| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
461,305 |
422,458 |
$20.82M |
| 99214 |
|
155,298 |
144,030 |
$8.03M |
| G9012 |
Other specified case mgmt |
47,419 |
34,337 |
$6.48M |
| 59425 |
|
46,456 |
32,551 |
$4.17M |
| 99212 |
|
109,616 |
100,751 |
$3.34M |
| G9008 |
Mccd,phys coor-care ovrsght |
18,485 |
13,237 |
$2.29M |
| 90791 |
|
11,392 |
11,143 |
$1.80M |
| 99392 |
|
22,186 |
21,569 |
$1.37M |
| 90832 |
|
24,735 |
20,435 |
$1.11M |
| 99393 |
|
15,559 |
15,227 |
$992K |
| 87635 |
|
19,255 |
18,900 |
$964K |
| 99391 |
|
15,229 |
14,309 |
$887K |
| 99203 |
|
10,655 |
10,402 |
$834K |
| 99395 |
|
7,039 |
6,784 |
$820K |
| 99394 |
|
10,040 |
9,888 |
$782K |
| 99396 |
|
6,366 |
6,306 |
$739K |
| 87811 |
|
16,443 |
15,860 |
$665K |
| 90792 |
|
3,366 |
3,312 |
$474K |
| 90686 |
|
28,441 |
28,181 |
$416K |
| 90715 |
|
11,296 |
11,109 |
$361K |
| 99202 |
|
7,314 |
7,147 |
$348K |
| 90739 |
|
2,942 |
2,801 |
$295K |
| 90750 |
|
1,800 |
1,789 |
$291K |
| 90677 |
|
5,837 |
5,286 |
$273K |
| 90651 |
|
10,258 |
10,120 |
$254K |
| 99204 |
|
2,443 |
2,399 |
$228K |
| 99205 |
Prolong outpt/office vis |
1,319 |
1,273 |
$207K |
| 92250 |
|
5,394 |
5,367 |
$206K |
| 90707 |
|
10,002 |
9,828 |
$194K |
| 96156 |
|
13,702 |
13,623 |
$183K |
| 90746 |
|
2,057 |
2,043 |
$177K |
| H1003 |
Prenatal at risk education |
8,259 |
7,514 |
$175K |
| 90670 |
|
13,567 |
13,453 |
$165K |
| 59409 |
|
227 |
209 |
$153K |
| 90688 |
|
7,511 |
7,477 |
$150K |
| 90716 |
|
9,473 |
9,294 |
$139K |
| 99188 |
|
6,845 |
6,617 |
$129K |
| 99401 |
|
8,561 |
8,218 |
$127K |
| 90633 |
|
11,504 |
11,116 |
$123K |
| 97803 |
|
9,990 |
9,652 |
$120K |
| S9445 |
Pt education noc individ |
11,010 |
9,180 |
$115K |
| 90734 |
|
7,370 |
7,300 |
$114K |
| G2025 |
Dis site tele svcs rhc/fqhc |
2,150 |
2,018 |
$108K |
| 92551 |
|
7,759 |
7,557 |
$104K |
| 83036 |
|
16,167 |
15,756 |
$103K |
| 99381 |
|
1,279 |
1,210 |
$94K |
| 87880 |
|
17,806 |
17,296 |
$92K |
| 90648 |
|
8,544 |
7,779 |
$92K |
| 90834 |
|
1,069 |
953 |
$91K |
| 87502 |
|
1,546 |
1,530 |
$90K |
| 90680 |
|
8,250 |
7,883 |
$89K |
| 90698 |
|
7,889 |
7,801 |
$87K |
| 99385 |
|
780 |
762 |
$86K |
| 99215 |
Prolong outpt/office vis |
1,378 |
1,290 |
$86K |
| 59430 |
|
1,148 |
1,093 |
$86K |
| 97802 |
|
5,095 |
4,921 |
$85K |
| 81025 |
|
30,075 |
28,851 |
$83K |
| 99211 |
|
6,752 |
6,580 |
$79K |
| 99383 |
|
1,038 |
1,013 |
$77K |
| J7307 |
Etonogestrel implant system |
167 |
149 |
$70K |
| 92552 |
|
3,105 |
2,990 |
$69K |
| 81002 |
|
44,218 |
40,216 |
$66K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
1,833 |
1,832 |
$64K |
| J3490 |
Drugs unclassified injection |
1,515 |
1,436 |
$62K |
| 90736 |
|
284 |
282 |
$61K |
| 90744 |
|
5,475 |
5,430 |
$59K |
| 93000 |
|
1,784 |
1,751 |
$59K |
| 90723 |
|
5,382 |
4,787 |
$58K |
| 87804 |
|
7,958 |
7,656 |
$56K |
| H1002 |
Carecoordination prenatal |
2,191 |
2,161 |
$53K |
| 90656 |
|
3,208 |
2,985 |
$53K |
| 99238 |
|
1,062 |
1,061 |
$51K |
| 99173 |
|
11,954 |
11,547 |
$50K |
| 99460 |
|
786 |
782 |
$49K |
| 90837 |
|
612 |
489 |
$48K |
| 90700 |
|
4,382 |
4,272 |
$48K |
| 99384 |
|
516 |
504 |
$47K |
| 83655 |
|
4,372 |
4,136 |
$46K |
| H1000 |
Prenatal care atrisk assessm |
2,406 |
2,111 |
$41K |
| 90658 |
|
1,437 |
1,351 |
$39K |
| 90732 |
|
646 |
643 |
$37K |
| 11981 |
|
138 |
129 |
$35K |
| 99386 |
|
356 |
349 |
$34K |
| H2000 |
Comp multidisipln evaluation |
2,378 |
2,364 |
$33K |
| G9007 |
Mccd, sch team conf |
632 |
627 |
$31K |
| H1001 |
Antepartum management |
643 |
515 |
$30K |
| 82962 |
|
15,833 |
15,088 |
$30K |
| S9452 |
Nutrition class |
2,276 |
2,241 |
$28K |
| 90756 |
|
1,481 |
1,432 |
$26K |
| 85018 |
|
15,466 |
14,883 |
$26K |
| 99382 |
|
413 |
402 |
$25K |
| 98941 |
|
1,158 |
791 |
$24K |
| 96150 |
|
1,437 |
1,219 |
$23K |
| 99000 |
|
10,267 |
9,843 |
$22K |
| 71046 |
|
1,130 |
1,111 |
$21K |
| 86580 |
|
5,981 |
5,807 |
$19K |
| 77067 |
|
228 |
228 |
$19K |
| 96372 |
|
5,868 |
5,516 |
$19K |
| 99201 |
|
647 |
645 |
$18K |
| 92014 |
|
376 |
375 |
$17K |
| 99462 |
|
492 |
448 |
$16K |
| 94640 |
|
619 |
556 |
$15K |
| J1885 |
Ketorolac tromethamine inj |
2,022 |
1,928 |
$14K |
| 76805 |
|
213 |
213 |
$13K |
| 90696 |
|
1,146 |
1,127 |
$12K |
| 90685 |
|
1,071 |
1,064 |
$12K |
| 90713 |
|
928 |
910 |
$11K |
| 99242 |
|
150 |
133 |
$10K |
| 90681 |
|
840 |
680 |
$9K |
| 69210 |
|
269 |
239 |
$8K |
| 90620 |
|
668 |
660 |
$8K |
| 90471 |
|
21,613 |
21,405 |
$8K |
| 58300 |
|
121 |
60 |
$8K |
| 92004 |
|
137 |
137 |
$7K |
| 76801 |
|
117 |
114 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
1,059 |
998 |
$6K |
| 92015 |
|
596 |
596 |
$6K |
| 98940 |
|
257 |
189 |
$5K |
| 96151 |
|
503 |
502 |
$5K |
| 94060 |
|
98 |
94 |
$5K |
| 90678 |
|
14 |
13 |
$5K |
| 73562 |
|
309 |
238 |
$5K |
| 90682 |
|
94 |
93 |
$4K |
| 73030 |
|
229 |
203 |
$4K |
| 11976 |
|
53 |
27 |
$4K |
| 71045 |
|
301 |
301 |
$3K |
| 90662 |
|
93 |
93 |
$3K |
| 57454 |
|
25 |
14 |
$3K |
| 96110 |
|
37 |
36 |
$3K |
| J3301 |
Triamcinolone acet inj nos |
285 |
282 |
$3K |
| 99231 |
|
70 |
62 |
$2K |
| 72110 |
|
60 |
60 |
$2K |
| 72100 |
|
98 |
98 |
$2K |
| 90632 |
|
30 |
30 |
$2K |
| 74018 |
|
102 |
102 |
$2K |
| 88720 |
|
438 |
331 |
$2K |
| 96127 |
|
306 |
304 |
$2K |
| 90381 |
|
162 |
134 |
$2K |
| J3420 |
Vitamin b12 injection |
292 |
279 |
$2K |
| 87807 |
|
193 |
178 |
$2K |
| 11982 |
|
12 |
12 |
$2K |
| J0735 |
Clonidine hydrochloride |
97 |
95 |
$2K |
| 73560 |
|
106 |
79 |
$1K |
| G0467 |
Fqhc visit, estab pt |
5,114 |
4,770 |
$1K |
| J1100 |
Dexamethasone sodium phos |
316 |
294 |
$1K |
| 90380 |
|
118 |
97 |
$1K |
| 81003 |
|
494 |
409 |
$1K |
| 93005 |
|
82 |
80 |
$1K |
| 3078F |
|
129,992 |
115,898 |
$1K |
| 74019 |
|
41 |
41 |
$899.67 |
| Q0144 |
Azithromycin dihydrate, oral |
225 |
215 |
$836.19 |
| 73630 |
|
46 |
39 |
$778.18 |
| 99232 |
|
13 |
13 |
$657.80 |
| 90472 |
|
9,907 |
9,850 |
$617.75 |
| 90649 |
|
56 |
56 |
$617.25 |
| 99233 |
Prolong inpt eval add15 m |
12 |
12 |
$588.00 |
| J0561 |
Penicillin g benzathine inj |
108 |
73 |
$564.90 |
| 90710 |
|
50 |
49 |
$545.40 |
| 73610 |
|
30 |
26 |
$512.48 |
| 3079F |
|
70,673 |
66,161 |
$492.76 |
| 92133 |
|
12 |
12 |
$483.72 |
| 90621 |
|
50 |
50 |
$472.50 |
| 90657 |
|
41 |
41 |
$436.50 |
| 73502 |
|
13 |
13 |
$382.51 |
| 87806 |
|
13 |
13 |
$364.22 |
| 72081 |
|
13 |
13 |
$329.50 |
| 90714 |
|
14 |
13 |
$260.47 |
| 72070 |
|
12 |
12 |
$255.60 |
| A9150 |
Misc/exper non-prescript dru |
141 |
139 |
$195.94 |
| A4267 |
Male condom |
510 |
495 |
$189.90 |
| 73120 |
|
15 |
12 |
$171.74 |
| 90674 |
|
15 |
15 |
$162.00 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
16 |
16 |
$161.48 |
| 86803 |
|
13 |
13 |
$150.84 |
| J7613 |
Albuterol non-comp unit |
528 |
483 |
$145.64 |
| J1815 |
Insulin injection |
26 |
26 |
$141.70 |
| J7620 |
Albuterol ipratrop non-comp |
122 |
119 |
$128.59 |
| 99403 |
|
16 |
16 |
$123.62 |
| 87430 |
|
14 |
14 |
$114.52 |
| 69209 |
|
13 |
13 |
$86.58 |
| 36416 |
|
150 |
147 |
$23.40 |
| 3077F |
|
23,459 |
21,585 |
$16.99 |
| 3074F |
|
152,171 |
136,107 |
$10.71 |
| J7609 |
Albuterol comp unit |
151 |
149 |
$0.94 |
| T1015 |
Clinic service |
13 |
12 |
$0.09 |
| 3046F |
|
101 |
96 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
13 |
13 |
$0.00 |
| 2022F |
|
13 |
13 |
$0.00 |
| 3075F |
|
34,475 |
32,536 |
$0.00 |
| 3080F |
|
9,151 |
8,568 |
$0.00 |
| 36415 |
|
287 |
280 |
$0.00 |
| G0008 |
Admin influenza virus vac |
41 |
41 |
$0.00 |
| 3044F |
|
735 |
683 |
$0.00 |
| 3072F |
|
57 |
57 |
$0.00 |
| 2023F |
|
61 |
59 |
$0.00 |
| 88142 |
|
54 |
53 |
$0.00 |