| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
41,724 |
37,337 |
$2.94M |
| 99213 |
|
44,759 |
40,453 |
$2.54M |
| 90832 |
|
6,699 |
5,447 |
$554K |
| 90834 |
|
5,072 |
3,668 |
$544K |
| 99211 |
|
7,602 |
6,914 |
$224K |
| 99392 |
|
2,677 |
2,644 |
$213K |
| D7140 |
|
4,658 |
2,106 |
$200K |
| 90837 |
|
1,201 |
834 |
$195K |
| D0140 |
|
10,789 |
9,745 |
$166K |
| D0603 |
|
20,127 |
17,844 |
$160K |
| 99391 |
|
2,033 |
1,992 |
$148K |
| 99212 |
|
2,460 |
2,219 |
$129K |
| 99393 |
|
1,538 |
1,512 |
$116K |
| D0150 |
|
5,450 |
4,799 |
$107K |
| 96127 |
|
27,321 |
15,218 |
$101K |
| T1015 |
Clinic service |
1,198 |
1,155 |
$91K |
| D1110 |
|
5,317 |
4,735 |
$82K |
| H0004 |
Alcohol and/or drug services |
1,844 |
1,773 |
$80K |
| 90471 |
|
10,567 |
10,346 |
$62K |
| D0210 |
|
3,032 |
2,613 |
$61K |
| 99395 |
|
715 |
694 |
$59K |
| D0220 |
|
12,349 |
10,978 |
$52K |
| D0120 |
|
5,553 |
4,989 |
$51K |
| J1050 |
Medroxyprogesterone acetate |
2,611 |
2,545 |
$51K |
| S4993 |
Contraceptive pills for bc |
5,192 |
3,878 |
$50K |
| 90686 |
|
2,929 |
2,814 |
$49K |
| 90791 |
|
410 |
392 |
$42K |
| 99215 |
Prolong outpt/office vis |
269 |
248 |
$41K |
| D1354 |
|
4,571 |
1,199 |
$39K |
| 96110 |
|
5,016 |
4,622 |
$36K |
| 99394 |
|
379 |
372 |
$32K |
| D1120 |
|
2,801 |
2,580 |
$31K |
| 99385 |
|
212 |
201 |
$31K |
| D2392 |
|
1,383 |
1,078 |
$28K |
| 90670 |
|
1,310 |
1,295 |
$27K |
| 99204 |
|
214 |
197 |
$26K |
| 96372 |
|
1,827 |
1,700 |
$26K |
| D1206 |
|
5,742 |
5,280 |
$25K |
| D2391 |
|
1,697 |
1,171 |
$25K |
| 90723 |
|
1,203 |
1,187 |
$25K |
| D0274 |
|
3,305 |
2,960 |
$24K |
| G0467 |
Fqhc visit, estab pt |
2,831 |
1,828 |
$23K |
| 90647 |
|
1,108 |
1,096 |
$22K |
| 90792 |
|
166 |
140 |
$18K |
| 0011A |
|
416 |
405 |
$18K |
| S9443 |
Lactation class |
448 |
271 |
$17K |
| 97803 |
|
722 |
694 |
$17K |
| 99401 |
|
577 |
383 |
$16K |
| 0012A |
|
387 |
379 |
$15K |
| 99203 |
|
172 |
160 |
$15K |
| 90633 |
|
689 |
680 |
$14K |
| 0001A |
|
350 |
332 |
$11K |
| 90715 |
|
555 |
538 |
$11K |
| 0002A |
|
318 |
313 |
$11K |
| 97802 |
|
408 |
395 |
$10K |
| 80305 |
|
1,402 |
1,096 |
$9K |
| 99383 |
|
88 |
87 |
$8K |
| 83036 |
|
1,970 |
1,779 |
$8K |
| 0013A |
|
224 |
221 |
$6K |
| 36415 |
|
2,234 |
2,053 |
$6K |
| 98926 |
|
161 |
153 |
$6K |
| 81025 |
|
1,240 |
1,170 |
$6K |
| D0230 |
|
1,566 |
1,028 |
$6K |
| 90677 |
|
266 |
263 |
$5K |
| D0330 |
|
467 |
464 |
$5K |
| 99381 |
|
84 |
78 |
$5K |
| 99403 |
|
90 |
66 |
$5K |
| D0170 |
|
487 |
471 |
$5K |
| S4930 |
|
533 |
525 |
$5K |
| 99173 |
|
2,328 |
2,291 |
$5K |
| 96160 |
|
1,473 |
1,249 |
$4K |
| 99417 |
Prolong home eval add 15m |
65 |
65 |
$4K |
| D4346 |
|
157 |
116 |
$4K |
| 90681 |
|
198 |
194 |
$4K |
| 0072A |
|
117 |
117 |
$4K |
| D0601 |
|
1,181 |
1,131 |
$4K |
| 0071A |
|
124 |
123 |
$4K |
| 90671 |
|
184 |
180 |
$4K |
| 90651 |
|
165 |
162 |
$4K |
| 98927 |
|
72 |
68 |
$3K |
| 0124A |
|
105 |
103 |
$3K |
| 0004A |
|
112 |
108 |
$3K |
| 0031A |
|
59 |
55 |
$3K |
| 0134A |
|
97 |
89 |
$3K |
| 90710 |
|
163 |
156 |
$3K |
| D2331 |
|
104 |
66 |
$3K |
| 90674 |
|
133 |
131 |
$3K |
| 99404 |
|
31 |
25 |
$2K |
| 90685 |
|
101 |
100 |
$2K |
| 90734 |
|
100 |
97 |
$2K |
| 90696 |
|
100 |
95 |
$2K |
| 90472 |
|
4,860 |
4,785 |
$2K |
| 90847 |
|
15 |
13 |
$2K |
| 0064A |
|
68 |
66 |
$2K |
| 76816 |
|
31 |
26 |
$1K |
| 99202 |
|
25 |
25 |
$1K |
| 90707 |
|
60 |
60 |
$1K |
| 90716 |
|
56 |
56 |
$1K |
| 90619 |
|
56 |
56 |
$1K |
| 99406 |
|
115 |
111 |
$1K |
| 90700 |
|
57 |
57 |
$1K |
| 99382 |
|
13 |
13 |
$1K |
| 99442 |
|
31 |
26 |
$994.69 |
| D0272 |
|
330 |
313 |
$949.26 |
| 0054A |
|
42 |
41 |
$935.60 |
| 99402 |
|
17 |
15 |
$750.24 |
| D9310 |
|
125 |
125 |
$730.60 |
| 90656 |
|
45 |
45 |
$717.48 |
| 87801 |
|
54 |
54 |
$704.60 |
| D1351 |
|
508 |
169 |
$679.68 |
| 90653 |
|
33 |
33 |
$675.00 |
| 98968 |
|
41 |
31 |
$641.54 |
| A4267 |
Male condom |
174 |
168 |
$639.42 |
| D2150 |
|
64 |
51 |
$545.40 |
| 99407 |
|
29 |
25 |
$491.15 |
| 99349 |
|
12 |
12 |
$475.25 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
74 |
57 |
$465.36 |
| 90688 |
|
30 |
29 |
$364.23 |
| 81002 |
|
259 |
225 |
$326.24 |
| 98925 |
|
13 |
12 |
$312.00 |
| 87804 |
|
34 |
31 |
$301.34 |
| 87426 |
|
1,606 |
1,517 |
$287.14 |
| 90713 |
|
12 |
12 |
$241.56 |
| G0008 |
Admin influenza virus vac |
47 |
42 |
$213.05 |
| 98967 |
|
15 |
12 |
$196.74 |
| 86580 |
|
19 |
18 |
$142.93 |
| G0328 |
Fecal blood scrn immunoassay |
24 |
18 |
$101.12 |
| D0270 |
|
49 |
49 |
$93.60 |
| J3301 |
Triamcinolone acet inj nos |
12 |
12 |
$79.41 |
| 36416 |
|
26 |
24 |
$68.76 |
| J3490 |
Drugs unclassified injection |
455 |
321 |
$53.83 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
20 |
12 |
$38.28 |
| J1885 |
Ketorolac tromethamine inj |
13 |
12 |
$16.18 |
| 91301 |
|
69 |
68 |
$0.00 |
| D0602 |
|
285 |
279 |
$0.00 |
| D1208 |
|
58 |
58 |
$0.00 |
| D9995 |
|
316 |
315 |
$0.00 |
| 90474 |
|
179 |
175 |
$0.00 |
| D2330 |
|
71 |
52 |
$0.00 |
| D1330 |
|
380 |
364 |
$0.00 |
| 99000 |
|
36 |
33 |
$0.00 |
| D1310 |
|
13 |
13 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
14 |
12 |
$0.00 |
| D0191 |
|
1,828 |
1,806 |
$0.00 |
| 91313 |
|
89 |
81 |
$0.00 |
| 91312 |
|
101 |
99 |
$0.00 |
| 91300 |
|
14 |
14 |
$0.00 |
| D0145 |
|
12 |
12 |
$0.00 |
| D2940 |
|
43 |
28 |
$0.00 |