| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
234,971 |
188,915 |
$47.80M |
| 99213 |
|
181,988 |
130,337 |
$2.81M |
| 90832 |
|
46,321 |
30,326 |
$1.02M |
| 99214 |
|
27,651 |
21,229 |
$629K |
| 99212 |
|
39,745 |
31,507 |
$513K |
| 99392 |
|
8,067 |
7,768 |
$404K |
| 99393 |
|
6,701 |
6,547 |
$382K |
| 99394 |
|
4,295 |
4,224 |
$304K |
| 90791 |
|
4,953 |
4,858 |
$296K |
| 99391 |
|
5,323 |
5,189 |
$255K |
| 99395 |
|
1,855 |
1,825 |
$203K |
| 97810 |
|
15,937 |
8,127 |
$190K |
| 92551 |
|
8,492 |
8,431 |
$181K |
| 90686 |
|
9,280 |
9,192 |
$160K |
| 98941 |
|
5,986 |
5,052 |
$129K |
| 97811 |
|
8,235 |
4,925 |
$102K |
| 59425 |
|
1,605 |
1,271 |
$97K |
| 99203 |
|
1,942 |
1,573 |
$88K |
| 90651 |
|
1,966 |
1,951 |
$78K |
| 90670 |
|
3,251 |
3,176 |
$71K |
| 99396 |
|
1,274 |
1,273 |
$65K |
| 0001A |
|
902 |
902 |
$60K |
| 0002A |
|
897 |
897 |
$60K |
| 90750 |
|
427 |
427 |
$60K |
| 90648 |
|
3,432 |
3,337 |
$58K |
| 92014 |
|
2,662 |
1,828 |
$57K |
| 90715 |
|
1,993 |
1,987 |
$50K |
| 90723 |
|
2,627 |
2,566 |
$44K |
| 99173 |
|
6,936 |
6,903 |
$42K |
| 90633 |
|
2,206 |
2,089 |
$37K |
| 96110 |
|
717 |
562 |
$37K |
| 90710 |
|
2,013 |
1,915 |
$35K |
| 99381 |
|
411 |
402 |
$33K |
| 0004A |
|
475 |
475 |
$32K |
| 83036 |
|
3,717 |
3,638 |
$31K |
| 0071A |
|
449 |
449 |
$30K |
| 0072A |
|
422 |
422 |
$28K |
| 90620 |
|
550 |
550 |
$27K |
| 0054A |
|
409 |
408 |
$27K |
| 90847 |
|
591 |
422 |
$25K |
| 99385 |
|
177 |
177 |
$25K |
| 90734 |
|
1,197 |
1,194 |
$24K |
| 90834 |
|
390 |
315 |
$24K |
| 90681 |
|
1,364 |
1,341 |
$23K |
| 90739 |
|
169 |
169 |
$20K |
| 85018 |
|
8,742 |
8,276 |
$19K |
| 98940 |
|
1,326 |
1,092 |
$18K |
| 0064A |
|
262 |
262 |
$18K |
| 0011A |
|
358 |
276 |
$16K |
| 90700 |
|
880 |
872 |
$15K |
| 90846 |
|
311 |
243 |
$14K |
| 0134A |
|
216 |
215 |
$14K |
| 0012A |
|
198 |
198 |
$13K |
| 90696 |
|
745 |
733 |
$13K |
| V2020 |
Vision svcs frames purchases |
899 |
899 |
$13K |
| J3490 |
Drugs unclassified injection |
265 |
258 |
$12K |
| 87880 |
|
1,359 |
1,342 |
$12K |
| 92015 |
|
2,059 |
1,670 |
$12K |
| 93000 |
|
361 |
360 |
$11K |
| 99188 |
|
363 |
338 |
$9K |
| Q3014 |
Telehealth facility fee |
375 |
369 |
$9K |
| 99202 |
|
209 |
195 |
$8K |
| G9012 |
Other specified case mgmt |
1,537 |
1,121 |
$8K |
| 81025 |
|
2,428 |
2,353 |
$8K |
| 97813 |
|
591 |
404 |
$8K |
| 99401 |
|
597 |
581 |
$8K |
| 90619 |
|
429 |
429 |
$7K |
| 81003 |
|
3,434 |
3,241 |
$7K |
| H1003 |
Prenatal at risk education |
358 |
303 |
$7K |
| 97814 |
|
538 |
369 |
$7K |
| 90677 |
|
290 |
253 |
$7K |
| 0124A |
|
98 |
98 |
$7K |
| G0467 |
Fqhc visit, estab pt |
3,856 |
3,567 |
$6K |
| 83655 |
|
397 |
393 |
$5K |
| 99204 |
|
87 |
76 |
$5K |
| 99000 |
|
1,385 |
1,302 |
$5K |
| 90656 |
|
773 |
640 |
$5K |
| 90688 |
|
259 |
258 |
$5K |
| 91322 |
|
45 |
45 |
$4K |
| 0052A |
|
49 |
49 |
$3K |
| T1014 |
Telehealth transmit, per min |
375 |
369 |
$3K |
| 99215 |
Prolong outpt/office vis |
100 |
67 |
$3K |
| 90471 |
|
710 |
710 |
$3K |
| 90685 |
|
164 |
163 |
$3K |
| 87426 |
|
624 |
550 |
$3K |
| 94640 |
|
208 |
191 |
$3K |
| 90480 |
|
68 |
68 |
$3K |
| 17110 |
|
34 |
17 |
$3K |
| 0074A |
|
40 |
40 |
$3K |
| 90716 |
|
86 |
85 |
$3K |
| 90649 |
|
127 |
126 |
$3K |
| 0112A |
|
34 |
34 |
$2K |
| 0051A |
|
32 |
32 |
$2K |
| 87635 |
|
82 |
82 |
$2K |
| 90744 |
|
119 |
119 |
$2K |
| 90674 |
|
108 |
108 |
$2K |
| 0111A |
|
30 |
30 |
$2K |
| 69209 |
|
140 |
70 |
$2K |
| 0003A |
|
25 |
25 |
$2K |
| 0144A |
|
22 |
22 |
$1K |
| 97803 |
|
165 |
162 |
$1K |
| 96151 |
|
150 |
145 |
$1K |
| 90713 |
|
57 |
57 |
$990.00 |
| 0053A |
|
14 |
14 |
$938.00 |
| 80305 |
|
92 |
83 |
$734.00 |
| 86580 |
|
128 |
125 |
$709.79 |
| 87804 |
|
209 |
139 |
$701.25 |
| G9920 |
Scrning perf and negative |
20 |
20 |
$686.52 |
| 82962 |
|
201 |
196 |
$495.68 |
| 96156 |
|
29 |
24 |
$445.91 |
| 87811 |
|
12 |
12 |
$312.00 |
| 90707 |
|
12 |
12 |
$258.00 |
| 87420 |
|
66 |
66 |
$198.76 |
| G9008 |
Mccd,phys coor-care ovrsght |
15 |
13 |
$187.36 |
| A4267 |
Male condom |
211 |
207 |
$166.05 |
| J1885 |
Ketorolac tromethamine inj |
27 |
24 |
$135.55 |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,881 |
1,617 |
$61.13 |
| J7613 |
Albuterol non-comp unit |
209 |
186 |
$9.06 |
| 90756 |
|
20 |
20 |
$0.20 |
| 99499 |
|
650 |
650 |
$0.00 |
| Z6304 |
|
27 |
27 |
$0.00 |
| Z6400 |
|
26 |
26 |
$0.00 |
| Z6300 |
|
12 |
12 |
$0.00 |
| Z1034 |
|
1,135 |
914 |
$0.00 |
| 87428 |
|
1,088 |
1,068 |
$0.00 |
| 36416 |
|
73 |
73 |
$0.00 |
| 01 |
Inj., retisert, 0.01 mg |
257 |
235 |
$0.00 |
| Z6406 |
|
61 |
55 |
$0.00 |