| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
20,734 |
12,905 |
$1.19M |
| 59409 |
|
2,114 |
2,098 |
$1.10M |
| 99213 |
|
62,208 |
54,161 |
$594K |
| Z1034 |
|
4,934 |
3,193 |
$278K |
| 99215 |
Prolong outpt/office vis |
2,297 |
2,253 |
$256K |
| 99214 |
|
9,304 |
8,639 |
$236K |
| 76813 |
|
1,930 |
1,779 |
$196K |
| 76805 |
|
1,865 |
1,843 |
$167K |
| 59430 |
|
3,240 |
2,390 |
$163K |
| 99391 |
|
4,604 |
4,518 |
$159K |
| 97802 |
|
8,657 |
8,565 |
$136K |
| 99204 |
|
1,501 |
1,328 |
$131K |
| 92551 |
|
11,652 |
11,565 |
$118K |
| 76856 |
|
1,784 |
1,744 |
$114K |
| 59514 |
|
260 |
226 |
$111K |
| Z1032 |
|
781 |
781 |
$109K |
| G0442 |
Annual alcohol screen 15 min |
5,839 |
5,822 |
$93K |
| 99203 |
|
1,260 |
1,208 |
$89K |
| 76830 |
|
1,367 |
1,337 |
$87K |
| 99212 |
|
9,082 |
8,693 |
$80K |
| 76811 |
|
545 |
470 |
$77K |
| 99381 |
|
957 |
936 |
$58K |
| J3490 |
Drugs unclassified injection |
668 |
660 |
$52K |
| 99392 |
|
6,601 |
6,514 |
$45K |
| 99238 |
|
1,120 |
1,089 |
$44K |
| J1050 |
Medroxyprogesterone acetate |
462 |
448 |
$37K |
| 99395 |
|
1,919 |
1,886 |
$35K |
| 96372 |
|
4,649 |
4,549 |
$34K |
| G9920 |
Scrning perf and negative |
9,162 |
9,152 |
$31K |
| 90715 |
|
1,117 |
1,101 |
$31K |
| 96110 |
|
3,366 |
3,248 |
$29K |
| G8510 |
Scr dep neg, no plan reqd |
5,013 |
4,908 |
$23K |
| G8431 |
Pos clin depres scrn f/u doc |
1,654 |
1,602 |
$22K |
| 90670 |
|
4,398 |
4,363 |
$22K |
| 58300 |
|
266 |
131 |
$21K |
| 90698 |
|
3,360 |
3,333 |
$18K |
| 99393 |
|
4,812 |
4,774 |
$18K |
| 76801 |
|
241 |
218 |
$17K |
| J7307 |
Etonogestrel implant system |
14 |
14 |
$17K |
| 90744 |
|
2,461 |
2,440 |
$14K |
| 88141 |
|
1,184 |
1,095 |
$14K |
| 87491 |
|
504 |
500 |
$13K |
| 90681 |
|
1,924 |
1,904 |
$13K |
| 99460 |
|
225 |
224 |
$11K |
| 90658 |
|
1,206 |
1,205 |
$11K |
| 81025 |
|
4,253 |
4,128 |
$11K |
| 76816 |
|
175 |
173 |
$9K |
| 90633 |
|
2,413 |
2,400 |
$7K |
| 99394 |
|
2,075 |
2,071 |
$7K |
| 90710 |
|
2,099 |
2,091 |
$6K |
| 99202 |
|
408 |
395 |
$6K |
| 99463 |
|
60 |
59 |
$5K |
| 90677 |
|
410 |
410 |
$4K |
| 11981 |
|
53 |
26 |
$3K |
| 99385 |
|
31 |
24 |
$3K |
| 0500F |
|
136 |
133 |
$2K |
| 99406 |
|
756 |
747 |
$2K |
| 90696 |
|
753 |
752 |
$2K |
| 99396 |
|
510 |
503 |
$2K |
| 3351F |
|
526 |
512 |
$2K |
| Z6500 |
|
15 |
15 |
$2K |
| 87110 |
|
316 |
315 |
$2K |
| 90655 |
|
200 |
200 |
$2K |
| 99401 |
|
94 |
85 |
$2K |
| 87430 |
|
252 |
243 |
$2K |
| 99462 |
|
60 |
57 |
$2K |
| 90700 |
|
549 |
544 |
$2K |
| 90697 |
|
422 |
419 |
$1K |
| Z1038 |
|
32 |
25 |
$1K |
| G9919 |
Scrn nd pos nd prov of rec |
156 |
155 |
$1K |
| G0447 |
Behavior counsel obesity 15m |
3,592 |
3,555 |
$1K |
| Z6400 |
|
54 |
54 |
$1K |
| 90648 |
|
276 |
275 |
$1K |
| 81002 |
|
1,065 |
1,039 |
$1K |
| 99211 |
|
2,253 |
2,214 |
$1K |
| 99382 |
|
25 |
25 |
$1K |
| 90734 |
|
267 |
265 |
$965.34 |
| 90649 |
|
106 |
104 |
$900.00 |
| 99234 |
|
12 |
12 |
$887.48 |
| H1003 |
Prenatal at risk education |
39 |
32 |
$840.99 |
| 11976 |
|
24 |
14 |
$825.36 |
| 99383 |
|
17 |
13 |
$654.16 |
| 90651 |
|
702 |
701 |
$538.09 |
| 90686 |
|
911 |
910 |
$440.19 |
| 58301 |
|
23 |
12 |
$406.94 |
| 83655 |
|
956 |
956 |
$405.85 |
| 97803 |
|
17 |
16 |
$374.70 |
| 96151 |
|
17 |
16 |
$374.70 |
| 90660 |
|
31 |
31 |
$279.00 |
| 99188 |
|
176 |
176 |
$249.48 |
| 90471 |
|
429 |
412 |
$241.57 |
| 90621 |
|
42 |
42 |
$208.68 |
| G0476 |
Hpv combo assay ca screen |
1,011 |
1,009 |
$148.92 |
| 90680 |
|
32 |
32 |
$135.00 |
| 90688 |
|
509 |
509 |
$134.73 |
| Q0091 |
Obtaining screen pap smear |
1,719 |
1,717 |
$102.90 |
| 85018 |
|
999 |
999 |
$84.05 |
| 90685 |
|
37 |
37 |
$35.91 |
| 87880 |
|
220 |
215 |
$33.18 |
| G0270 |
Mnt subs tx for change dx |
95 |
95 |
$0.00 |
| 3077F |
|
27 |
26 |
$0.00 |
| 99408 |
|
14 |
14 |
$0.00 |
| 3051F |
|
34 |
34 |
$0.00 |
| 3078F |
|
123 |
121 |
$0.00 |
| 90472 |
|
177 |
170 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 1036F |
|
11,570 |
11,324 |
$0.00 |
| 99172 |
|
1,118 |
1,112 |
$0.00 |
| 3008F |
|
2,077 |
2,071 |
$0.00 |
| 3044F |
|
148 |
147 |
$0.00 |
| G0008 |
Admin influenza virus vac |
223 |
223 |
$0.00 |
| 3079F |
|
119 |
114 |
$0.00 |
| 3074F |
|
152 |
148 |
$0.00 |
| G0443 |
Brief alcohol misuse counsel |
12 |
12 |
$0.00 |
| 3353F |
|
13 |
13 |
$0.00 |
| 1220F |
|
13 |
13 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |