| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
363,609 |
266,303 |
$90.64M |
| 00003 |
|
38,978 |
28,100 |
$11.60M |
| 99214 |
|
45,285 |
42,780 |
$108K |
| G0467 |
Fqhc visit, estab pt |
2,020 |
1,743 |
$80K |
| 99213 |
|
63,410 |
58,546 |
$53K |
| 90834 |
|
3,850 |
3,292 |
$41K |
| 98941 |
|
2,358 |
1,742 |
$27K |
| 96156 |
|
1,822 |
1,533 |
$27K |
| G0470 |
Fqhc visit, mh estab pt |
148 |
121 |
$26K |
| 0013A |
|
413 |
408 |
$26K |
| H1003 |
Prenatal at risk education |
988 |
897 |
$20K |
| 0134A |
|
264 |
264 |
$16K |
| 98940 |
|
1,719 |
1,334 |
$16K |
| 0002A |
|
200 |
192 |
$13K |
| 0001A |
|
203 |
198 |
$13K |
| 0124A |
|
182 |
166 |
$11K |
| 93000 |
|
6,607 |
6,574 |
$10K |
| 98960 |
|
1,797 |
1,579 |
$8K |
| 92004 |
|
7,777 |
7,772 |
$6K |
| 0012A |
|
93 |
90 |
$6K |
| 90791 |
|
673 |
672 |
$6K |
| 0004A |
|
73 |
73 |
$4K |
| G2025 |
Dis site tele svcs rhc/fqhc |
350 |
338 |
$4K |
| 0011A |
|
49 |
48 |
$3K |
| 90471 |
|
12,298 |
12,224 |
$3K |
| G9920 |
Scrning perf and negative |
423 |
423 |
$3K |
| 90792 |
|
876 |
873 |
$3K |
| 97140 |
|
163 |
117 |
$3K |
| 92250 |
|
3,530 |
3,528 |
$3K |
| 90480 |
|
414 |
414 |
$3K |
| 99401 |
|
744 |
735 |
$2K |
| 90674 |
|
709 |
709 |
$2K |
| 90686 |
|
5,322 |
5,320 |
$1K |
| 0003A |
|
16 |
14 |
$938.00 |
| 80053 |
|
5,229 |
5,220 |
$827.37 |
| 36415 |
|
6,136 |
5,987 |
$769.50 |
| 80061 |
|
5,322 |
5,319 |
$611.26 |
| 0073A |
|
13 |
13 |
$603.00 |
| 98942 |
|
68 |
55 |
$585.72 |
| S9445 |
Pt education noc individ |
123 |
121 |
$554.14 |
| 97803 |
|
6,171 |
6,134 |
$546.65 |
| 0111A |
|
14 |
14 |
$536.00 |
| 11721 |
|
53 |
53 |
$519.59 |
| 97139 |
|
21 |
13 |
$359.01 |
| 90832 |
|
1,027 |
947 |
$327.66 |
| 99212 |
|
17,319 |
16,527 |
$308.87 |
| 83036 |
|
4,593 |
4,588 |
$153.45 |
| 96110 |
|
273 |
271 |
$119.80 |
| 85025 |
|
4,919 |
4,896 |
$101.18 |
| 84443 |
|
4,227 |
4,218 |
$29.37 |
| 90756 |
|
2,108 |
2,107 |
$20.00 |
| 81002 |
|
7,505 |
5,893 |
$4.30 |
| 81025 |
|
6,060 |
5,885 |
$2.80 |
| 99385 |
|
507 |
507 |
$0.00 |
| 2023F |
|
1,628 |
1,627 |
$0.00 |
| 86140 |
|
993 |
989 |
$0.00 |
| 90680 |
|
1,250 |
1,250 |
$0.00 |
| Z1034 |
|
9,169 |
7,337 |
$0.00 |
| 85018 |
|
3,420 |
3,413 |
$0.00 |
| 82951 |
|
674 |
673 |
$0.00 |
| Z6406 |
|
1,248 |
1,199 |
$0.00 |
| Z1032 |
|
475 |
474 |
$0.00 |
| 99000 |
|
5,275 |
5,157 |
$0.00 |
| 99282 |
|
152 |
148 |
$0.00 |
| 99462 |
|
3,741 |
3,023 |
$0.00 |
| 96127 |
|
3,602 |
3,518 |
$0.00 |
| 96372 |
|
916 |
886 |
$0.00 |
| Z6204 |
|
1,798 |
1,752 |
$0.00 |
| 86580 |
|
2,054 |
2,045 |
$0.00 |
| 99402 |
|
431 |
428 |
$0.00 |
| 90698 |
|
1,170 |
1,170 |
$0.00 |
| 99460 |
|
5,065 |
5,019 |
$0.00 |
| 90744 |
|
899 |
899 |
$0.00 |
| 87389 |
|
2,687 |
2,683 |
$0.00 |
| 99232 |
|
424 |
254 |
$0.00 |
| 87081 |
|
401 |
401 |
$0.00 |
| 82728 |
|
358 |
356 |
$0.00 |
| 87591 |
|
3,387 |
3,364 |
$0.00 |
| 99381 |
|
339 |
339 |
$0.00 |
| Z6402 |
|
1,338 |
1,338 |
$0.00 |
| 90696 |
|
367 |
367 |
$0.00 |
| 99202 |
|
990 |
988 |
$0.00 |
| 81015 |
|
1,754 |
1,734 |
$0.00 |
| 90651 |
|
1,835 |
1,835 |
$0.00 |
| 86704 |
|
893 |
892 |
$0.00 |
| 90739 |
|
178 |
178 |
$0.00 |
| 86706 |
|
993 |
991 |
$0.00 |
| 87070 |
|
273 |
273 |
$0.00 |
| Z6410 |
|
1,727 |
1,702 |
$0.00 |
| 99406 |
|
569 |
556 |
$0.00 |
| 90677 |
|
798 |
798 |
$0.00 |
| 87428 |
|
895 |
890 |
$0.00 |
| 99283 |
|
767 |
722 |
$0.00 |
| 92551 |
|
5,968 |
5,956 |
$0.00 |
| 97802 |
|
1,875 |
1,874 |
$0.00 |
| 90381 |
|
66 |
66 |
$0.00 |
| 86592 |
|
2,640 |
2,632 |
$0.00 |
| 85651 |
|
985 |
983 |
$0.00 |
| 86803 |
|
1,490 |
1,489 |
$0.00 |
| 82043 |
|
606 |
605 |
$0.00 |
| 90619 |
|
535 |
535 |
$0.00 |
| 83550 |
|
364 |
362 |
$0.00 |
| 94760 |
|
1,365 |
1,331 |
$0.00 |
| 99386 |
|
92 |
92 |
$0.00 |
| 87086 |
|
1,776 |
1,757 |
$0.00 |
| 90697 |
|
822 |
822 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
1,347 |
1,333 |
$0.00 |
| 36416 |
|
157 |
156 |
$0.00 |
| 80048 |
|
413 |
411 |
$0.00 |
| 11055 |
|
49 |
39 |
$0.00 |
| X4304 |
|
2,677 |
1,158 |
$0.00 |
| 99459 |
|
234 |
233 |
$0.00 |
| 99463 |
|
67 |
67 |
$0.00 |
| 90656 |
|
225 |
225 |
$0.00 |
| 3072F |
|
126 |
126 |
$0.00 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
181 |
181 |
$0.00 |
| 92002 |
|
13 |
13 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
13 |
13 |
$0.00 |
| J7611 |
Albuterol non-comp con |
40 |
38 |
$0.00 |
| 92507 |
|
344 |
153 |
$0.00 |
| 99383 |
|
58 |
58 |
$0.00 |
| 87340 |
|
217 |
217 |
$0.00 |
| 99441 |
|
100 |
98 |
$0.00 |
| G0108 |
Diab manage trn per indiv |
25 |
25 |
$0.00 |
| 90688 |
|
185 |
185 |
$0.00 |
| 90694 |
|
54 |
54 |
$0.00 |
| 58100 |
|
15 |
15 |
$0.00 |
| 85027 |
|
293 |
293 |
$0.00 |
| 96112 |
|
120 |
111 |
$0.00 |
| 81001 |
|
233 |
231 |
$0.00 |
| 90716 |
|
41 |
41 |
$0.00 |
| 99070 |
|
48 |
48 |
$0.00 |
| Z1038 |
|
68 |
68 |
$0.00 |
| X3924 |
|
57 |
50 |
$0.00 |
| 90732 |
|
39 |
39 |
$0.00 |
| 86769 |
|
68 |
68 |
$0.00 |
| Z6404 |
|
34 |
31 |
$0.00 |
| 99234 |
|
174 |
165 |
$0.00 |
| X4102 |
|
28 |
28 |
$0.00 |
| X3908 |
|
24 |
15 |
$0.00 |
| X4100 |
|
28 |
28 |
$0.00 |
| 3074F |
|
75 |
75 |
$0.00 |
| 3008F |
|
71 |
70 |
$0.00 |
| 80050 |
|
14 |
14 |
$0.00 |
| 93922 |
|
97 |
97 |
$0.00 |
| 87635 |
|
12 |
12 |
$0.00 |
| 99384 |
|
18 |
18 |
$0.00 |
| 91301 |
|
15 |
15 |
$0.00 |
| G8433 |
Scr for dep not cpt doc rsn |
14 |
14 |
$0.00 |
| 96161 |
|
42 |
42 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
28 |
20 |
$0.00 |
| Z6302 |
|
156 |
156 |
$0.00 |
| X3904 |
|
1,209 |
622 |
$0.00 |
| Z6304 |
|
6,394 |
5,641 |
$0.00 |
| 90472 |
|
2,319 |
2,316 |
$0.00 |
| Z6300 |
|
1,987 |
1,987 |
$0.00 |
| 99204 |
|
518 |
518 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
5,018 |
4,922 |
$0.00 |
| 90633 |
|
1,529 |
1,492 |
$0.00 |
| Z6200 |
|
820 |
820 |
$0.00 |
| 92015 |
|
11,078 |
11,077 |
$0.00 |
| 92014 |
|
4,121 |
4,117 |
$0.00 |
| 2028F |
|
1,650 |
1,603 |
$0.00 |
| 59025 |
|
427 |
344 |
$0.00 |
| 92341 |
|
1,640 |
1,640 |
$0.00 |
| 92340 |
|
4,803 |
4,801 |
$0.00 |
| 99238 |
|
3,827 |
3,618 |
$0.00 |
| 86480 |
|
1,728 |
1,727 |
$0.00 |
| 81003 |
|
1,263 |
1,251 |
$0.00 |
| 90710 |
|
1,212 |
1,212 |
$0.00 |
| 99392 |
|
3,222 |
3,219 |
$0.00 |
| 80307 |
|
242 |
240 |
$0.00 |
| 99173 |
|
5,378 |
5,371 |
$0.00 |
| 90670 |
|
1,903 |
1,903 |
$0.00 |
| 90700 |
|
357 |
357 |
$0.00 |
| 99391 |
|
2,891 |
2,847 |
$0.00 |
| 99203 |
|
1,602 |
1,599 |
$0.00 |
| Z6208 |
|
105 |
102 |
$0.00 |
| 90715 |
|
1,750 |
1,748 |
$0.00 |
| 99404 |
|
923 |
920 |
$0.00 |
| Z6400 |
|
11,930 |
10,126 |
$0.00 |
| 87491 |
|
3,389 |
3,365 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
351 |
350 |
$0.00 |
| 11042 |
|
75 |
53 |
$0.00 |
| V2020 |
Vision svcs frames purchases |
6,727 |
6,725 |
$0.00 |
| X4110 |
|
1,901 |
921 |
$0.00 |
| 87210 |
|
2,180 |
2,172 |
$0.00 |
| 99394 |
|
1,987 |
1,987 |
$0.00 |
| 90460 |
|
5,065 |
5,042 |
$0.00 |
| 99221 |
|
2,082 |
1,931 |
$0.00 |
| 90750 |
|
528 |
528 |
$0.00 |
| 90681 |
|
285 |
285 |
$0.00 |
| 99396 |
|
1,751 |
1,734 |
$0.00 |
| 84460 |
|
1,009 |
1,008 |
$0.00 |
| 96160 |
|
3,103 |
3,084 |
$0.00 |
| 99442 |
|
79 |
78 |
$0.00 |
| 99231 |
|
1,498 |
1,134 |
$0.00 |
| Z6414 |
|
2,150 |
1,656 |
$0.00 |
| 99222 |
|
931 |
889 |
$0.00 |
| 99395 |
|
2,647 |
2,627 |
$0.00 |
| 2022F |
|
275 |
273 |
$0.00 |
| Z6308 |
|
841 |
781 |
$0.00 |
| 92012 |
|
781 |
696 |
$0.00 |
| 82570 |
|
796 |
794 |
$0.00 |
| 90461 |
|
2,914 |
2,913 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
112 |
98 |
$0.00 |
| 99393 |
|
2,627 |
2,626 |
$0.00 |
| 90734 |
|
532 |
532 |
$0.00 |
| 80354 |
|
153 |
152 |
$0.00 |
| 87880 |
|
440 |
440 |
$0.00 |
| 92553 |
|
215 |
215 |
$0.00 |
| T1013 |
Sign lang/oral interpreter |
2,967 |
2,741 |
$0.00 |
| 84450 |
|
1,011 |
1,010 |
$0.00 |
| 91313 |
|
99 |
99 |
$0.00 |
| 91322 |
|
96 |
96 |
$0.00 |
| 91321 |
|
293 |
293 |
$0.00 |
| 97530 |
|
210 |
118 |
$0.00 |
| 83540 |
|
401 |
398 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
29 |
29 |
$0.00 |
| 99382 |
|
18 |
18 |
$0.00 |
| 84439 |
|
63 |
63 |
$0.00 |
| 91312 |
|
45 |
45 |
$0.00 |
| 82947 |
|
406 |
402 |
$0.00 |
| 87798 |
|
336 |
332 |
$0.00 |
| 87811 |
|
680 |
678 |
$0.00 |
| A4267 |
Male condom |
210 |
209 |
$0.00 |
| X4301 |
|
24 |
24 |
$0.00 |
| 84156 |
|
25 |
25 |
$0.00 |
| 87804 |
|
175 |
174 |
$0.00 |
| 99201 |
|
247 |
247 |
$0.00 |
| 90380 |
|
55 |
55 |
$0.00 |
| 92134 |
|
299 |
299 |
$0.00 |
| 99188 |
|
61 |
61 |
$0.00 |
| 96113 |
|
17 |
17 |
$0.00 |
| 90648 |
|
156 |
156 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
25 |
25 |
$0.00 |
| 93005 |
|
51 |
51 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
62 |
62 |
$0.00 |
| 90661 |
|
606 |
605 |
$0.00 |
| 90653 |
|
24 |
24 |
$0.00 |
| 82465 |
|
12 |
12 |
$0.00 |
| Z6500 |
|
30 |
30 |
$0.00 |
| 90707 |
|
35 |
35 |
$0.00 |
| S5199 |
Personal care item nos each |
12 |
12 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90473 |
|
30 |
30 |
$0.00 |
| 83718 |
|
12 |
12 |
$0.00 |
| 0110T |
|
14 |
13 |
$0.00 |
| 17110 |
|
12 |
12 |
$0.00 |
| 84550 |
|
40 |
40 |
$0.00 |
| 3078F |
|
73 |
72 |
$0.00 |
| L3260 |
Ambulatory surgical boot eac |
12 |
12 |
$0.00 |
| 82565 |
|
15 |
15 |
$0.00 |
| 82274 |
|
15 |
15 |
$0.00 |