| Code | Description | Claims | Beneficiaries | Total Paid |
| 99243 |
|
10,831 |
10,306 |
$884K |
| 99214 |
|
25,934 |
22,944 |
$859K |
| 99213 |
|
29,089 |
26,845 |
$812K |
| 99244 |
|
5,664 |
5,319 |
$645K |
| 99232 |
|
11,129 |
4,838 |
$493K |
| 99223 |
Prolong inpt eval add15 m |
4,117 |
3,864 |
$493K |
| 99284 |
|
7,554 |
6,974 |
$406K |
| 76811 |
|
5,617 |
5,340 |
$358K |
| 76819 |
|
12,697 |
9,086 |
$328K |
| 76816 |
|
11,059 |
8,565 |
$317K |
| 99283 |
|
5,649 |
5,237 |
$246K |
| 99238 |
|
3,892 |
3,700 |
$222K |
| 76820 |
|
12,548 |
8,096 |
$213K |
| 99215 |
Prolong outpt/office vis |
5,889 |
3,998 |
$187K |
| 99285 |
|
4,431 |
4,193 |
$160K |
| 99204 |
|
2,423 |
2,187 |
$149K |
| 90832 |
|
2,535 |
1,608 |
$93K |
| 72082 |
|
1,733 |
1,626 |
$84K |
| 90834 |
|
1,681 |
1,261 |
$81K |
| 90833 |
|
1,753 |
1,704 |
$80K |
| 90792 |
|
603 |
573 |
$70K |
| 92588 |
|
2,690 |
2,454 |
$55K |
| 76817 |
|
2,053 |
1,772 |
$51K |
| 97110 |
|
1,465 |
352 |
$48K |
| 69436 |
|
563 |
278 |
$46K |
| 29065 |
|
791 |
650 |
$44K |
| 94729 |
|
912 |
898 |
$42K |
| 94375 |
|
1,228 |
1,191 |
$37K |
| 76818 |
|
983 |
640 |
$36K |
| 92567 |
|
4,047 |
3,731 |
$36K |
| 94727 |
|
919 |
905 |
$32K |
| 73090 |
|
1,491 |
1,334 |
$31K |
| 99233 |
Prolong inpt eval add15 m |
657 |
341 |
$29K |
| 92557 |
|
1,409 |
1,310 |
$28K |
| 69210 |
|
1,336 |
1,093 |
$23K |
| 94618 |
|
866 |
855 |
$23K |
| 42820 |
|
111 |
99 |
$23K |
| 76821 |
|
937 |
449 |
$22K |
| 97112 |
|
1,233 |
313 |
$22K |
| 73080 |
|
870 |
785 |
$22K |
| 73521 |
|
659 |
614 |
$20K |
| 99222 |
|
396 |
326 |
$18K |
| 99203 |
|
550 |
468 |
$18K |
| J0585 |
Injection,onabotulinumtoxina |
42 |
14 |
$14K |
| 99205 |
Prolong outpt/office vis |
231 |
189 |
$12K |
| 96372 |
|
803 |
680 |
$11K |
| 97140 |
|
550 |
133 |
$10K |
| 73130 |
|
368 |
327 |
$10K |
| 73630 |
|
422 |
346 |
$9K |
| 76825 |
|
167 |
140 |
$9K |
| S0620 |
Routine ophthalmological exa |
214 |
196 |
$9K |
| 95720 |
|
80 |
29 |
$8K |
| 90791 |
|
86 |
83 |
$7K |
| 30901 |
|
147 |
143 |
$7K |
| 92004 |
|
76 |
69 |
$6K |
| 73565 |
|
210 |
196 |
$6K |
| 95724 |
|
57 |
42 |
$6K |
| 95886 |
|
201 |
153 |
$6K |
| V2020 |
Vision svcs frames purchases |
364 |
314 |
$6K |
| S0621 |
Routine ophthalmological exa |
140 |
133 |
$6K |
| 31231 |
|
138 |
125 |
$6K |
| 76700 |
|
264 |
261 |
$6K |
| 77067 |
|
252 |
251 |
$5K |
| 99242 |
|
71 |
71 |
$5K |
| 73590 |
|
223 |
188 |
$5K |
| 87426 |
|
258 |
126 |
$4K |
| 76815 |
|
278 |
257 |
$4K |
| 73610 |
|
192 |
160 |
$4K |
| 73110 |
|
139 |
129 |
$4K |
| 77063 |
|
252 |
251 |
$4K |
| 73562 |
|
152 |
126 |
$4K |
| 76775 |
|
85 |
84 |
$4K |
| 74177 |
|
77 |
76 |
$4K |
| 92014 |
|
70 |
65 |
$4K |
| 20670 |
|
12 |
12 |
$4K |
| 76770 |
|
201 |
198 |
$3K |
| 76827 |
|
191 |
159 |
$3K |
| 76705 |
|
185 |
178 |
$3K |
| 76641 |
|
127 |
127 |
$2K |
| 71045 |
|
537 |
426 |
$2K |
| 76856 |
|
113 |
111 |
$2K |
| 76536 |
|
142 |
142 |
$2K |
| 70553 |
|
40 |
40 |
$2K |
| 92012 |
|
76 |
55 |
$2K |
| 70450 |
|
89 |
84 |
$2K |
| 74240 |
|
73 |
73 |
$2K |
| 90837 |
|
32 |
25 |
$2K |
| 87804 |
|
148 |
74 |
$2K |
| 76801 |
|
55 |
53 |
$2K |
| 99212 |
|
104 |
81 |
$1K |
| 99441 |
|
141 |
138 |
$1K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
103 |
88 |
$1K |
| 99254 |
|
12 |
12 |
$1K |
| 99442 |
|
45 |
43 |
$1K |
| 92002 |
|
23 |
21 |
$1K |
| 99282 |
|
45 |
37 |
$1K |
| 95911 |
|
12 |
12 |
$1K |
| 74270 |
|
40 |
40 |
$1K |
| 73721 |
|
24 |
24 |
$902.09 |
| 76870 |
|
55 |
55 |
$813.86 |
| 49083 |
|
22 |
13 |
$776.15 |
| 29405 |
|
13 |
12 |
$719.40 |
| 71046 |
|
165 |
159 |
$701.34 |
| 77066 |
Tomosynthesis, mammo |
27 |
27 |
$646.43 |
| 31575 |
|
14 |
14 |
$630.09 |
| 78815 |
|
13 |
13 |
$551.52 |
| 74018 |
|
141 |
139 |
$497.36 |
| 76813 |
|
13 |
12 |
$450.86 |
| 95910 |
|
17 |
13 |
$425.21 |
| 76642 |
|
16 |
16 |
$372.12 |
| 95819 |
|
13 |
12 |
$361.66 |
| 90471 |
|
69 |
47 |
$360.64 |
| 73000 |
|
14 |
12 |
$342.94 |
| 77080 |
|
70 |
70 |
$330.26 |
| 76830 |
|
18 |
18 |
$325.95 |
| V2100 |
Lens spher single plano 4.00 |
33 |
27 |
$294.40 |
| 99281 |
|
13 |
13 |
$280.57 |
| 76805 |
|
14 |
14 |
$270.79 |
| 64405 |
|
35 |
12 |
$268.75 |
| 90472 |
|
30 |
13 |
$188.16 |
| 87880 |
|
26 |
18 |
$180.57 |
| 99152 |
|
24 |
22 |
$152.45 |
| 74230 |
|
14 |
14 |
$149.49 |
| 72100 |
|
28 |
28 |
$142.21 |
| 93970 |
|
12 |
12 |
$136.16 |
| 90686 |
|
29 |
24 |
$109.67 |
| 73030 |
|
12 |
12 |
$68.12 |
| 36415 |
|
614 |
388 |
$0.00 |
| Q4008 |
Cast sup long arm ped fbrgls |
649 |
534 |
$0.00 |
| 90378 |
|
206 |
188 |
$0.00 |
| 99239 |
|
14 |
13 |
$0.00 |
| 75574 |
|
24 |
24 |
$0.00 |
| Q4006 |
Cast sup long arm adult fbrg |
29 |
26 |
$0.00 |
| 99401 |
|
295 |
243 |
$0.00 |
| G2211 |
Complex e/m visit add on |
162 |
146 |
$0.00 |
| 77062 |
|
13 |
13 |
$0.00 |
| 92568 |
|
25 |
25 |
$0.00 |