| Code | Description | Claims | Beneficiaries | Total Paid |
| H0010 |
Alcohol and/or drug services |
73,479 |
16,438 |
$23.85M |
| 99284 |
|
121,368 |
105,771 |
$8.01M |
| 99214 |
|
105,116 |
83,221 |
$5.55M |
| 99285 |
|
47,056 |
39,555 |
$4.35M |
| H2036 |
A/d tx program, per diem |
24,770 |
1,312 |
$3.65M |
| H0020 |
Alcohol and/or drug services |
252,721 |
11,413 |
$3.57M |
| D0999 |
|
14,033 |
12,071 |
$3.12M |
| 99232 |
|
70,930 |
30,014 |
$2.45M |
| 99291 |
|
18,740 |
7,170 |
$2.36M |
| 99233 |
Prolong inpt eval add15 m |
47,696 |
19,286 |
$2.08M |
| 99283 |
|
63,699 |
52,718 |
$1.85M |
| 99213 |
|
56,896 |
44,122 |
$1.80M |
| 74177 |
|
38,398 |
31,698 |
$1.56M |
| 70450 |
|
50,188 |
39,803 |
$1.23M |
| 99215 |
Prolong outpt/office vis |
19,856 |
15,767 |
$1.18M |
| 88305 |
|
53,827 |
32,906 |
$1.15M |
| 93010 |
|
198,596 |
141,753 |
$980K |
| 99204 |
|
9,945 |
8,971 |
$967K |
| 99203 |
|
20,756 |
16,553 |
$947K |
| 99238 |
|
22,602 |
18,989 |
$907K |
| 99460 |
|
12,536 |
11,223 |
$888K |
| 90834 |
|
11,870 |
6,707 |
$755K |
| 71046 |
|
81,981 |
64,338 |
$707K |
| 88307 |
|
18,298 |
13,657 |
$672K |
| 71045 |
|
106,915 |
74,940 |
$667K |
| 99223 |
Prolong inpt eval add15 m |
5,699 |
4,625 |
$579K |
| 99479 |
|
7,512 |
1,531 |
$545K |
| 99469 |
|
2,959 |
538 |
$545K |
| 93306 |
|
17,439 |
14,964 |
$499K |
| 99239 |
|
8,533 |
6,930 |
$484K |
| 77067 |
|
25,474 |
21,464 |
$472K |
| 99464 |
|
8,812 |
7,878 |
$456K |
| H0004 |
Alcohol and/or drug services |
11,733 |
6,172 |
$423K |
| 99222 |
|
5,060 |
4,391 |
$413K |
| 90935 |
|
9,379 |
3,192 |
$399K |
| 92004 |
|
6,652 |
5,685 |
$381K |
| 72125 |
|
13,244 |
11,275 |
$365K |
| 71275 |
|
8,914 |
7,654 |
$334K |
| S3005 |
Eval self-assess depression |
22,856 |
6,584 |
$325K |
| 88342 |
|
16,696 |
11,591 |
$299K |
| 76705 |
|
18,141 |
15,679 |
$285K |
| 67028 |
|
5,527 |
4,189 |
$282K |
| 70551 |
|
6,821 |
5,611 |
$276K |
| 72148 |
|
7,317 |
6,005 |
$274K |
| D7140 |
|
1,731 |
944 |
$272K |
| 66984 |
|
1,448 |
1,098 |
$266K |
| 70553 |
|
4,252 |
3,651 |
$265K |
| 59409 |
|
642 |
551 |
$264K |
| 71260 |
|
8,341 |
6,791 |
$259K |
| 45385 |
|
1,799 |
1,427 |
$238K |
| 73721 |
|
7,223 |
5,811 |
$233K |
| D2392 |
|
947 |
687 |
$218K |
| 92014 |
|
5,605 |
4,550 |
$211K |
| 99152 |
|
10,474 |
9,235 |
$196K |
| D1206 |
|
5,029 |
4,883 |
$189K |
| 70498 |
|
3,367 |
2,888 |
$182K |
| 76642 |
|
11,759 |
8,500 |
$177K |
| T1007 |
Treatment plan development |
20,408 |
5,853 |
$174K |
