 |
|
1,287 |
732 |
$0.00 |
| 3080F |
|
23 |
13 |
$0.00 |
| 96372 |
|
99 |
70 |
$0.00 |
| Z6410 |
|
32 |
30 |
$0.00 |
| S9445 |
Pt education noc individ |
14 |
13 |
$0.00 |