| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
264,230 |
230,342 |
$18.76M |
| 99213 |
|
288,496 |
255,177 |
$14.98M |
| 99472 |
|
25,052 |
4,713 |
$9.63M |
| 99469 |
|
27,845 |
5,318 |
$9.56M |
| 99204 |
|
69,326 |
59,885 |
$9.15M |
| 99284 |
|
97,146 |
86,216 |
$8.97M |
| 99285 |
|
67,742 |
59,511 |
$8.68M |
| 99283 |
|
133,800 |
122,639 |
$7.91M |
| 99215 |
Prolong outpt/office vis |
66,612 |
55,016 |
$6.25M |
| 99232 |
|
94,439 |
37,273 |
$4.50M |
| 99203 |
|
48,035 |
42,316 |
$4.00M |
| 99392 |
|
50,163 |
43,280 |
$3.82M |
| 99291 |
|
18,169 |
10,056 |
$3.63M |
| 93303 |
|
34,619 |
29,063 |
$3.62M |
| 99391 |
|
54,281 |
43,884 |
$3.53M |
| 99233 |
Prolong inpt eval add15 m |
39,973 |
12,797 |
$3.04M |
| 01967 |
|
3,778 |
2,849 |
$3.04M |
| 99393 |
|
35,410 |
30,627 |
$2.70M |
| 93306 |
|
34,617 |
29,227 |
$2.52M |
| 99479 |
|
20,627 |
4,193 |
$2.31M |
| 88305 |
|
26,012 |
23,048 |
$2.29M |
| 76816 |
|
38,369 |
32,469 |
$1.91M |
| 42820 |
|
6,088 |
5,387 |
$1.78M |
| 99244 |
|
10,865 |
10,222 |
$1.67M |
| 99205 |
Prolong outpt/office vis |
10,430 |
9,044 |
$1.61M |
| 74177 |
|
26,005 |
22,599 |
$1.59M |
| 71045 |
|
195,684 |
111,344 |
$1.47M |
| 96110 |
|
70,879 |
61,815 |
$1.44M |
| 99238 |
|
23,033 |
19,591 |
$1.44M |
| 93325 |
|
48,431 |
39,105 |
$1.41M |
| 00170 |
|
9,244 |
8,381 |
$1.39M |
| 93010 |
|
176,140 |
141,709 |
$1.38M |
| 76819 |
|
31,054 |
22,692 |
$1.37M |
| 95720 |
|
6,948 |
3,828 |
$1.29M |
| 90460 |
|
29,989 |
24,100 |
$1.20M |
| 99394 |
|
13,187 |
11,255 |
$1.13M |
| 99460 |
|
15,006 |
12,408 |
$1.12M |
| 69436 |
|
5,289 |
4,780 |
$1.09M |
| 93320 |
|
32,106 |
26,523 |
$1.05M |
| 70450 |
|
34,151 |
29,087 |
$996K |
| 76805 |
|
12,762 |
11,374 |
$960K |
| 92004 |
|
7,918 |
7,275 |
$947K |
| 01922 |
|
3,808 |
3,426 |
$882K |
| 70551 |
|
11,676 |
10,454 |
$837K |
| 99480 |
|
6,397 |
1,591 |
$757K |
| 92015 |
|
33,148 |
29,312 |
$739K |
| 74018 |
|
85,307 |
54,471 |
$695K |
| 70553 |
|
6,426 |
5,564 |
$645K |
| 92014 |
|
7,989 |
7,215 |
$633K |
| 99239 |
|
7,328 |
5,723 |
$628K |
| 88307 |
|
7,435 |
6,499 |
$626K |
| 92507 |
|
8,655 |
3,232 |
$577K |
| 99222 |
|
5,090 |
4,024 |
$567K |
| 95810 |
|
3,579 |
3,413 |
$551K |
| 90471 |
|
54,579 |
46,558 |
$536K |
| 95951 |
|
2,446 |
1,039 |
$519K |
| H0016 |
Alcohol and/or drug services |
2,158 |
1,463 |
$510K |
| 99212 |
|
17,909 |
15,762 |
$503K |
| 71046 |
|
52,335 |
46,766 |
$481K |
| 99223 |
Prolong inpt eval add15 m |
3,889 |
3,150 |
$456K |
| 92060 |
|
9,823 |
8,612 |
$449K |
| 87636 |
|
3,240 |
2,998 |
$403K |
| 43239 |
|
2,180 |
1,904 |
$389K |
| 76705 |
|
13,081 |
11,321 |
$351K |
| 95004 |
|
4,765 |
4,091 |
$337K |
| 90472 |
|
24,846 |
21,231 |
$336K |
| 95816 |
|
4,225 |
3,812 |
$330K |
| 76811 |
|
3,449 |
2,890 |
$327K |
| 93304 |
|
3,386 |
2,921 |
$309K |
| 76820 |
|
10,583 |
7,722 |
$299K |
| 72125 |
|
7,788 |
6,469 |
$285K |
| 87880 |
|
22,258 |
20,111 |
$278K |
| 49452 |
|
643 |
561 |
$278K |
| 95718 |
|
3,040 |
2,293 |
$272K |
| 14040 |
|
588 |
486 |
$270K |
| 95782 |
|
2,068 |
1,939 |
$270K |
| 93000 |
|
14,203 |
11,754 |
$265K |
| 59400 |
|
180 |
154 |
$262K |
| H0014 |
Alcohol and/or drug services |
919 |
451 |
$259K |
| 99231 |
|
8,023 |
4,172 |
$258K |
| 90791 |
|
1,499 |
1,243 |
$227K |
| 76830 |
|
4,431 |
3,791 |
$225K |
| 71260 |
|
5,375 |
4,547 |
$217K |
| 62370 |
|
3,092 |
2,670 |
$215K |
| 92012 |
|
4,287 |
3,861 |
$215K |
| 99395 |
|
2,471 |
2,111 |
$213K |
| 76770 |
|
6,278 |
5,606 |
$210K |
| 90792 |
|
3,006 |
2,358 |
$205K |
| 59025 |
|
6,521 |
4,524 |
$168K |
| 00731 |
|
2,215 |
1,936 |
$166K |
| 99468 |
|
228 |
149 |
$165K |
| 76506 |
|
5,175 |
4,101 |
$162K |
| 93975 |
|
2,206 |
1,657 |
$158K |
| 99245 |
|
822 |
787 |
$158K |
| 76700 |
|
4,708 |
4,123 |
$155K |
| 71275 |
|
3,129 |
2,783 |
$152K |
| 43762 |
|
1,300 |
1,133 |
$152K |
| 99282 |
|
3,900 |
3,724 |
$152K |
| 88342 |
|
3,876 |
3,311 |
$147K |
| 41010 |
|
1,612 |
1,104 |
$145K |
| 96112 |
|
1,127 |
904 |
$139K |
| 76815 |
|
3,411 |
3,031 |
$139K |
| 96130 |
|
1,709 |
1,433 |
$136K |
| 87804 |
|
11,208 |
5,579 |
$136K |
| 99243 |
|
1,101 |
962 |
$130K |
| 31622 |
|
1,290 |
865 |
$126K |
| 88141 |
|
5,631 |
5,166 |
$122K |
| 99464 |
|
1,715 |
1,510 |
$119K |
| 64642 |
|
1,180 |
980 |
$118K |
| 95251 |
|
3,760 |
3,240 |
$115K |
| 93321 |
|
6,623 |
5,605 |
$115K |
| 92551 |
|
13,025 |
10,351 |
$112K |
| 99220 |
|
697 |
650 |
$110K |
| 76817 |
|
2,497 |
2,206 |
$108K |
| 99309 |
|
5,267 |
4,098 |
$107K |
| 95819 |
|
1,114 |
995 |
$102K |
| 64643 |
|
1,034 |
793 |
$102K |
| 72082 |
|
5,509 |
4,874 |
$98K |
| 0001A |
|
3,092 |
2,465 |
$95K |
| 00920 |
|
688 |
643 |
$93K |
| 0002A |
|
2,965 |
2,425 |
$93K |
| 74019 |
|
6,575 |
5,512 |
$93K |
| 54161 |
|
676 |
533 |
$91K |
| 94010 |
|
9,233 |
8,134 |
$91K |
| 92201 |
|
3,763 |
2,472 |
$90K |
| 76825 |
|
942 |
721 |
$89K |
| 96131 |
|
1,033 |
886 |
$89K |
| 93970 |
|
4,031 |
2,517 |
$87K |
| 76856 |
|
1,603 |
1,276 |
$86K |
| 01961 |
|
224 |
197 |
$85K |
| 72132 |
|
2,112 |
1,740 |
$83K |
| 72129 |
|
2,100 |
1,728 |
$83K |
| 96133 |
|
330 |
279 |
$83K |
| 92567 |
|
5,274 |
4,537 |
$78K |
| 54150 |
|
539 |
424 |
$73K |
| 72148 |
|
995 |
903 |
$72K |
| 99417 |
Prolong home eval add 15m |
1,863 |
1,471 |
$71K |
| 96137 |
|
1,306 |
1,113 |
$70K |
| J0585 |
Injection,onabotulinumtoxina |
127 |
74 |
$70K |
| 72141 |
|
941 |
858 |
$69K |
| 99173 |
|
14,975 |
12,595 |
$68K |
| 99462 |
|
1,996 |
1,472 |
$65K |
| 96127 |
|
12,792 |
10,611 |
$61K |
| 99177 |
|
9,974 |
8,168 |
$60K |
| 99217 |
|
912 |
824 |
$60K |
| 95813 |
|
995 |
808 |
$60K |
| 73630 |
|
6,185 |
4,685 |
$58K |
| 92579 |
|
1,578 |
1,326 |
$56K |
| 72170 |
|
6,023 |
5,324 |
$56K |
| 99381 |
|
869 |
664 |
$55K |
| 90960 |
|
888 |
814 |
$52K |
| 73610 |
|
5,124 |
4,181 |
$51K |
| 74230 |
|
1,929 |
1,723 |
$50K |
| 88304 |
|
3,512 |
3,154 |
$49K |
| 96136 |
|
1,480 |
1,250 |
$48K |
| 85390 |
|
5,488 |
4,762 |
$47K |
| D7140 |
|
843 |
207 |
$46K |
| 00126 |
|
533 |
470 |
$45K |
| 70498 |
|
817 |
709 |
$45K |
| 88112 |
|
2,044 |
1,730 |
$42K |
| 90935 |
|
2,138 |
1,107 |
$38K |
| D1120 |
|
1,243 |
1,204 |
$38K |
| 72146 |
|
515 |
472 |
$37K |
| 73590 |
|
4,742 |
3,624 |
$37K |
| 74176 |
|
905 |
779 |
$36K |
| 76775 |
|
1,169 |
1,089 |
$36K |
| 00635 |
|
224 |
184 |
$36K |
| 90474 |
|
5,141 |
4,375 |
$35K |
| 92228 |
|
2,093 |
1,534 |
$35K |
| 77072 |
|
3,208 |
2,914 |
$35K |
| 93272 |
|
1,209 |
977 |
$35K |
| 59510 |
|
22 |
14 |
$34K |
| 73090 |
|
3,279 |
2,727 |
$33K |
| 99358 |
Prolong nursin fac eval 15m |
714 |
548 |
$32K |
| 95076 |
|
598 |
310 |
$32K |
| 99202 |
|
544 |
489 |
$31K |
| 76827 |
|
912 |
709 |
$31K |
| 93294 |
|
1,520 |
1,353 |
$30K |
| 99471 |
|
38 |
32 |
$30K |
| 92226 |
|
547 |
238 |
$29K |
| 96132 |
|
315 |
263 |
$28K |
| 90686 |
|
29,106 |
24,589 |
$28K |
| 93356 |
|
1,098 |
933 |
$27K |
| 59430 |
|
285 |
241 |
$26K |
| 93295 |
|
1,183 |
1,042 |
$26K |
| 96116 |
|
384 |
319 |
$26K |
| 96161 |
|
10,818 |
8,670 |
$26K |
| 31624 |
|
128 |
119 |
$26K |
| 70496 |
|
432 |
363 |
$24K |
| 76885 |
|
616 |
526 |
$24K |
| 96167 |
|
857 |
575 |
$23K |
| 90870 |
|
363 |
195 |
$22K |
| 42830 |
|
163 |
140 |
$22K |
| 71250 |
|
686 |
611 |
$20K |
| 81025 |
|
3,523 |
2,799 |
$20K |
| 76942 |
|
673 |
554 |
$20K |
| 73552 |
|
3,045 |
2,236 |
$20K |
| 47000 |
|
113 |
94 |
$20K |
| 73560 |
|
2,731 |
2,027 |
$20K |
| 99384 |
|
228 |
212 |
$20K |
| J1050 |
Medroxyprogesterone acetate |
240 |
212 |
$19K |
| 93227 |
|
717 |
596 |
$19K |
| 99221 |
|
326 |
264 |
$19K |
| D0150 |
|
769 |
699 |
$18K |
| 99308 |
|
663 |
614 |
$18K |
| 92002 |
|
419 |
255 |
$16K |
| 97530 |
|
391 |
277 |
$16K |
| 76801 |
|
204 |
189 |
$16K |
| 93567 |
|
195 |
144 |
$15K |
| 90832 |
|
707 |
217 |
$15K |
| 96121 |
|
258 |
219 |
$14K |
| 99219 |
|
128 |
107 |
$14K |
| 84165 |
|
3,156 |
2,832 |
$14K |
| 99310 |
Prolong nursin fac eval 15m |
440 |
303 |
$14K |
| 93308 |
|
472 |
345 |
$14K |
| D0120 |
|
571 |
546 |
$13K |
| 92133 |
|
748 |
653 |
$13K |
| 90670 |
|
16,473 |
13,860 |
$12K |
| 88108 |
|
800 |
623 |
$12K |
| 90677 |
|
3,085 |
2,186 |
$12K |
| 88341 |
|
197 |
151 |
$12K |
| 99476 |
|
58 |
24 |
$12K |
| 73562 |
|
1,354 |
914 |
$12K |
| 92083 |
|
589 |
543 |
$11K |
| 92587 |
|
376 |
316 |
$11K |
| 70486 |
|
260 |
224 |
$11K |
| 54300 |
|
12 |
12 |
$11K |
| 77073 |
|
724 |
626 |
$11K |
| D0140 |
|
508 |
462 |
$11K |
| 77067 |
|
536 |
416 |
$10K |
| 96156 |
|
324 |
230 |
$10K |
| H0036 |
Comm psy face-face per 15min |
96 |
35 |
$10K |
| 76857 |
|
414 |
267 |
$10K |
| 73110 |
|
735 |
611 |
$10K |
| 0071A |
|
262 |
242 |
$10K |
| D1206 |
|
477 |
469 |
$10K |
| 90715 |
|
326 |
283 |
$10K |
| 99385 |
|
82 |
71 |
$9K |
| 99100 |
|
353 |
267 |
$9K |
| 70480 |
|
159 |
141 |
$9K |
| 85018 |
|
4,262 |
3,573 |
$9K |
| 88300 |
|
1,098 |
1,071 |
$9K |
| 0054A |
|
352 |
340 |
$9K |
| D0272 |
|
604 |
567 |
$9K |
| 73721 |
|
116 |
89 |
$9K |
| D0230 |
|
1,150 |
482 |
$9K |
| 96118 |
|
44 |
36 |
$8K |
| 99255 |
|
50 |
49 |
$8K |
| 72081 |
|
569 |
513 |
$8K |
| 73140 |
|
601 |
521 |
$8K |
| 36415 |
|
3,780 |
3,158 |
$8K |
| 99383 |
|
94 |
81 |
$8K |
| 31575 |
|
211 |
172 |
$8K |
| 92511 |
|
104 |
82 |
$8K |
| 31536 |
|
44 |
38 |
$8K |
| 73130 |
|
963 |
785 |
$8K |
| 67028 |
|
506 |
395 |
$8K |
| 0072A |
|
195 |
189 |
$8K |
| 99211 |
|
574 |
483 |
$7K |
| 90834 |
|
253 |
104 |
$7K |
| D0220 |
|
648 |
606 |
$7K |
| 73030 |
|
1,289 |
1,010 |
$7K |
| 92250 |
|
284 |
238 |
$7K |
| 90853 |
|
461 |
169 |
$7K |
| 00140 |
|
25 |
25 |
$7K |
| 97165 |
|
92 |
68 |
$7K |
| 92555 |
|
362 |
299 |
$6K |
| 99242 |
|
84 |
79 |
$6K |
| 90480 |
|
436 |
311 |
$6K |
| 96372 |
|
410 |
324 |
$6K |
| 0503F |
|
1,669 |
1,406 |
$6K |
| 90651 |
|
1,936 |
1,708 |
$6K |
| 90461 |
|
13,945 |
11,079 |
$6K |
| 90656 |
|
3,772 |
2,568 |
$6K |
| 90847 |
|
40 |
37 |
$6K |
| 40806 |
|
509 |
255 |
$5K |
| 73080 |
|
475 |
413 |
$5K |
| 69210 |
|
199 |
138 |
$5K |
| 76536 |
|
181 |
153 |
$5K |
| 77080 |
|
905 |
762 |
$5K |
| 73100 |
|
497 |
429 |
$5K |
| 88313 |
|
334 |
292 |
$5K |
| 73502 |
|
871 |
745 |
$5K |
| 90723 |
|
10,409 |
8,667 |
$5K |
| 90680 |
|
10,590 |
8,641 |
$5K |
| 17110 |
|
69 |
68 |
$5K |
| 96119 |
|
31 |
26 |
$5K |
| 96380 |
|
284 |
167 |
$5K |
| 96101 |
|
60 |
50 |
$5K |
| 95873 |
|
218 |
191 |
$5K |
| 77063 |
|
272 |
199 |
$5K |
| 17250 |
|
164 |
137 |
$5K |
| 94729 |
|
1,110 |
981 |
$5K |
| 73070 |
|
455 |
397 |
$4K |
| 51600 |
|
25 |
24 |
$4K |
| 01920 |
|
15 |
15 |
$4K |
| 00813 |
|
27 |
27 |
$4K |
| 90716 |
|
4,133 |
3,638 |
$4K |
| 78815 |
|
67 |
64 |
$4K |
| 93971 |
|
337 |
288 |
$4K |
| 88188 |
|
116 |
96 |
$4K |
| D2930 |
|
38 |
13 |
$4K |
| 0052A |
|
113 |
111 |
$4K |
| 64615 |
|
64 |
55 |
$4K |
| 96040 |
|
88 |
77 |
$4K |
| 86077 |
|
153 |
137 |
$4K |
| 99218 |
|
40 |
38 |
$4K |
| 88312 |
|
142 |
113 |
$4K |
| 92225 |
|
96 |
52 |
$3K |
| 99477 |
|
17 |
12 |
$3K |
| D2391 |
|
85 |
25 |
$3K |
| 72157 |
|
31 |
24 |
$3K |
| 0081A |
|
99 |
73 |
$3K |
| 90839 |
|
65 |
55 |
$3K |
| 92134 |
|
427 |
335 |
$3K |
| 93568 |
|
34 |
26 |
$3K |
| 90961 |
|
49 |
46 |
$3K |
| 76642 |
|
123 |
76 |
$3K |
| 0004A |
|
95 |
82 |
$3K |
| 81002 |
|
1,342 |
1,022 |
$3K |
| 0124A |
|
143 |
135 |
$3K |
| 83020 |
|
233 |
189 |
$3K |
| 88302 |
|
261 |
229 |
$3K |
| 94726 |
|
438 |
387 |
$3K |
| D1110 |
|
65 |
63 |
$3K |
| 88173 |
|
69 |
62 |
$3K |
| 99465 |
|
26 |
15 |
$3K |
| 93298 |
|
88 |
85 |
$3K |
| 76140 |
|
174 |
144 |
$3K |
| 76813 |
|
50 |
38 |
$2K |
| 0154A |
|
79 |
71 |
$2K |
| 99418 |
Prolong nursin fac eval 15m |
34 |
12 |
$2K |
| 96450 |
|
20 |
16 |
$2K |
| 80305 |
|
203 |
120 |
$2K |
| 90707 |
|
4,240 |
3,714 |
$2K |
| 0051A |
|
67 |
64 |
$2K |
| 95953 |
|
18 |
14 |
$2K |
| 74240 |
|
56 |
50 |
$2K |
| 00811 |
|
47 |
36 |
$2K |
| 92552 |
|
85 |
68 |
$2K |
| 90380 |
|
76 |
49 |
$2K |
| 95939 |
|
53 |
24 |
$2K |
| 99140 |
|
52 |
44 |
$2K |
| 0053A |
|
106 |
99 |
$2K |
| 74174 |
|
32 |
25 |
$2K |
| 51784 |
|
41 |
37 |
$2K |
| 52287 |
|
38 |
27 |
$2K |
| 70491 |
|
37 |
36 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
44 |
38 |
$2K |
| T2023 |
Targeted case mgmt per month |
122 |
93 |
$2K |
| V5363 |
Language screening |
82 |
65 |
$2K |
| 94640 |
|
81 |
62 |
$2K |
| 99152 |
|
278 |
194 |
$2K |
| 92227 |
|
394 |
375 |
$2K |
| 72156 |
|
12 |
12 |
$1K |
| 51726 |
|
25 |
24 |
$1K |
| 91200 |
|
180 |
136 |
$1K |
| 31526 |
|
15 |
14 |
$1K |
| 90734 |
|
627 |
507 |
$1K |
| 90648 |
|
15,057 |
12,618 |
$1K |
| 96111 |
|
14 |
12 |
$1K |
| 95991 |
|
53 |
45 |
$1K |
| 90633 |
|
5,676 |
4,843 |
$1K |
| 88720 |
|
518 |
443 |
$1K |
| 95937 |
|
101 |
54 |
$1K |
| 95938 |
|
76 |
39 |
$1K |
| 95117 |
|
88 |
52 |
$1K |
| 91122 |
|
13 |
12 |
$1K |
| 99349 |
|
38 |
26 |
$1K |
| 99224 |
|
39 |
37 |
$1K |
| 72100 |
|
188 |
158 |
$1K |
| 99252 |
|
17 |
16 |
$1K |
| 76981 |
|
45 |
36 |
$1K |
| 36620 |
|
19 |
13 |
$1K |
| 90698 |
|
679 |
447 |
$1K |
| J3490 |
Drugs unclassified injection |
1,380 |
1,187 |
$1K |
| 93016 |
|
125 |
109 |
$1K |
| 99451 |
|
24 |
24 |
$1K |
| 31231 |
|
12 |
12 |
$1K |
| 96158 |
|
72 |
53 |
$981.28 |
| D1351 |
|
41 |
13 |
$969.83 |
| 75565 |
|
101 |
90 |
$908.84 |
| 80061 |
|
78 |
54 |
$906.78 |
| 97161 |
|
33 |
15 |
$892.94 |
| 76882 |
|
39 |
25 |
$887.85 |
| 73564 |
|
37 |
16 |
$877.42 |
| G0108 |
Diab manage trn per indiv |
12 |
12 |
$858.92 |
| 93225 |
|
30 |
26 |
$854.87 |
| 99442 |
|
21 |
13 |
$842.46 |
| 73060 |
|
155 |
118 |
$801.96 |
| G0101 |
Ca screen;pelvic/breast exam |
82 |
72 |
$799.13 |
| 78452 |
|
15 |
12 |
$750.60 |
| 95885 |
|
43 |
39 |
$741.64 |
| 72040 |
|
108 |
93 |
$738.74 |
| 93018 |
|
129 |
109 |
$736.82 |
| 99459 |
|
42 |
29 |
$721.28 |
| 77066 |
Tomosynthesis, mammo |
25 |
13 |
$698.41 |
| J9035 |
Bevacizumab injection |
144 |
105 |
$698.08 |
| 99251 |
|
16 |
13 |
$692.51 |
| 96113 |
|
32 |
28 |
$652.87 |
| 90937 |
|
43 |
28 |
$650.04 |
| J1100 |
Dexamethasone sodium phos |
228 |
182 |
$631.16 |
| 36416 |
|
485 |
432 |
$616.70 |
| 73700 |
|
21 |
12 |
$616.32 |
| 87635 |
|
12 |
12 |
$615.72 |
| G6002 |
Stereoscopic x-ray guidance |
30 |
12 |
$595.15 |
| 90688 |
|
3,196 |
2,767 |
$585.21 |
| 87210 |
|
266 |
216 |
$551.73 |
| G0453 |
Cont intraop neuro monitor |
63 |
28 |
$543.21 |
| 76376 |
|
17 |
17 |
$541.34 |
| 84166 |
|
86 |
79 |
$539.89 |
| 90710 |
|
14 |
12 |
$500.00 |
| D9420 |
|
620 |
565 |
$496.34 |
| 94664 |
|
50 |
49 |
$491.04 |
| 0173A |
|
15 |
15 |
$490.83 |
| 76604 |
|
15 |
12 |
$453.61 |
| 88346 |
|
31 |
26 |
$424.06 |
| 88311 |
|
47 |
43 |
$416.76 |
| 77076 |
|
16 |
12 |
$414.48 |
| 11721 |
|
470 |
238 |
$408.04 |
| 74430 |
|
25 |
24 |
$390.85 |
| 0083A |
|
13 |
12 |
$359.60 |
| V5362 |
Speech screening |
22 |
20 |
$352.95 |
| 99318 |
|
14 |
13 |
$349.34 |
| 90696 |
|
340 |
309 |
$338.04 |
| 99441 |
|
15 |
13 |
$320.83 |
| 96152 |
|
19 |
12 |
$318.67 |
| 88321 |
|
13 |
12 |
$258.56 |
| G9678 |
Oncology care model service |
53 |
53 |
$232.00 |
| 93922 |
|
37 |
25 |
$228.08 |
| D0274 |
|
12 |
12 |
$210.12 |
| 70250 |
|
15 |
15 |
$184.86 |
| 76937 |
|
28 |
24 |
$184.26 |
| 76776 |
|
20 |
14 |
$184.19 |
| 70355 |
|
22 |
18 |
$174.67 |
| 94618 |
|
15 |
12 |
$159.11 |
| 51798 |
|
73 |
58 |
$156.68 |
| G0296 |
Visit to determ ldct elig |
31 |
24 |
$156.39 |
| 96138 |
|
14 |
13 |
$155.54 |
| 96168 |
|
14 |
12 |
$148.61 |
| 83036 |
|
76 |
65 |
$145.62 |
| 90744 |
|
419 |
268 |
$142.80 |
| 93005 |
|
44 |
29 |
$116.82 |
| 72070 |
|
21 |
18 |
$105.39 |
| 96154 |
|
17 |
12 |
$102.58 |
| 90674 |
|
1,675 |
1,560 |
$84.83 |
| 90700 |
|
579 |
472 |
$65.67 |
| 11720 |
|
88 |
38 |
$54.07 |
| 92025 |
|
27 |
26 |
$53.68 |
| 90785 |
|
13 |
12 |
$50.40 |
| 0500F |
|
1,101 |
1,056 |
$50.01 |
| 90661 |
|
525 |
307 |
$47.26 |
| 81005 |
|
33 |
30 |
$42.11 |
| G2211 |
Complex e/m visit add on |
13 |
13 |
$20.34 |
| 3074F |
|
1,546 |
1,309 |
$20.00 |
| 96160 |
|
295 |
277 |
$12.58 |
| D0350 |
|
12 |
12 |
$10.04 |
| Q0162 |
Ondansetron oral |
71 |
68 |
$6.84 |
| 99051 |
|
6,519 |
5,644 |
$6.50 |
| G0008 |
Admin influenza virus vac |
26 |
25 |
$3.72 |
| 90647 |
|
1,789 |
1,438 |
$0.00 |
| 0501F |
|
319 |
317 |
$0.00 |
| 90620 |
|
157 |
134 |
$0.00 |
| 3079F |
|
130 |
110 |
$0.00 |
| 90381 |
|
168 |
98 |
$0.00 |
| 99000 |
|
37 |
37 |
$0.00 |
| 3044F |
|
33 |
28 |
$0.00 |
| 91319 |
|
46 |
28 |
$0.00 |
| 0502F |
|
87,279 |
67,912 |
$0.00 |
| G1004 |
Cdsm ndsc |
841 |
787 |
$0.00 |
| 3078F |
|
1,403 |
1,202 |
$0.00 |
| 90685 |
|
1,528 |
1,356 |
$0.00 |
| 91300 |
|
775 |
466 |
$0.00 |
| 99195 |
|
25 |
24 |
$0.00 |
| 91320 |
|
21 |
12 |
$0.00 |