| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
87,205 |
74,333 |
$2.58M |
| 90834 |
|
21,272 |
14,206 |
$1.72M |
| 99213 |
|
150,350 |
129,829 |
$1.70M |
| 92014 |
|
13,722 |
13,297 |
$1.33M |
| 90832 |
|
23,392 |
19,419 |
$1.13M |
| 99284 |
|
9,918 |
9,776 |
$795K |
| 90837 |
|
6,840 |
4,674 |
$762K |
| 96127 |
|
12,309 |
12,117 |
$652K |
| 99215 |
Prolong outpt/office vis |
11,446 |
9,965 |
$527K |
| 96110 |
|
3,686 |
2,770 |
$432K |
| 92012 |
|
5,034 |
4,434 |
$408K |
| 92004 |
|
3,186 |
3,158 |
$341K |
| J7307 |
Etonogestrel implant system |
366 |
366 |
$328K |
| T1015 |
Clinic service |
1,864 |
1,800 |
$310K |
| 90791 |
|
2,281 |
2,184 |
$275K |
| 77067 |
|
2,669 |
2,512 |
$181K |
| S5170 |
Homedelivered prepared meal |
2,883 |
2,751 |
$176K |
| 99283 |
|
2,047 |
1,940 |
$165K |
| 76856 |
|
875 |
867 |
$154K |
| 99282 |
|
1,104 |
1,053 |
$144K |
| 96372 |
|
3,609 |
3,364 |
$139K |
| 99212 |
|
12,930 |
11,648 |
$133K |
| S0302 |
Completed epsdt |
23,107 |
22,996 |
$121K |
| 76830 |
|
831 |
826 |
$104K |
| 87430 |
|
6,681 |
6,509 |
$98K |
| 90480 |
|
2,501 |
2,493 |
$94K |
| 87426 |
|
2,845 |
2,806 |
$93K |
| 92015 |
|
6,609 |
6,599 |
$88K |
| 99285 |
|
720 |
685 |
$85K |
| V2020 |
Vision svcs frames purchases |
1,815 |
1,754 |
$81K |
| 11981 |
|
274 |
274 |
$78K |
| 90688 |
|
7,282 |
7,247 |
$69K |
| 90677 |
|
4,554 |
4,524 |
$68K |
| J1050 |
Medroxyprogesterone acetate |
1,610 |
1,609 |
$67K |
| V5008 |
Hearing screening |
4,225 |
4,218 |
$62K |
| 97802 |
|
667 |
665 |
$62K |
| 91320 |
|
1,679 |
1,663 |
$61K |
| 58300 |
|
250 |
250 |
$57K |
| 99205 |
Prolong outpt/office vis |
347 |
346 |
$57K |
| 20610 |
|
905 |
749 |
$56K |
| J7298 |
Mirena, 52 mg |
62 |
62 |
$56K |
| 90750 |
|
1,560 |
1,543 |
$55K |
| 71046 |
|
5,001 |
4,852 |
$53K |
| 99211 |
|
8,432 |
7,363 |
$51K |
| 90715 |
|
3,183 |
3,163 |
$49K |
| 76700 |
|
188 |
188 |
$41K |
| 87802 |
|
3,699 |
3,638 |
$41K |
| 11982 |
|
156 |
156 |
$41K |
| 99393 |
|
9,827 |
9,826 |
$41K |
| 83036 |
|
6,772 |
6,711 |
$40K |
| 81025 |
|
4,955 |
4,800 |
$38K |
| 57454 |
|
74 |
74 |
$35K |
| 90471 |
|
28,738 |
28,356 |
$35K |
| 90847 |
|
356 |
301 |
$34K |
| 90853 |
|
1,140 |
547 |
$33K |
| 99392 |
|
12,500 |
12,487 |
$30K |
| 99397 |
|
472 |
429 |
$29K |
| 58301 |
|
133 |
133 |
$28K |
| 90662 |
|
1,501 |
1,485 |
$26K |
| 99204 |
|
509 |
506 |
$25K |
| 99394 |
|
7,015 |
7,013 |
$23K |
| 99391 |
|
9,142 |
8,883 |
$23K |
| 90839 |
|
232 |
217 |
$22K |
| 90658 |
|
1,091 |
1,088 |
$22K |
| 90651 |
|
2,889 |
2,847 |
$22K |
| 99177 |
|
5,617 |
5,616 |
$21K |
| 99203 |
|
1,137 |
1,135 |
$20K |
| 81002 |
|
7,401 |
7,077 |
$20K |
| 0134A |
|
431 |
431 |
$20K |
| 80307 |
|
353 |
337 |
$17K |
| Q3014 |
Telehealth facility fee |
1,105 |
874 |
$16K |
| 91200 |
|
184 |
177 |
$14K |
| 99442 |
|
563 |
521 |
$13K |
| 90716 |
|
1,650 |
1,640 |
$13K |
| 59426 |
|
25 |
25 |
$12K |
| 59430 |
|
109 |
109 |
$12K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
367 |
364 |
$12K |
| 90792 |
|
94 |
94 |
$11K |
| J1885 |
Ketorolac tromethamine inj |
491 |
477 |
$10K |
| 90714 |
|
359 |
357 |
$9K |
| 94640 |
|
810 |
713 |
$8K |
| T2023 |
Targeted case mgmt per month |
33 |
32 |
$8K |
| G0008 |
Admin influenza virus vac |
1,575 |
1,534 |
$8K |
| 0154A |
|
167 |
166 |
$8K |
| 0173A |
|
147 |
147 |
$7K |
| 90707 |
|
1,666 |
1,657 |
$6K |
| 73562 |
|
294 |
275 |
$6K |
| 93005 |
|
2,924 |
2,833 |
$6K |
| 58100 |
|
12 |
12 |
$6K |
| 99395 |
|
2,451 |
2,450 |
$6K |
| 90691 |
|
432 |
429 |
$5K |
| 90846 |
|
53 |
50 |
$5K |
| 93010 |
|
888 |
740 |
$5K |
| G2023 |
Specimen collect covid-19 |
261 |
255 |
$5K |
| 99396 |
|
1,569 |
1,567 |
$5K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
191 |
187 |
$4K |
| G0108 |
Diab manage trn per indiv |
36 |
36 |
$4K |
| 90472 |
|
10,850 |
10,790 |
$4K |
| 99173 |
|
9,568 |
9,568 |
$4K |
| 0002A |
|
89 |
89 |
$4K |
| 82947 |
|
1,347 |
1,233 |
$4K |
| J1100 |
Dexamethasone sodium phos |
1,242 |
1,099 |
$4K |
| 93000 |
|
405 |
397 |
$3K |
| 0001A |
|
73 |
73 |
$3K |
| 73630 |
|
220 |
207 |
$3K |
| 99349 |
|
66 |
59 |
$3K |
| J7300 |
Intra copp contra (paragard) |
13 |
13 |
$3K |
| 76817 |
|
43 |
36 |
$3K |
| 0124A |
|
56 |
56 |
$3K |
| 99202 |
|
199 |
199 |
$3K |
| 76801 |
|
15 |
12 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
53 |
43 |
$2K |
| 73610 |
|
252 |
244 |
$2K |
| 87210 |
|
406 |
396 |
$2K |
| 94010 |
|
48 |
48 |
$2K |
| 73030 |
|
92 |
86 |
$2K |
| G0179 |
Md recertification hha pt |
119 |
119 |
$2K |
| 99188 |
|
5,744 |
5,744 |
$1K |
| 87220 |
|
357 |
357 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
239 |
228 |
$1K |