| D1120 |
|
2,635 |
2,552 |
$173K |
| D0150 |
|
2,090 |
2,046 |
$173K |
| 43239 |
|
1,887 |
1,607 |
$167K |
| D0330 |
|
1,487 |
1,474 |
$164K |
| T1019 |
Personal care ser per 15 min |
9,288 |
3,368 |
$163K |
| D2391 |
|
915 |
579 |
$163K |
| 99153 |
Mod sedat endo service >5yrs |
8,718 |
7,136 |
$161K |
| 90471 |
|
18,921 |
14,937 |
$159K |
| 73221 |
|
4,991 |
4,061 |
$156K |
| 91322 |
|
1,131 |
1,085 |
$147K |
| 76700 |
|
8,134 |
6,343 |
$140K |
| 00170 |
|
611 |
560 |
$138K |
| D0120 |
|
2,801 |
2,741 |
$137K |
| D0140 |
|
1,964 |
1,929 |
$132K |
| 93975 |
|
1,911 |
1,745 |
$126K |
| 99480 |
|
1,920 |
486 |
$123K |
| 92012 |
|
4,739 |
3,841 |
$122K |
| 92015 |
|
48,673 |
38,768 |
$120K |
| 01967 |
|
764 |
700 |
$118K |
| 88112 |
|
5,863 |
4,589 |
$117K |
| 72141 |
|
2,709 |
2,226 |
$114K |
| 77066 |
Tomosynthesis, mammo |
4,771 |
3,922 |
$111K |
| 76830 |
|
7,420 |
5,124 |
$108K |
| 92134 |
|
12,212 |
9,453 |
$107K |
| 74018 |
|
16,946 |
11,948 |
$105K |
| 99202 |
|
3,440 |
2,565 |
$99K |
| D0220 |
|
3,333 |
3,233 |
$96K |
| 76770 |
|
4,986 |
4,110 |
$94K |
| 95886 |
|
3,743 |
2,926 |
$91K |
| 64615 |
|
1,129 |
1,023 |
$91K |
| 99401 |
|
3,351 |
2,562 |
$91K |
| 95800 |
|
2,995 |
2,489 |
$90K |
| 71250 |
|
4,916 |
3,834 |
$90K |
| 90960 |
|
2,735 |
2,059 |
$86K |
| 88341 |
|
2,227 |
999 |
$85K |
| D2930 |
|
557 |
140 |
$84K |
| T1023 |
Program intake assessment |
9,149 |
4,192 |
$84K |
| 88141 |
|
9,480 |
8,081 |
$84K |
| 46607 |
|
1,647 |
1,321 |
$83K |
| 99221 |
|
2,037 |
1,468 |
$82K |
| 76856 |
|
3,901 |
3,292 |
$81K |
| 54150 |
|
2,200 |
1,541 |
$80K |
| H0006 |
Alcohol and/or drug services |
3,101 |
2,030 |
$79K |
| 73562 |
|
21,205 |
14,411 |
$77K |
| D0190 |
|
1,358 |
1,311 |
$76K |
| 95957 |
|
1,948 |
1,137 |
$75K |
| 45378 |
|
464 |
425 |
$75K |
| 73630 |
|
27,970 |
19,276 |
$74K |
| 70496 |
|
1,448 |
1,221 |
$72K |
| 90832 |
|
1,174 |
743 |
$69K |
| 77065 |
Tomosynthesis, mammo |
5,108 |
4,019 |
$69K |
| 73130 |
|
25,279 |
17,782 |
$69K |
| 90791 |
|
987 |
601 |
$68K |
| 76536 |
|
4,606 |
3,924 |
$67K |
| 74174 |
|
894 |
827 |
$66K |
| D1110 |
|
715 |
693 |
$64K |
| 90750 |
|
978 |
639 |
$63K |
| D0272 |
|
1,423 |
1,388 |
$63K |
| 99462 |
|
3,265 |
2,107 |
$61K |
| H0033 |
Oral med adm direct observe |
7,200 |
382 |
$58K |
| D1351 |
|
1,034 |
406 |
$57K |
| 20610 |
|
2,072 |
1,555 |
$57K |
| 90472 |
|
5,672 |
4,573 |
$56K |
| 90480 |
|
1,433 |
1,383 |
$56K |
| 73610 |
|
18,102 |
14,209 |
$55K |
| 73030 |
|
15,251 |
11,760 |
$55K |
| 73110 |
|
18,109 |
13,973 |
$54K |
| 88304 |
|
7,807 |
5,385 |
$50K |
| 93971 |
|
5,721 |
4,656 |
$50K |
| D0230 |
|
1,943 |
1,891 |
$47K |
| 27447 |
|
80 |
67 |
$46K |
| D0274 |
|
699 |
695 |
$45K |
| 85060 |
|
4,417 |
3,322 |
$43K |
| 92060 |
|
1,865 |
1,568 |
$42K |
| 70486 |
|
1,393 |
1,226 |
$41K |
| 62323 |
|
1,024 |
803 |
$40K |
| 90746 |
|
1,234 |
1,014 |
$40K |
| 74176 |
|
1,285 |
986 |
$38K |
| 00142 |
|
544 |
456 |
$35K |
| 93970 |
|
1,093 |
839 |
$35K |
| 90651 |
|
196 |
171 |
$34K |
| 90792 |
|
447 |
328 |
$33K |
| 99231 |
|
1,849 |
985 |
$33K |
| 0011A |
|
1,111 |
1,040 |
$31K |
| 99219 |
|
646 |
591 |
$30K |
| 19083 |
|
172 |
135 |
$29K |
| 93307 |
|
2,225 |
1,336 |
$29K |
| 95951 |
|
282 |
109 |
$28K |
| 94060 |
|
5,069 |
4,160 |
$27K |
| 0012A |
|
887 |
844 |
$27K |
| 73590 |
|
6,811 |
5,261 |
$26K |
| 90686 |
|
1,746 |
1,622 |
$26K |
| D9230 |
|
364 |
322 |
$26K |
| 31575 |
|
1,165 |
1,080 |
$26K |
| 90707 |
|
486 |
407 |
$25K |
| 88108 |
|
1,976 |
1,425 |
$24K |
| 93298 |
|
2,004 |
1,753 |
$24K |
| D9310 |
|
183 |
180 |
$23K |
| 77080 |
|
4,691 |
3,872 |
$22K |
| J7307 |
Etonogestrel implant system |
32 |
26 |
$22K |
| 92002 |
|
698 |
609 |
$22K |
| 90715 |
|
698 |
569 |
$21K |
| 90716 |
|
255 |
197 |
$21K |
| 90632 |
|
611 |
475 |
$21K |
| 43235 |
|
369 |
281 |
$21K |
| 11042 |
|
954 |
742 |
$21K |
| 99212 |
|
1,312 |
1,000 |
$21K |
| 76870 |
|
1,230 |
1,023 |
$21K |
| 74183 |
|
363 |
336 |
$20K |
| 0031A |
|
591 |
542 |
$20K |
| 99468 |
|
36 |
25 |
$20K |
| 72100 |
|
3,862 |
3,201 |
$19K |
| 96110 |
|
3,056 |
2,653 |
$19K |
| 86334 |
|
2,973 |
2,328 |
$19K |
| 73502 |
|
4,793 |
3,706 |
$19K |
| 73564 |
|
4,940 |
3,280 |
$19K |
| 52000 |
|
616 |
481 |
$18K |
| 76817 |
|
933 |
762 |
$18K |
| 0002A |
|
451 |
439 |
$18K |
| 45380 |
|
164 |
148 |
$17K |
| 84165 |
|
2,943 |
2,301 |
$17K |
| 0001A |
|
436 |
432 |
$17K |
| D0145 |
|
256 |
249 |
$17K |
| 78452 |
|
774 |
633 |
$17K |
| 73080 |
|
4,896 |
3,921 |
$16K |
| 90675 |
|
62 |
38 |
$16K |
| D2140 |
|
102 |
70 |
$15K |
| 94726 |
|
3,267 |
2,711 |
$15K |
| 90847 |
|
174 |
96 |
$15K |
| 99217 |
|
590 |
472 |
$15K |
| 99205 |
Prolong outpt/office vis |
208 |
145 |
$14K |
| 92133 |
|
1,017 |
899 |
$14K |
| 20611 |
|
245 |
225 |
$14K |
| 0124A |
|
253 |
241 |
$14K |
| 0064A |
|
369 |
328 |
$13K |
| 99471 |
|
16 |
14 |
$13K |
| 90961 |
|
619 |
466 |
$13K |
| 0134A |
|
270 |
237 |
$13K |
| 93295 |
|
536 |
471 |
$12K |
| 90688 |
|
3,262 |
2,395 |
$12K |
| 99472 |
|
68 |
25 |
$12K |
| 73090 |
|
3,786 |
2,891 |
$11K |
| 70491 |
|
278 |
249 |
$11K |
| 88173 |
|
467 |
283 |
$11K |
| 93923 |
|
770 |
540 |
$11K |
| 59025 |
|
473 |
413 |
$11K |
| 95812 |
|
93 |
80 |
$11K |
| 76882 |
|
1,107 |
861 |
$11K |
| D7240 |
|
38 |
13 |
$10K |
| 94729 |
|
3,452 |
2,821 |
$10K |
| 71271 |
|
289 |
257 |
$10K |
| 90853 |
|
1,940 |
842 |
$10K |
| D2150 |
|
51 |
43 |
$10K |
| 93018 |
|
1,647 |
1,229 |
$10K |
| H0005 |
Alcohol and/or drug services |
150 |
76 |
$9K |
| 42820 |
|
49 |
45 |
$9K |
| 73700 |
|
372 |
301 |
$9K |
| 92136 |
|
1,389 |
692 |
$9K |
| H0001 |
Alcohol and/or drug assess |
224 |
190 |
$9K |
| 96156 |
|
949 |
881 |
$9K |
| 66982 |
|
15 |
13 |
$8K |
| 92083 |
|
675 |
609 |
$8K |
| 0072A |
|
148 |
146 |
$8K |
| 49083 |
|
38 |
30 |
$7K |
| 76801 |
|
291 |
238 |
$6K |
| 76885 |
|
257 |
219 |
$6K |
| 90962 |
|
814 |
402 |
$6K |
| 90677 |
|
25 |
25 |
$6K |
| 0054A |
|
134 |
124 |
$6K |
| 90656 |
|
294 |
292 |
$5K |
| 73140 |
|
2,083 |
1,706 |
$5K |
| 99235 |
|
59 |
39 |
$5K |
| 29848 |
|
47 |
42 |
$5K |
| 11721 |
|
285 |
271 |
$5K |
| 93297 |
|
640 |
495 |
$5K |
| 73718 |
|
187 |
152 |
$5K |
| 93922 |
|
303 |
287 |
$5K |
| 92025 |
|
383 |
355 |
$5K |
| 78815 |
|
98 |
89 |
$4K |
| 72197 |
|
85 |
78 |
$4K |
| 90623 |
|
109 |
105 |
$4K |
| 72040 |
|
1,093 |
883 |
$4K |
| 0071A |
|
216 |
191 |
$4K |
| 95909 |
|
152 |
122 |
$4K |
| D0210 |
|
31 |
31 |
$4K |
| 88302 |
|
1,172 |
517 |
$4K |
| 99282 |
|
348 |
273 |
$4K |
| 95813 |
|
26 |
25 |
$4K |
| 29826 |
|
12 |
12 |
$4K |
| 72170 |
|
759 |
647 |
$4K |
| 59514 |
|
31 |
12 |
$3K |
| 73200 |
|
131 |
118 |
$3K |
| 99451 |
|
234 |
227 |
$3K |
| 0004A |
|
117 |
83 |
$3K |
| 90734 |
|
116 |
64 |
$3K |
| 76942 |
|
177 |
147 |
$3K |
| 95913 |
|
12 |
12 |
$3K |
| 93926 |
|
486 |
361 |
$3K |
| 46615 |
|
40 |
37 |
$3K |
| 93976 |
|
94 |
75 |
$3K |
| G0399 |
Home sleep test/type 3 porta |
280 |
222 |
$2K |
| 93227 |
|
225 |
179 |
$2K |
| 93308 |
|
120 |
112 |
$2K |
| 95910 |
|
43 |
38 |
$2K |
| 95908 |
|
92 |
72 |
$2K |
| 90662 |
|
37 |
16 |
$2K |
| 84166 |
|
383 |
314 |
$2K |
| 51741 |
|
222 |
177 |
$2K |
| 0013A |
|
46 |
46 |
$2K |
| 73720 |
|
31 |
25 |
$2K |
| 94010 |
|
524 |
423 |
$2K |
| 99465 |
|
12 |
12 |
$2K |
| 95816 |
|
83 |
70 |
$2K |
| 0154A |
|
28 |
27 |
$2K |
| 00400 |
|
12 |
12 |
$2K |
| 76857 |
|
126 |
122 |
$2K |
| 76506 |
|
82 |
71 |
$1K |
| 73552 |
|
320 |
231 |
$1K |
| 93272 |
|
132 |
117 |
$1K |
| 99220 |
|
57 |
39 |
