| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
17,153 |
14,785 |
$479K |
| 99091 |
|
1,731 |
1,687 |
$206K |
| 99214 |
|
5,187 |
4,550 |
$163K |
| 87635 |
|
2,948 |
2,750 |
$131K |
| 99203 |
|
2,751 |
2,680 |
$125K |
| 87811 |
|
2,420 |
2,280 |
$87K |
| 87804 |
|
6,299 |
2,992 |
$77K |
| 99223 |
Prolong inpt eval add15 m |
821 |
790 |
$69K |
| G2023 |
Specimen collect covid-19 |
3,232 |
2,983 |
$45K |
| 99392 |
|
533 |
505 |
$37K |
| 69436 |
|
245 |
239 |
$37K |
| 99391 |
|
492 |
473 |
$34K |
| 87880 |
|
2,532 |
2,395 |
$32K |
| 99393 |
|
438 |
420 |
$31K |
| 90460 |
|
3,474 |
1,508 |
$31K |
| 95165 |
|
106 |
104 |
$26K |
| 42820 |
|
111 |
109 |
$25K |
| 98942 |
|
590 |
327 |
$19K |
| 96372 |
|
769 |
681 |
$9K |
| 99394 |
|
123 |
111 |
$8K |
| 90461 |
|
1,897 |
864 |
$8K |
| 76816 |
|
93 |
84 |
$7K |
| J1050 |
Medroxyprogesterone acetate |
118 |
108 |
$7K |
| 11721 |
|
564 |
535 |
$5K |
| 93306 |
|
358 |
343 |
$5K |
| 76819 |
|
75 |
63 |
$5K |
| 81002 |
|
1,560 |
1,075 |
$4K |
| 99202 |
|
98 |
96 |
$3K |
| 85025 |
|
1,485 |
1,268 |
$3K |
| 99204 |
|
53 |
52 |
$3K |
| 99308 |
|
297 |
280 |
$2K |
| 80053 |
|
763 |
716 |
$2K |
| 99307 |
|
349 |
345 |
$2K |
| 95117 |
|
189 |
72 |
$1K |
| 80050 |
|
40 |
39 |
$1K |
| 99309 |
|
602 |
504 |
$1K |
| 87807 |
|
142 |
119 |
$1K |
| 80061 |
|
401 |
390 |
$1K |
| 99383 |
|
13 |
12 |
$1K |
| 76801 |
|
12 |
12 |
$803.15 |
| 11056 |
|
52 |
52 |
$717.09 |
| 84443 |
|
411 |
391 |
$652.47 |
| 73630 |
|
67 |
46 |
$609.51 |
| 83036 |
|
263 |
256 |
$547.67 |
| 87086 |
|
307 |
289 |
$443.44 |
| 99212 |
|
55 |
53 |
$432.90 |
| 82306 |
|
104 |
104 |
$422.62 |
| 99442 |
|
13 |
12 |
$391.31 |
| 83721 |
|
387 |
373 |
$361.18 |
| 80048 |
|
357 |
300 |
$270.35 |
| 85018 |
|
123 |
98 |
$199.00 |
| 90686 |
|
300 |
286 |
$195.51 |
| 85014 |
|
115 |
95 |
$183.08 |
| 92567 |
|
13 |
13 |
$163.85 |
| 81001 |
|
355 |
329 |
$154.84 |
| 99000 |
|
13 |
13 |
$109.34 |
| 87186 |
|
162 |
144 |
$101.78 |
| 87088 |
|
136 |
129 |
$95.20 |
| 99490 |
Ccm add 20min |
85 |
85 |
$78.72 |
| 82607 |
|
48 |
47 |
$76.02 |
| J0696 |
Ceftriaxone sodium injection |
39 |
35 |
$62.83 |
| 80076 |
|
46 |
45 |
$41.16 |
| J3301 |
Triamcinolone acet inj nos |
13 |
12 |
$40.08 |
| 82947 |
|
13 |
12 |
$33.03 |
| J1100 |
Dexamethasone sodium phos |
39 |
38 |
$22.50 |
| 83735 |
|
15 |
15 |
$16.89 |
| 84134 |
|
12 |
12 |
$12.26 |
| 84436 |
|
15 |
13 |
$11.54 |
| 3078F |
|
1,997 |
1,763 |
$0.02 |
| 3008F |
|
5,523 |
4,938 |
$0.02 |
| 3074F |
|
2,566 |
2,287 |
$0.02 |
| 1160F |
|
2,764 |
2,583 |
$0.00 |
| 1159F |
|
2,762 |
2,582 |
$0.00 |
| 90633 |
|
47 |
44 |
$0.00 |
| P9604 |
One-way allow prorated trip |
1,980 |
1,281 |
$0.00 |
| 90670 |
|
414 |
399 |
$0.00 |
| 90681 |
|
61 |
57 |
$0.00 |
| 99497 |
|
26 |
25 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90710 |
|
41 |
40 |
$0.00 |
| 3077F |
|
36 |
36 |
$0.00 |
| G0101 |
Ca screen;pelvic/breast exam |
14 |
14 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90648 |
|
30 |
28 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |
| 36415 |
|
1,504 |
1,296 |
$0.00 |
| 1036F |
|
2,089 |
1,566 |
$0.00 |
| 90698 |
|
78 |
76 |
$0.00 |
| G0471 |
Ven blood coll snf/hha |
1,868 |
1,199 |
$0.00 |
| 3079F |
|
251 |
240 |
$0.00 |
| G0008 |
Admin influenza virus vac |
14 |
14 |
$0.00 |
| 90651 |
|
28 |
28 |
$0.00 |
| 1126F |
|
67 |
59 |
$0.00 |
| 1034F |
|
71 |
66 |
$0.00 |
| 3075F |
|
22 |
16 |
$0.00 |
| 3080F |
|
27 |
26 |
$0.00 |
| G0439 |
Ppps, subseq visit |
26 |
24 |
$0.00 |
| 90723 |
|
13 |
12 |
$0.00 |
| 99305 |
|
12 |
12 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
15 |
15 |
$0.00 |
| 90744 |
|
14 |
14 |
$0.00 |
| 90696 |
|
17 |
17 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |