| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
163,194 |
155,133 |
$11.02M |
| 99213 |
|
156,589 |
146,480 |
$9.92M |
| 99232 |
|
61,171 |
23,369 |
$2.28M |
| 99391 |
|
18,167 |
17,094 |
$1.80M |
| 99204 |
|
12,595 |
12,321 |
$1.52M |
| 99291 |
|
10,687 |
5,390 |
$1.44M |
| 99392 |
|
14,630 |
14,556 |
$1.44M |
| 99203 |
|
15,397 |
15,155 |
$1.29M |
| 99233 |
Prolong inpt eval add15 m |
23,042 |
10,977 |
$1.10M |
| 74177 |
|
16,471 |
15,906 |
$931K |
| 99223 |
Prolong inpt eval add15 m |
9,145 |
8,613 |
$890K |
| 99215 |
Prolong outpt/office vis |
7,645 |
7,068 |
$820K |
| 88305 |
|
20,037 |
17,656 |
$802K |
| 99393 |
|
7,527 |
7,465 |
$787K |
| 76816 |
|
10,791 |
10,250 |
$644K |
| 70450 |
|
19,826 |
18,923 |
$633K |
| 70553 |
|
5,766 |
5,588 |
$565K |
| 93306 |
|
14,287 |
13,749 |
$565K |
| 99212 |
|
10,430 |
9,257 |
$531K |
| 67028 |
|
7,258 |
6,791 |
$490K |
| 99239 |
|
7,333 |
6,974 |
$415K |
| 76815 |
|
8,405 |
5,723 |
$373K |
| 93010 |
|
75,869 |
65,923 |
$349K |
| 71045 |
|
65,974 |
57,027 |
$342K |
| 99309 |
|
14,328 |
12,223 |
$326K |
| 92014 |
|
5,919 |
5,682 |
$316K |
| 76811 |
|
2,473 |
2,423 |
$304K |
| 99222 |
|
3,491 |
3,219 |
$290K |
| 69436 |
|
1,188 |
1,092 |
$271K |
| 43239 |
|
1,075 |
1,054 |
$262K |
| 76805 |
|
4,624 |
4,513 |
$255K |
| 99394 |
|
2,369 |
2,355 |
$244K |
| 01967 |
|
534 |
521 |
$244K |
| 59025 |
|
7,920 |
4,270 |
$240K |
| 88307 |
|
3,181 |
2,883 |
$218K |
| 71046 |
|
31,690 |
30,879 |
$213K |
| 92004 |
|
1,773 |
1,741 |
$208K |
| 95886 |
|
2,043 |
1,971 |
$190K |
| 90723 |
|
9,030 |
8,958 |
$172K |
| 92134 |
|
10,042 |
9,444 |
$169K |
| 95951 |
|
1,508 |
396 |
$166K |
| 72148 |
|
2,675 |
2,642 |
$159K |
| 73630 |
|
9,884 |
7,767 |
$156K |
| 99231 |
|
6,215 |
2,259 |
$149K |
| 11042 |
|
3,531 |
2,461 |
$149K |
| 76820 |
|
2,964 |
1,717 |
$136K |
| 70551 |
|
2,318 |
2,222 |
$135K |
| 71275 |
|
1,926 |
1,872 |
$125K |
| 95810 |
|
936 |
922 |
$125K |
| 42820 |
|
448 |
445 |
$124K |
| 74176 |
|
2,283 |
2,207 |
$124K |
| 99238 |
|
2,159 |
2,060 |
$122K |
| 43235 |
|
778 |
756 |
$118K |
| 71260 |
|
2,653 |
2,572 |
$114K |
| 76817 |
|
2,246 |
2,004 |
$113K |
| 99205 |
Prolong outpt/office vis |
799 |
790 |
$113K |
| 49083 |
|
1,075 |
695 |
$110K |
| 95720 |
|
1,275 |
483 |
$110K |
| 87880 |
|
6,814 |
6,641 |
$110K |
| 99308 |
|
5,590 |
4,963 |
$110K |
| 59409 |
|
144 |
142 |
$109K |