$1K |
| 88311 |
|
671 |
478 |
$1K |
| 90837 |
|
80 |
54 |
$1K |
| 0003A |
|
37 |
36 |
$1K |
| 95912 |
|
18 |
12 |
$1K |
| 74230 |
|
66 |
65 |
$1K |
| 92504 |
|
75 |
69 |
$1K |
| 95819 |
|
96 |
88 |
$1K |
| 88312 |
|
145 |
90 |
$1K |
| 73521 |
|
217 |
195 |
$1K |
| 86335 |
|
154 |
129 |
$1K |
| 73560 |
|
565 |
373 |
$1K |
| 69210 |
|
154 |
104 |
$1K |
| 92020 |
|
63 |
51 |
$908.17 |
| G8510 |
Scr dep neg, no plan reqd |
188 |
179 |
$907.30 |
| 76937 |
|
114 |
100 |
$876.63 |
| 72110 |
|
98 |
87 |
$852.41 |
| D0240 |
|
25 |
25 |
$843.71 |
| G0500 |
Mod sedat endo service >5yrs |
7,578 |
5,599 |
$829.35 |
| 94626 |
|
27 |
24 |
$811.76 |
| 11750 |
|
15 |
12 |
$785.15 |
| 74160 |
|
28 |
27 |
$771.02 |
| 36556 |
|
21 |
12 |
$766.35 |
| 95885 |
|
68 |
63 |
$729.30 |
| 72146 |
|
13 |
13 |
$660.38 |
| 0034A |
|
16 |
16 |
$658.88 |
| 76641 |
|
56 |
27 |
$635.64 |
| 73060 |
|
213 |
152 |
$620.87 |
| 99443 |
|
157 |
95 |
$604.74 |
| 76376 |
|
243 |
231 |
$561.74 |
| D0170 |
|
14 |
14 |
$534.36 |
| 93924 |
|
17 |
12 |
$529.00 |
| 10005 |
|
15 |
14 |
$483.56 |
| D0270 |
|
17 |
17 |
$476.00 |
| 76000 |
|
94 |
75 |
$457.32 |
| 73070 |
|
193 |
138 |
$444.10 |
| 31231 |
|
13 |
12 |
$428.07 |
| 73000 |
|
99 |
88 |
$408.80 |
| 76981 |
|
53 |
39 |
$396.36 |
| 77063 |
|
9,415 |
9,186 |
$374.38 |
| 0144A |
|
12 |
12 |
$370.62 |
| 99406 |
|
48 |
48 |
$321.86 |
| 88300 |
|
173 |
129 |
$308.76 |
| 99446 |
|
120 |
113 |
$277.92 |
| 90849 |
|
27 |
24 |
$270.36 |
| 20550 |
|
18 |
12 |
$211.73 |
| 96167 |
|
18 |
12 |
$200.35 |
| 93294 |
|
13 |
13 |
$190.57 |
| 93325 |
|
103 |
73 |
$165.79 |
| 93990 |
|
17 |
13 |
$156.55 |
| 90473 |
|
19 |
13 |
$154.16 |
| 93320 |
|
14 |
13 |
$145.99 |
| 93321 |
|
50 |
32 |
$145.14 |
| 93985 |
|
18 |
12 |
$132.46 |
| 72120 |
|
12 |
12 |
$127.06 |
| 94618 |
|
18 |
14 |
$126.80 |
| 93244 |
|
26 |
26 |
$113.79 |
| 90674 |
|
69 |
65 |
$60.00 |
| 99140 |
|
57 |
55 |
$55.48 |
| 11057 |
|
25 |
25 |
$53.45 |
| 72072 |
|
17 |
13 |
$46.58 |
| 90945 |
|
17 |
12 |
$45.42 |
| 93289 |
|
15 |
14 |
$39.64 |
| H0002 |
Alcohol and/or drug screenin |
84 |
80 |
$34.88 |
| 93880 |
|
14 |
12 |
$26.69 |
| G1004 |
Cdsm ndsc |
13,306 |
6,881 |
$4.97 |
| M0243 |
Casirivi and imdevi inj |
184 |
157 |
$0.00 |
| 90694 |
|
54 |
31 |
$0.00 |
| 76377 |
|
29 |
17 |
$0.00 |
| 77062 |
|
1,086 |
1,051 |
$0.00 |
| 90682 |
|
36 |
22 |
$0.00 |
| 77061 |
|
583 |
554 |
$0.00 |
| T1017 |
Targeted case management |
146 |
59 |
$0.00 |
| 96158 |
|
15 |
14 |
$0.00 |