| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
199,141 |
178,399 |
$67.45M |
| 0510 |
|
177,416 |
161,937 |
$14.52M |
| 00003 |
|
17,150 |
14,499 |
$7.35M |
| G0467 |
Fqhc visit, estab pt |
3,017 |
2,778 |
$581K |
| 99078 |
|
17,707 |
5,241 |
$472K |
| 90834 |
|
3,445 |
671 |
$73K |
| 90791 |
|
1,817 |
558 |
$44K |
| 90832 |
|
983 |
288 |
$27K |
| 0001A |
|
1,724 |
930 |
$20K |
| S0197 |
Prenatal vitamins 30 day |
1,880 |
1,757 |
$16K |
| 90833 |
|
408 |
91 |
$10K |
| 90837 |
|
403 |
108 |
$9K |
| 0004A |
|
126 |
125 |
$5K |
| H1003 |
Prenatal at risk education |
185 |
178 |
$2K |
| 99203 |
|
16,463 |
10,257 |
$2K |
| 0002A |
|
45 |
24 |
$1K |
| S9445 |
Pt education noc individ |
17 |
17 |
$1K |
| Z7500 |
|
102,316 |
93,886 |
$1K |
| 97803 |
|
15 |
12 |
$984.48 |
| 0124A |
|
44 |
40 |
$938.00 |
| 87635 |
|
6,116 |
5,930 |
$781.43 |
| 87426 |
|
536 |
423 |
$634.01 |
| 0064A |
|
15 |
15 |
$600.00 |
| 0054A |
|
13 |
13 |
$520.00 |
| 95910 |
|
3,896 |
1,306 |
$439.95 |
| 81420 |
|
284 |
268 |
$351.25 |
| J0585 |
Injection,onabotulinumtoxina |
2,318 |
1,433 |
$307.86 |
| 36415 |
|
41,265 |
37,244 |
$205.47 |
| 87637 |
|
647 |
637 |
$202.55 |
| 99213 |
|
84,098 |
51,048 |
$176.04 |
| 99214 |
|
41,316 |
25,305 |
$164.08 |
| 85025 |
|
15,437 |
12,642 |
$148.59 |
| 83036 |
|
10,773 |
10,419 |
$125.69 |
| 84450 |
|
441 |
439 |
$74.00 |
| 84460 |
|
445 |
443 |
$74.00 |
| G0480 |
Drug test def 1-7 classes |
166 |
163 |
$63.95 |
| 87491 |
|
1,006 |
899 |
$43.74 |
| 87591 |
|
1,004 |
898 |
$43.74 |
| 83013 |
|
131 |
131 |
$43.50 |
| 92014 |
|
4,442 |
2,894 |
$37.41 |
| 87389 |
|
1,174 |
1,150 |
$30.04 |
| Q3014 |
Telehealth facility fee |
34,158 |
19,001 |
$24.65 |
| G0463 |
Hospital outpt clinic visit |
937 |
857 |
$15.13 |
| 86850 |
|
1,260 |
1,237 |
$14.39 |
| 87340 |
|
829 |
821 |
$12.88 |
| 86762 |
|
843 |
834 |
$12.24 |
| 86803 |
|
961 |
951 |
$12.13 |
| 86787 |
|
746 |
739 |
$10.95 |
| 87086 |
|
1,222 |
1,154 |
$10.06 |
| 86592 |
|
980 |
956 |
$5.32 |
| 86900 |
|
1,260 |
1,237 |
$3.71 |
| 86901 |
|
1,260 |
1,237 |
$3.71 |
| 84703 |
|
50 |
50 |
$3.41 |
| 81001 |
|
187 |
182 |
$2.68 |
| 99242 |
|
318 |
188 |
$0.00 |
| J7030 |
Normal saline solution infus |
10,828 |
3,628 |
$0.00 |
| G2012 |
Brief check in by md/qhp |
30,980 |
16,531 |
$0.00 |
