| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
|
1,269 |
1,261 |
$275K |
| 99232 |
|
10,108 |
4,029 |
$166K |
| 99213 |
|
398,154 |
355,254 |
$70K |
| 99238 |
|
1,947 |
1,923 |
$32K |
| 99222 |
|
949 |
939 |
$26K |
| 99243 |
|
1,854 |
1,845 |
$19K |
| 99223 |
Prolong inpt eval add15 m |
312 |
309 |
$13K |
| 99212 |
|
226,729 |
203,145 |
$12K |
| 99239 |
|
368 |
357 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
280 |
112 |
$8K |
| 76811 |
|
252 |
252 |
$7K |
| 59514 |
|
25 |
25 |
$6K |
| 11721 |
|
882 |
880 |
$5K |
| 99242 |
|
427 |
425 |
$4K |
| 99214 |
|
32,705 |
31,065 |
$3K |
| G0439 |
Ppps, subseq visit |
51,569 |
51,378 |
$2K |
| 81002 |
|
68,046 |
59,742 |
$2K |
| 99231 |
|
198 |
90 |
$2K |
| 99395 |
|
8,182 |
8,021 |
$2K |
| 76816 |
|
219 |
215 |
$2K |
| 76813 |
|
75 |
75 |
$2K |
| 85018 |
|
53,581 |
53,043 |
$2K |
| 81025 |
|
42,827 |
40,535 |
$1K |
| G0467 |
Fqhc visit, estab pt |
27,798 |
22,349 |
$1K |
| 99173 |
|
26,546 |
26,457 |
$1K |
| 82962 |
|
23,092 |
21,472 |
$1K |
| 92551 |
|
30,036 |
29,923 |
$917.23 |
| 90686 |
|
21,850 |
21,751 |
$843.19 |
| 90471 |
|
13,157 |
13,054 |
$825.10 |
| 99393 |
|
13,086 |
13,040 |
$784.08 |
| 96372 |
|
13,104 |
11,264 |
$740.90 |
| J3301 |
Triamcinolone acet inj nos |
809 |
703 |
$656.54 |
| 92133 |
|
67 |
67 |
$566.19 |
| J1100 |
Dexamethasone sodium phos |
73 |
71 |
$474.71 |
| 83036 |
|
12,852 |
12,743 |
$407.55 |
| 99394 |
|
7,801 |
7,790 |
$390.86 |
| 90651 |
|
2,762 |
2,755 |
$357.44 |
| 87880 |
|
10,299 |
10,138 |
$351.08 |
| 99392 |
|
18,625 |
18,542 |
$331.05 |
| 90715 |
|
4,676 |
4,651 |
$322.20 |
| J1885 |
Ketorolac tromethamine inj |
4,010 |
3,639 |
$285.01 |
| H1001 |
Antepartum management |
26,122 |
19,514 |
$245.91 |
| 99241 |
|
12 |
12 |
$245.60 |
| 3072F |
|
53 |
53 |
$229.26 |
| 86580 |
|
657 |
650 |
$227.96 |
| 99174 |
|
7,267 |
7,244 |
$188.40 |
| 20550 |
|
54 |
53 |
$146.37 |
| G9226 |
3 comp foot exam completed |
7,076 |
6,941 |
$134.34 |
| 90734 |
|
1,897 |
1,886 |
$105.43 |
| J3490 |
Drugs unclassified injection |
4,933 |
4,683 |
$87.73 |
| 99219 |
|
235 |
228 |
$69.60 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
37 |
35 |
$58.70 |
| 87804 |
|
9,084 |
9,010 |
$52.52 |
| 2022F |
|
14 |
14 |
$48.00 |
| 90633 |
|
3,852 |
3,835 |
$45.93 |
| 99203 |
|
358 |
350 |
$39.95 |
| 92015 |
|
174 |
174 |
$32.01 |
| 99396 |
|
4,259 |
4,154 |
$25.89 |
| 99202 |
|
433 |
427 |
$20.00 |
| G8510 |
Scr dep neg, no plan reqd |
1,830 |
1,659 |
$0.05 |
| 3074F |
|
6,651 |
6,253 |
$0.00 |
| 90680 |
|
3,129 |
3,112 |
$0.00 |
| 3075F |
|
3,281 |
3,199 |
$0.00 |
| 2023F |
|
416 |
416 |
$0.00 |
| 96151 |
|
425 |
424 |
$0.00 |
| 90647 |
|
2,689 |
2,665 |
$0.00 |
| 3080F |
|
922 |
862 |
$0.00 |
| 3044F |
|
701 |
701 |
$0.00 |
| 90723 |
|
2,346 |
2,336 |
$0.00 |
| 93000 |
|
1,319 |
1,290 |
$0.00 |
| 90716 |
|
282 |
280 |
$0.00 |
