| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
40,576 |
35,467 |
$2.47M |
| 99213 |
|
44,737 |
37,937 |
$1.95M |
| 99396 |
|
4,387 |
4,161 |
$376K |
| 99215 |
Prolong outpt/office vis |
2,731 |
2,549 |
$230K |
| 99394 |
|
2,174 |
1,949 |
$179K |
| 99393 |
|
2,140 |
1,936 |
$163K |
| 99395 |
|
1,763 |
1,663 |
$157K |
| 99392 |
|
1,635 |
1,495 |
$124K |
| 90471 |
|
7,376 |
6,529 |
$114K |
| 76700 |
|
1,018 |
918 |
$82K |
| 90472 |
|
3,199 |
2,778 |
$81K |
| 99391 |
|
1,129 |
1,025 |
$80K |
| 93000 |
|
5,711 |
5,207 |
$63K |
| 99203 |
|
1,128 |
948 |
$62K |
| 71046 |
|
2,759 |
2,470 |
$52K |
| 92551 |
|
5,232 |
4,620 |
$47K |
| 96372 |
|
3,451 |
2,959 |
$46K |
| 99385 |
|
408 |
380 |
$41K |
| 99397 |
|
889 |
727 |
$30K |
| 99401 |
|
4,096 |
3,214 |
$28K |
| 99386 |
|
156 |
143 |
$17K |
| 90686 |
|
1,858 |
1,508 |
$14K |
| 0011A |
|
448 |
410 |
$13K |
| 99202 |
|
265 |
228 |
$12K |
| 85018 |
|
7,619 |
6,544 |
$12K |
| 76856 |
|
119 |
103 |
$9K |
| 99173 |
|
5,117 |
4,224 |
$7K |
| 99383 |
|
91 |
78 |
$7K |
| 96110 |
|
3,784 |
2,807 |
$6K |
| 0012A |
|
195 |
183 |
$6K |
| 81003 |
|
3,599 |
3,067 |
$5K |
| 99204 |
|
41 |
41 |
$4K |
| 90651 |
|
469 |
368 |
$4K |
| 99384 |
|
63 |
45 |
$4K |
| 99212 |
|
114 |
101 |
$3K |
| 81025 |
|
436 |
374 |
$3K |
| 59425 |
|
36 |
29 |
$2K |
| 90674 |
|
127 |
121 |
$2K |
| 87880 |
|
288 |
259 |
$2K |
| 72110 |
|
90 |
74 |
$2K |
| 76536 |
|
28 |
27 |
$2K |
| 0071A |
|
34 |
31 |
$2K |
| 71250 |
|
47 |
32 |
$2K |
| 90694 |
|
194 |
176 |
$2K |
| 74018 |
|
58 |
55 |
$1K |
| 0134A |
|
25 |
24 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
813 |
696 |
$1K |
| 90656 |
|
57 |
57 |
$1K |
| Q0091 |
Obtaining screen pap smear |
89 |
77 |
$1K |
| 99381 |
|
13 |
13 |
$1K |
| 0013A |
|
40 |
37 |
$1K |
| 0001A |
|
25 |
20 |
$960.00 |
| J3301 |
Triamcinolone acet inj nos |
522 |
410 |
$926.05 |
| 90734 |
|
336 |
271 |
$849.33 |
| 99382 |
|
12 |
12 |
$844.55 |
| 90653 |
|
68 |
63 |
$833.41 |
| 90474 |
|
54 |
51 |
$778.51 |
| G0439 |
Ppps, subseq visit |
373 |
343 |
$617.69 |
| 82948 |
|
334 |
284 |
$614.00 |
| J1885 |
Ketorolac tromethamine inj |
443 |
372 |
$558.96 |
| 90658 |
|
97 |
88 |
$539.77 |
| 90756 |
|
28 |
27 |
$495.69 |
| 70220 |
|
22 |
17 |
$430.52 |
| 94640 |
|
35 |
28 |
$361.48 |
| G0444 |
Depression screen annual |
352 |
314 |
$161.95 |
| 90633 |
|
187 |
155 |
$120.14 |
| J1030 |
Methylprednisolone 40 mg inj |
12 |
12 |
$113.94 |
| G0008 |
Admin influenza virus vac |
108 |
90 |
$41.73 |
| 90688 |
|
162 |
131 |
$16.77 |
| J1100 |
Dexamethasone sodium phos |
12 |
12 |
$6.94 |
| J7644 |
Ipratropium bromide non-comp |
31 |
27 |
$4.23 |
| J7611 |
Albuterol non-comp con |
33 |
27 |
$3.05 |
| 91301 |
|
354 |
344 |
$1.00 |
| G8510 |
Scr dep neg, no plan reqd |
330 |
322 |
$0.40 |
| 3078F |
|
2,352 |
2,166 |
$0.00 |
| 3077F |
|
720 |
614 |
$0.00 |
| 3725F |
|
4,088 |
3,307 |
$0.00 |
| 90670 |
|
326 |
289 |
$0.00 |
| 1158F |
|
157 |
135 |
$0.00 |
| 90685 |
|
111 |
103 |
$0.00 |
| 1160F |
|
151 |
133 |
$0.00 |
| 1159F |
|
138 |
123 |
$0.00 |
| 90710 |
|
36 |
28 |
$0.00 |
| 90715 |
|
30 |
24 |
$0.00 |
| 90648 |
|
50 |
40 |
$0.00 |
| 3044F |
|
960 |
900 |
$0.00 |
| 3074F |
|
1,694 |
1,581 |
$0.00 |
| 1000F |
|
143 |
125 |
$0.00 |
| 3079F |
|
631 |
559 |
$0.00 |
| 3080F |
|
106 |
91 |
$0.00 |
| 1101F |
|
129 |
113 |
$0.00 |
| 90647 |
|
117 |
110 |
$0.00 |
| 1126F |
|
45 |
41 |
$0.00 |
| 90680 |
|
101 |
98 |
$0.00 |
| 3075F |
|
219 |
197 |
$0.00 |
| 90723 |
|
44 |
42 |
$0.00 |
| 3008F |
|
124 |
109 |
$0.00 |
| 1170F |
|
156 |
134 |
$0.00 |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
15 |
13 |
$0.00 |
| 1036F |
|
90 |
81 |
$0.00 |