| 74018 |
|
16,121 |
14,217 |
$102K |
| 93970 |
|
3,106 |
2,808 |
$98K |
| 73721 |
|
1,575 |
1,486 |
$97K |
| 76819 |
|
2,540 |
1,940 |
$94K |
| 76705 |
|
4,454 |
4,355 |
$94K |
| 20610 |
|
2,898 |
2,399 |
$91K |
| 99221 |
|
1,568 |
1,403 |
$91K |
| 92567 |
|
7,363 |
7,277 |
$88K |
| 95811 |
|
1,006 |
985 |
$83K |
| 64615 |
|
992 |
968 |
$82K |
| 90670 |
|
11,080 |
10,964 |
$76K |
| 90686 |
|
12,187 |
12,060 |
$75K |
| 88342 |
|
3,037 |
2,631 |
$74K |
| 77067 |
|
2,204 |
2,179 |
$68K |
| 90647 |
|
8,620 |
8,544 |
$67K |
| 80053 |
|
8,507 |
7,268 |
$65K |
| 95911 |
|
480 |
470 |
$59K |
| 76818 |
|
601 |
406 |
$59K |
| 76830 |
|
995 |
975 |
$58K |
| V2020 |
Vision svcs frames purchases |
836 |
819 |
$56K |
| 90792 |
|
628 |
512 |
$53K |
| 92557 |
|
1,770 |
1,744 |
$50K |
| 85025 |
|
8,740 |
7,326 |
$49K |
| 77063 |
|
1,715 |
1,696 |
$46K |
| 92015 |
|
6,907 |
6,526 |
$41K |
| 99202 |
|
785 |
766 |
$39K |
| 93971 |
|
2,066 |
1,984 |
$36K |
| 62323 |
|
341 |
318 |
$36K |
| 92555 |
|
1,782 |
1,769 |
$36K |
| 66984 |
|
148 |
129 |
$36K |
| 70498 |
|
557 |
536 |
$35K |
| 00170 |
|
492 |
490 |
$35K |
| 76801 |
|
608 |
589 |
$35K |
| 72125 |
|
877 |
846 |
$33K |
| 93925 |
|
540 |
485 |
$33K |
| 71250 |
|
897 |
875 |
$32K |
| 72141 |
|
488 |
483 |
$32K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
768 |
706 |
$31K |
| 90677 |
|
2,897 |
2,883 |
$31K |
| 92552 |
|
1,225 |
1,214 |
$31K |
| 74183 |
|
332 |
326 |
$30K |
| 92579 |
|
730 |
728 |
$30K |
| 90834 |
|
618 |
391 |
$27K |
| 92060 |
|
1,034 |
1,003 |
$26K |
| 73562 |
|
1,386 |
1,321 |
$26K |
| 92012 |
|
1,205 |
1,125 |
$25K |
| 0241U |
|
194 |
191 |
$25K |
| 93296 |
|
2,203 |
2,115 |
$25K |
| 93880 |
|
706 |
647 |
$24K |
| 95251 |
|
744 |
738 |
$23K |
| 88304 |
|
2,458 |
2,240 |
$23K |
| 90633 |
|
2,953 |
2,917 |
$23K |
| 99244 |
|
96 |
96 |
$23K |
| 0001A |
|
641 |
621 |
$23K |
| 99254 |
|
220 |
187 |
$23K |
| 99253 |
|
211 |
202 |
$22K |
| 00731 |
|
923 |
886 |
$22K |
| 20611 |
|
365 |
348 |
$21K |
| 72100 |
|
2,906 |
2,847 |
$21K |
| 90681 |
|
2,573 |
2,558 |
$21K |
| 27096 |
|
222 |
196 |
$20K |
| 76642 |
|
824 |
772 |
$20K |
| J0178 |
Aflibercept injection |
50 |
48 |
$19K |
| 73221 |
|
341 |
327 |
$19K |
| 62369 |
|
388 |
350 |
$19K |
| 88341 |
|
261 |
238 |
$19K |
| 64493 |
|
131 |
104 |
$19K |
| 95819 |
|
305 |
300 |
$18K |
| 70496 |
|
279 |
271 |
$18K |
| 73610 |
|
1,416 |
1,343 |
$18K |
| 84443 |
|
1,232 |
1,186 |
$18K |
| 99460 |
|
196 |
192 |
$17K |
| 69210 |
|
682 |
593 |
$17K |
| 83036 |
|
1,865 |
1,814 |
$17K |
| 59430 |
|
57 |
52 |
$17K |
| 94010 |
|
832 |
789 |
$16K |
| 67210 |
|
54 |
52 |
$16K |
| 74019 |
|
860 |
850 |
$16K |
| 93227 |
|
804 |
789 |
$16K |
| 77427 |
|
174 |
87 |
$15K |
| 97803 |
|
460 |
419 |
$15K |
| 93000 |
|
1,182 |
1,157 |
$15K |
| 11750 |
|
156 |
127 |
$15K |
| 93295 |
|
572 |
553 |
$15K |
| 84165 |
|
2,091 |
1,856 |
$15K |
| 93272 |
|
882 |
879 |
$14K |
| 76856 |
|
190 |
184 |
$14K |
| 78815 |
|
267 |
255 |
$14K |
| 93356 |
|
637 |
618 |
$13K |
| 92083 |
|
411 |
402 |
$13K |
| 76700 |
|
404 |
399 |
$13K |
| 51798 |
|
1,581 |
1,522 |
$12K |
| 99188 |
|
552 |
549 |
$11K |
| 73030 |
|
1,179 |
1,120 |
$11K |
| 99310 |
Prolong nursin fac eval 15m |
298 |
244 |
$11K |
| 99255 |
|
98 |
90 |
$11K |
| 99152 |
|
451 |
413 |
$11K |
| 81002 |
|
3,103 |
2,493 |
$11K |
| 77014 |
|
668 |
153 |
$11K |
| J9035 |
Bevacizumab injection |
660 |
648 |
$11K |
| 72170 |
|
647 |
591 |
$10K |
| 99472 |
|
20 |
12 |
$10K |
| 93018 |
|
821 |
803 |
$10K |
| 73100 |
|
493 |
382 |
$10K |
| 78452 |
|
232 |
228 |
$9K |
| 88112 |
|
555 |
481 |
$9K |
| 93016 |
|
711 |
701 |
$9K |
| 94726 |
|
1,190 |
1,162 |
$9K |
| 94060 |
|
503 |
474 |
$9K |
| 64494 |
|
125 |
102 |
$9K |
| 90471 |
|
581 |
553 |
$9K |
| 92235 |
|
155 |
148 |
$8K |
| 47562 |
|
14 |
13 |
$8K |
| 95012 |
|
432 |
431 |
$8K |
| 90656 |
|
737 |
736 |
$8K |
| 64635 |
|
30 |
24 |
$8K |
| 83655 |
|
605 |
603 |
$7K |
| 90710 |
|
341 |
340 |
$7K |
| 73090 |
|
371 |
291 |
$7K |
| 00126 |
|
162 |
161 |
$7K |
| V2784 |
Lens polycarb or equal |
120 |
114 |
$7K |
| 73070 |
|
424 |
358 |
$7K |
| 90791 |
|
85 |
81 |
$7K |
| 94729 |
|
1,259 |
1,231 |
$7K |
| 36415 |
|
4,737 |
4,076 |
$7K |
| 95991 |
|
182 |
164 |
$7K |
| 99306 |
Prolong nursin fac eval 15m |
175 |
159 |
$7K |
| 77066 |
Tomosynthesis, mammo |
211 |
193 |
$7K |
| 90833 |
|
310 |
300 |
$7K |
| 95115 |
|
862 |
253 |
$6K |
| 80061 |
|
601 |
570 |
$6K |
| 85060 |
|
393 |
354 |
$6K |
| 45380 |
|
13 |
12 |
$6K |
| 95970 |
|
336 |
300 |
$6K |
| 99245 |
|
28 |
28 |
$5K |
| 95816 |
|
165 |
139 |
$5K |
| 84439 |
|
596 |
585 |
$5K |
| 97802 |
|
78 |
67 |
$5K |
| V2744 |
Tint photochromatic lens/es |
235 |
227 |
$5K |
| J3590 |
Unclassified biologics |
416 |
396 |
$5K |
| 99417 |
Prolong home eval add 15m |
72 |
72 |
$5K |
| 90707 |
|
274 |
273 |
$5K |
| 95199 |
|
58 |
56 |
$5K |
| 85018 |
|
1,937 |
1,902 |
$5K |
| 96161 |
|
1,470 |
1,454 |
$5K |
| 93294 |
|
415 |
399 |
$5K |
| 01922 |
|
36 |
36 |
$4K |
| 76536 |
|
163 |
160 |
$4K |
| 19083 |
|
15 |
14 |
$4K |
| 73110 |
|
176 |
162 |
$4K |
| 99211 |
|
323 |
281 |
$4K |
| 90734 |
|
553 |
542 |
$4K |
| 45378 |
|
14 |
13 |
$4K |
| 95250 |
|
25 |
25 |
$4K |
| 92136 |
|
201 |
129 |
$4K |
| 73564 |
|
174 |
170 |
$4K |
| 90651 |
|
542 |
534 |
$4K |
| J0585 |
Injection,onabotulinumtoxina |
21 |
12 |
$4K |
| 73130 |
|
433 |
407 |
$3K |
| 95800 |
|
97 |
97 |
$3K |
| D0150 |
|
189 |
105 |
$3K |
| G0279 |
Tomosynthesis, mammo |
189 |
183 |
$3K |
| 73140 |
|
155 |
136 |
$3K |
| G2211 |
Complex e/m visit add on |
2,000 |
1,886 |
$3K |
| 96137 |
|
50 |
49 |
$3K |
| 90696 |
|
151 |
151 |
$3K |
| 99443 |
|
174 |
170 |
$3K |
| 81025 |
|
366 |
346 |
$3K |
| 0002A |
|
202 |
93 |
$3K |
| 92133 |
|
137 |
134 |
$3K |
| 87400 |
|
180 |
101 |
$3K |
| 77073 |
|
69 |
68 |
$3K |
| 17110 |
|
68 |
65 |
$3K |
| 77072 |
|
208 |
173 |
$3K |
| 73560 |
|
201 |
172 |
$3K |
| 88312 |
|
172 |
163 |
$3K |
| 90836 |
|
44 |
42 |
$3K |
| 86334 |
|
407 |
351 |
$2K |
| 90700 |
|
115 |
115 |
$2K |
| 96130 |
|
41 |
38 |
$2K |
| 87426 |
|
60 |
60 |
$2K |
| 87086 |
|
321 |
305 |
$2K |
| 72158 |
|
25 |
24 |
$2K |
| 67228 |
|
12 |
12 |
$2K |
| 99493 |
|
13 |
13 |
$2K |
| 82784 |
|
239 |
239 |
$2K |
| 97597 |
|
65 |
53 |
$2K |
| 31575 |
|
37 |
37 |
$2K |
| 72040 |
|
289 |
283 |
$2K |
| 78226 |
|
93 |
92 |
$2K |
| 92504 |
|
91 |
89 |
$2K |
| 87081 |
|
295 |
293 |
$2K |
| 64636 |
|
16 |
12 |
$2K |
| 00813 |
|
80 |
76 |
$2K |
| 73700 |
|
50 |
50 |
$2K |
| 87651 |
|
55 |
55 |
$2K |
| 90716 |
|
263 |
263 |
$2K |
| 93458 |
|
12 |
12 |
$2K |
| 86140 |
|
349 |
338 |
$2K |
| 76770 |
|
59 |
59 |
$2K |
| 64643 |
|
38 |
24 |
$2K |
| 99252 |
|
32 |
32 |
$2K |
| 90672 |
|
181 |
179 |
$1K |
| 99395 |
|
27 |
27 |
$1K |
| 42830 |
|
13 |
13 |
$1K |
| 96136 |
|
50 |
49 |
$1K |
| 99396 |
|
28 |
28 |
$1K |
| 81003 |
|
804 |
779 |
$1K |
| 90715 |
|
101 |
98 |
$1K |
| 93280 |
|
65 |
62 |
$1K |
| 92025 |
|
82 |
76 |
$1K |
| 85014 |
|
455 |
452 |
$1K |
| 70486 |
|
27 |
27 |
$1K |
| 73502 |
|
91 |
89 |
$1K |
| 43762 |
|
12 |
12 |
$1K |
| 00142 |
|
64 |
64 |
$1K |
| 83615 |
|
232 |
197 |
$991.83 |
| 99220 |
|
13 |
13 |
$923.44 |
| 92587 |
|
26 |
26 |
$896.81 |
| 96116 |
|
31 |
29 |
$889.04 |
| 64642 |
|
15 |
13 |
$887.07 |
| 95974 |
|
14 |
14 |
$841.71 |
| 88311 |
|
104 |
96 |
$838.64 |
| 96158 |
|
36 |
12 |
$818.23 |
| 11102 |
|
13 |
13 |
$797.58 |
| 00811 |
|
51 |
48 |
$791.78 |
| 99385 |
|
12 |
12 |
$730.73 |
| 72146 |
|
12 |
12 |
$695.89 |
| 87660 |
|
39 |
39 |
$694.33 |
| 77065 |
Tomosynthesis, mammo |
41 |
30 |
$682.44 |
| 99219 |
|
15 |
14 |
$669.90 |
| 0071A |
|
32 |
16 |
$640.00 |
| 70491 |
|
14 |
13 |
$620.48 |
| 73590 |
|
31 |
29 |
$616.63 |
| 96159 |
|
33 |
12 |
$612.74 |
| 93976 |
|
12 |
12 |
$596.37 |
| 84702 |
|
44 |
43 |
$593.22 |
| 92553 |
|
12 |
12 |
$464.40 |
| 87070 |
|
52 |
51 |
$449.18 |
| 11045 |
|
20 |
13 |
$446.83 |
| 86800 |
|
27 |
27 |
$443.38 |
| 78306 |
|
12 |
12 |
$436.34 |
| 86376 |
|
27 |
27 |
$405.71 |
| 84481 |
|
27 |
27 |
$391.70 |
| 87653 |
|
12 |
12 |
$365.00 |
| 81001 |
|
188 |
182 |
$356.15 |
| 85652 |
|
130 |
130 |
$354.52 |
| 92250 |
|
27 |
25 |
$310.78 |
| 93285 |
|
12 |
12 |
$299.16 |
| 0012A |
|
33 |
12 |
$296.78 |
| 81015 |
|
157 |
155 |
$293.93 |
| 82670 |
|
12 |
12 |
$258.20 |
| 83020 |
|
14 |
14 |
$222.90 |
| 99459 |
|
13 |
13 |
$221.32 |
| 87480 |
|
13 |
13 |
$212.39 |
| 85027 |
|
42 |
38 |
$206.93 |
| 99442 |
|
30 |
28 |
$202.42 |
| 74022 |
|
12 |
12 |
$194.08 |
| 92020 |
|
12 |
12 |
$172.91 |
| 0011A |
|
45 |
14 |
$169.40 |
| J3301 |
Triamcinolone acet inj nos |
106 |
104 |
$166.89 |
| 82728 |
|
16 |
14 |
$158.19 |
| 76775 |
|
13 |
12 |
$147.69 |
| 84166 |
|
30 |
25 |
$137.61 |
| 82043 |
|
25 |
24 |
$136.56 |
| 80076 |
|
18 |
18 |
$135.35 |
| 82950 |
|
29 |
29 |
$134.71 |
| 90381 |
|
12 |
12 |
$130.10 |
| 82570 |
|
26 |
25 |
$127.60 |
| 86141 |
|
12 |
12 |
$125.23 |
| 99497 |
|
19 |
19 |
$122.38 |
| 76376 |
|
17 |
16 |
$121.53 |
| 86320 |
|
21 |
17 |
$120.46 |
| 82607 |
|
12 |
12 |
$116.17 |
| 99407 |
|
14 |
12 |
$115.56 |
| 83550 |
|
17 |
14 |
$93.31 |
| 99173 |
|
13 |
13 |
$80.50 |
| 83540 |
|
17 |
14 |
$73.01 |
| 93325 |
|
24 |
24 |
$70.04 |
| 0642T |
|
57 |
44 |
$54.10 |
| J1040 |
Methylprednisolone 80 mg inj |
14 |
14 |
$48.22 |
| 76514 |
|
12 |
12 |
$39.76 |
| 98968 |
|
19 |
17 |
$29.71 |
| J7999 |
Compounded drug, noc |
47 |
47 |
$29.08 |
| 99441 |
|
14 |
14 |
$27.61 |
| 90685 |
|
40 |
39 |
$10.40 |
| 90649 |
|
12 |
12 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| 90688 |
|
22 |
22 |
$0.00 |