| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
195,263 |
141,417 |
$22.05M |
| 92507 |
|
181,828 |
19,005 |
$15.86M |
| 99212 |
|
104,713 |
76,851 |
$12.50M |
| 97110 |
|
182,730 |
40,764 |
$10.46M |
| 99203 |
|
59,062 |
57,798 |
$8.03M |
| 97530 |
|
105,147 |
24,181 |
$6.70M |
| 97113 |
|
62,311 |
14,815 |
$5.97M |
| 90832 |
|
54,249 |
15,069 |
$5.54M |
| 92012 |
|
29,411 |
9,618 |
$3.91M |
| T1999 |
Noc retail items andsupplies |
1,073 |
1,045 |
$3.55M |
| 97140 |
|
71,722 |
21,621 |
$3.26M |
| 97116 |
|
62,785 |
17,660 |
$2.94M |
| 76000 |
|
12,358 |
10,290 |
$2.86M |
| 97112 |
|
46,523 |
9,785 |
$2.55M |
| 99214 |
|
23,414 |
17,901 |
$2.51M |
| 92523 |
|
21,168 |
6,270 |
$2.25M |
| 0101T |
|
6,005 |
4,037 |
$2.01M |
| 90853 |
|
19,283 |
5,370 |
$1.69M |
| 97163 |
|
11,883 |
10,379 |
$1.66M |
| 92004 |
|
12,335 |
12,188 |
$1.66M |
| 97164 |
|
19,335 |
6,442 |
$1.57M |
| 76942 |
|
10,101 |
6,836 |
$1.55M |
| 20552 |
|
7,563 |
5,266 |
$1.38M |
| 97167 |
|
9,026 |
8,371 |
$1.22M |
| 90833 |
|
19,228 |
15,866 |
$1.15M |
| 20611 |
|
2,847 |
1,262 |
$1.08M |
| 97168 |
|
11,849 |
4,489 |
$974K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
15,366 |
8,095 |
$949K |
| 97535 |
|
19,792 |
6,073 |
$927K |
| 99202 |
|
6,938 |
6,842 |
$906K |
| 92250 |
|
9,768 |
9,740 |
$853K |
| 92014 |
|
5,976 |
5,920 |
$800K |
| 76856 |
|
1,884 |
1,787 |
$786K |
| 90792 |
|
4,086 |
3,810 |
$768K |
| 93880 |
|
2,360 |
2,223 |
$763K |
| 93976 |
|
1,718 |
1,678 |
$688K |
| 92060 |
|
8,178 |
8,007 |
$638K |
| 96365 |
|
2,913 |
1,990 |
$621K |
| G0295 |
Electromagnetic therapy onc |
3,388 |
2,132 |
$609K |
| G0281 |
Elec stim unattend for press |
4,343 |
2,167 |
$597K |
| 92310 |
|
2,846 |
2,774 |
$596K |
| 87651 |
|
16,295 |
14,576 |
$559K |
| V2020 |
Vision svcs frames purchases |
10,005 |
9,997 |
$550K |
| S9083 |
Urgent care center global |
10,496 |
8,031 |
$524K |
| 25600 |
|
1,221 |
1,217 |
$517K |
| 90791 |
|
2,665 |
2,610 |
$514K |
| 87636 |
|
4,893 |
4,541 |
$497K |
| 99000 |
|
26,414 |
23,039 |
$482K |
| 96415 |
|
721 |
265 |
$379K |
| 99441 |
|
2,827 |
2,466 |
$358K |
| 99204 |
|
3,064 |
2,926 |
$344K |
| 92340 |
|
8,744 |
8,740 |
$343K |
| 93306 |
|
1,527 |
1,470 |
$335K |
| 11901 |
|
1,197 |
950 |
$317K |
| 92285 |
|
5,713 |
5,686 |
$316K |
| 17110 |
|
1,064 |
930 |
$298K |
| 95004 |
|
1,230 |
1,228 |
$290K |
| 20553 |
|
1,436 |
1,233 |
$288K |
| 28470 |
|
600 |
595 |
$276K |
| 87635 |
|
10,607 |
9,399 |
$270K |
| 96367 |
|
1,566 |
341 |
$250K |
| 97166 |
|
2,008 |
1,950 |
$222K |
| G0447 |
Behavior counsel obesity 15m |
2,167 |
1,838 |
$201K |
| 90834 |
|
1,232 |
927 |
$197K |
| 99051 |
|
15,420 |
12,477 |
$189K |
| 99401 |
|
4,765 |
4,314 |
$178K |
| 20550 |
|
772 |
708 |
$172K |
| 51798 |
|
918 |
857 |
$172K |
| V2784 |
Lens polycarb or equal |
17,594 |
9,244 |
$170K |
| D2750 |
|
450 |
407 |
$154K |
| 96413 |
|
1,007 |
378 |
$141K |
| 99442 |
|
1,065 |
1,014 |
$141K |
| 97533 |
|
1,827 |
496 |
$139K |
| 93925 |
|
336 |
321 |
$123K |
| 94644 |
|
4,592 |
4,238 |
$109K |
| 93886 |
|
232 |
211 |
$109K |
| 99395 |
|
1,568 |
1,546 |
$108K |
| 95886 |
|
1,041 |
744 |
$108K |
| 26720 |
|
239 |
234 |
$107K |
| 93978 |
|
266 |
262 |
$106K |
| 99392 |
|
961 |
948 |
$103K |
| 10061 |
|
363 |
351 |
$99K |
| 10040 |
|
352 |
331 |
$97K |
| G0283 |
Elec stim other than wound |
5,542 |
2,241 |
$95K |
| 92065 |
|
17,321 |
5,258 |
$92K |
| 96136 |
|
700 |
682 |
$92K |
| 92201 |
|
1,064 |
1,060 |
$86K |
| 87502 |
|
1,787 |
1,731 |
$86K |
| 99396 |
|
1,544 |
1,513 |
$86K |
| 96361 |
|
414 |
361 |
$86K |
| 76770 |
|
251 |
247 |
$85K |
| 99393 |
|
840 |
831 |
$84K |
| D1110 |
|
2,348 |
2,336 |
$83K |
| G0445 |
High inten beh couns std 30m |
820 |
743 |
$81K |
| 99394 |
|
715 |
703 |
$68K |
| D0150 |
|
2,449 |
2,199 |
$65K |
| 99211 |
|
2,939 |
2,518 |
$64K |
| 11900 |
|
252 |
235 |
$64K |
| 92202 |
|
1,323 |
1,289 |
$62K |
| 93970 |
|
134 |
132 |
$62K |
| 11056 |
|
208 |
207 |
$62K |
| 99215 |
Prolong outpt/office vis |
1,383 |
406 |
$59K |
| 96130 |
|
823 |
649 |
$58K |
| 96417 |
|
555 |
244 |
$57K |
| 96416 |
|
155 |
86 |
$55K |
| 97124 |
|
1,932 |
987 |
$54K |
| 36415 |
|
12,858 |
12,127 |
$52K |
| 97162 |
|
449 |
447 |
$52K |
| 20610 |
|
265 |
255 |
$51K |
| 29700 |
|
201 |
196 |
$49K |
| G0444 |
Depression screen annual |
1,535 |
1,467 |
$47K |
| 92083 |
|
646 |
632 |
$47K |
| G0442 |
Annual alcohol screen 15 min |
1,133 |
1,048 |
$46K |
| 92341 |
|
1,150 |
1,150 |
$45K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
834 |
459 |
$45K |
| 96137 |
|
753 |
730 |
$44K |
| 92015 |
|
10,214 |
10,119 |
$43K |
| 10060 |
|
143 |
137 |
$42K |
| 90746 |
|
1,754 |
1,730 |
$42K |
| 11750 |
|
73 |
72 |
$41K |
| 97161 |
|
417 |
410 |
$41K |
| 99385 |
|
767 |
761 |
$41K |
| 93975 |
|
95 |
90 |
$40K |
| 99443 |
|
309 |
267 |
$39K |
| J7321 |
Hyalgan supartz visco-3 dose |
1,426 |
604 |
$38K |
| G2023 |
Specimen collect covid-19 |
2,273 |
2,139 |
$36K |
| 51741 |
|
316 |
293 |
$35K |
| 27750 |
|
72 |
72 |
$35K |
| 92133 |
|
426 |
425 |
$33K |
| 27786 |
|
69 |
69 |
$32K |
| 94667 |
|
4,692 |
4,415 |
$30K |
| 76830 |
|
1,405 |
1,286 |
$30K |
| 87633 |
|
875 |
823 |
$29K |
| 99050 |
|
3,195 |
2,743 |
$29K |
| V2303 |
Lens sphcy trifocal 4.0/.12- |
467 |
274 |
$28K |
| D0220 |
|
2,991 |
2,973 |
$28K |
| D0230 |
|
2,265 |
2,264 |
$27K |
| 11721 |
|
353 |
353 |
$26K |
| 96372 |
|
2,343 |
1,987 |
$25K |
| D0210 |
|
1,376 |
1,364 |
$25K |
| 94200 |
|
4,559 |
4,283 |
$24K |
| V2300 |
Lens sphere trifocal 4.00d |
410 |
226 |
$23K |
| 99406 |
|
608 |
541 |
$22K |
| 90715 |
|
989 |
987 |
$22K |
| 99382 |
|
195 |
195 |
$21K |
| 11102 |
|
42 |
41 |
$21K |
| D0330 |
|
733 |
637 |
$21K |
| D0274 |
|
1,060 |
1,060 |
$21K |
| 95816 |
|
120 |
119 |
$21K |
| 99383 |
|
233 |
231 |
$20K |
| D0120 |
|
923 |
901 |
$20K |
| 99386 |
|
360 |
333 |
$19K |
| 90686 |
|
874 |
872 |
$18K |
| D0140 |
|
1,694 |
1,543 |
$17K |
| G0008 |
Admin influenza virus vac |
1,715 |
1,700 |
$17K |
| 94060 |
|
64 |
64 |
$17K |
| 96132 |
|
442 |
429 |
$17K |
| 90471 |
|
4,973 |
4,724 |
$16K |
| 99407 |
|
441 |
354 |
$16K |
| 99384 |
|
177 |
177 |
$16K |
| D2954 |
|
160 |
147 |
$15K |
| D2392 |
|
283 |
213 |
$15K |
| 96110 |
|
105 |
105 |
$14K |
| 87811 |
|
747 |
678 |
$14K |
| 11730 |
|
170 |
168 |
$14K |
| V2200 |
Lens spher bifoc plano 4.00d |
271 |
148 |
$14K |
| 98926 |
|
694 |
623 |
$14K |
| S0395 |
Impression casting ft |
75 |
38 |
$13K |
| 29075 |
|
51 |
51 |
$13K |
| 93000 |
|
3,658 |
3,600 |
$13K |
| 96112 |
|
83 |
83 |
$13K |
| 92558 |
|
280 |
279 |
$13K |
| 99381 |
|
103 |
103 |
$12K |
| 10120 |
|
43 |
41 |
$12K |
| 29130 |
|
59 |
58 |
$12K |
| 26600 |
|
25 |
25 |
$11K |
| J2916 |
Na ferric gluconate complex |
1,662 |
972 |
$11K |
| 90707 |
|
513 |
501 |
$11K |
| 90688 |
|
585 |
574 |
$10K |
| 29280 |
|
42 |
39 |
$8K |
| 99391 |
|
63 |
63 |
$8K |
| 96374 |
|
1,815 |
1,290 |
$8K |
| 95912 |
|
121 |
103 |
$7K |
| 95911 |
|
155 |
153 |
$7K |
| 96360 |
|
351 |
325 |
$7K |
| 93890 |
|
159 |
154 |
$7K |
| 90677 |
|
258 |
258 |
$7K |
| 90472 |
|
1,548 |
1,506 |
$7K |
| 96160 |
|
165 |
165 |
$6K |
| 90756 |
|
264 |
262 |
$6K |
| 87804 |
|
1,783 |
1,564 |
$6K |
| 96113 |
|
83 |
83 |
$6K |
| 29540 |
|
41 |
34 |
$6K |
| 25605 |
|
12 |
12 |
$6K |
| 90836 |
|
58 |
47 |
$6K |
| 29705 |
|
23 |
22 |
$5K |
| 76775 |
|
57 |
55 |
$5K |
| 96131 |
|
294 |
288 |
$5K |
| 90674 |
|
210 |
210 |
$5K |
| 96366 |
|
44 |
31 |
$5K |
| 90710 |
|
216 |
215 |
$5K |
| 11055 |
|
16 |
16 |
$5K |
| 96101 |
|
13 |
12 |
$4K |
| 90723 |
|
189 |
189 |
$4K |
| 87880 |
|
5,061 |
4,606 |
$4K |
| 90656 |
|
356 |
355 |
$4K |
| V2100 |
Lens spher single plano 4.00 |
966 |
628 |
$4K |
| 64454 |
|
13 |
13 |
$4K |
| 90632 |
|
184 |
179 |
$4K |
| 29065 |
|
14 |
13 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
1,558 |
1,406 |
$3K |
| 0011A |
|
255 |
254 |
$3K |
| 92225 |
|
78 |
72 |
$3K |
| 90633 |
|
149 |
149 |
$3K |
| J0640 |
Leucovorin calcium injection |
163 |
49 |
$3K |
| 20600 |
|
12 |
12 |
$3K |
| H0049 |
Alcohol/drug screening |
57 |
57 |
$3K |
| 29125 |
|
32 |
31 |
$2K |
| 0012A |
|
140 |
140 |
$2K |
| 90697 |
|
87 |
87 |
$2K |
| 69209 |
|
14 |
14 |
$2K |
| 73110 |
|
319 |
294 |
$2K |
| 90700 |
|
87 |
87 |
$2K |
| 91322 |
|
27 |
27 |
$2K |
| 97165 |
|
20 |
19 |
$2K |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$2K |
| 90716 |
|
58 |
58 |
$2K |
| J9190 |
Fluorouracil injection |
265 |
101 |
$2K |
| 87631 |
|
37 |
37 |
$2K |
| 97760 |
|
51 |
51 |
$2K |
| 99201 |
|
13 |
13 |
$2K |
| 99001 |
|
145 |
135 |
$2K |
| 90750 |
|
13 |
13 |
$2K |
| 90658 |
|
159 |
157 |
$2K |
| 87428 |
|
77 |
76 |
$2K |
| 90460 |
|
567 |
565 |
$1K |
| 0013A |
|
111 |
111 |
$1K |
| 87077 |
|
1,681 |
1,526 |
$1K |
| 90734 |
|
95 |
94 |
$1K |
| 90696 |
|
61 |
60 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
116 |
113 |
$1K |
| 90461 |
|
561 |
561 |
$1K |
| 81025 |
|
392 |
376 |
$1K |
| 90619 |
|
41 |
41 |
$1K |
| 0001A |
|
43 |
39 |
$866.04 |
| 90732 |
|
29 |
29 |
$865.05 |
| 99024 |
|
87 |
79 |
$840.00 |
| 96375 |
|
1,189 |
793 |
$836.90 |
| 81003 |
|
509 |
454 |
$747.10 |
| 97026 |
|
36 |
33 |
$724.63 |
| 94668 |
|
92 |
88 |
$697.69 |
| 73630 |
|
225 |
208 |
$685.01 |
| 73130 |
|
89 |
82 |
$684.82 |
| 99402 |
|
14 |
14 |
$680.63 |
| J9206 |
Irinotecan injection |
148 |
49 |
$636.22 |
| 86580 |
|
28 |
28 |
$600.97 |
| 0552T |
|
228 |
193 |
$594.82 |
| 82962 |
|
1,037 |
756 |
$583.30 |
| 97010 |
|
103 |
62 |
$561.85 |
| 87807 |
|
15 |
14 |
$541.00 |
| 81005 |
|
169 |
164 |
$464.56 |
| 91301 |
|
508 |
498 |
$460.08 |
| 36592 |
|
15 |
14 |
$442.19 |
| 0031A |
|
53 |
51 |
$427.34 |
| 90649 |
|
25 |
25 |
$422.86 |
| 73600 |
|
141 |
130 |
$418.21 |
| 90685 |
|
17 |
17 |
$415.40 |
| 83655 |
|
30 |
30 |
$411.41 |
| 90713 |
|
17 |
17 |
$392.92 |
| 80307 |
|
12 |
12 |
$373.68 |
| 92226 |
|
14 |
13 |
$294.99 |
| 91300 |
|
35 |
34 |
$273.77 |
| 90480 |
|
25 |
25 |
$272.00 |
| J3490 |
Drugs unclassified injection |
571 |
230 |
$257.24 |
| 90648 |
|
12 |
12 |
$250.43 |
| J3301 |
Triamcinolone acet inj nos |
1,478 |
1,204 |
$231.76 |
| J7030 |
Normal saline solution infus |
1,917 |
1,349 |
$227.46 |
| 90672 |
|
13 |
13 |
$218.03 |
| 81000 |
|
343 |
331 |
$163.51 |
| 87070 |
|
1,136 |
1,063 |
$138.54 |
| 91320 |
|
14 |
14 |
$131.10 |
| 81002 |
|
971 |
925 |
$112.67 |
| J7040 |
Normal saline solution infus |
835 |
632 |
$106.40 |
| 96127 |
|
580 |
546 |
$97.15 |
| 86318 |
|
131 |
119 |
$90.20 |
| 73080 |
|
26 |
25 |
$65.42 |
| 99072 |
|
281 |
259 |
$35.00 |
| 87430 |
|
132 |
123 |
$30.32 |
| 94760 |
|
1,265 |
1,143 |
$26.45 |
| J3420 |
Vitamin b12 injection |
680 |
583 |
$25.57 |
| 73100 |
|
14 |
12 |
$18.00 |
| 85018 |
|
65 |
65 |
$15.92 |
| 86769 |
|
13 |
13 |
$15.91 |
| 71046 |
|
101 |
97 |
$7.39 |
| J2405 |
Ondansetron hcl injection |
823 |
300 |
$3.93 |
| 81001 |
|
35 |
31 |
$2.33 |
| J1642 |
Inj heparin sodium per 10 u |
508 |
260 |
$1.10 |
| 3008F |
|
778 |
584 |
$0.70 |
| J1100 |
Dexamethasone sodium phos |
714 |
277 |
$0.36 |
| J2001 |
Lidocaine injection |
47 |
37 |
$0.02 |
| 3078F |
|
200 |
162 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
147 |
139 |
$0.00 |
| 90653 |
|
56 |
54 |
$0.00 |
| 99080 |
|
540 |
526 |
$0.00 |
| 90863 |
|
39 |
36 |
$0.00 |
| 3077F |
|
52 |
42 |
$0.00 |
| 69210 |
|
12 |
12 |
$0.00 |
| 3210F |
|
44 |
42 |
$0.00 |
| 3079F |
|
107 |
89 |
$0.00 |
| 3044F |
|
127 |
103 |
$0.00 |
| 93892 |
|
13 |
13 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
131 |
130 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
14 |
12 |
$0.00 |
| 3074F |
|
145 |
116 |
$0.00 |
| 91303 |
|
44 |
44 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
27 |
26 |
$0.00 |
| 3294F |
|
14 |
14 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
14 |
14 |
$0.00 |
| 3075F |
|
34 |
29 |
$0.00 |