| 97803 |
|
34 |
33 |
$1K |
| 73110 |
|
87 |
82 |
$1K |
| 73140 |
|
87 |
86 |
$1K |
| 11720 |
|
128 |
91 |
$878.49 |
| 77080 |
|
37 |
37 |
$768.26 |
| 0031A |
|
13 |
13 |
$738.22 |
| 90686 |
|
3,087 |
3,079 |
$718.48 |
| 74019 |
|
76 |
75 |
$716.41 |
| 0012A |
|
15 |
15 |
$688.15 |
| 0011A |
|
20 |
20 |
$677.73 |
| 90678 |
|
34 |
34 |
$670.55 |
| 0081A |
|
14 |
14 |
$642.32 |
| J1040 |
Methylprednisolone 80 mg inj |
83 |
83 |
$607.48 |
| G0009 |
Admin pneumococcal vaccine |
122 |
112 |
$601.73 |
| 90732 |
|
14 |
14 |
$596.26 |
| 72082 |
|
25 |
25 |
$593.88 |
| G2212 |
Prolong outpt/office vis |
18 |
15 |
$498.03 |
| 72100 |
|
43 |
39 |
$367.37 |
| 99417 |
Prolong home eval add 15m |
93 |
91 |
$344.28 |
| 77072 |
|
25 |
25 |
$306.45 |
| 92133 |
|
108 |
108 |
$293.09 |
| 87389 |
|
12 |
12 |
$254.88 |
| 99383 |
|
15 |
15 |
$222.94 |
| 72110 |
|
16 |
15 |
$185.96 |
| 90460 |
|
1,599 |
1,598 |
$148.97 |
| 90713 |
|
62 |
62 |
$141.15 |
| 85610 |
|
35 |
25 |
$132.30 |
| 99348 |
|
30 |
30 |
$104.14 |
| 90633 |
|
2,887 |
2,875 |
$84.69 |
| 90661 |
|
2,285 |
2,204 |
$56.46 |
| 90619 |
|
2,457 |
2,439 |
$55.35 |
| 90671 |
|
1,113 |
1,111 |
$48.38 |
| 90656 |
|
1,019 |
969 |
$28.23 |
| 94760 |
|
18 |
14 |
$22.78 |
| 90710 |
|
1,305 |
1,296 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 91312 |
|
501 |
496 |
$0.00 |
| 90700 |
|
1,325 |
1,315 |
$0.00 |
| 90648 |
|
1,331 |
1,326 |
$0.00 |
| 91308 |
|
29 |
28 |
$0.00 |
| 90681 |
|
2,166 |
2,134 |
$0.00 |
| 90685 |
|
17 |
17 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
563 |
563 |
$0.00 |
| 90380 |
|
41 |
41 |
$0.00 |
| J2315 |
Naltrexone, depot form |
34 |
32 |
$0.00 |
| 90863 |
|
13 |
12 |
$0.00 |
| 91300 |
|
45 |
37 |
$0.00 |
| 90670 |
|
27 |
27 |
$0.00 |
| 91317 |
|
147 |
147 |
$0.00 |
| 90696 |
|
1,272 |
1,264 |
$0.00 |
| 90697 |
|
3,405 |
3,386 |
$0.00 |
| 90743 |
|
226 |
225 |
$0.00 |
| 91318 |
|
356 |
353 |
$0.00 |
| 90381 |
|
270 |
264 |
$0.00 |
| 91319 |
|
373 |
366 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
14 |
14 |
$0.00 |
| 76815 |
|
13 |
13 |
$0.00 |
| 91315 |
|
168 |
166 |
$0.00 |
| 90698 |
|
20 |
20 |
$0.00 |
| 99384 |
|
14 |
14 |
$0.00 |
| 99385 |
|
13 |
13 |
$0.00 |
| 90657 |
|
60 |
47 |
$0.00 |
| 91305 |
|
15 |
15 |
$0.00 |
| 91307 |
|
15 |
15 |
$0.00 |
| 90723 |
|
18 |
18 |
$0.00 |