| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
78,734 |
23,110 |
$5.11M |
| 99215 |
Prolong outpt/office vis |
50,276 |
43,515 |
$3.97M |
| 99214 |
|
72,210 |
64,738 |
$3.80M |
| 99285 |
|
31,947 |
28,606 |
$3.02M |
| 99472 |
|
12,212 |
2,588 |
$2.98M |
| 99284 |
|
23,966 |
21,261 |
$2.04M |
| 99469 |
|
6,729 |
1,520 |
$1.68M |
| 99479 |
|
17,228 |
4,065 |
$1.50M |
| 93306 |
|
26,432 |
23,410 |
$1.32M |
| 99232 |
|
34,183 |
13,335 |
$1.30M |
| 99291 |
|
9,761 |
3,341 |
$1.28M |
| 93303 |
|
19,677 |
15,661 |
$1.28M |
| 99244 |
|
9,953 |
8,265 |
$1.19M |
| 74177 |
|
23,347 |
20,854 |
$970K |
| 95720 |
|
7,119 |
3,133 |
$864K |
| 71045 |
|
170,057 |
86,270 |
$851K |
| 99213 |
|
22,115 |
19,384 |
$743K |
| 95951 |
|
3,707 |
1,846 |
$665K |
| 88305 |
|
14,192 |
12,578 |
$637K |
| 93010 |
|
124,475 |
96,151 |
$562K |
| 70450 |
|
25,623 |
21,999 |
$561K |
| 70553 |
|
7,581 |
6,863 |
$500K |
| 90960 |
|
12,208 |
10,112 |
$464K |
| 99480 |
|
5,973 |
1,429 |
$460K |
| 99245 |
|
3,022 |
2,546 |
$459K |
| 93320 |
|
22,262 |
16,412 |
$436K |
| 88307 |
|
8,315 |
7,126 |
$434K |
| 71046 |
|
60,914 |
53,112 |
$377K |
| 01967 |
|
2,687 |
2,228 |
$339K |
| 99283 |
|
6,615 |
5,866 |
$323K |
| 99243 |
|
3,804 |
2,921 |
$279K |
| 70551 |
|
5,233 |
4,660 |
$236K |
| 95810 |
|
1,949 |
1,717 |
$209K |
| 71275 |
|
4,345 |
3,866 |
$205K |
| 93325 |
|
25,250 |
18,696 |
$201K |
| 76770 |
|
7,558 |
6,628 |
$186K |
| 99204 |
|
1,757 |
1,489 |
$182K |
| 95004 |
|
2,441 |
2,147 |
$177K |
| 97802 |
|
2,365 |
1,738 |
$166K |
| 99255 |
|
1,153 |
937 |
$158K |
| 71260 |
|
5,072 |
4,465 |
$151K |
| 74018 |
|
26,920 |
17,613 |
$147K |
| 74019 |
|
20,888 |
9,301 |
$140K |
| 99417 |
Prolong home eval add 15m |
689 |
594 |
$111K |
| 83020 |
|
9,836 |
7,796 |
$109K |
| 99478 |
|
1,356 |
259 |
$103K |
| 99223 |
Prolong inpt eval add15 m |
903 |
711 |
$103K |
| 76506 |
|
5,281 |
3,140 |
$100K |
| 88189 |
|
1,772 |
1,413 |
$99K |
| 90935 |
|
6,436 |
3,332 |
$89K |
| 93000 |
|
6,015 |
5,281 |
$84K |
| 99231 |
|
4,114 |
1,861 |
$83K |
| 99253 |
|
1,514 |
697 |
$78K |
| 99282 |
|
2,579 |
2,341 |
$78K |
| 99199 |
|
14,463 |
14,463 |
$75K |
| 71250 |
|
3,117 |
2,853 |
$73K |
| 90961 |
|
2,144 |
1,589 |
$72K |
| 76705 |
|
3,754 |
3,142 |
$72K |
| 99238 |
|
1,311 |
1,160 |
$71K |
| 99157 |
|
851 |
771 |
$58K |
| 85390 |
|
5,261 |
3,565 |
$58K |
| 88291 |
|
3,730 |
2,903 |
$57K |
| 01922 |
|
529 |
431 |
$55K |
| 99205 |
Prolong outpt/office vis |
445 |
394 |
$54K |
| 99203 |
|
977 |
762 |
$53K |
| 94375 |
|
6,893 |
5,913 |
$52K |
| 95811 |
|
576 |
538 |
$52K |
| 84165 |
|
7,167 |
6,638 |
$51K |
| 86077 |
|
2,087 |
1,784 |
$50K |
| 88112 |
|
1,762 |
1,477 |
$50K |
| 95941 |
|
164 |
140 |
$49K |
| 72125 |
|
1,537 |
1,365 |
$47K |
| 99354 |
|
640 |
616 |
$47K |
| 76376 |
|
12,515 |
11,279 |
$45K |
| 92060 |
|
1,681 |
1,150 |
$45K |
| 64642 |
|
796 |
761 |
$45K |
| 99242 |
|
693 |
618 |
$44K |
| 86334 |
|
5,714 |
5,277 |
$40K |
| 99239 |
|
496 |
420 |
$40K |
| 99222 |
|
422 |
361 |
$39K |
| 00731 |
|
1,002 |
859 |
$39K |
| 94010 |
|
2,976 |
2,673 |
$37K |
| D0160 |
|
508 |
455 |
$36K |
| 64643 |
|
703 |
644 |
$35K |
| 94770 |
|
1,624 |
1,554 |
$35K |
| 94729 |
|
5,275 |
4,544 |
$32K |
| 77067 |
|
2,084 |
1,818 |
$29K |
| 92014 |
|
759 |
676 |
$28K |
| 97803 |
|
715 |
478 |
$26K |
| 77063 |
|
2,017 |
1,752 |
$26K |
| 95718 |
|
297 |
226 |
$25K |
| 72082 |
|
1,898 |
1,738 |
$25K |
| S0621 |
Routine ophthalmological exa |
447 |
405 |
$25K |
| 00140 |
|
316 |
276 |
$25K |
| 76377 |
|
1,384 |
1,236 |
$24K |
| 78815 |
|
492 |
441 |
$24K |
| 95816 |
|
612 |
564 |
$24K |
| 74176 |
|
706 |
630 |
$23K |
| 88342 |
|
894 |
762 |
$22K |
| 92567 |
|
2,346 |
1,711 |
$22K |
| 99254 |
|
195 |
153 |
$21K |
| 95782 |
|
179 |
156 |
$21K |
| 94726 |
|
1,574 |
1,435 |
$21K |
| 43239 |
|
189 |
173 |
$20K |
| 73630 |
|
2,497 |
1,966 |
$19K |
| 00170 |
|
120 |
106 |
$19K |
| 81229 |
|
966 |
746 |
$19K |
| 69436 |
|
139 |
127 |
$19K |
| 99252 |
|
430 |
318 |
$19K |
| 95953 |
|
184 |
106 |
$19K |
| 96113 |
|
305 |
191 |
$17K |
| 96112 |
|
311 |
193 |
$17K |
| 96116 |
|
125 |
117 |
$17K |
| 93970 |
|
726 |
630 |
$17K |
| 99152 |
|
3,375 |
2,811 |
$16K |
| S0620 |
Routine ophthalmological exa |
214 |
188 |
$16K |
| 94618 |
|
1,812 |
1,658 |
$16K |
| 73610 |
|
1,923 |
1,537 |
$16K |
| 95251 |
|
589 |
487 |
$15K |
| 01920 |
|
97 |
91 |
$15K |
| 99442 |
|
733 |
566 |
$15K |
| 85060 |
|
1,297 |
983 |
$14K |
| 99443 |
|
462 |
361 |
$14K |
| 93531 |
|
60 |
53 |
$14K |
| 70496 |
|
295 |
252 |
$14K |
| 93971 |
|
1,109 |
1,009 |
$13K |
| 92507 |
|
847 |
199 |
$13K |
| 90966 |
|
353 |
241 |
$13K |
| 90837 |
|
211 |
131 |
$13K |
| 95165 |
|
82 |
41 |
$12K |
| 93922 |
|
606 |
552 |
$12K |
| 54161 |
|
52 |
41 |
$11K |
| 95939 |
|
190 |
146 |
$10K |
| 96040 |
|
294 |
257 |
$10K |
| 95117 |
|
1,073 |
577 |
$9K |
| 76700 |
|
390 |
337 |
$9K |
| 99155 |
|
126 |
125 |
$9K |
| 88141 |
|
507 |
412 |
$9K |
| 83036 |
|
853 |
708 |
$8K |
| 88188 |
|
163 |
150 |
$8K |
| 31575 |
|
168 |
146 |
$8K |
| 95874 |
|
803 |
763 |
$8K |
| 76937 |
|
908 |
780 |
$8K |
| 70498 |
|
175 |
146 |
$8K |
| 01961 |
|
58 |
52 |
$8K |
| 90945 |
|
430 |
90 |
$7K |
| 92012 |
|
269 |
251 |
$7K |
| 73502 |
|
795 |
676 |
$7K |
| 76856 |
|
311 |
283 |
$7K |
| 76825 |
|
107 |
82 |
$6K |
| 76830 |
|
305 |
281 |
$6K |
| 73560 |
|
1,179 |
934 |
$6K |
| 99476 |
|
24 |
13 |
$6K |
| 88346 |
|
257 |
216 |
$6K |
| 93295 |
|
212 |
179 |
$5K |
| D8670 |
|
66 |
65 |
$5K |
| 96133 |
|
57 |
43 |
$5K |
| 94200 |
|
614 |
541 |
$5K |
| 93597 |
|
20 |
12 |
$5K |
| 72170 |
|
750 |
636 |
$5K |
| 88341 |
|
363 |
306 |
$5K |
| 99292 |
|
57 |
30 |
$5K |
| 93356 |
|
4,801 |
4,206 |
$5K |
| 74183 |
|
79 |
75 |
$4K |
| 93296 |
|
408 |
353 |
$4K |
| 00811 |
|
156 |
134 |
$4K |
| 85097 |
|
158 |
144 |
$4K |
| 94727 |
|
1,298 |
992 |
$4K |
| 99221 |
|
65 |
52 |
$4K |
| 77080 |
|
886 |
766 |
$4K |
| 95938 |
|
231 |
196 |
$4K |
| 73590 |
|
521 |
377 |
$4K |
| 92557 |
|
139 |
118 |
$3K |
| 73110 |
|
298 |
250 |
$3K |
| 92004 |
|
86 |
72 |
$3K |
| 93568 |
|
121 |
101 |
$3K |
| 92015 |
|
552 |
451 |
$3K |
| 99100 |
|
280 |
230 |
$3K |
| 96132 |
|
57 |
43 |
$3K |
| 99153 |
Mod sedat endo service >5yrs |
251 |
215 |
$3K |
| 93886 |
|
108 |
65 |
$3K |
| 93750 |
|
262 |
79 |
$3K |
| 00920 |
|
27 |
24 |
$3K |
| 90792 |
|
42 |
37 |
$3K |
| 88304 |
|
329 |
300 |
$3K |
| 84166 |
|
384 |
356 |
$3K |
| 97750 |
|
296 |
225 |
$3K |
| 73030 |
|
499 |
398 |
$3K |
| 95861 |
|
74 |
64 |
$3K |
| 96101 |
|
19 |
12 |
$3K |
| 92579 |
|
116 |
108 |
$3K |
| 73721 |
|
74 |
67 |
$3K |
| 77072 |
|
253 |
193 |
$3K |
| 78306 |
|
128 |
120 |
$2K |
| 01996 |
|
96 |
44 |
$2K |
| 76827 |
|
104 |
82 |
$2K |
| 99156 |
|
41 |
26 |
$2K |
| 93975 |
|
63 |
60 |
$2K |
| 73130 |
|
278 |
216 |
$2K |
| 00104 |
|
97 |
52 |
$2K |
| 94799 |
|
959 |
879 |
$2K |
| 77001 |
|
261 |
228 |
$2K |
| 76817 |
|
75 |
67 |
$2K |
| G0279 |
Tomosynthesis, mammo |
120 |
101 |
$2K |
| 88313 |
|
182 |
147 |
$2K |
| 93294 |
|
83 |
67 |
$2K |
| 73090 |
|
234 |
164 |
$2K |
| 90937 |
|
68 |
38 |
$2K |
| 20610 |
|
52 |
37 |
$1K |
| 81003 |
|
690 |
560 |
$1K |
| 92582 |
|
75 |
58 |
$1K |
| 36620 |
|
51 |
37 |
$1K |
| 36558 |
|
13 |
13 |
$1K |
| 72100 |
|
163 |
149 |
$1K |
| 88161 |
|
103 |
92 |
$1K |
| 93990 |
|
28 |
27 |
$1K |
| 73562 |
|
169 |
130 |
$1K |
| 93227 |
|
96 |
66 |
$1K |
| 88311 |
|
188 |
171 |
$1K |
| 70486 |
|
40 |
38 |
$1K |
| 76642 |
|
61 |
48 |
$1K |
| 74174 |
|
41 |
39 |
$1K |
| 92083 |
|
43 |
39 |
$1K |
| 94150 |
|
337 |
316 |
$1K |
| 72156 |
|
13 |
12 |
$1K |
| 88333 |
|
27 |
27 |
$927.44 |
| 92134 |
|
102 |
77 |
$913.04 |
| 93793 |
|
593 |
296 |
$854.15 |
| 76811 |
|
15 |
14 |
$838.75 |
| 88302 |
|
143 |
101 |
$789.84 |
| 93567 |
|
39 |
26 |
$776.82 |
| 20611 |
|
30 |
24 |
$759.71 |
| 76820 |
|
52 |
40 |
$756.21 |
| 54150 |
|
15 |
12 |
$745.92 |
| 11042 |
|
26 |
24 |
$689.51 |
| 74178 |
|
14 |
14 |
$655.37 |
| 94664 |
|
68 |
60 |
$623.09 |
| 73140 |
|
54 |
39 |
$616.29 |
| 77073 |
|
47 |
42 |
$605.42 |
| 93308 |
|
46 |
39 |
$602.79 |
| 73552 |
|
100 |
79 |
$531.99 |
| 76801 |
|
14 |
12 |
$486.00 |
| 76536 |
|
43 |
39 |
$477.78 |
| 76816 |
|
17 |
15 |
$468.39 |
| 70491 |
|
15 |
12 |
$457.20 |
| 77066 |
Tomosynthesis, mammo |
30 |
24 |
$421.47 |
| 72141 |
|
14 |
12 |
$407.89 |
| 88173 |
|
14 |
12 |
$389.06 |
| 82962 |
|
298 |
239 |
$379.07 |
| 78582 |
|
25 |
25 |
$378.19 |
| 92587 |
|
33 |
12 |
$353.76 |
| 74240 |
|
14 |
12 |
$331.65 |
| J3301 |
Triamcinolone acet inj nos |
90 |
74 |
$301.61 |
| 94060 |
|
13 |
13 |
$285.60 |
| 73080 |
|
28 |
24 |
$284.52 |
| 92583 |
|
14 |
13 |
$274.85 |
| 99212 |
|
27 |
25 |
$241.90 |
| 69210 |
|
12 |
12 |
$239.66 |
| 93298 |
|
13 |
12 |
$236.50 |
| 71271 |
|
12 |
12 |
$201.90 |
| 74022 |
|
13 |
12 |
$171.86 |
| 99140 |
|
30 |
26 |
$161.04 |
| 92555 |
|
26 |
13 |
$157.43 |
| 96127 |
|
42 |
39 |
$93.50 |
| G0452 |
Molecular pathology interpr |
75 |
40 |
$90.50 |
| 73100 |
|
12 |
12 |
$84.60 |
| 99441 |
|
12 |
12 |
$65.70 |
| 86335 |
|
12 |
12 |
$65.10 |
| 93321 |
|
13 |
13 |
$45.38 |
| G2066 |
Inter devc remote 30d |
13 |
12 |
$42.18 |
| 90686 |
|
13 |
13 |
$38.36 |
| 94760 |
|
313 |
290 |
$24.25 |
| 99358 |
Prolong nursin fac eval 15m |
16 |
15 |
$18.27 |
| J1100 |
Dexamethasone sodium phos |
73 |
61 |
$10.96 |
| G1004 |
Cdsm ndsc |
2,755 |
2,382 |
$0.00 |
| 92201 |
|
21 |
12 |
$0.00 |
| 0399T |
|
1,740 |
1,684 |
$0.00 |
| A4627 |
Spacer bag/reservoir |
14 |
14 |
$0.00 |