| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
8,362 |
8,281 |
$689K |
| 99215 |
Prolong outpt/office vis |
4,424 |
4,193 |
$622K |
| 99214 |
|
5,976 |
5,835 |
$579K |
| 99213 |
|
7,413 |
7,281 |
$533K |
| 99285 |
|
3,937 |
3,892 |
$450K |
| 99283 |
|
6,746 |
6,657 |
$313K |
| 88305 |
|
3,433 |
2,958 |
$218K |
| 99233 |
Prolong inpt eval add15 m |
2,694 |
1,174 |
$172K |
| 99204 |
|
1,065 |
1,062 |
$144K |
| 99232 |
|
3,047 |
1,296 |
$134K |
| 99205 |
Prolong outpt/office vis |
723 |
720 |
$132K |
| 00170 |
|
539 |
538 |
$123K |
| J0585 |
Injection,onabotulinumtoxina |
93 |
92 |
$116K |
| 76816 |
|
1,210 |
1,122 |
$110K |
| 99203 |
|
1,091 |
1,090 |
$97K |
| 76811 |
|
471 |
458 |
$67K |
| 93010 |
|
9,782 |
7,927 |
$61K |
| 99391 |
|
725 |
721 |
$58K |
| 99291 |
|
385 |
205 |
$55K |
| 93306 |
|
1,008 |
1,004 |
$53K |
| 90460 |
|
1,464 |
1,461 |
$52K |
| 99223 |
Prolong inpt eval add15 m |
472 |
463 |
$47K |
| 99392 |
|
448 |
448 |
$37K |
| 76770 |
|
346 |
342 |
$31K |
| 99238 |
|
486 |
485 |
$26K |
| 88307 |
|
338 |
315 |
$25K |
| 00731 |
|
126 |
122 |
$23K |
| 99479 |
|
209 |
57 |
$20K |
| 42820 |
|
80 |
80 |
$20K |
| 92567 |
|
1,475 |
1,470 |
$19K |
| 43239 |
|
193 |
192 |
$19K |
| 95720 |
|
109 |
53 |
$19K |
| 99469 |
|
57 |
27 |
$19K |
| 93970 |
|
542 |
515 |
$16K |
| 99460 |
|
245 |
244 |
$16K |
| 90461 |
|
660 |
659 |
$15K |
| 95251 |
|
528 |
527 |
$15K |
| 99393 |
|
179 |
179 |
$15K |
| 01922 |
|
41 |
41 |
$14K |
| 99239 |
|
225 |
219 |
$14K |
| 59025 |
|
371 |
270 |
$14K |
| 99282 |
|
475 |
471 |
$13K |
| 69436 |
|
122 |
76 |
$13K |
| 99222 |
|
145 |
142 |
$12K |
| 76819 |
|
153 |
134 |
$11K |
| 64615 |
|
95 |
95 |
$11K |
| 96112 |
|
136 |
136 |
$11K |
| 83036 |
|
1,117 |
1,094 |
$9K |
| 99394 |
|
98 |
98 |
$9K |
| 90834 |
|
103 |
71 |
$8K |
| 93923 |
|
229 |
212 |
$8K |
| 88342 |
|
266 |
254 |
$8K |
| 90837 |
|
51 |
41 |
$7K |
| G0136 |
Adm of pa/n assess 5-15 m |
401 |
398 |
$6K |
| 93971 |
|
238 |
222 |
$6K |
| 31231 |
|
38 |
38 |
$6K |
| 92557 |
|
189 |
189 |
$6K |
| 88304 |
|
575 |
563 |
$5K |
| 99231 |
|
180 |
109 |
$5K |
| 92551 |
|
523 |
523 |
$5K |
| 90792 |
|
42 |
39 |
$5K |
| 99480 |
|
62 |
12 |
$4K |
| 96110 |
|
1,229 |
1,228 |
$4K |
| 95004 |
|
65 |
65 |
$4K |
| 92504 |
|
172 |
169 |
$4K |
| 92579 |
|
104 |
104 |
$4K |
| 88141 |
|
169 |
169 |
$4K |
| 92201 |
|
167 |
91 |
$3K |
| 84165 |
|
257 |
250 |
$3K |
| 99051 |
|
435 |
434 |
$3K |
| 87880 |
|
202 |
202 |
$3K |
| 99211 |
|
181 |
178 |
$3K |
| 88112 |
|
123 |
118 |
$3K |
| 86334 |
|
195 |
194 |
$3K |
| 99462 |
|
95 |
68 |
$3K |
| 99417 |
Prolong home eval add 15m |
35 |
35 |
$3K |
| 99212 |
|
60 |
57 |
$3K |
| 00920 |
|
13 |
13 |
$3K |
| 97803 |
|
81 |
81 |
$2K |
| 90471 |
|
163 |
160 |
$2K |
| 95117 |
|
223 |
99 |
$2K |
| 76830 |
|
19 |
19 |
$2K |
| 69210 |
|
59 |
53 |
$2K |
| 87636 |
|
12 |
12 |
$1K |
| 95816 |
|
38 |
38 |
$1K |
| 43237 |
|
12 |
12 |
$1K |
| 96372 |
|
103 |
54 |
$1K |
| 92015 |
|
299 |
298 |
$1K |
| 96040 |
|
14 |
14 |
$1K |
| 76801 |
|
12 |
12 |
$1K |
| 76856 |
|
14 |
14 |
$1K |
| 90832 |
|
16 |
16 |
$1K |
| 80503 |
|
54 |
51 |
$878.81 |
| 51798 |
|
94 |
91 |
$837.70 |
| 99202 |
|
14 |
14 |
$798.74 |
| 88189 |
|
12 |
12 |
$755.65 |
| 92582 |
|
12 |
12 |
$749.66 |
| 96161 |
|
561 |
554 |
$746.97 |
| 94010 |
|
47 |
47 |
$727.09 |
| 99188 |
|
72 |
72 |
$672.27 |
| G0108 |
Diab manage trn per indiv |
14 |
14 |
$668.16 |
| 81003 |
|
348 |
338 |
$664.80 |
| 96127 |
|
180 |
172 |
$648.66 |
| 99221 |
|
13 |
13 |
$597.21 |
| 91200 |
|
25 |
25 |
$587.14 |
| 90472 |
|
18 |
18 |
$574.21 |
| 93308 |
|
26 |
26 |
$565.28 |
| 93298 |
|
33 |
27 |
$553.50 |
| 96160 |
|
378 |
376 |
$541.55 |
| 70450 |
|
17 |
16 |
$516.42 |
| 36415 |
|
1,199 |
1,179 |
$427.21 |
| 92587 |
|
25 |
25 |
$425.46 |
| 98960 |
|
12 |
12 |
$302.56 |
| T1013 |
Sign lang/oral interpreter |
29 |
29 |
$287.76 |
| 92555 |
|
14 |
14 |
$277.54 |
| 90656 |
|
212 |
212 |
$251.75 |
| G8510 |
Scr dep neg, no plan reqd |
453 |
451 |
$212.94 |
| 11721 |
|
13 |
13 |
$206.63 |
| 51741 |
|
16 |
16 |
$203.99 |
| 85018 |
|
38 |
38 |
$51.46 |
| 88300 |
|
12 |
12 |
$51.14 |
| 81002 |
|
12 |
12 |
$31.40 |
| 90686 |
|
99 |
99 |
$23.53 |
| T1017 |
Targeted case management |
13 |
13 |
$15.00 |
| 99173 |
|
559 |
559 |
$11.82 |
| 1159F |
|
2,019 |
1,975 |
$0.00 |
| 3078F |
|
692 |
687 |
$0.00 |
| 99199 |
|
54 |
51 |
$0.00 |
| 90633 |
|
52 |
52 |
$0.00 |
| 4250F |
|
14 |
14 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
13 |
13 |
$0.00 |
| 2000F |
|
1,021 |
1,007 |
$0.00 |
| 90677 |
|
266 |
266 |
$0.00 |
| 99024 |
|
13 |
13 |
$0.00 |
| 90647 |
|
99 |
99 |
$0.00 |
| 3008F |
|
1,230 |
1,215 |
$0.00 |
| 90680 |
|
47 |
47 |
$0.00 |
| 3074F |
|
623 |
619 |
$0.00 |
| 1000F |
|
158 |
154 |
$0.00 |
| 36416 |
|
553 |
553 |
$0.00 |
| 90723 |
|
151 |
151 |
$0.00 |
| 1125F |
|
45 |
45 |
$0.00 |
| 1036F |
|
13 |
12 |
$0.00 |