| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
170,978 |
152,539 |
$41.44M |
| 99213 |
|
152,442 |
132,644 |
$38.15M |
| 90832 |
|
67,975 |
45,101 |
$16.43M |
| D9999 |
|
30,076 |
27,626 |
$6.65M |
| 99212 |
|
15,016 |
12,920 |
$3.60M |
| 99391 |
|
11,416 |
10,455 |
$3.08M |
| G0467 |
Fqhc visit, estab pt |
25,537 |
17,761 |
$2.22M |
| 99392 |
|
8,000 |
7,791 |
$2.20M |
| D0140 |
|
6,896 |
5,971 |
$1.55M |
| 99442 |
|
6,559 |
5,643 |
$1.52M |
| G2025 |
Dis site tele svcs rhc/fqhc |
10,521 |
7,419 |
$1.36M |
| 98967 |
|
4,369 |
3,540 |
$1.21M |
| 98968 |
|
4,184 |
3,066 |
$1.10M |
| 99393 |
|
3,660 |
3,545 |
$1.00M |
| G0470 |
Fqhc visit, mh estab pt |
7,122 |
4,868 |
$728K |
| 99443 |
|
1,717 |
1,550 |
$426K |
| 92014 |
|
2,122 |
1,923 |
$375K |
| 99441 |
|
1,559 |
1,328 |
$333K |
| 99394 |
|
1,146 |
1,106 |
$315K |
| G0101 |
Ca screen;pelvic/breast exam |
1,947 |
1,891 |
$237K |
| 90791 |
|
998 |
962 |
$233K |
| 99215 |
Prolong outpt/office vis |
868 |
798 |
$223K |
| 97803 |
|
740 |
658 |
$180K |
| 90833 |
|
863 |
782 |
$129K |
| 92004 |
|
659 |
614 |
$98K |
| 90834 |
|
246 |
173 |
$74K |
| 0001A |
|
1,662 |
1,592 |
$61K |
| 0002A |
|
1,542 |
1,481 |
$56K |
| 97802 |
|
228 |
213 |
$55K |
| 90792 |
|
183 |
175 |
$52K |
| H2036 |
A/d tx program, per diem |
463 |
60 |
$33K |
| 0012A |
|
965 |
919 |
$29K |
| 0011A |
|
1,050 |
886 |
$23K |
| 87636 |
|
3,535 |
3,368 |
$23K |
| 87811 |
|
1,896 |
1,639 |
$22K |
| 87428 |
|
4,540 |
4,276 |
$20K |
| 90471 |
|
5,991 |
5,774 |
$19K |
| 87426 |
|
7,895 |
7,594 |
$16K |
| 97110 |
|
546 |
414 |
$10K |
| 99203 |
|
277 |
269 |
$9K |
| 0071A |
|
255 |
245 |
$9K |
| 76815 |
|
330 |
257 |
$9K |
| 0072A |
|
205 |
203 |
$8K |
| 98926 |
|
62 |
57 |
$8K |
| Q0091 |
Obtaining screen pap smear |
680 |
650 |
$8K |
| 98928 |
|
28 |
28 |
$8K |
| 11720 |
|
784 |
720 |
$7K |
| 98927 |
|
54 |
51 |
$7K |
| 87804 |
|
7,129 |
6,867 |
$7K |
| 97140 |
|
248 |
197 |
$5K |
| 0004A |
|
177 |
157 |
$5K |
| 71046 |
|
5,652 |
5,380 |
$5K |
| 17110 |
|
31 |
28 |
$5K |
| 0064A |
|
172 |
164 |
$4K |
| 90670 |
|
4,892 |
4,846 |
$3K |
| 80053 |
|
19,380 |
18,053 |
$3K |
| 76830 |
|
13 |
12 |
$3K |
| 76805 |
|
14 |
13 |
$3K |
| 71045 |
|
2,122 |
2,030 |
$3K |
| V2020 |
Vision svcs frames purchases |
1,936 |
1,755 |
$2K |
| 90688 |
|
3,743 |
3,657 |
$2K |
| 85025 |
|
24,560 |
22,320 |
$2K |
| 74022 |
|
951 |
928 |
$2K |
| 80305 |
|
4,649 |
4,276 |
$2K |
| 90472 |
|
310 |
267 |
$2K |
| 96374 |
|
1,429 |
1,300 |
$1K |
| 84443 |
|
9,308 |
9,048 |
$1K |
| 84484 |
|
4,081 |
3,294 |
$1K |
| 80061 |
|
13,030 |
12,778 |
$1K |
| 80307 |
|
3,767 |
3,479 |
$1K |
| 86580 |
|
408 |
393 |
$1K |
| 87635 |
|
946 |
925 |
$1K |
| 81025 |
|
4,136 |
3,860 |
$964.55 |
| 96372 |
|
2,957 |
2,455 |
$958.94 |
| 36415 |
|
16,783 |
15,233 |
$954.47 |
| 83880 |
|
2,094 |
1,867 |
$803.62 |
| 90707 |
|
385 |
378 |
$711.55 |
| 90677 |
|
370 |
368 |
$677.67 |
| 97161 |
|
21 |
20 |
$570.90 |
| 11100 |
|
12 |
12 |
$534.96 |
| 81002 |
|
11,403 |
9,219 |
$516.54 |
| 80048 |
|
3,551 |
3,313 |
$485.44 |
| 81000 |
|
11,403 |
10,616 |
$472.82 |
| 92015 |
|
3,219 |
2,916 |
$471.58 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,438 |
753 |
$441.61 |
| 73630 |
|
840 |
734 |
$437.19 |
| 91320 |
|
57 |
57 |
$417.00 |
| 0081A |
|
13 |
12 |
$391.68 |
| 96375 |
|
269 |
197 |
$313.41 |
| 87880 |
|
2,044 |
1,950 |
$301.24 |
| 83690 |
|
2,800 |
2,646 |
$295.44 |
| 29580 |
|
113 |
57 |
$271.49 |
| 83036 |
|
5,365 |
5,195 |
$263.12 |
| 83605 |
|
1,842 |
1,682 |
$254.33 |
| 90480 |
|
87 |
85 |
$214.44 |
| 90651 |
|
161 |
159 |
$210.89 |
| 84439 |
|
2,322 |
2,230 |
$169.66 |
| V2784 |
Lens polycarb or equal |
535 |
261 |
$139.86 |
| 90662 |
|
234 |
220 |
$138.00 |
| 90686 |
|
5,632 |
5,599 |
$124.84 |
| 0124A |
|
51 |
50 |
$112.64 |
| 90715 |
|
347 |
340 |
$91.57 |
| 77067 |
|
1,264 |
1,208 |
$82.47 |
| 73610 |
|
253 |
243 |
$66.39 |
| J1050 |
Medroxyprogesterone acetate |
279 |
268 |
$65.51 |
| V2756 |
Eye glass case |
1,004 |
971 |
$58.08 |
| 87807 |
|
55 |
55 |
$52.23 |
| 84550 |
|
1,919 |
1,854 |
$49.49 |
| 93005 |
|
108 |
98 |
$34.58 |
| Q0111 |
Wet mounts/ w preparations |
400 |
384 |
$16.21 |
| 83735 |
|
803 |
769 |
$16.08 |
| J7030 |
Normal saline solution infus |
81 |
75 |
$15.66 |
| Q0112 |
Potassium hydroxide preps |
398 |
382 |
$15.17 |
| 80320 |
|
68 |
62 |
$11.60 |
| 82962 |
|
1,184 |
1,083 |
$10.00 |
| 87086 |
|
2,061 |
1,889 |
$8.97 |
| 85610 |
|
1,047 |
797 |
$7.15 |
| 87210 |
|
55 |
53 |
$5.90 |
| 73560 |
|
214 |
179 |
$5.24 |
| 84450 |
|
146 |
144 |
$3.00 |
| 84460 |
|
162 |
160 |
$3.00 |
| 84100 |
|
321 |
303 |
$0.00 |
| 73130 |
|
230 |
208 |
$0.00 |
| 73562 |
|
40 |
37 |
$0.00 |
| 90685 |
|
754 |
752 |
$0.00 |
| 90633 |
|
805 |
795 |
$0.00 |
| 84702 |
|
17 |
15 |
$0.00 |
| 90710 |
|
430 |
425 |
$0.00 |
| 73590 |
|
25 |
25 |
$0.00 |
| 91300 |
|
3,267 |
2,836 |
$0.00 |
| 73030 |
|
171 |
161 |
$0.00 |
| 72100 |
|
108 |
107 |
$0.00 |
| 82248 |
|
380 |
322 |
$0.00 |
| 73110 |
|
45 |
40 |
$0.00 |
| 99204 |
|
14 |
13 |
$0.00 |
| 91308 |
|
15 |
15 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| H0015 |
Alcohol and/or drug services |
149 |
24 |
$0.00 |
| 74018 |
|
25 |
25 |
$0.00 |
| 90785 |
|
12 |
12 |
$0.00 |
| 82947 |
|
24 |
24 |
$0.00 |
| 90680 |
|
1,869 |
1,854 |
$0.00 |
| 90647 |
|
2,515 |
2,490 |
$0.00 |
| 36416 |
|
879 |
799 |
$0.00 |
| 87081 |
|
1,560 |
1,528 |
$0.00 |
| 85651 |
|
256 |
250 |
$0.00 |
| 85027 |
|
1,179 |
1,167 |
$0.00 |
| 90723 |
|
2,368 |
2,353 |
$0.00 |
| 82550 |
|
144 |
131 |
$0.00 |
| 82950 |
|
818 |
802 |
$0.00 |
| 94640 |
|
401 |
347 |
$0.00 |
| 82150 |
|
181 |
176 |
$0.00 |
| 85018 |
|
315 |
311 |
$0.00 |
| 91305 |
|
51 |
51 |
$0.00 |
| G0008 |
Admin influenza virus vac |
517 |
498 |
$0.00 |
| 90697 |
|
135 |
134 |
$0.00 |
| 91301 |
|
1,840 |
1,624 |
$0.00 |
| 81015 |
|
60 |
53 |
$0.00 |
| 91307 |
|
619 |
594 |
$0.00 |
| 77063 |
|
134 |
131 |
$0.00 |
| 82040 |
|
48 |
41 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
58 |
57 |
$0.00 |
| 80329 |
|
15 |
12 |
$0.00 |
| 91306 |
|
161 |
158 |
$0.00 |
| 20610 |
|
42 |
38 |
$0.00 |
| 90619 |
|
26 |
26 |
$0.00 |
| V2100 |
Lens spher single plano 4.00 |
48 |
31 |
$0.00 |
| 85379 |
|
30 |
28 |
$0.00 |
| 72040 |
|
13 |
13 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |
| 74019 |
|
13 |
12 |
$0.00 |