| Code | Description | Claims | Beneficiaries | Total Paid |
| 92507 |
|
12,235 |
3,963 |
$415K |
| 99215 |
Prolong outpt/office vis |
5,524 |
4,730 |
$346K |
| 99233 |
Prolong inpt eval add15 m |
2,824 |
576 |
$176K |
| 99214 |
|
8,041 |
7,764 |
$154K |
| 97530 |
|
2,105 |
671 |
$117K |
| 99244 |
|
1,132 |
1,106 |
$108K |
| 99245 |
|
801 |
796 |
$89K |
| 99213 |
|
16,205 |
15,391 |
$78K |
| 99232 |
|
1,189 |
391 |
$64K |
| G9920 |
Scrning perf and negative |
4,656 |
4,646 |
$40K |
| 93306 |
|
176 |
161 |
$40K |
| 99222 |
|
366 |
354 |
$39K |
| S0302 |
Completed epsdt |
779 |
474 |
$37K |
| 92567 |
|
999 |
995 |
$32K |
| 92508 |
|
828 |
229 |
$29K |
| 99238 |
|
580 |
562 |
$29K |
| 99223 |
Prolong inpt eval add15 m |
259 |
238 |
$26K |
| 92587 |
|
452 |
449 |
$24K |
| 76705 |
|
1,192 |
900 |
$20K |
| 93303 |
|
139 |
124 |
$20K |
| 92060 |
|
548 |
544 |
$19K |
| 93325 |
|
291 |
256 |
$19K |
| 96156 |
|
6,353 |
6,338 |
$18K |
| 93010 |
|
837 |
747 |
$17K |
| 99255 |
|
144 |
112 |
$15K |
| 92523 |
|
145 |
144 |
$14K |
| 92557 |
|
173 |
170 |
$14K |
| 92522 |
|
144 |
143 |
$13K |
| 93320 |
|
142 |
126 |
$13K |
| 71046 |
|
1,535 |
1,273 |
$12K |
| 93000 |
|
268 |
260 |
$11K |
| 92551 |
|
3,912 |
3,907 |
$9K |
| 99354 |
|
93 |
52 |
$7K |
| 99392 |
|
1,283 |
1,262 |
$7K |
| 90686 |
|
2,473 |
2,439 |
$7K |
| 94375 |
|
608 |
480 |
$7K |
| 99393 |
|
1,009 |
1,002 |
$6K |
| G0463 |
Hospital outpt clinic visit |
480 |
466 |
$5K |
| 92588 |
|
69 |
68 |
$5K |
| 99394 |
|
593 |
591 |
$4K |
| 92579 |
|
112 |
112 |
$4K |
| 71045 |
|
387 |
189 |
$3K |
| 99234 |
|
4,664 |
4,447 |
$3K |
| 95004 |
|
37 |
37 |
$3K |
| 93975 |
|
32 |
25 |
$2K |
| 74018 |
|
222 |
157 |
$2K |
| 99239 |
|
26 |
25 |
$2K |
| 70553 |
|
19 |
15 |
$2K |
| 90471 |
|
2,358 |
2,290 |
$2K |
| 70450 |
|
54 |
49 |
$2K |
| 92015 |
|
43 |
43 |
$1K |
| 99000 |
|
890 |
875 |
$837.89 |
| 99460 |
|
13 |
13 |
$812.36 |
| 0510 |
|
2,473 |
2,342 |
$740.17 |
| 76770 |
|
47 |
40 |
$732.47 |
| 96110 |
|
312 |
217 |
$718.80 |
| 92582 |
|
14 |
14 |
$700.26 |
| 87426 |
|
76 |
75 |
$650.06 |
| 99283 |
|
2,786 |
2,605 |
$646.70 |
| G8510 |
Scr dep neg, no plan reqd |
1,141 |
1,119 |
$618.00 |
| 92552 |
|
15 |
15 |
$579.81 |
| 90460 |
|
3,305 |
2,892 |
$530.02 |
| 99391 |
|
209 |
209 |
$497.86 |
| 87635 |
|
587 |
576 |
$471.66 |
| 0450 |
|
4,171 |
3,865 |
$463.87 |
| 73610 |
|
72 |
52 |
$416.18 |
| 99174 |
|
825 |
782 |
$360.00 |
| 90671 |
|
73 |
73 |
$341.82 |
| 81002 |
|
156 |
139 |
$328.42 |
| 0761 |
|
106 |
101 |
$326.60 |
| 73110 |
|
52 |
37 |
$323.68 |
| 99050 |