| 11976 |
|
178 |
172 |
$0.00 |
| 3079F |
|
5,337 |
5,115 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
4,414 |
3,620 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
381 |
324 |
$0.00 |
| S9445 |
Pt education noc individ |
366 |
348 |
$0.00 |
| G0008 |
Admin influenza virus vac |
524 |
523 |
$0.00 |
| 99406 |
|
1,034 |
959 |
$0.00 |
| 96156 |
|
819 |
810 |
$0.00 |
| 90698 |
|
1,373 |
1,369 |
$0.00 |
| 90744 |
|
542 |
539 |
$0.00 |
| S9452 |
Nutrition class |
136 |
134 |
$0.00 |
| 59430 |
|
946 |
916 |
$0.00 |
| 92250 |
|
19 |
19 |
$0.00 |
| 0011A |
|
73 |
73 |
$0.00 |
| 90688 |
|
98 |
98 |
$0.00 |
| J3420 |
Vitamin b12 injection |
157 |
131 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
213 |
213 |
$0.00 |
| 87635 |
|
231 |
227 |
$0.00 |
| 0012A |
|
12 |
12 |
$0.00 |
| 90696 |
|
68 |
68 |
$0.00 |
| 90732 |
|
248 |
247 |
$0.00 |
| 11730 |
|
25 |
25 |
$0.00 |
| 3052F |
|
13 |
13 |
$0.00 |
| 0636 |
|
20 |
20 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
54 |
54 |
$0.00 |
| 58301 |
|
12 |
12 |
$0.00 |
| 59400 |
|
12 |
12 |
$0.00 |
| 99391 |
|
7,537 |
7,487 |
$0.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
1,349 |
1,349 |
$0.00 |
| 3078F |
|
7,348 |
6,857 |
$0.00 |
| G9920 |
Scrning perf and negative |
12,947 |
12,920 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
9,537 |
9,393 |
$0.00 |
| 3077F |
|
3,688 |
3,411 |
$0.00 |
| 90670 |
|
8,560 |
8,508 |
$0.00 |
| 97803 |
|
1,470 |
1,435 |
$0.00 |
| 83655 |
|
3,384 |
3,360 |
$0.00 |
| G9357 |
Pp eval/edu perf |
1,147 |
1,091 |
$0.00 |
| H1000 |
Prenatal care atrisk assessm |
1,398 |
1,397 |
$0.00 |
| H1003 |
Prenatal at risk education |
3,048 |
3,042 |
$0.00 |
| 90700 |
|
2,289 |
2,277 |
$0.00 |
| 59425 |
|
1,343 |
1,097 |
$0.00 |
| 99401 |
|
1,709 |
1,618 |
$0.00 |
| 90707 |
|
266 |
264 |
$0.00 |
| 90710 |
|
757 |
753 |
$0.00 |
| H1002 |
Carecoordination prenatal |
1,429 |
1,427 |
$0.00 |
| 99201 |
|
1,014 |
853 |
$0.00 |
| G0438 |
Ppps, initial visit |
140 |
138 |
$0.00 |
| 11981 |
|
150 |
150 |
$0.00 |
| 90472 |
|
278 |
277 |
$0.00 |
| 3046F |
|
354 |
354 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
506 |
506 |
$0.00 |
| 11750 |
|
13 |
13 |
$0.00 |
| 98940 |
|
128 |
123 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
32 |
30 |
$0.00 |
| 90713 |
|
243 |
241 |
$0.00 |
| 96158 |
|
134 |
132 |
$0.00 |
| 90648 |
|
67 |
67 |
$0.00 |
| 90685 |
|
61 |
61 |
$0.00 |
| J7307 |
Etonogestrel implant system |
166 |
166 |
$0.00 |
| 11042 |
|
103 |
58 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
61 |
60 |
$0.00 |
| 92014 |
|
166 |
166 |
$0.00 |
| 3051F |
|
96 |
96 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
77 |
58 |
$0.00 |
| 90746 |
|
26 |
26 |
$0.00 |
| 90832 |
|
13 |
12 |
$0.00 |
| 96152 |
|
53 |
53 |
$0.00 |
| 69209 |
|
27 |
24 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |