| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Antepartum management |
6,959 |
4,538 |
$739K |
| 99214 |
|
35,650 |
33,517 |
$506K |
| 59409 |
|
317 |
294 |
$292K |
| 59425 |
|
2,911 |
1,982 |
$290K |
| 99213 |
|
21,856 |
20,440 |
$240K |
| S9083 |
Urgent care center global |
2,357 |
2,276 |
$176K |
| H1000 |
Prenatal care atrisk assessm |
708 |
692 |
$149K |
| 77067 |
|
1,609 |
1,601 |
$147K |
| 99204 |
|
1,726 |
1,695 |
$132K |
| 97110 |
|
5,896 |
2,621 |
$87K |
| 76805 |
|
1,003 |
987 |
$61K |
| 93000 |
|
1,999 |
1,986 |
$52K |
| 76817 |
|
465 |
406 |
$51K |
| 59025 |
|
1,646 |
869 |
$51K |
| 99215 |
Prolong outpt/office vis |
863 |
831 |
$47K |
| 99203 |
|
772 |
765 |
$41K |
| 90686 |
|
3,556 |
3,509 |
$39K |
| 76856 |
|
948 |
943 |
$38K |
| 71046 |
|
3,640 |
3,563 |
$38K |
| 93306 |
|
540 |
454 |
$37K |
| 73562 |
|
3,017 |
2,455 |
$34K |
| 76830 |
|
701 |
699 |
$29K |
| 99238 |
|
453 |
427 |
$28K |
| 20610 |
|
766 |
616 |
$26K |
| 59514 |
|
28 |
25 |
$26K |
| 99244 |
|
172 |
166 |
$25K |
| Z1034 |
|
448 |
263 |
$24K |
| 73030 |
|
1,812 |
1,624 |
$19K |
| 77063 |
|
844 |
837 |
$19K |
| 45380 |
|
57 |
55 |
$18K |
| 73630 |
|
1,433 |
1,196 |
$18K |
| 73610 |
|
1,139 |
1,042 |
$17K |
| 99202 |
|
363 |
355 |
$16K |
| 72148 |
|
228 |
228 |
$16K |
| 73130 |
|
1,145 |
916 |
$15K |
| 94729 |
|
558 |
558 |
$15K |
| 92014 |
|
681 |
680 |
$15K |
| 90715 |
|
332 |
320 |
$14K |
| 73110 |
|
886 |
767 |
$14K |
| 76700 |
|
357 |
356 |
$13K |
| 76815 |
|
335 |
326 |
$13K |
| 94726 |
|
507 |
507 |
$13K |
| 99232 |
|
914 |
491 |
$12K |
| 73502 |
|
775 |
766 |
$12K |
| 77080 |
|
427 |
411 |
$12K |
| 97139 |
|
501 |
191 |
$11K |
| 76642 |
|
263 |
223 |
$10K |
| 95117 |
|
801 |
544 |
$10K |
| 73721 |
|
95 |
84 |
$10K |
| 90460 |
|
269 |
244 |
$10K |
| 94060 |
|
381 |
381 |
$9K |
| 59430 |
|
81 |
79 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
604 |
553 |
$9K |
| 0001A |
|
207 |
207 |
$8K |
| 87635 |
|
131 |
126 |
$7K |
| 92557 |
|
171 |
165 |
$7K |
| 0011A |
|
168 |
168 |
$7K |
| 0012A |
|
161 |
161 |
$6K |
| 73564 |
|
559 |
453 |
$6K |
| 43239 |
|
25 |
25 |
$6K |
| 72100 |
|
389 |
388 |
$5K |
| 99391 |
|
203 |
199 |
$5K |
| 96372 |
|
438 |
339 |
$5K |
| 95004 |
|
38 |
36 |
$5K |
| 92012 |
|
204 |
193 |
$4K |
| 90651 |
|
72 |
72 |
$4K |
| 92004 |
|
72 |
72 |
$4K |
| 92504 |
|
156 |
154 |
$4K |
| 76770 |
|
103 |
103 |
$3K |
| 90656 |
|
247 |
247 |
$3K |
| 90677 |
|
39 |
39 |
$3K |
| 0002A |
|
77 |
77 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
186 |
184 |
$3K |
| 97530 |
|
288 |
120 |
$3K |
| 97140 |
|
488 |
207 |
$3K |
| 96110 |
|
61 |
59 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
293 |
285 |
$2K |
| 0071A |
|
57 |
57 |
$2K |
| 99394 |
|
581 |
581 |
$2K |
| 87637 |
|
15 |
12 |
$2K |
| 99152 |
|
25 |
25 |
$2K |
| 76536 |
|
65 |
65 |
$2K |
| 92567 |
|
89 |
84 |
$2K |
| 99212 |
|
319 |
303 |
$2K |
| 90671 |
|
27 |
24 |
$2K |
| 99392 |
|
720 |
707 |
$2K |
| 0072A |
|
42 |
42 |
$2K |
| 74177 |
|
292 |
285 |
$2K |
| 71250 |
|
42 |
41 |
$2K |
| 92133 |
|
70 |
70 |
$2K |
| 92551 |
|
1,463 |
1,454 |
$1K |
| G0279 |
Tomosynthesis, mammo |
81 |
80 |
$1K |
| Z1032 |
|
12 |
12 |
$1K |
| 99243 |
|
12 |
12 |
$1K |
| 73560 |
|
131 |
115 |
$1K |
| J1030 |
Methylprednisolone 40 mg inj |
104 |
102 |
$1K |
| 90670 |
|
139 |
125 |
$1K |
| 31231 |
|
12 |
12 |
$1K |
| 92588 |
|
21 |
18 |
$1K |
| A9585 |
Gadobutrol injection |
24 |
24 |
$1K |
| 99393 |
|
533 |
531 |
$1K |
| 93320 |
|
24 |
24 |
$1K |
| 72110 |
|
65 |
65 |
$975.31 |
| 90461 |
|
66 |
66 |
$969.84 |
| 97163 |
|
15 |
15 |
$969.80 |
| 99233 |
Prolong inpt eval add15 m |
1,542 |
686 |
$886.23 |
| 95115 |
|
92 |
49 |
$852.62 |
| 97750 |
|
20 |
12 |
$831.43 |
| 97799 |
|
30 |
30 |
$703.87 |
| 76801 |
|
15 |
14 |
$698.48 |
| 92134 |
|
73 |
73 |
$679.96 |
| 90698 |
|
75 |
70 |
$675.00 |
| 99496 |
|
24 |
24 |
$641.92 |
| 69210 |
|
14 |
12 |
$612.69 |
| 97535 |
|
72 |
67 |
$554.57 |
| 0064A |
|
12 |
12 |
$480.00 |
| 96127 |
|
92 |
89 |
$476.19 |
| 76705 |
|
160 |
158 |
$456.57 |
| 99205 |
Prolong outpt/office vis |
41 |
41 |
$446.83 |
| 97010 |
|
23 |
13 |
$444.38 |
| 90734 |
|
41 |
41 |
$360.00 |
| 90619 |
|
40 |
40 |
$351.00 |
| G9920 |
Scrning perf and negative |
12 |
12 |
$348.00 |
| G0180 |
Md certification hha patient |
26 |
25 |
$321.32 |
| 90744 |
|
24 |
24 |
$216.00 |
| 87880 |
|
452 |
440 |
$193.76 |
| 73140 |
|
13 |
13 |
$160.16 |
| 72040 |
|
14 |
13 |
$156.69 |
| 90680 |
|
16 |
16 |
$144.00 |
| 90633 |
|
15 |
12 |
$135.00 |
| 70450 |
|
270 |
261 |
$130.79 |
| 73080 |
|
13 |
12 |
$113.82 |
| G0500 |
Mod sedat endo service >5yrs |
82 |
80 |
$97.57 |
| 99239 |
|
485 |
473 |
$96.12 |
| 90471 |
|
177 |
167 |
$93.66 |
| 81025 |
|
16 |
16 |
$87.68 |
| 93325 |
|
24 |
24 |
$77.39 |
| 74176 |
|
91 |
85 |
$73.21 |
| 85018 |
|
229 |
220 |
$64.44 |
| 99395 |
|
100 |
97 |
$57.20 |
| 71045 |
|
860 |
618 |
$22.25 |
| 86580 |
|
45 |
44 |
$13.44 |
| J3420 |
Vitamin b12 injection |
12 |
12 |
$4.56 |
| G0439 |
Ppps, subseq visit |
266 |
266 |
$0.00 |
| G0008 |
Admin influenza virus vac |
126 |
126 |
$0.00 |
| 71275 |
|
30 |
30 |
$0.00 |
| 99291 |
|
109 |
58 |
$0.00 |
| 97162 |
|
14 |
14 |
$0.00 |
| 99255 |
|
13 |
13 |
$0.00 |
| 71260 |
|
14 |
13 |
$0.00 |
| 93010 |
|
43 |
38 |
$0.00 |
| G2211 |
Complex e/m visit add on |
27 |
27 |
$0.00 |
| 99222 |
|
64 |
63 |
$0.00 |
| 72125 |
|
15 |
15 |
$0.00 |
| 99254 |
|
17 |
17 |
$0.00 |
| 74018 |
|
50 |
43 |
$0.00 |
| 90662 |
|
164 |
164 |
$0.00 |
| 99396 |
|
13 |
13 |
$0.00 |