| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
46,171 |
45,753 |
$5.39M |
| 99284 |
|
70,533 |
70,043 |
$3.90M |
| 99213 |
|
161,385 |
155,397 |
$3.69M |
| 91320 |
|
23,580 |
23,569 |
$2.60M |
| 99283 |
|
46,529 |
46,143 |
$1.41M |
| 90480 |
|
35,635 |
35,576 |
$1.29M |
| 77067 |
|
38,648 |
25,976 |
$1.25M |
| 74177 |
|
11,290 |
10,999 |
$1.24M |
| 99214 |
|
37,406 |
35,753 |
$1.13M |
| 93010 |
|
148,282 |
133,979 |
$982K |
| 90962 |
|
1,896 |
1,886 |
$925K |
| 92012 |
|
26,653 |
26,218 |
$882K |
| 88305 |
|
28,443 |
28,209 |
$781K |
| G0008 |
Admin influenza virus vac |
132,816 |
132,639 |
$744K |
| 70450 |
|
12,710 |
12,419 |
$727K |
| 0001A |
|
16,714 |
16,713 |
$599K |
| 0002A |
|
16,321 |
16,321 |
$597K |
| 93306 |
|
2,098 |
2,075 |
$507K |
| 99212 |
|
46,768 |
44,982 |
$471K |
| 71046 |
|
48,846 |
44,579 |
$430K |
| 78815 |
|
391 |
293 |
$430K |
| 90662 |
|
10,535 |
10,520 |
$399K |
| 71045 |
|
64,991 |
59,921 |
$378K |
| 97810 |
|
10,171 |
8,263 |
$293K |
| 99215 |
Prolong outpt/office vis |
2,822 |
2,486 |
$266K |
| 92015 |
|
74,030 |
73,634 |
$264K |
| 70551 |
|
2,473 |
2,215 |
$237K |
| 0054A |
|
7,562 |
7,561 |
$219K |
| 0124A |
|
8,178 |
8,178 |
$213K |
| 0064A |
|
6,129 |
6,129 |
$184K |
| 92002 |
|
8,772 |
8,763 |
$172K |
| 0004A |
|
5,041 |
5,041 |
$169K |
| 0071A |
|
4,886 |
4,886 |
$167K |
| 92250 |
|
10,467 |
10,368 |
$165K |
| 0072A |
|
4,860 |
4,860 |
$165K |
| 0012A |
|
4,274 |
4,274 |
$155K |
| 92134 |
|
3,995 |
3,901 |
$142K |
| 99202 |
|
6,637 |
6,605 |
$140K |
| 0011A |
|
4,072 |
4,072 |
$131K |
| 67028 |
|
515 |
481 |
$129K |
| 77080 |
|
3,100 |
2,117 |
$127K |
| 77063 |
|
2,862 |
2,078 |
$126K |
| 90656 |
|
16,723 |
16,713 |
$117K |
| 90653 |
|
2,216 |
2,216 |
$116K |
| 72148 |
|
701 |
619 |
$116K |
| 97110 |
|
6,943 |
5,733 |
$115K |
| 99203 |
|
3,601 |
3,569 |
$113K |
| 91322 |
|
1,181 |
1,181 |
$92K |
| 99232 |
|
4,422 |
1,959 |
$84K |
| 99282 |
|
6,943 |
6,886 |
$84K |
| 92014 |
|
1,021 |
1,015 |
$80K |
| 90791 |
|
2,880 |
2,873 |
$80K |
| 92507 |
|
4,010 |
2,971 |
$79K |
| 87637 |
|
987 |
978 |
$75K |
| 99442 |
|
2,428 |
2,270 |
$74K |
| 71260 |
|
716 |
700 |
$70K |
| 96413 |
|
357 |
242 |
$66K |
| 0134A |
|
2,653 |
2,653 |
$61K |
| 99397 |
|
195 |
193 |
$58K |
| 76705 |
|
1,925 |
1,753 |
$50K |
| 90837 |
|
3,122 |
2,582 |
$49K |
| 76811 |
|
869 |
500 |
$49K |
| 74176 |
|
778 |
763 |
$48K |
| 73630 |
|
4,994 |
3,614 |
$48K |
| 92557 |
|
1,597 |
1,590 |
$48K |
| 0031A |
|
1,308 |
1,308 |
$47K |
| 91319 |
|
1,634 |
1,634 |
$45K |
| 90471 |
|
45,067 |
44,632 |
$43K |
| 99309 |
|
405 |
383 |
$42K |
| 0154A |
|
1,252 |
1,252 |
$41K |
| 99392 |
|
5,089 |
5,080 |
$38K |
| 99441 |
|
4,829 |
4,527 |
$36K |
| 0052A |
|
1,030 |
1,030 |
$35K |
| 90686 |
|
91,755 |
91,647 |
$35K |
| 76815 |
|
3,722 |
1,912 |
$35K |
| J0885 |
Epoetin alfa, non-esrd |
75 |
48 |
$34K |
| 71250 |
|
195 |
190 |
$32K |
| 70553 |
|
173 |
153 |
$32K |
| 78452 |
|
191 |
191 |
$31K |
| 91318 |
|
1,501 |
1,460 |
$30K |
| 99222 |
|
318 |
317 |
$29K |
| 99443 |
|
472 |
458 |
$29K |
| 0051A |
|
807 |
807 |
$28K |
| 73030 |
|
1,359 |
1,055 |
$28K |
| 86580 |
|
17,016 |
16,224 |
$26K |
| 93000 |
|
1,434 |
1,428 |
$25K |
| 0073A |
|
782 |
782 |
$25K |
| 92567 |
|
2,460 |
2,442 |
$24K |
| 73110 |
|
1,450 |
1,032 |
$23K |
| 99238 |
|
597 |
567 |
$22K |
| 99393 |
|
1,932 |
1,930 |
$22K |
| 99310 |
Prolong nursin fac eval 15m |
193 |
164 |
$22K |
| 76642 |
|
348 |
204 |
$22K |
| 88307 |
|
1,790 |
1,783 |
$21K |
| 99391 |
|
1,084 |
1,061 |
$21K |
| 88342 |
|
466 |
458 |
$21K |
| 90853 |
|
2,735 |
1,438 |
$20K |
| 99307 |
|
462 |
365 |
$20K |
| 0081A |
|
571 |
571 |
$19K |
| 83880 |
|
298 |
286 |
$19K |
| 71275 |
|
131 |
130 |
$19K |
| A9552 |
F18 fdg |
42 |
42 |
$18K |
| 95819 |
|
80 |
77 |
$18K |
| 76830 |
|
729 |
556 |
$18K |
| 90834 |
|
1,443 |
1,204 |
$18K |
| 73610 |
|
1,907 |
1,481 |
$17K |
| 0082A |
|
483 |
483 |
$17K |
| 93005 |
|
2,104 |
2,091 |
$16K |
| 73130 |
|
1,001 |
726 |
$16K |
| 99308 |
|
240 |
230 |
$16K |
| 73564 |
|
948 |
586 |
$16K |
| 73721 |
|
168 |
133 |
$16K |
| 99204 |
|
208 |
192 |
$15K |
| 70491 |
|
192 |
187 |
$15K |
| 0111A |
|
487 |
487 |
$15K |
| 97530 |
|
1,368 |
1,118 |
$15K |
| 96365 |
|
162 |
139 |
$15K |
| 87635 |
|
675 |
664 |
$14K |
| 36415 |
|
3,394 |
2,678 |
$14K |
| 72100 |
|
728 |
615 |
$14K |
| 98968 |
|
1,802 |
1,615 |
$14K |
| 97161 |
|
266 |
265 |
$13K |
| J7999 |
Compounded drug, noc |
296 |
287 |
$13K |
| 91321 |
|
533 |
532 |
$13K |
| 85025 |
|
3,453 |
2,738 |
$13K |
| 95117 |
|
877 |
416 |
$12K |
| 11721 |
|
99 |
98 |
$12K |
| 0003A |
|
357 |
357 |
$12K |
| 88341 |
|
74 |
71 |
$11K |
| 74018 |
|
1,326 |
1,044 |
$11K |
| 0112A |
|
361 |
361 |
$11K |
| 73560 |
|
792 |
630 |
$11K |
| 95816 |
|
46 |
45 |
$10K |
| 93303 |
|
173 |
159 |
$10K |
| 90472 |
|
7,635 |
7,592 |
$9K |
| 92004 |
|
474 |
474 |
$9K |
| 93880 |
|
27 |
14 |
$9K |
| 99205 |
Prolong outpt/office vis |
61 |
61 |
$9K |
| 70496 |
|
92 |
91 |
$9K |
| 73562 |
|
309 |
201 |
$8K |
| 92551 |
|
1,737 |
1,735 |
$8K |
| 45385 |
|
14 |
14 |
$7K |
| 97535 |
|
617 |
521 |
$7K |
| 73502 |
|
228 |
194 |
$7K |
| 92133 |
|
132 |
132 |
$7K |
| 92523 |
|
141 |
139 |
$7K |
| 88312 |
|
121 |
121 |
$6K |
| 99395 |
|
226 |
215 |
$6K |
| 99394 |
|
940 |
939 |
$6K |
| 91200 |
|
96 |
95 |
$6K |
| 92504 |
|
133 |
129 |
$6K |
| 70486 |
|
141 |
138 |
$6K |
| 97811 |
|
1,149 |
911 |
$5K |
| 85610 |
|
944 |
782 |
$5K |
| 82565 |
|
2,485 |
2,060 |
$5K |
| 81001 |
|
4,327 |
4,098 |
$5K |
| 76856 |
|
338 |
264 |
$5K |
| 95810 |
|
15 |
15 |
$5K |
| 88112 |
|
97 |
95 |
$5K |
| 84460 |
|
1,666 |
1,291 |
$4K |
| 73221 |
|
34 |
26 |
$4K |
| 82247 |
|
1,771 |
1,327 |
$4K |
| 72141 |
|
41 |
37 |
$4K |
| 0083A |
|
253 |
253 |
$4K |
| 90682 |
|
6,874 |
6,871 |
$4K |
| 90677 |
|
147 |
146 |
$4K |
| 93268 |
|
12 |
12 |
$4K |
| 73140 |
|
377 |
255 |
$4K |
| 20610 |
|
25 |
24 |
$4K |
| 31575 |
|
12 |
12 |
$4K |
| 96372 |
|
155 |
110 |
$4K |
| 0013A |
|
121 |
121 |
$4K |
| 97165 |
|
111 |
110 |
$4K |
| 0164A |
|
105 |
105 |
$3K |
| 99281 |
|
631 |
631 |
$3K |
| 90734 |
|
545 |
544 |
$3K |
| 76770 |
|
41 |
29 |
$3K |
| 99173 |
|
3,164 |
3,164 |
$3K |
| 99231 |
|
169 |
91 |
$3K |
| 87491 |
|
87 |
83 |
$3K |
| 87591 |
|
87 |
83 |
$3K |
| 95800 |
|
851 |
839 |
$3K |
| 93304 |
|
34 |
25 |
$3K |
| 99211 |
|
10,265 |
9,987 |
$2K |
| 84450 |
|
863 |
713 |
$2K |
| 88313 |
|
90 |
66 |
$2K |
| 72125 |
|
27 |
27 |
$2K |
| 76805 |
|
549 |
347 |
$2K |
| 93325 |
|
49 |
37 |
$2K |
| 90832 |
|
187 |
177 |
$2K |
| 88304 |
|
237 |
236 |
$2K |
| 76882 |
|
42 |
15 |
$2K |
| 94660 |
|
15 |
14 |
$2K |
| 85652 |
|
1,946 |
1,900 |
$2K |
| 81003 |
|
2,355 |
2,303 |
$2K |
| 72040 |
|
96 |
82 |
$2K |
| 80051 |
|
913 |
892 |
$2K |
| 99292 |
|
13 |
13 |
$2K |
| 93320 |
|
33 |
24 |
$2K |
| 93224 |
|
12 |
12 |
$2K |
| 90694 |
|
2,337 |
2,336 |
$2K |
| 85060 |
|
90 |
88 |
$2K |
| 82947 |
|
1,171 |
1,095 |
$2K |
| 73080 |
|
152 |
114 |
$2K |
| 82310 |
|
232 |
168 |
$2K |
| 96040 |
|
142 |
141 |
$1K |
| 90691 |
|
545 |
545 |
$1K |
| 84132 |
|
217 |
155 |
$1K |
| 87636 |
|
223 |
222 |
$1K |
| 90710 |
|
90 |
90 |
$1K |
| 84520 |
|
957 |
942 |
$1K |
| 84075 |
|
285 |
247 |
$1K |
| 83735 |
|
95 |
68 |
$1K |
| 83036 |
|
229 |
162 |
$997.96 |
| G2012 |
Brief check in by md/qhp |
7,405 |
7,243 |
$981.27 |
| 97140 |
|
41 |
38 |
$932.21 |
| 90723 |
|
117 |
116 |
$902.00 |
| 90648 |
|
640 |
636 |
$886.00 |
| 84702 |
|
178 |
134 |
$857.78 |
| 73660 |
|
140 |
121 |
$828.95 |
| 70498 |
|
25 |
25 |
$802.90 |
| 93296 |
|
13 |
13 |
$792.00 |
| 90651 |
|
1,610 |
1,609 |
$755.00 |
| 99070 |
|
84 |
84 |
$720.80 |
| 90674 |
|
2,172 |
2,156 |
$694.99 |
| 73620 |
|
111 |
89 |
$668.11 |
| 99396 |
|
14 |
14 |
$600.00 |
| 90661 |
|
179 |
179 |
$553.61 |
| 92568 |
|
13 |
13 |
$530.00 |
| 83690 |
|
81 |
80 |
$521.08 |
| 94729 |
|
559 |
557 |
$515.12 |
| 90833 |
|
120 |