|
252 |
249 |
$305.92 |
| 92555 |
|
15 |
15 |
$262.09 |
| G0444 |
Depression screen annual |
97 |
96 |
$255.32 |
| 73080 |
|
35 |
25 |
$250.78 |
| 90688 |
|
113 |
113 |
$238.42 |
| 0760 |
|
763 |
734 |
$220.08 |
| 90697 |
|
34 |
34 |
$193.73 |
| 73630 |
|
18 |
12 |
$97.62 |
| 80053 |
|
1,393 |
1,102 |
$93.78 |
| 90461 |
|
707 |
686 |
$88.40 |
| 0710 |
|
72 |
69 |
$54.12 |
| 90674 |
|
257 |
256 |
$46.09 |
| 90661 |
|
125 |
125 |
$36.85 |
| 90651 |
|
150 |
149 |
$36.00 |
| 99173 |
|
2,717 |
2,712 |
$29.56 |
| 90472 |
|
468 |
253 |
$27.52 |
| 85025 |
|
635 |
526 |
$19.77 |
| 90633 |
|
141 |
141 |
$17.82 |
| 83036 |
|
199 |
197 |
$13.66 |
| 94640 |
|
49 |
26 |
$12.76 |
| 85027 |
|
91 |
77 |
$9.14 |
| 90698 |
|
43 |
43 |
$8.91 |
| 81001 |
|
703 |
658 |
$8.42 |
| 86140 |
|
376 |
359 |
$6.99 |
| 85007 |
|
187 |
144 |
$6.51 |
| 93005 |
|
42 |
39 |
$5.77 |
| 81025 |
|
14 |
14 |
$4.02 |
| 0270 |
|
229 |
174 |
$0.02 |
| 0320 |
|
39 |
29 |
$0.00 |
| 0300 |
|
179 |
111 |
$0.00 |
| 90670 |
|
96 |
96 |
$0.00 |
| A0429 |
Bls-emergency |
2,784 |
2,060 |
$0.00 |
| 84550 |
|
22 |
13 |
$0.00 |
| 87798 |
|
43 |
43 |
$0.00 |
| 87502 |
|
61 |
54 |
$0.00 |
| 87633 |
|
43 |
43 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
58 |
38 |
$0.00 |
| 0123 |
|
52 |
51 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
27 |
27 |
$0.00 |
| 84100 |
|
23 |
12 |
$0.00 |
| G9656 |
Pt trans from anest to pacu |
12 |
12 |
$0.00 |
| 90715 |
|
16 |
16 |
$0.00 |
| 99199 |
|
27 |
16 |
$0.00 |
| 87634 |
|
15 |
15 |
$0.00 |
| S9451 |
Exercise class |
3,012 |
3,003 |
$0.00 |
| 0306 |
|
112 |
97 |
$0.00 |
| 97802 |
|
3,251 |
3,238 |
$0.00 |
| J3490 |
Drugs unclassified injection |
1,256 |
835 |
$0.00 |
| 87086 |
|
445 |
418 |
$0.00 |
| 96374 |
|
14 |
13 |
$0.00 |
| 0636 |
|
81 |
75 |
$0.00 |
| 87430 |
|
12 |
12 |
$0.00 |
| 96375 |
|
14 |
12 |
$0.00 |
| 0250 |
|
168 |
155 |
$0.00 |
| 0305 |
|
48 |
32 |
$0.00 |
| 96127 |
|
35 |
33 |
$0.00 |
| 96361 |
|
33 |
29 |
$0.00 |
| 83615 |
|
43 |
26 |
$0.00 |
| 90619 |
|
65 |
65 |
$0.00 |
| 0301 |
|
93 |
70 |
$0.00 |
| 0258 |
|
40 |
39 |
$0.00 |
| A9150 |
Misc/exper non-prescript dru |
45 |
39 |
$0.00 |
| 87486 |
|
31 |
31 |
$0.00 |
| Q0162 |
Ondansetron oral |
31 |
31 |
$0.00 |
| J2001 |
Lidocaine injection |
46 |
34 |
$0.00 |
| 87428 |
|
38 |
38 |
$0.00 |
| 0370 |
|
12 |
12 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
14 |
14 |
$0.00 |
| 87581 |
|
31 |
31 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
12 |
12 |
$0.00 |
| G0378 |
Hospital observation per hr |
12 |
12 |
$0.00 |