| 80061 |
|
3,021 |
2,994 |
$0.00 |
| 96413 |
|
7,834 |
4,338 |
$0.00 |
| 92557 |
|
1,040 |
1,038 |
$0.00 |
| 81002 |
|
2,087 |
1,027 |
$0.00 |
| 93005 |
|
517 |
489 |
$0.00 |
| 99212 |
|
24,900 |
13,645 |
$0.00 |
| 94060 |
|
1,659 |
826 |
$0.00 |
| 0272 |
|
8,964 |
7,191 |
$0.00 |
| 81510 |
|
276 |
245 |
$0.00 |
| Z6400 |
|
6,161 |
5,243 |
$0.00 |
| 92134 |
|
1,569 |
1,057 |
$0.00 |
| 97110 |
|
605 |
288 |
$0.00 |
| 83068 |
|
273 |
272 |
$0.00 |
| 95801 |
|
1,249 |
1,214 |
$0.00 |
| Z6300 |
|
1,849 |
1,841 |
$0.00 |
| 82465 |
|
742 |
734 |
$0.00 |
| 80307 |
|
548 |
531 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
1,191 |
647 |
$0.00 |
| 59425 |
|
155 |
112 |
$0.00 |
| 92012 |
|
19,917 |
12,993 |
$0.00 |
| C9257 |
Bevacizumab injection |
1,326 |
771 |
$0.00 |
| 82274 |
|
1,543 |
1,462 |
$0.00 |
| 86200 |
|
94 |
94 |
$0.00 |
| 73610 |
|
1,255 |
524 |
$0.00 |
| Z6308 |
|
523 |
523 |
$0.00 |
| 99204 |
|
9,907 |
6,188 |
$0.00 |
| 83721 |
|
2,300 |
2,258 |
$0.00 |
| 96417 |
|
180 |
105 |
$0.00 |
| 97810 |
|
5,172 |
844 |
$0.00 |
| 81025 |
|
441 |
289 |
$0.00 |
| Z6304 |
|
1,289 |
1,279 |
$0.00 |
| 86682 |
|
182 |
182 |
$0.00 |
| 99211 |
|
2,976 |
1,726 |
$0.00 |
| 84155 |
|
236 |
218 |
$0.00 |
| 84165 |
|
236 |
218 |
$0.00 |
| J7040 |
Normal saline solution infus |
898 |
460 |
$0.00 |
| 80076 |
|
2,132 |
1,786 |
$0.00 |
| 67028 |
|
2,302 |
741 |
$0.00 |
| 81003 |
|
357 |
345 |
$0.00 |
| 83718 |
|
726 |
718 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
799 |
469 |
$0.00 |
| 82565 |
|
435 |
428 |
$0.00 |
| 84520 |
|
216 |
213 |
$0.00 |
| Z6200 |
|
1,966 |
1,936 |
$0.00 |
| 86480 |
|
62 |
62 |
$0.00 |
| 92083 |
|
547 |
418 |
$0.00 |
| J1756 |
Iron sucrose injection |
90 |
39 |
$0.00 |
| 84425 |
|
244 |
242 |
$0.00 |
| 86359 |
|
236 |
232 |
$0.00 |
| 86146 |
|
43 |
43 |
$0.00 |
| 86708 |
|
60 |
60 |
$0.00 |
| Z6208 |
|
511 |
511 |
$0.00 |
| 59025 |
|
472 |
143 |
$0.00 |
| 73630 |
|
226 |
77 |
$0.00 |
| 86038 |
|
339 |
339 |
$0.00 |
| Z6414 |
|
537 |
536 |
$0.00 |
| 92133 |
|
608 |
233 |
$0.00 |
| 99201 |
|
110 |
94 |
$0.00 |
| 82947 |
|
204 |
203 |
$0.00 |
| 84207 |
|
18 |
18 |
$0.00 |
| 94727 |
|
248 |
124 |
$0.00 |
| 11721 |
|
1,069 |
407 |
$0.00 |
| 73562 |
|
126 |
54 |
$0.00 |
| 93010 |
|
459 |
434 |
$0.00 |
| 83540 |
|
221 |
