| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
|
105,288 |
60,629 |
$9.62M |
| 90834 |
|
65,795 |
44,551 |
$3.98M |
| 99214 |
|
54,657 |
45,652 |
$3.67M |
| 90791 |
|
22,433 |
19,139 |
$2.17M |
| 90832 |
|
38,223 |
27,890 |
$1.71M |
| 99232 |
|
26,034 |
8,034 |
$1.24M |
| 93010 |
|
199,221 |
119,981 |
$1.24M |
| 90847 |
|
15,907 |
11,323 |
$1.22M |
| 99213 |
|
23,136 |
19,154 |
$875K |
| H2011 |
Crisis interven svc, 15 min |
9,167 |
7,735 |
$683K |
| 90792 |
|
4,913 |
4,028 |
$597K |
| 92014 |
|
3,971 |
2,939 |
$370K |
| 90853 |
|
28,992 |
10,595 |
$353K |
| 99238 |
|
5,005 |
4,277 |
$272K |
| 99231 |
|
11,720 |
4,242 |
$266K |
| 90846 |
|
3,558 |
2,549 |
$253K |
| 99215 |
Prolong outpt/office vis |
2,877 |
2,512 |
$238K |
| 90785 |
|
17,636 |
8,167 |
$223K |
| 90839 |
|
2,974 |
2,535 |
$189K |
| H0038 |
Self-help/peer svc per 15min |
5,753 |
2,537 |
$188K |
| 99349 |
|
5,269 |
4,527 |
$99K |
| 99222 |
|
1,572 |
1,416 |
$99K |
| 99233 |
Prolong inpt eval add15 m |
1,305 |
533 |
$57K |
| 92015 |
|
5,426 |
4,052 |
$56K |
| 99220 |
|
375 |
321 |
$49K |
| 99212 |
|
2,045 |
1,777 |
$46K |
| 99309 |
|
2,282 |
1,368 |
$39K |
| J1050 |
Medroxyprogesterone acetate |
748 |
660 |
$32K |
| 99348 |
|
2,072 |
1,688 |
$31K |
| 96372 |
|
3,030 |
2,163 |
$31K |
| 99217 |
|
809 |
693 |
$27K |
| 99218 |
|
406 |
349 |
$23K |
| 99223 |
Prolong inpt eval add15 m |
344 |
305 |
$21K |
| 99225 |
|
560 |
408 |
$19K |
| 99460 |
|
162 |
124 |
$17K |
| 90833 |
|
238 |
207 |
$16K |
| J1631 |
Haloperidol decanoate inj |
468 |
377 |
$15K |
| 99219 |
|
270 |
239 |
$12K |
| 99442 |
|
1,832 |
1,254 |
$11K |
| 99308 |
|
991 |
631 |
$11K |
| 92004 |
|
82 |
72 |
$10K |
| 99395 |
|
113 |
100 |
$10K |
| Q0111 |
Wet mounts/ w preparations |
997 |
868 |
$8K |
| 99239 |
|
102 |
73 |
$8K |
| 86703 |
|
900 |
816 |
$7K |
| V2020 |
Vision svcs frames purchases |
346 |
333 |
$7K |
| 99211 |
|
476 |
378 |
$7K |
| 81025 |
|
1,189 |
1,031 |
$6K |
| 96132 |
|
281 |
257 |
$6K |
| 99443 |
|
595 |
395 |
$5K |
| 92012 |
|
101 |
72 |
$5K |
| 99221 |
|
65 |
55 |
$5K |
| 99224 |
|
293 |
208 |
$4K |
| 99204 |
|
50 |
41 |
$4K |
| 99350 |
Prolong home eval add 15m |
143 |
126 |
$3K |
| 36415 |
|
3,104 |
2,250 |
$3K |
| Q0112 |
Potassium hydroxide preps |
678 |
601 |
$3K |
| 36416 |
|
850 |
759 |
$3K |
| 99335 |
|
164 |
95 |
$2K |
| Q0091 |
Obtaining screen pap smear |
55 |
45 |
$2K |
| 99441 |
|
495 |
350 |
$2K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
65 |
53 |
$2K |
| 99203 |
|
27 |
25 |
$1K |
| 99462 |
|
17 |
12 |
$1K |
| 96133 |
|
28 |
27 |
$777.43 |
| 99347 |
|
40 |
28 |
$647.79 |
| 99334 |
|
53 |
42 |
$599.06 |
| 81002 |
|
253 |
229 |
$558.56 |
| 92133 |
|
51 |
26 |
$526.21 |
| 80305 |
|
105 |
53 |
$316.38 |
| 90694 |
|
55 |
52 |
$304.63 |
| 90682 |
|
171 |
164 |
$289.10 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
13 |
13 |
$286.44 |
| 11055 |
|
40 |
36 |
$242.84 |
| G2211 |
Complex e/m visit add on |
836 |
663 |
$217.85 |
| 11720 |
|
45 |
42 |
$168.87 |
| 11721 |
|
42 |
38 |
$128.69 |
| 99490 |
Ccm add 20min |
1,184 |
1,027 |
$119.87 |
| 90840 |
|
14 |
12 |
$110.53 |
| 99283 |
|
13 |
13 |
$96.26 |
| G0127 |
Trim nail(s) |
67 |
56 |
$81.40 |
| 83026 |
|
38 |
31 |
$78.77 |
| 69210 |
|
17 |
16 |
$51.68 |
| T1016 |
Case management |
537 |
350 |
$39.83 |
| H2014 |
Skills train and dev, 15 min |
590 |
154 |
$0.00 |
| 93005 |
|
27 |
27 |
$0.00 |
| 99401 |
|
77 |
44 |
$0.00 |
| G2252 |
Brief chkin by md/qhp, 11-20 |
102 |
73 |
$0.00 |
| 0004A |
|
16 |
15 |
$0.00 |
| G0180 |
Md certification hha patient |
78 |
65 |
$0.00 |
| 83036 |
|
137 |
134 |
$0.00 |
| G0008 |
Admin influenza virus vac |
226 |
215 |
$0.00 |
| D9999 |
|
51 |
40 |
$0.00 |