| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
415,111 |
302,028 |
$84.21M |
| 00003 |
|
42,332 |
30,686 |
$11.90M |
| 99214 |
|
63,755 |
59,641 |
$114K |
| 92004 |
|
12,200 |
12,175 |
$87K |
| 99213 |
|
93,686 |
84,724 |
$76K |
| 97110 |
|
5,898 |
3,348 |
$69K |
| G0467 |
Fqhc visit, estab pt |
2,161 |
1,864 |
$54K |
| 98941 |
|
8,185 |
5,915 |
$53K |
| V2020 |
Vision svcs frames purchases |
11,701 |
11,684 |
$47K |
| 90834 |
|
7,054 |
6,289 |
$44K |
| 92014 |
|
6,170 |
6,150 |
$40K |
| 92340 |
|
7,980 |
7,969 |
$31K |
| 99212 |
|
21,446 |
20,497 |
$25K |
| 0004A |
|
365 |
365 |
$24K |
| 92015 |
|
17,733 |
17,695 |
$23K |
| 97140 |
|
1,798 |
1,066 |
$20K |
| 0001A |
|
301 |
292 |
$19K |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,262 |
1,165 |
$19K |
| 0002A |
|
283 |
278 |
$18K |
| 0124A |
|
232 |
221 |
$14K |
| 99203 |
|
3,574 |
3,571 |
$13K |
| 93000 |
|
5,904 |
5,854 |
$12K |
| 90791 |
|
2,124 |
2,106 |
$12K |
| 0013A |
|
175 |
175 |
$12K |
| G0470 |
Fqhc visit, mh estab pt |
170 |
132 |
$10K |
| 98940 |
|
2,154 |
1,643 |
$9K |
| 92341 |
|
1,866 |
1,865 |
$8K |
| H1001 |
Antepartum management |
126 |
104 |
$8K |
| 0071A |
|
94 |
91 |
$6K |
| 0072A |
|
85 |
85 |
$6K |
| 97161 |
|
108 |
107 |
$4K |
| 92250 |
|
6,508 |
6,506 |
$4K |
| 0154A |
|
125 |
125 |
$4K |
| G9920 |
Scrning perf and negative |
1,215 |
1,206 |
$3K |
| 96156 |
|
167 |
154 |
$3K |
| 92012 |
|
2,003 |
1,826 |
$3K |
| 99202 |
|
1,292 |
1,290 |
$3K |
| G0469 |
Fqhc visit, mh new pt |
50 |
45 |
$3K |
| J3490 |
Drugs unclassified injection |
158 |
150 |
$3K |
| 90832 |
|
3,794 |
3,588 |
$3K |
| 99401 |
|
717 |
710 |
$3K |
| 90480 |
|
713 |
712 |
$2K |
| 87491 |
|
3,935 |
3,888 |
$2K |
| 87591 |
|
3,928 |
3,882 |
$2K |
| H1003 |
Prenatal at risk education |
210 |
179 |
$2K |
| 90792 |
|
1,283 |
1,283 |
$2K |
| 0173A |
|
73 |
71 |
$2K |
| 81025 |
|
8,354 |
8,116 |
$2K |
| 97803 |
|
4,114 |
4,093 |
$2K |
| 0012A |
|
28 |
28 |
$2K |
| 0081A |
|
54 |
54 |
$2K |
| 98960 |
|
1,201 |
1,113 |
$1K |
| 90651 |
|
2,256 |
2,256 |
$981.08 |
| 0134A |
|
14 |
14 |
$938.00 |
| 87389 |
|
3,314 |
3,301 |
$799.24 |
| 58300 |
|
16 |
12 |
$489.04 |
| 11721 |
|
326 |
326 |
$487.54 |
| 99402 |
|
118 |
116 |
$413.27 |
| 80061 |
|
6,380 |
6,378 |
$336.13 |
| 80053 |
|
6,755 |
6,737 |
$328.81 |
| 86592 |
|
2,946 |
2,926 |
$292.90 |
| 83036 |
|
5,706 |
5,696 |
$247.92 |
| 90686 |
|
6,186 |
6,185 |
$220.46 |
| 81002 |
|
9,406 |
6,982 |
$213.68 |
| 86480 |
|
2,047 |
2,046 |
$209.24 |
| 85025 |
|
7,574 |
7,528 |
$129.47 |
| J3301 |
Triamcinolone acet inj nos |
1,999 |
1,942 |
$119.24 |
| S9445 |
Pt education noc individ |
151 |
148 |
$117.74 |
| 84443 |
|
6,185 |
6,178 |
$100.38 |
| 86803 |
|
2,271 |
2,269 |
$97.08 |
| A4267 |
Male condom |
83 |
82 |
$44.91 |
| 81003 |
|
2,860 |
2,824 |
$43.82 |
| 87210 |
|
2,291 |
2,279 |
$37.03 |
| 58301 |
|
13 |
12 |
$37.02 |
| 99391 |
|
4,578 |
4,499 |
$34.69 |
| J0696 |
Ceftriaxone sodium injection |
133 |
129 |
$21.80 |
| 86704 |
|
1,189 |
1,189 |
$21.66 |
| 81015 |
|
3,111 |
3,060 |
$20.38 |
| 86706 |
|
1,576 |
1,576 |
$19.02 |
| 87340 |
|
705 |
705 |
$18.24 |
| 36415 |
|
5,557 |
5,284 |
$15.00 |
| 80048 |
|
1,059 |
1,054 |
$14.03 |
| 99000 |
|
8,716 |
8,540 |
$10.89 |
| 82043 |
|
704 |
704 |
$5.08 |
| 96127 |
|
3,692 |
3,511 |
$4.81 |
| 82570 |
|
946 |
942 |
$4.69 |
| 99173 |
|
4,627 |
4,614 |
$2.34 |
| X3904 |
|
15,432 |
7,840 |
$0.00 |
| 99394 |
|
2,508 |
2,503 |
$0.00 |
| 90710 |
|
791 |
791 |
$0.00 |
| 2028F |
|
1,680 |
1,660 |
$0.00 |
| 90670 |
|
2,768 |
2,768 |
$0.00 |
| 84439 |
|
264 |
263 |
$0.00 |
| 90648 |
|
530 |
530 |
$0.00 |
| 99396 |
|
1,898 |
1,882 |
$0.00 |
| 87880 |
|
2,998 |
2,954 |
$0.00 |
| 90461 |
|
3,624 |
3,619 |
$0.00 |
| 83540 |
|
711 |
708 |
$0.00 |
| 90707 |
|
722 |
722 |
$0.00 |
| 99404 |
|
479 |
476 |
$0.00 |
| 90756 |
|
2,011 |
2,011 |
$0.00 |
| 90713 |
|
490 |
490 |
$0.00 |
| 84450 |
|
625 |
623 |
$0.00 |
| T1013 |
Sign lang/oral interpreter |
11,872 |
10,596 |
$0.00 |
| 90750 |
|
230 |
230 |
$0.00 |
| 90460 |
|
5,985 |
5,968 |
$0.00 |
| 91322 |
|
139 |
138 |
$0.00 |
| 80354 |
|
228 |
224 |
$0.00 |
| Z6200 |
|
633 |
632 |
$0.00 |
| 99392 |
|
5,386 |
5,384 |
$0.00 |
| 91312 |
|
70 |
70 |
$0.00 |
| X4110 |
|
224 |
101 |
$0.00 |
| 85610 |
|
130 |
122 |
$0.00 |
| 99393 |
|
3,677 |
3,676 |
$0.00 |
| Z6400 |
|
3,603 |
2,996 |
$0.00 |
| 90715 |
|
2,092 |
2,090 |
$0.00 |
| 82947 |
|
872 |
862 |
$0.00 |
| 99395 |
|
2,418 |
2,396 |
$0.00 |
| 96160 |
|
2,910 |
2,896 |
$0.00 |
| 92134 |
|
959 |
958 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
2,951 |
2,919 |
$0.00 |
| 2022F |
|
198 |
198 |
$0.00 |
| 99204 |
|
1,167 |
1,164 |
$0.00 |
| 90700 |
|
1,083 |
1,083 |
$0.00 |
| 90472 |
|
2,663 |
2,662 |
$0.00 |
| 90633 |
|
2,727 |
2,675 |
$0.00 |
| 59425 |
|
70 |
64 |
$0.00 |
| 82565 |
|
29 |
29 |
$0.00 |
| 90785 |
|
441 |
434 |
$0.00 |
| Z6308 |
|
39 |
37 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
176 |
176 |
$0.00 |
| 90734 |
|
487 |
487 |
$0.00 |
| 20611 |
|
26 |
14 |
$0.00 |
| Z6304 |
|
1,024 |
1,000 |
$0.00 |
| 90837 |
|
507 |
476 |
$0.00 |
| 91321 |
|
517 |
517 |
$0.00 |
| 82248 |
|
65 |
49 |
$0.00 |
| 69209 |
|
299 |
291 |
$0.00 |
| 91308 |
|
47 |
47 |
$0.00 |
| 90681 |
|
499 |
498 |
$0.00 |
| 99201 |
|
200 |
200 |
$0.00 |
| Z6300 |
|
530 |
530 |
$0.00 |
| 84460 |
|
608 |
606 |
$0.00 |
| 80307 |
|
458 |
447 |
$0.00 |
| 99442 |
|
210 |
205 |
$0.00 |
| Z6500 |
|
70 |
70 |
$0.00 |
| Z6414 |
|
51 |
50 |
$0.00 |
| 84156 |
|
69 |
66 |
$0.00 |
| 90687 |
|
54 |
54 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
134 |
134 |
$0.00 |
| 93005 |
|
17 |
17 |
$0.00 |
| 82247 |
|
65 |
49 |
$0.00 |
| 87811 |
|
296 |
285 |
$0.00 |
| 80076 |
|
12 |
12 |
$0.00 |
| Z6208 |
|
30 |
28 |
$0.00 |
| 92553 |
|
448 |
443 |
$0.00 |
| 90658 |
|
41 |
41 |
$0.00 |
| 97164 |
|
168 |
164 |
$0.00 |
| 90380 |
|
61 |
61 |
$0.00 |
| 87804 |
|
322 |
322 |
$0.00 |
| L1812 |
Ko elastic w/joints pre ots |
56 |
56 |
$0.00 |
| 82274 |
|
32 |
32 |
$0.00 |
| 90685 |
|
23 |
23 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
41 |
39 |
$0.00 |
| L1820 |
Ko elas w/ condyle pads & jo |
45 |
45 |
$0.00 |
| 90661 |
|
349 |
348 |
$0.00 |
| 90653 |
|
29 |
29 |
$0.00 |
| 90714 |
|
41 |
41 |
$0.00 |
| 90746 |
|
30 |
30 |
$0.00 |
| 59025 |
|
29 |
24 |
$0.00 |
| 84550 |
|
101 |
101 |
$0.00 |
| 99188 |
|
58 |
58 |
$0.00 |
| 87798 |
|
270 |
267 |
$0.00 |
| 10060 |
|
12 |
12 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
30 |
29 |
$0.00 |
| 90473 |
|
36 |
36 |
$0.00 |
| 3078F |
|
112 |
112 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
18 |
18 |
$0.00 |
| 85007 |
|
25 |
25 |
$0.00 |
| Z1034 |
|
11,593 |
8,602 |
$0.00 |
| 90680 |
|
1,883 |
1,883 |
$0.00 |
| 86140 |
|
304 |
301 |
$0.00 |
| Z6406 |
|
887 |
837 |
$0.00 |
| Z6410 |
|
985 |
966 |
$0.00 |
| 85651 |
|
794 |
789 |
$0.00 |
| 83550 |
|
639 |
636 |
$0.00 |
| 90674 |
|
539 |
539 |
$0.00 |
| 99381 |
|
1,021 |
1,016 |
$0.00 |
| Z1038 |
|
712 |
710 |
$0.00 |
| 36416 |
|
146 |
127 |
$0.00 |
| 90619 |
|
622 |
622 |
$0.00 |
| 90471 |
|
14,400 |
14,338 |
$0.00 |
| X3924 |
|
6,732 |
5,770 |
$0.00 |
| 90696 |
|
553 |
553 |
$0.00 |
| 82951 |
|
1,365 |
1,358 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
485 |
480 |
$0.00 |
| 90698 |
|
1,516 |
1,516 |
$0.00 |
| Z6204 |
|
1,320 |
1,257 |
$0.00 |
| 87081 |
|
725 |
723 |
$0.00 |
| 85018 |
|
4,564 |
4,537 |
$0.00 |
| 90716 |
|
971 |
971 |
$0.00 |
| 82728 |
|
603 |
602 |
$0.00 |
| Z6402 |
|
763 |
762 |
$0.00 |
| 97802 |
|
1,165 |
1,164 |
$0.00 |
| 87070 |
|
1,474 |
1,460 |
$0.00 |
| L1810 |
Ko elastic with joints |
16 |
16 |
$0.00 |
| 87086 |
|
2,757 |
2,715 |
$0.00 |
| G0108 |
Diab manage trn per indiv |
72 |
72 |
$0.00 |
| 90677 |
|
1,119 |
1,118 |
$0.00 |
| 81001 |
|
309 |
303 |
$0.00 |
| 91315 |
|
65 |
65 |
$0.00 |
| 96372 |
|
1,491 |
1,454 |
$0.00 |
| 94760 |
|
1,114 |
1,045 |
$0.00 |
| 96110 |
|
199 |
199 |
$0.00 |
| 99070 |
|
182 |
180 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
1,167 |
1,163 |
$0.00 |
| Z1032 |
|
1,186 |
1,174 |
$0.00 |
| 91317 |
|
61 |
61 |
$0.00 |
| 99406 |
|
808 |
789 |
$0.00 |
| X3908 |
|
2,018 |
1,445 |
$0.00 |
| 92551 |
|
7,616 |
7,581 |
$0.00 |
| 90744 |
|
1,464 |
1,464 |
$0.00 |
| 3074F |
|
113 |
113 |
$0.00 |
| 20610 |
|
1,971 |
1,826 |
$0.00 |
| 90381 |
|
58 |
58 |
$0.00 |
| 2023F |
|
1,141 |
1,138 |
$0.00 |
| X3906 |
|
167 |
163 |
$0.00 |
| 90688 |
|
179 |
179 |
$0.00 |
| X4304 |
|
137 |
67 |
$0.00 |
| J7611 |
Albuterol non-comp con |
54 |
44 |
$0.00 |
| 92002 |
|
106 |
106 |
$0.00 |
| 97162 |
|
277 |
275 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
14 |
14 |
$0.00 |
| 99459 |
|
325 |
324 |
$0.00 |
| 90739 |
|
106 |
106 |
$0.00 |
| 99441 |
|
227 |
220 |
$0.00 |
| X3910 |
|
138 |
108 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
124 |
117 |
$0.00 |
| 80050 |
|
60 |
60 |
$0.00 |
| 99385 |
|
39 |
39 |
$0.00 |
| 90697 |
|
1,427 |
1,426 |
$0.00 |
| 87428 |
|
3,082 |
3,049 |
$0.00 |
| 99443 |
|
12 |
12 |
$0.00 |
| 3008F |
|
114 |
114 |
$0.00 |
| 90732 |
|
82 |
82 |
$0.00 |
| 90656 |
|
672 |
672 |
$0.00 |
| 3072F |
|
113 |
113 |
$0.00 |
| 11055 |
|
13 |
12 |
$0.00 |
| 94640 |
|
60 |
56 |
$0.00 |
| V2100 |
Lens spher single plano 4.00 |
49 |
49 |
$0.00 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
111 |
111 |
$0.00 |
| 4000F |
|
57 |
57 |
$0.00 |
| 87635 |
|
183 |
181 |
$0.00 |
| 91301 |
|
19 |
19 |
$0.00 |
| X3902 |
|
79 |
50 |
$0.00 |
| 90694 |
|
143 |
142 |
$0.00 |
| 0011A |
|
19 |
19 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
69 |
67 |
$0.00 |
| 83690 |
|
67 |
67 |
$0.00 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
29 |
29 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
16 |
15 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
28 |
28 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
38 |
36 |
$0.00 |
| A9300 |
Exercise equipment |
12 |
12 |
$0.00 |
| 90723 |
|
21 |
21 |
$0.00 |
| J3420 |
Vitamin b12 injection |
15 |
14 |
$0.00 |
| H0001 |
Alcohol and/or drug assess |
27 |
14 |
$0.00 |
| 96161 |
|
85 |
85 |
$0.00 |