216 |
$0.00 |
| 84439 |
|
200 |
170 |
$0.00 |
| 95816 |
|
64 |
32 |
$0.00 |
| 86431 |
|
272 |
272 |
$0.00 |
| V5060 |
Behind ear hearing aid |
61 |
61 |
$0.00 |
| 86360 |
|
123 |
122 |
$0.00 |
| 96523 |
|
191 |
116 |
$0.00 |
| 73100 |
|
72 |
26 |
$0.00 |
| Z7504 |
|
64 |
59 |
$0.00 |
| 96367 |
|
94 |
52 |
$0.00 |
| 90662 |
|
25 |
25 |
$0.00 |
| 83655 |
|
661 |
659 |
$0.00 |
| 94729 |
|
248 |
124 |
$0.00 |
| 95909 |
|
297 |
95 |
$0.00 |
| 90472 |
|
69 |
51 |
$0.00 |
| 81220 |
|
188 |
188 |
$0.00 |
| 85610 |
|
12 |
12 |
$0.00 |
| 81329 |
|
296 |
296 |
$0.00 |
| 86235 |
|
12 |
12 |
$0.00 |
| 99401 |
|
36 |
36 |
$0.00 |
| 84466 |
|
221 |
216 |
$0.00 |
| 86003 |
|
13 |
13 |
$0.00 |
| 76813 |
|
184 |
58 |
$0.00 |
| 84295 |
|
68 |
67 |
$0.00 |
| 80348 |
|
41 |
41 |
$0.00 |
| 11056 |
|
26 |
13 |
$0.00 |
| L0621 |
Sio flex pelvic/sacr pre ots |
28 |
28 |
$0.00 |
| 84630 |
|
16 |
16 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
27 |
12 |
$0.00 |
| 86147 |
|
39 |
39 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
13 |
13 |
$0.00 |
| 97161 |
|
12 |
12 |
$0.00 |
| 98940 |
|
190 |
28 |
$0.00 |
| 82310 |
|
25 |
25 |
$0.00 |
| 96402 |
|
18 |
12 |
$0.00 |
| 73110 |
|
135 |
50 |
$0.00 |
| 87338 |
|
12 |
12 |
$0.00 |
| 73130 |
|
78 |
28 |
$0.00 |
| 86039 |
|
14 |
14 |
$0.00 |
| 85613 |
|
16 |
16 |
$0.00 |
| 84100 |
|
18 |
17 |
$0.00 |
| 90686 |
|
787 |
554 |
$0.00 |
| Z6402 |
|
1,985 |
1,957 |
$0.00 |
| 85027 |
|
3,043 |
2,940 |
$0.00 |
| J8540 |
Oral dexamethasone |
1,253 |
712 |
$0.00 |
| 99024 |
|
3,924 |
2,167 |
$0.00 |
| Z6204 |
|
1,619 |
1,512 |
$0.00 |
| 86141 |
|
826 |
790 |
$0.00 |
| J3490 |
Drugs unclassified injection |
22,597 |
7,996 |
$0.00 |
| Z1034 |
|
2,311 |
2,005 |
$0.00 |
| 80048 |
|
2,962 |
2,594 |
$0.00 |
| 82607 |
|
2,201 |
2,178 |
$0.00 |
| 85652 |
|
837 |
806 |
$0.00 |
| 92004 |
|
1,981 |
1,270 |
$0.00 |
| 84443 |
|
3,923 |
3,767 |
$0.00 |
| 93306 |
|
3,264 |
1,644 |
$0.00 |
| 80053 |
|
7,985 |
7,496 |
$0.00 |
| 0271 |
|
1,218 |
1,180 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
6,062 |
3,550 |
$0.00 |
| 88304 |
|
64 |
26 |
$0.00 |
| Z7610 |
|
9,746 |
4,180 |
$0.00 |
| 84132 |
|
80 |
80 |
$0.00 |
| 92567 |
|
1,136 |
1,135 |
$0.00 |
| 99241 |
|
478 |
288 |
$0.00 |
| 82306 |
|
3,153 |
3,138 |
$0.00 |
| 90471 |
|
2,594 |
2,014 |
$0.00 |
| 0258 |
|
1,069 |
642 |
$0.00 |
| X7700 |
|
3,880 |
1,606 |
$0.00 |
| 20610 |
|
3,676 |
1,004 |
$0.00 |
| 84478 |
|
109 |
108 |
$0.00 |
| 86355 |
|
236 |
232 |
$0.00 |
| Q0162 |
Ondansetron oral |
486 |
257 |
$0.00 |
| 92002 |
|
835 |
541 |
$0.00 |
| Z6406 |
|
2,522 |
2,425 |
$0.00 |
| 96365 |
|
1,015 |
597 |
$0.00 |
| 97140 |
|
336 |
147 |
$0.00 |
| G0399 |
Home sleep test/type 3 porta |
1,237 |
1,198 |
$0.00 |
| J7050 |
Normal saline solution infus |
7,682 |
2,853 |
$0.00 |
| 82670 |
|
289 |
288 |
$0.00 |
| 0700 |
|
745 |
721 |
$0.00 |
| 92250 |
|
1,696 |
785 |
$0.00 |
| 95911 |
|
2,535 |
976 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
1,684 |
969 |
$0.00 |
| Q0164 |
Prochlorperazine maleate 5mg |
141 |
69 |
$0.00 |
| 82784 |
|
338 |
324 |
$0.00 |
| 99243 |
|
141 |
98 |
$0.00 |
| 99202 |
|
5,060 |
3,231 |
$0.00 |
| 64615 |
|
2,493 |
759 |
$0.00 |
| 95860 |
|
608 |
211 |
$0.00 |
| 82550 |
|
792 |
773 |
$0.00 |
| 86364 |
|
284 |
282 |
$0.00 |
| 0636 |
|
44 |
25 |
$0.00 |
| 86706 |
|
96 |
96 |
$0.00 |
| 96372 |
|
423 |
283 |
$0.00 |
| 96366 |
|
148 |
86 |
$0.00 |
| 76811 |
|
504 |
149 |
$0.00 |
| 96415 |
|
902 |
518 |
$0.00 |
| 82728 |
|
225 |
224 |
$0.00 |
| J7060 |
5% dextrose/water |
1,696 |
381 |
$0.00 |
| 88305 |
|
300 |
93 |
$0.00 |
| 83921 |
|
105 |
105 |
$0.00 |
| 90656 |
|
318 |
198 |
$0.00 |
| 86225 |
|
67 |
66 |
$0.00 |
| 80051 |
|
42 |
42 |
$0.00 |
| Z6410 |
|
12 |
12 |
$0.00 |
| 86800 |
|
27 |
27 |
$0.00 |
| 86376 |
|
25 |
25 |
$0.00 |
| 86704 |
|
73 |
73 |
$0.00 |
| 82985 |
|
25 |
24 |
$0.00 |
| 76815 |
|
340 |
117 |
$0.00 |
| 83520 |
|
68 |
68 |
$0.00 |
| 97139 |
|
314 |
113 |
$0.00 |
| 86160 |
|
118 |
116 |
$0.00 |
| J3420 |
Vitamin b12 injection |
295 |
185 |
$0.00 |
| 85730 |
|
16 |
16 |
$0.00 |
| 88142 |
|
12 |
12 |
$0.00 |
| 97750 |
|
81 |
45 |
$0.00 |
| 90688 |
|
16 |
12 |
$0.00 |
| 76816 |
|
384 |
102 |
$0.00 |
| 96375 |
|
45 |
29 |
$0.00 |
| 76820 |
|
93 |
12 |
$0.00 |
| Q5104 |
Injection, renflexis |
12 |
12 |
$0.00 |
| 82746 |
|
13 |
13 |
$0.00 |
| 83519 |
|
13 |
13 |
$0.00 |
| 93280 |
|
20 |
12 |
$0.00 |
| 92136 |
|
15 |
12 |
$0.00 |
| 83993 |
|
12 |
12 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
13 |
13 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
13 |
13 |
$0.00 |