| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
84,628 |
74,528 |
$2.72M |
| 87880 |
|
24,271 |
22,544 |
$324K |
| 87428 |
|
7,800 |
7,210 |
$273K |
| 99214 |
|
7,110 |
6,410 |
$272K |
| D0150 |
|
7,476 |
7,170 |
$235K |
| 99391 |
|
3,213 |
2,982 |
$207K |
| 99392 |
|
2,864 |
2,768 |
$205K |
| D1110 |
|
4,912 |
4,686 |
$204K |
| 99212 |
|
6,281 |
5,663 |
$158K |
| 90471 |
|
7,953 |
7,721 |
$124K |
| 99393 |
|
1,619 |
1,577 |
$113K |
| D0140 |
|
3,212 |
3,027 |
$111K |
| J0696 |
Ceftriaxone sodium injection |
3,151 |
2,834 |
$99K |
| D1120 |
|
1,984 |
1,919 |
$96K |
| 90472 |
|
5,027 |
4,920 |
$94K |
| G0467 |
Fqhc visit, estab pt |
14,614 |
5,662 |
$81K |
| 87426 |
|
4,724 |
4,299 |
$79K |
| D0274 |
|
2,361 |
2,298 |
$65K |
| 99394 |
|
588 |
569 |
$47K |
| D0220 |
|
5,056 |
4,801 |
$44K |
| D0272 |
|
2,670 |
2,523 |
$41K |
| D1208 |
|
2,584 |
2,501 |
$39K |
| 87804 |
|
2,705 |
2,475 |
$35K |
| 90834 |
|
625 |
519 |
$34K |
| D7140 |
|
854 |
462 |
$31K |
| D2392 |
|
518 |
419 |
$28K |
| D2391 |
|
572 |
419 |
$26K |
| 90837 |
|
315 |
226 |
$26K |
| 90832 |
|
549 |
419 |
$23K |
| 36415 |
|
8,918 |
7,748 |
$18K |
| 99203 |
|
338 |
314 |
$18K |
| D2150 |
|
299 |
208 |
$15K |
| 99202 |
|
318 |
294 |
$13K |
| D0120 |
|
542 |
525 |
$13K |
| 0012A |
|
368 |
359 |
$12K |
| 90791 |
|
134 |
130 |
$11K |
| 87807 |
|
916 |
856 |
$11K |
| 95117 |
|
1,114 |
615 |
$10K |
| 0011A |
|
335 |
325 |
$9K |
| D2140 |
|
148 |
119 |
$8K |
| D0230 |
|
882 |
464 |
$5K |
| D1351 |
|
278 |
63 |
$5K |
| D0330 |
|
71 |
70 |
$4K |
| J1100 |
Dexamethasone sodium phos |
4,591 |
4,111 |
$3K |
| 90688 |
|
295 |
269 |
$3K |
| 92551 |
|
228 |
226 |
$3K |
| 99238 |
|
79 |
61 |
$2K |
| J1040 |
Methylprednisolone 80 mg inj |
260 |
234 |
$2K |
| 90670 |
|
1,699 |
1,655 |
$2K |
| D2393 |
|
27 |
24 |
$1K |
| 90686 |
|
1,001 |
976 |
$1K |
| 99204 |
|
14 |
12 |
$981.34 |
| D2160 |
|
23 |
13 |
$893.46 |
| 90651 |
|
170 |
164 |
$858.58 |
| J0558 |
Peng benzathine/procaine inj |
26 |
25 |
$666.54 |
| 90697 |
|
761 |
747 |
$663.98 |
| D1206 |
|
38 |
38 |
$655.50 |
| 90680 |
|
1,043 |
1,020 |
$608.37 |
| 99201 |
|
12 |
12 |
$585.75 |
| G0466 |
Fqhc visit new patient |
30 |
13 |
$486.42 |
| 90710 |
|
527 |
514 |
$473.00 |
| 0064A |
|
13 |
12 |
$466.00 |
| 90633 |
|
1,035 |
1,000 |
$340.29 |
| D1354 |
|
103 |
40 |
$282.00 |
| 90723 |
|
635 |
618 |
$274.82 |
| 86308 |
|
55 |
51 |
$272.04 |
| 90734 |
|
123 |
122 |
$250.42 |
| 90648 |
|
418 |
396 |
$218.14 |
| 90685 |
|
150 |
148 |
$216.03 |
| 95115 |
|
25 |
14 |
$200.38 |
| J0561 |
Penicillin g benzathine inj |
119 |
110 |
$185.10 |
| 93000 |
|
15 |
12 |
$174.81 |
| 81002 |
|
293 |
272 |
$157.00 |
| J1885 |
Ketorolac tromethamine inj |
82 |
63 |
$135.15 |
| 90696 |
|
65 |
65 |
$96.00 |
| J3420 |
Vitamin b12 injection |
61 |
37 |
$71.48 |
| 71046 |
|
16 |
14 |
$68.92 |
| 90647 |
|
398 |
386 |
$42.07 |
| J2920 |
Methylprednisolone injection |
13 |
13 |
$37.64 |
| 90715 |
|
39 |
39 |
$31.84 |
| 90671 |
|
632 |
628 |
$1.51 |
| 3074F |
|
4,310 |
4,056 |
$1.47 |
| 3078F |
|
4,104 |
3,873 |
$1.46 |
| 3079F |
|
505 |
480 |
$0.15 |
| D0999 |
|
160 |
151 |
$0.11 |
| 1159F |
|
6,293 |
5,815 |
$0.06 |
| G8510 |
Scr dep neg, no plan reqd |
6,630 |
6,061 |
$0.05 |
| 3075F |
|
162 |
156 |
$0.04 |
| D0603 |
|
1,033 |
987 |
$0.00 |
| 2001F |
|
4,124 |
3,859 |
$0.00 |
| 3008F |
|
4,105 |
3,844 |
$0.00 |
| D0602 |
|
25 |
25 |
$0.00 |
| D0601 |
|
44 |
42 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
1,466 |
1,369 |
$0.00 |
| 90700 |
|
55 |
55 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 90672 |
|
14 |
14 |
$0.00 |