| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
63,435 |
30,169 |
$15.28M |
| T1016 |
Case management |
6,127 |
3,385 |
$307K |
| H0004 |
Alcohol and/or drug services |
9,739 |
4,628 |
$181K |
| H0038 |
Self-help/peer svc per 15min |
536 |
92 |
$20K |
| S0215 |
Nonemerg transp mileage |
28 |
12 |
$904.23 |
| H2014 |
Skills train and dev, 15 min |
13,715 |
6,598 |
$494.74 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
798 |
769 |
$364.95 |
| 92507 |
|
7,938 |
2,531 |
$240.44 |
| 0012A |
|
46 |
46 |
$240.00 |
| 90791 |
|
979 |
903 |
$221.94 |
| A0120 |
Noner transport mini-bus |
28 |
12 |
$210.83 |
| 99212 |
|
3,337 |
2,831 |
$154.63 |
| 99213 |
|
3,945 |
3,263 |
$82.67 |
| 90792 |
|
613 |
527 |
$62.22 |
| 99214 |
|
1,063 |
985 |
$42.92 |
| 99443 |
|
2,670 |
2,273 |
$0.01 |
| 99442 |
|
487 |
431 |
$0.00 |
| 99211 |
|
1,008 |
678 |
$0.00 |
| 90460 |
|
1,093 |
924 |
$0.00 |
| H0031 |
Mh health assess by non-md |
3,323 |
2,371 |
$0.00 |
| 96138 |
|
212 |
105 |
$0.00 |
| 3078F |
|
3,984 |
3,390 |
$0.00 |
| 1159F |
|
1,793 |
1,495 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
38 |
37 |
$0.00 |
| 91300 |
|
41 |
41 |
$0.00 |
| 99391 |
|
112 |
94 |
$0.00 |
| 3077F |
|
239 |
164 |
$0.00 |
| 1160F |
|
2,799 |
2,360 |
$0.00 |
| 90832 |
|
139 |
58 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| T1013 |
Sign lang/oral interpreter |
718 |
477 |
$0.00 |
| H0034 |
Med trng & support per 15min |
159 |
126 |
$0.00 |
| 99392 |
|
137 |
112 |
$0.00 |
| 96136 |
|
50 |
42 |
$0.00 |
| 99396 |
|
222 |
202 |
$0.00 |
| 0002A |
|
22 |
22 |
$0.00 |
| 91320 |
|
12 |
12 |
$0.00 |
| 99173 |
|
214 |
177 |
$0.00 |
| 96137 |
|
83 |
76 |
$0.00 |
| 99394 |
|
135 |
110 |
$0.00 |
| 99393 |
|
115 |
92 |
$0.00 |
| 99382 |
|
20 |
20 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
16 |
13 |
$0.00 |
| 99490 |
Ccm add 20min |
47 |
47 |
$0.00 |
| 96130 |
|
106 |
65 |
$0.00 |
| 0124A |
|
15 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 99395 |
|
15 |
15 |
$0.00 |
| 91313 |
|
53 |
30 |
$0.00 |
| 3074F |
|
4,318 |
3,653 |
$0.00 |
| 99441 |
|
1,151 |
928 |
$0.00 |
| 96132 |
|
74 |
59 |
$0.00 |
| 3075F |
|
479 |
445 |
$0.00 |
| 3079F |
|
1,486 |
1,299 |
$0.00 |
| 96127 |
|
114 |
96 |
$0.00 |
| 96139 |
|
71 |
37 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
100 |
89 |
$0.00 |
| 92523 |
|
341 |
326 |
$0.00 |
| 87426 |
|
14 |
14 |
$0.00 |
| 90656 |
|
220 |
136 |
$0.00 |
| 0134A |
|
90 |
59 |
$0.00 |
| 96372 |
|
14 |
13 |
$0.00 |
| 3008F |
|
6,502 |
5,435 |
$0.00 |
| 90686 |
|
125 |
114 |
$0.00 |
| 1220F |
|
282 |
221 |
$0.00 |
| 0001A |
|
19 |
19 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 1125F |
|
74 |
70 |
$0.00 |
| 90471 |
|
260 |
159 |
$0.00 |
| 36415 |
|
108 |
108 |
$0.00 |
| 1126F |
|
53 |
44 |
$0.00 |
| 91301 |
|
77 |
74 |
$0.00 |
| 90480 |
|
12 |
12 |
$0.00 |
| 81000 |
|
73 |
73 |
$0.00 |
| H0002 |
Alcohol and/or drug screenin |
32 |
31 |
$0.00 |
| 1111F |
|
37 |
37 |
$0.00 |
| 0011A |
|
28 |
28 |
$0.00 |
| G0008 |
Admin influenza virus vac |
34 |
26 |
$0.00 |
| 99202 |
|
48 |
37 |
$0.00 |
| 99493 |
|
27 |
27 |
$0.00 |
| 3080F |
|
27 |
27 |
$0.00 |