| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
16,503 |
15,852 |
$156K |
| 99214 |
|
6,002 |
5,760 |
$151K |
| 87651 |
|
4,397 |
4,348 |
$130K |
| 87502 |
|
1,640 |
1,623 |
$129K |
| 90834 |
|
641 |
463 |
$99K |
| 87635 |
|
1,683 |
1,661 |
$79K |
| 99215 |
Prolong outpt/office vis |
306 |
292 |
$59K |
| 96127 |
|
4,405 |
4,394 |
$44K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
5,594 |
5,577 |
$41K |
| 96110 |
|
3,339 |
3,294 |
$34K |
| 90832 |
|
260 |
219 |
$32K |
| 99391 |
|
1,328 |
1,307 |
$28K |
| 90460 |
|
5,787 |
5,761 |
$24K |
| 90785 |
|
702 |
464 |
$16K |
| 92558 |
|
1,807 |
1,803 |
$14K |
| 85025 |
|
1,738 |
1,723 |
$12K |
| 87804 |
|
1,005 |
494 |
$12K |
| 83655 |
|
1,002 |
1,001 |
$11K |
| 99392 |
|
1,909 |
1,908 |
$10K |
| 87880 |
|
623 |
617 |
$8K |
| 99393 |
|
2,134 |
2,134 |
$8K |
| 99394 |
|
1,557 |
1,557 |
$6K |
| 90461 |
|
108 |
108 |
$4K |
| 92587 |
|
226 |
226 |
$4K |
| 87081 |
|
408 |
405 |
$3K |
| 99188 |
|
90 |
90 |
$2K |
| 99177 |
|
563 |
563 |
$2K |
| 99381 |
|
25 |
25 |
$2K |
| 94640 |
|
72 |
71 |
$1K |
| 94760 |
|
1,054 |
1,015 |
$1K |
| 87591 |
|
31 |
31 |
$959.45 |
| 87491 |
|
28 |
28 |
$866.60 |
| 87634 |
|
13 |
13 |
$804.96 |
| 81003 |
|
379 |
368 |
$718.74 |
| 90651 |
|
182 |
182 |
$586.32 |
| 90686 |
|
641 |
640 |
$581.52 |
| 90661 |
|
193 |
189 |
$532.97 |
| 99173 |
|
459 |
459 |
$454.08 |
| 99211 |
|
404 |
403 |
$254.63 |
| 99051 |
|
12 |
12 |
$182.16 |
| 36415 |
|
43 |
43 |
$108.65 |
| 90656 |
|
693 |
685 |
$17.69 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
25 |
25 |
$13.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
29 |
28 |
$8.35 |
| 99072 |
|
46 |
43 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90670 |
|
32 |
32 |
$0.00 |
| 90633 |
|
153 |
153 |
$0.00 |
| 90707 |
|
29 |
29 |
$0.00 |
| 90677 |
|
533 |
532 |
$0.00 |
| 90619 |
|
214 |
214 |
$0.00 |
| 36416 |
|
19 |
18 |
$0.00 |
| 90698 |
|
112 |
112 |
$0.00 |
| 90680 |
|
163 |
163 |
$0.00 |
| 90697 |
|
33 |
33 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |