| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
175,372 |
155,312 |
$34.45M |
| 00003 |
|
71,036 |
64,266 |
$19.79M |
| 99213 |
|
181,935 |
143,963 |
$335K |
| 99394 |
|
6,151 |
5,283 |
$202K |
| 99393 |
|
6,314 |
5,385 |
$149K |
| 90834 |
|
4,828 |
2,495 |
$125K |
| 99392 |
|
6,136 |
5,288 |
$116K |
| 90739 |
|
3,903 |
3,579 |
$107K |
| 96110 |
|
3,148 |
2,543 |
$94K |
| 99214 |
|
24,615 |
21,504 |
$90K |
| 99391 |
|
4,915 |
4,105 |
$87K |
| 90791 |
|
1,418 |
969 |
$56K |
| 99396 |
|
4,036 |
3,484 |
$48K |
| 90677 |
|
2,238 |
1,808 |
$48K |
| 90686 |
|
15,825 |
14,816 |
$43K |
| 99212 |
|
36,544 |
30,776 |
$34K |
| H1001 |
Antepartum management |
4,475 |
3,116 |
$34K |
| 99395 |
|
4,045 |
3,623 |
$33K |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
593 |
471 |
$28K |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,822 |
1,543 |
$25K |
| G0467 |
Fqhc visit, estab pt |
1,416 |
1,119 |
$23K |
| 90715 |
|
4,488 |
4,256 |
$20K |
| 99203 |
|
2,706 |
2,162 |
$17K |
| G9920 |
Scrning perf and negative |
7,422 |
5,000 |
$16K |
| 90837 |
|
303 |
134 |
$14K |
| 90651 |
|
3,198 |
2,970 |
$14K |
| 90471 |
|
20,936 |
19,207 |
$10K |
| 90734 |
|
1,649 |
1,614 |
$10K |
| 90670 |
|
2,902 |
2,869 |
$9K |
| 90656 |
|
2,340 |
1,698 |
$9K |
| 90633 |
|
1,885 |
1,748 |
$8K |
| 83655 |
|
1,634 |
1,381 |
$8K |
| 90680 |
|
1,767 |
1,649 |
$7K |
| 90698 |
|
1,746 |
1,710 |
$5K |
| 96372 |
|
2,056 |
1,607 |
$5K |
| 85018 |
|
6,785 |
6,016 |
$5K |
| 20610 |
|
443 |
319 |
$5K |
| 90472 |
|
3,316 |
3,068 |
$4K |
| 99215 |
Prolong outpt/office vis |
163 |
121 |
$4K |
| G9008 |
Mccd,phys coor-care ovrsght |
182 |
116 |
$4K |
| 90710 |
|
882 |
862 |
$4K |
| 99385 |
|
392 |
383 |
$4K |
| 83036 |
|
5,687 |
5,123 |
$4K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
1,665 |
1,556 |
$4K |
| 90744 |
|
1,028 |
1,009 |
$4K |
| 99202 |
|
1,537 |
1,372 |
$3K |
| 90480 |
|
429 |
353 |
$3K |
| H1003 |
Prenatal at risk education |
1,037 |
950 |
$3K |
| 0001A |
|
88 |
65 |
$3K |
| H1002 |
Carecoordination prenatal |
89 |
86 |
$3K |
| G9012 |
Other specified case mgmt |
2,538 |
1,048 |
$2K |
| 90832 |
|
147 |
100 |
$2K |
| 91322 |
|
89 |
71 |
$2K |
| 90619 |
|
624 |
497 |
$2K |
| 90696 |
|
230 |
222 |
$1K |
| H1000 |
Prenatal care atrisk assessm |
150 |
142 |
$1K |
| 90662 |
|
216 |
197 |
$1K |
| 99384 |
|
16 |
16 |
$1K |
| 99381 |
|
190 |
143 |
$1K |
| 90732 |
|
125 |
121 |
$1K |
| T1013 |
Sign lang/oral interpreter |
4,998 |
4,581 |
$1K |
| 92551 |
|
205 |
123 |
$891.19 |
| 90632 |
|
96 |
96 |
$841.76 |
| 81025 |
|
5,311 |
4,820 |
$832.97 |
| 90697 |
|
1,012 |
776 |
$764.02 |
| 92250 |
|
31 |
31 |
$724.00 |
| 90681 |
|
236 |
167 |
$711.00 |
| 81002 |
|
16,912 |
12,257 |
$595.03 |
| 87635 |
|
161 |
160 |
$574.66 |
| 90716 |
|
173 |
144 |
$531.00 |
| 99243 |
|
516 |
326 |
$416.50 |
| 73630 |
|
13 |
13 |
$411.74 |
| J3304 |
Inj triamcinolone ace xr 1mg |
539 |
394 |
$360.52 |
| 90707 |
|
120 |
96 |
$360.00 |
| 99397 |
|
16 |
13 |
$355.20 |
| 90700 |
|
66 |
66 |
$342.00 |
| 99211 |
|
957 |
872 |
$339.20 |
| 58300 |
|
107 |
51 |
$326.87 |
| 17000 |
|
161 |
151 |
$313.74 |
| 91320 |
|
51 |
39 |
$262.20 |
| S9445 |
Pt education noc individ |
77 |
72 |
$260.71 |
| 87811 |
|
62 |
51 |
$213.52 |
| 90671 |
|
244 |
201 |
$197.02 |
| 99386 |
|
100 |
100 |
$171.80 |
| 90750 |
|
48 |
44 |
$166.47 |
| 99244 |
|
174 |
119 |
$162.80 |
| 86580 |
|
63 |
55 |
$115.63 |
| 90620 |
|
29 |
29 |
$90.00 |
| 87804 |
|
199 |
141 |
$84.44 |
| 96156 |
|
512 |
508 |
$67.30 |
| 90460 |
|
18,753 |
17,112 |
$64.31 |
| G9919 |
Scrn nd pos nd prov of rec |
13 |
12 |
$58.00 |
| 87880 |
|
155 |
152 |
$53.27 |
| 99401 |
|
246 |
241 |
$42.07 |
| 90461 |
|
12,994 |
9,469 |
$41.08 |
| G8510 |
Scr dep neg, no plan reqd |
278 |
235 |
$32.10 |
| J1050 |
Medroxyprogesterone acetate |
337 |
334 |
$30.18 |
| 88720 |
|
198 |
109 |
$25.80 |
| 92228 |
|
14 |
14 |
$14.93 |
| 97803 |
|
134 |
133 |
$8.41 |
| H2000 |
Comp multidisipln evaluation |
58 |
58 |
$8.41 |
| J1885 |
Ketorolac tromethamine inj |
17 |
12 |
$7.02 |
| 78730 |
|
47 |
46 |
$6.11 |
| J2001 |
Lidocaine injection |
470 |
341 |
$0.35 |
| 1160F |
|
14,615 |
13,702 |
$0.00 |
| 1159F |
|
16,546 |
15,270 |
$0.00 |
| 0502F |
|
6,957 |
4,663 |
$0.00 |
| 3078F |
|
6,996 |
6,500 |
$0.00 |
| 99173 |
|
176 |
114 |
$0.00 |
| Z6400 |
|
2,385 |
2,101 |
$0.00 |
| 3051F |
|
240 |
240 |
$0.00 |
| 3077F |
|
4,243 |
3,849 |
$0.00 |
| 90611 |
|
36 |
36 |
$0.00 |
| Z6304 |
|
479 |
479 |
$0.00 |
| Z6500 |
|
378 |
377 |
$0.00 |
| Z6308 |
|
112 |
112 |
$0.00 |
| 59425 |
|
130 |
91 |
$0.00 |
| 99442 |
|
257 |
247 |
$0.00 |
| 11721 |
|
43 |
33 |
$0.00 |
| 3046F |
|
492 |
464 |
$0.00 |
| Z6208 |
|
112 |
112 |
$0.00 |
| 91300 |
|
38 |
37 |
$0.00 |
| G0444 |
Depression screen annual |
12 |
12 |
$0.00 |
| Z6414 |
|
112 |
112 |
$0.00 |
| 99204 |
|
26 |
26 |
$0.00 |
| Z6200 |
|
57 |
57 |
$0.00 |
| 90380 |
|
32 |
23 |
$0.00 |
| 90648 |
|
51 |
51 |
$0.00 |
| 99499 |
|
28 |
27 |
$0.00 |
| 90746 |
|
78 |
77 |
$0.00 |
| 2024F |
|
37 |
37 |
$0.00 |
| Z6300 |
|
57 |
57 |
$0.00 |
| 0503F |
|
139 |
135 |
$0.00 |
| Z1034 |
|
6,455 |
4,665 |
$0.00 |
| 1125F |
|
3,436 |
3,382 |
$0.00 |
| 1126F |
|
7,880 |
7,649 |
$0.00 |
| 3074F |
|
5,825 |
5,404 |
$0.00 |
| 3075F |
|
2,277 |
2,171 |
$0.00 |
| Z6410 |
|
60 |
60 |
$0.00 |
| 0500F |
|
187 |
178 |
$0.00 |
| 3079F |
|
4,089 |
3,869 |
$0.00 |
| 3044F |
|
642 |
633 |
$0.00 |
| 3353F |
|
1,343 |
1,265 |
$0.00 |
| 3354F |
|
378 |
346 |
$0.00 |
| 1111F |
|
6,875 |
5,437 |
$0.00 |
| 3080F |
|
1,758 |
1,541 |
$0.00 |
| Z6406 |
|
500 |
500 |
$0.00 |
| 3352F |
|
244 |
235 |
$0.00 |
| G9226 |
3 comp foot exam completed |
275 |
275 |
$0.00 |
| Z1032 |
|
456 |
454 |
$0.00 |
| Z6204 |
|
478 |
478 |
$0.00 |
| G0439 |
Ppps, subseq visit |
110 |
110 |
$0.00 |
| 93000 |
|
43 |
42 |
$0.00 |
| 3351F |
|
2,675 |
2,291 |
$0.00 |
| 59430 |
|
59 |
57 |
$0.00 |
| T1002 |
Rn services up to 15 minutes |
34 |
33 |
$0.00 |
| 3052F |
|
83 |
83 |
$0.00 |
| 3066F |
|
14 |
12 |
$0.00 |
| 76830 |
|
28 |
28 |
$0.00 |
| Z1038 |
|
137 |
131 |
$0.00 |
| 99000 |
|
15 |
12 |
$0.00 |
| S9452 |
Nutrition class |
58 |
58 |
$0.00 |
| 97802 |
|
28 |
28 |
$0.00 |
| 90381 |
|
27 |
19 |
$0.00 |
| 76815 |
|
34 |
29 |
$0.00 |
| J3490 |
Drugs unclassified injection |
20 |
14 |
$0.00 |
| Z6402 |
|
57 |
57 |
$0.00 |
| 58100 |
|
12 |
12 |
$0.00 |
| A4467 |
Belt strap sleev grmnt cover |
13 |
13 |
$0.00 |
| 99441 |
|
15 |
15 |
$0.00 |
| 76801 |
|
14 |
13 |
$0.00 |