| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
42,280 |
37,862 |
$255K |
| 99203 |
|
3,346 |
3,343 |
$149K |
| 99204 |
|
2,186 |
2,186 |
$113K |
| 99214 |
|
4,418 |
4,253 |
$88K |
| 95144 |
|
68 |
62 |
$33K |
| 99232 |
|
1,168 |
377 |
$27K |
| 95115 |
|
3,393 |
1,455 |
$25K |
| 99223 |
Prolong inpt eval add15 m |
341 |
332 |
$24K |
| G0108 |
Diab manage trn per indiv |
1,361 |
1,322 |
$21K |
| 95004 |
|
340 |
312 |
$19K |
| 95117 |
|
2,540 |
1,280 |
$18K |
| 92551 |
|
3,713 |
3,706 |
$15K |
| 99394 |
|
1,373 |
1,369 |
$15K |
| 90686 |
|
2,372 |
2,367 |
$12K |
| 99393 |
|
1,432 |
1,432 |
$12K |
| 99396 |
|
2,332 |
2,329 |
$11K |
| 96372 |
|
690 |
491 |
$11K |
| 99212 |
|
2,156 |
2,094 |
$10K |
| 99255 |
|
143 |
134 |
$8K |
| 90460 |
|
1,782 |
1,400 |
$8K |
| 99392 |
|
1,169 |
1,167 |
$8K |
| 99395 |
|
1,137 |
1,134 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
280 |
104 |
$6K |
| 90471 |
|
3,958 |
3,647 |
$6K |
| 98960 |
|
1,605 |
1,570 |
$6K |
| 90688 |
|
731 |
729 |
$5K |
| 45380 |
|
112 |
112 |
$5K |
| 99391 |
|
338 |
336 |
$4K |
| 92552 |
|
664 |
663 |
$4K |
| 90651 |
|
542 |
541 |
$3K |
| 90670 |
|
320 |
320 |
$3K |
| 92004 |
|
2,351 |
2,349 |
$3K |
| 99386 |
|
116 |
116 |
$3K |
| 90715 |
|
416 |
416 |
$3K |
| 90697 |
|
129 |
129 |
$2K |
| 99344 |
|
14 |
12 |
$2K |
| 99496 |
|
28 |
27 |
$2K |
| 90633 |
|
182 |
182 |
$2K |
| 90698 |
|
286 |
286 |
$1K |
| 85018 |
|
874 |
872 |
$1K |
| 99173 |
|
983 |
981 |
$950.07 |
| 95251 |
|
101 |
97 |
$812.00 |
| 90680 |
|
166 |
166 |
$685.00 |
| 90734 |
|
227 |
226 |
$668.50 |
| 99442 |
|
164 |
158 |
$649.20 |
| 83036 |
|
296 |
296 |
$616.05 |
| 99000 |
|
216 |
216 |
$614.45 |
| 90671 |
|
139 |
139 |
$610.00 |
| 99397 |
|
12 |
12 |
$495.00 |
| G8510 |
Scr dep neg, no plan reqd |
4,976 |
4,973 |
$469.30 |
| 90744 |
|
96 |
96 |
$443.00 |
| 83026 |
|
2,846 |
2,843 |
$379.63 |
| 88141 |
|
131 |
131 |
$315.58 |
| 90662 |
|
33 |
33 |
$300.00 |
| 90461 |
|
327 |
308 |
$230.00 |
| 90472 |
|
134 |
121 |
$180.00 |
| 90707 |
|
29 |
29 |
$119.00 |
| 90750 |
|
150 |
149 |
$110.80 |
| 93000 |
|
12 |
12 |
$103.41 |
| 90710 |
|
26 |
26 |
$100.00 |
| 90716 |
|
26 |
26 |
$100.00 |
| 90619 |
|
159 |
159 |
$100.00 |
| J3301 |
Triamcinolone acet inj nos |
40 |
25 |
$93.08 |
| G0447 |
Behavior counsel obesity 15m |
994 |
994 |
$89.50 |
| G0270 |
Mnt subs tx for change dx |
6,772 |
6,422 |
$75.95 |
| 90696 |
|
26 |
26 |
$70.00 |
| 99385 |
|
40 |
40 |
$66.01 |
| 86580 |
|
12 |
12 |
$33.33 |
| 3078F |
|
3,571 |
3,553 |
$30.00 |
| 94640 |
|
12 |
12 |
$30.00 |
| 3008F |
|
9,846 |
9,792 |
$30.00 |
| S9451 |
Exercise class |
5,785 |
5,438 |
$29.95 |
| 81025 |
|
16 |
16 |
$25.20 |
| 99211 |
|
424 |
406 |
$23.09 |
| G0444 |
Depression screen annual |
4,663 |
4,660 |
$16.25 |
| 90621 |
|
60 |
60 |
$10.00 |
| 92081 |
|
341 |
340 |
$10.00 |
| 81002 |
|
51 |
51 |
$8.58 |
| A4550 |
Surgical trays |
12 |
12 |
$6.02 |
| 99441 |
|
1,078 |
1,073 |
$0.79 |
| 3074F |
|
3,823 |
3,809 |
$0.01 |
| G8431 |
Pos clin depres scrn f/u doc |
577 |
576 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
159 |
158 |
$0.00 |
| 1159F |
|
169 |
163 |
$0.00 |
| 83655 |
|
43 |
43 |
$0.00 |
| 3077F |
|
53 |
53 |
$0.00 |
| 3725F |
|
69 |
68 |
$0.00 |
| 1160F |
|
134 |
134 |
$0.00 |
| 99254 |
|
47 |
47 |
$0.00 |
| 43239 |
|
32 |
32 |
$0.00 |
| 92014 |
|
201 |
201 |
$0.00 |
| 1158F |
|
32 |
32 |
$0.00 |
| 84439 |
|
23 |
23 |
$0.00 |
| 91321 |
|
12 |
12 |
$0.00 |
| 3079F |
|
1,876 |
1,875 |
$0.00 |
| 96127 |
|
321 |
321 |
$0.00 |
| 36415 |
|
493 |
492 |
$0.00 |
| 3075F |
|
1,431 |
1,429 |
$0.00 |
| 1036F |
|
98 |
98 |
$0.00 |
| 1111F |
|
140 |
135 |
$0.00 |
| 3080F |
|
29 |
29 |
$0.00 |
| 1101F |
|
14 |
14 |
$0.00 |
| 84443 |
|
23 |
23 |
$0.00 |
| 3017F |
|
17 |
16 |
$0.00 |
| 88150 |
|
12 |
12 |
$0.00 |
| 1170F |
|
14 |
14 |
$0.00 |
| G0008 |
Admin influenza virus vac |
20 |
20 |
$0.00 |
| 3044F |
|
16 |
16 |
$0.00 |
| 1125F |
|
13 |
13 |
$0.00 |
| 90656 |
|
221 |
221 |
$0.00 |