| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99402 |
|
27,542 |
21,932 |
$2.23M |
| 90832 |
|
14,269 |
6,963 |
$589K |
| 90791 |
|
2,983 |
2,338 |
$406K |
| 90834 |
|
5,480 |
3,512 |
$300K |
| 90837 |
|
2,230 |
1,389 |
$176K |
| S0215 |
Non-emergency transportation; mileage, per mile |
718 |
703 |
$139K |
| H1000 |
Prenatal care, at-risk assessment |
1,456 |
1,451 |
$126K |
| H2000 |
Comprehensive multidisciplinary evaluation |
1,081 |
1,078 |
$116K |
| G9011 |
Coordinated care fee, risk adjusted maintenance, level 5 |
2,667 |
2,660 |
$107K |
| 90471 |
|
9,006 |
8,934 |
$91K |
| 90472 |
|
4,275 |
4,256 |
$86K |
| V5008 |
Hearing screening |
5,802 |
5,760 |
$54K |
| 0001A |
|
1,442 |
1,440 |
$50K |
| 99172 |
|
5,294 |
5,271 |
$49K |
| 0002A |
|
1,343 |
1,343 |
$49K |
| 36416 |
|
4,548 |
4,533 |
$46K |
| D1110 |
|
675 |
674 |
$36K |
| 87426 |
|
827 |
740 |
$27K |
| 99394 |
|
320 |
320 |
$25K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
256 |
256 |
$22K |
| D7140 |
|
252 |
75 |
$21K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
280 |
274 |
$21K |
| 90853 |
|
1,128 |
558 |
$17K |
| D0210 |
|
198 |
198 |
$16K |
| 99384 |
|
141 |
141 |
$14K |
| 90632 |
|
236 |
236 |
$13K |
| 90688 |
|
2,691 |
2,687 |
$13K |
| 99212 |
|
457 |
445 |
$12K |
| G9002 |
Coordinated care fee, maintenance rate |
70 |
70 |
$12K |
| 90651 |
|
454 |
453 |
$12K |
| 99213 |
|
258 |
243 |
$10K |
| 90715 |
|
719 |
718 |
$9K |
| G9001 |
Coordinated care fee, initial rate |
236 |
236 |
$9K |
| D0220 |
|
463 |
454 |
$8K |
| 0012A |
|
206 |
205 |
$7K |
| 0004A |
|
188 |
188 |
$7K |
| 0011A |
|
226 |
224 |
$7K |
| 0071A |
|
186 |
186 |
$7K |
| 90480 |
|
173 |
173 |
$7K |
| 0072A |
|
177 |
176 |
$7K |
| D0120 |
|
218 |
218 |
$6K |
| 91322 |
|
61 |
61 |
$6K |
| D0150 |
|
130 |
130 |
$5K |
| 90620 |
|
145 |
144 |
$5K |
| 90839 |
|
57 |
54 |
$5K |
| S9443 |
Lactation classes, non-physician provider, per session |
81 |
65 |
$5K |
| G9012 |
Other specified case management service not elsewhere classified |
75 |
74 |
$4K |
| D0140 |
|
99 |
97 |
$4K |
| D0274 |
|
112 |
112 |
$4K |
| D0230 |
|
597 |
223 |
$4K |
| 99383 |
|
39 |
39 |
$4K |
| 90707 |
|
1,058 |
1,057 |
$3K |
| 0064A |
|
71 |
71 |
$3K |
| 90756 |
|
309 |
309 |
$3K |
| 90670 |
|
1,062 |
1,062 |
$3K |
| 90716 |
|
1,045 |
1,044 |
$2K |
| 0031A |
|
60 |
60 |
$2K |
| 90750 |
|
13 |
13 |
$2K |
| 0124A |
|
52 |
52 |
$2K |
| 90686 |
|
225 |
225 |
$2K |
| 90734 |
|
530 |
530 |
$1K |
| 99211 |
|
104 |
104 |
$1K |
| 90661 |
|
97 |
97 |
$1K |
| 90474 |
|
115 |
115 |
$1K |
| 90677 |
|
219 |
219 |
$1K |
| 90746 |
|
15 |
15 |
$975.00 |
| 90473 |
|
101 |
101 |
$955.55 |
| Q3014 |
Telehealth originating site facility fee |
35 |
27 |
$711.51 |
| 85018 |
|
247 |
245 |
$542.38 |
| 90713 |
|
568 |
567 |
$173.70 |
| 90674 |
|
19 |
19 |
$170.85 |
| 81025 |
|
29 |
26 |
$137.46 |
| 90672 |
|
93 |
93 |
$136.22 |
| 83718 |
|
17 |
17 |
$101.47 |
| 81002 |
|
42 |
38 |
$65.98 |
| 82465 |
|
17 |
17 |
$42.25 |
| 82947 |
|
17 |
17 |
$36.55 |
| 90660 |
|
24 |
24 |
$28.87 |
| S4993 |
Contraceptive pills for birth control |
12 |
12 |
$9.86 |
| 90633 |
|
1,255 |
1,254 |
$0.00 |
| 90700 |
|
1,142 |
1,141 |
$0.00 |
| 91300 |
|
3,019 |
2,732 |
$0.00 |
| 91311 |
|
28 |
28 |
$0.00 |
| 90685 |
|
59 |
58 |
$0.00 |
| 91321 |
|
63 |
63 |
$0.00 |
| 91308 |
|
18 |
18 |
$0.00 |
| 91312 |
|
52 |
52 |
$0.00 |
| 90680 |
|
134 |
134 |
$0.00 |
| 90697 |
|
343 |
343 |
$0.00 |
| 90647 |
|
650 |
650 |
$0.00 |
| 90723 |
|
259 |
259 |
$0.00 |
| 91306 |
|
71 |
71 |
$0.00 |
| 91307 |
|
371 |
351 |
$0.00 |
| 91305 |
|
81 |
81 |
$0.00 |
| 91301 |
|
457 |
446 |
$0.00 |
| 91303 |
|
60 |
60 |
$0.00 |