116 |
$497.00 |
| 93971 |
|
13 |
13 |
$420.17 |
| 76376 |
|
16 |
14 |
$418.39 |
| 73600 |
|
16 |
12 |
$405.42 |
| 90658 |
|
916 |
880 |
$379.98 |
| 90670 |
|
505 |
503 |
$360.00 |
| 86140 |
|
74 |
72 |
$357.00 |
| 94060 |
|
269 |
269 |
$318.62 |
| 99201 |
|
748 |
744 |
$299.85 |
| 94726 |
|
274 |
273 |
$274.65 |
| 99304 |
|
12 |
12 |
$273.76 |
| 84295 |
|
24 |
12 |
$270.00 |
| 73020 |
|
32 |
27 |
$266.23 |
| 97112 |
|
12 |
12 |
$219.45 |
| 88108 |
|
23 |
12 |
$214.17 |
| 70460 |
|
13 |
13 |
$212.75 |
| 17999 |
|
449 |
447 |
$188.50 |
| 90633 |
|
204 |
204 |
$186.00 |
| 99221 |
|
12 |
12 |
$168.07 |
| 87324 |
|
14 |
14 |
$160.00 |
| 87449 |
|
14 |
14 |
$160.00 |
| 88142 |
|
13 |
13 |
$146.48 |
| 92579 |
|
25 |
25 |
$140.00 |
| 73090 |
|
12 |
12 |
$92.28 |
| 85027 |
|
13 |
13 |
$74.23 |
| J3301 |
Triamcinolone acet inj nos |
14 |
14 |
$66.34 |
| 87210 |
|
151 |
148 |
$48.48 |
| 92587 |
|
25 |
24 |
$44.28 |
| 88141 |
|
159 |
159 |
$42.12 |
| 0173A |
|
138 |
138 |
$40.00 |
| J3420 |
Vitamin b12 injection |
29 |
24 |
$37.91 |
| 96110 |
|
64 |
64 |
$36.00 |
| 73120 |
|
16 |
14 |
$25.72 |
| G9920 |
Scrning perf and negative |
5,148 |
5,083 |
$0.16 |
| V2020 |
Vision svcs frames purchases |
6,987 |
6,424 |
$0.00 |
| V2750 |
Anti-reflective coating |
2,634 |
1,307 |
$0.00 |
| 92588 |
|
14 |
14 |
$0.00 |
| 90715 |
|
154 |
154 |
$0.00 |
| 90756 |
|
73 |
73 |
$0.00 |
| 81002 |
|
33 |
27 |
$0.00 |
| 0151A |
|
12 |
12 |
$0.00 |
| 0141A |
|
29 |
29 |
$0.00 |
| 90713 |
|
15 |
15 |
$0.00 |
| 90672 |
|
37 |
37 |
$0.00 |
| 90707 |
|
39 |
39 |
$0.00 |
| 90473 |
|
37 |
37 |
$0.00 |
| 97533 |
|
18 |
12 |
$0.00 |
| 76827 |
|
26 |
13 |
$0.00 |
| 93976 |
|
14 |
14 |
$0.00 |
| 0172A |
|
15 |
15 |
$0.00 |
| 1036F |
|
15,800 |
15,143 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
323 |
321 |
$0.00 |
| V2781 |
Progressive lens per lens |
271 |
135 |
$0.00 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,538 |
1,252 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
2,307 |
1,461 |
$0.00 |
| 94010 |
|
90 |
90 |
$0.00 |
| G9012 |
Other specified case mgmt |
762 |
573 |
$0.00 |
| 90632 |
|
51 |
51 |
$0.00 |
| 99385 |
|
60 |
60 |
$0.00 |
| 99024 |
|
45 |
43 |
$0.00 |
| V2100 |
Lens spher single plano 4.00 |
19 |
12 |
$0.00 |
| 0171A |
|
45 |
44 |
$0.00 |
| 90847 |
|
16 |
12 |
$0.00 |
| 99386 |
|
64 |
64 |
$0.00 |
| 98967 |
|
28 |
27 |
$0.00 |
| 72082 |
|
16 |
12 |
$0.00 |
| 76819 |
|
76 |
37 |
$0.00 |
| 64615 |
|
13 |
13 |
$0.00 |
| 95806 |
|
12 |
12 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90839 |
|
12 |
12 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |