| Code | Description | Claims | Beneficiaries | Total Paid |
| 59409 |
|
4,221 |
4,160 |
$3.18M |
| 99213 |
|
81,593 |
74,606 |
$3.03M |
| 99214 |
|
55,971 |
51,820 |
$2.92M |
| 59514 |
|
1,749 |
1,724 |
$1.46M |
| 99215 |
Prolong outpt/office vis |
15,026 |
11,461 |
$1.11M |
| 99233 |
Prolong inpt eval add15 m |
17,038 |
3,438 |
$1.00M |
| 99392 |
|
16,587 |
16,335 |
$945K |
| 99391 |
|
19,575 |
17,725 |
$894K |
| 99244 |
|
9,171 |
9,102 |
$851K |
| 59400 |
|
327 |
319 |
$644K |
| 99460 |
|
11,716 |
11,529 |
$614K |
| 99238 |
|
14,201 |
13,835 |
$577K |
| 99204 |
|
8,217 |
8,134 |
$537K |
| 99393 |
|
9,172 |
9,031 |
$522K |
| 99232 |
|
10,754 |
4,347 |
$429K |
| 99203 |
|
9,563 |
9,465 |
$418K |
| 93303 |
|
11,743 |
9,634 |
$412K |
| 59426 |
|
569 |
549 |
$368K |
| 59425 |
|
862 |
853 |
$312K |
| 93306 |
|
7,594 |
7,271 |
$310K |
| 99394 |
|
4,800 |
4,714 |
$301K |
| 59025 |
|
16,916 |
10,644 |
$288K |
| 59430 |
|
1,560 |
1,556 |
$233K |
| 99243 |
|
3,924 |
3,834 |
$219K |
| 99395 |
|
3,467 |
3,411 |
$217K |
| 99245 |
|
1,945 |
1,931 |
$201K |
| 99223 |
Prolong inpt eval add15 m |
1,885 |
1,614 |
$200K |
| 99396 |
|
2,545 |
2,504 |
$178K |
| J7307 |
Etonogestrel implant system |
160 |
160 |
$169K |
| 99239 |
|
2,675 |
2,303 |
$161K |
| 99462 |
|
6,932 |
5,657 |
$158K |
| 99231 |
|
6,587 |
4,080 |
$157K |
| 99221 |
|
3,032 |
2,914 |
$148K |
| 54150 |
|
2,627 |
2,590 |
$145K |
| 99222 |
|
1,746 |
1,635 |
$123K |
| 93320 |
|
11,920 |
9,715 |
$120K |
| 99212 |
|
7,460 |
6,698 |
$120K |
| 93010 |
|
25,347 |
22,597 |
$117K |
| 99253 |
|
1,855 |
1,747 |
$113K |
| 99205 |
Prolong outpt/office vis |
1,174 |
1,149 |
$112K |
| 99291 |
|
858 |
265 |
$93K |
| 99202 |
|
3,224 |
3,181 |
$86K |
| 99242 |
|
2,007 |
1,974 |
$78K |
| 96450 |
|
1,427 |
1,069 |
$59K |
| 99381 |
|
1,021 |
1,008 |
$52K |
| 99254 |
|
575 |
554 |
$50K |
| 96040 |
|
1,376 |
1,375 |
$49K |
| 97597 |
|
3,341 |
2,567 |
$49K |
| 93304 |
|
2,383 |
1,529 |
$48K |
| 99188 |
|
7,730 |
7,613 |
$45K |
| 58300 |
|
1,490 |
1,475 |
$43K |
| H1003 |
Prenatal at risk education |
846 |
630 |
$40K |
| 99402 |
|
503 |
478 |
$35K |
| 99252 |
|
861 |
835 |
$35K |
| 99418 |
Prolong nursin fac eval 15m |
791 |
241 |
$34K |
| 11981 |
|
863 |
862 |
$32K |
| 92587 |
|
2,686 |
2,658 |
$28K |
| 99417 |
Prolong home eval add 15m |
877 |
659 |
$28K |
| 93325 |
|
15,183 |
11,274 |
$27K |
| 99463 |
|
422 |
421 |
$26K |
| G2212 |
Prolong outpt/office vis |
670 |
541 |
$19K |
| 96110 |
|
7,935 |
6,343 |
$18K |
| 93005 |
|
5,278 |
5,250 |
$17K |
| 36415 |
|
3,686 |
3,668 |
$16K |
| 92585 |
|
733 |
706 |
$13K |
| 93321 |
|
3,072 |
2,097 |
$12K |
| 93227 |
|
931 |
909 |
$12K |
| 99495 |
|
156 |
156 |
$10K |
| 99383 |
|
100 |
100 |
$6K |
| 93308 |
|
418 |
338 |
$6K |
| 0081A |
|
173 |
173 |
$6K |
| 93244 |
|
394 |
394 |
$5K |
| D0190 |
|
403 |
387 |
$5K |
| 92652 |
|
165 |
165 |
$5K |
| 93248 |
|
278 |
277 |
$4K |
| 58301 |
|
109 |
106 |
$4K |
| 99255 |
|
27 |
27 |
$3K |
| 81025 |
|
587 |
559 |
$3K |
| 93294 |
|
183 |
181 |
$3K |
| 99382 |
|
39 |
38 |
$2K |
| 99385 |
|
26 |
26 |
$2K |
| 93356 |
|
273 |
245 |
$2K |
| Q0091 |
Obtaining screen pap smear |
152 |
152 |
$2K |
| 94621 |
|
40 |
40 |
$2K |
| 11042 |
|
42 |
39 |
$1K |
| 41010 |
|
18 |
14 |
$921.15 |
| 99234 |
|
13 |
13 |
$903.62 |
| 99384 |
|
12 |
12 |
$829.38 |
| 80061 |
|
65 |
65 |
$820.24 |
| 38222 |
|
14 |
14 |
$766.51 |
| 99218 |
|
12 |
12 |
$630.10 |
| G0101 |
Ca screen;pelvic/breast exam |
37 |
37 |
$560.43 |
| 58100 |
|
14 |
12 |
$540.44 |
| 92650 |
|
74 |
71 |
$515.36 |
| 96380 |
|
93 |
93 |
$509.12 |
| 99442 |
|
13 |
13 |
$508.37 |
| 11982 |
|
13 |
13 |
$498.87 |
| 0082A |
|
16 |
16 |
$479.76 |
| 87428 |
|
81 |
81 |
$450.90 |
| 92567 |
|
55 |
55 |
$393.68 |
| 99201 |
|
26 |
26 |
$362.94 |
| 99406 |
|
63 |
63 |
$350.34 |
| 93000 |
|
31 |
30 |
$344.19 |
| 69210 |
|
23 |
14 |
$297.92 |
| 92579 |
|
13 |
13 |
$285.45 |
| 80305 |
|
125 |
124 |
$233.14 |
| 92588 |
|
12 |
12 |
$229.54 |
| 0298T |
|
214 |
213 |
$150.66 |
| 11055 |
|
16 |
15 |
$139.86 |
| 99177 |
|
561 |
561 |
$70.65 |
| 93018 |
|
12 |
12 |
$66.73 |
| 92551 |
|
31 |
31 |
$65.40 |
| 96127 |
|
6,338 |
4,535 |
$63.51 |
| 96160 |
|
484 |
464 |
$56.39 |
| 99459 |
|
58 |
57 |
$48.37 |
| G0439 |
Ppps, subseq visit |
66 |
66 |
$38.41 |
| 96161 |
|
6,344 |
5,794 |
$12.44 |
| G2211 |
Complex e/m visit add on |
107 |
106 |
$5.74 |
| 0502F |
|
851 |
485 |
$0.00 |
| 99173 |
|
139 |
139 |
$0.00 |
| 3046F |
|
14 |
13 |
$0.00 |
| G1004 |
Cdsm ndsc |
90 |
81 |
$0.00 |
| 4040F |
|
27 |
27 |
$0.00 |
| G8482 |
Flu immunize order/admin |
52 |
51 |
$0.00 |
| 4004F |
|
26 |
26 |
$0.00 |
| G8399 |
Pt w/dxa results document |
13 |
13 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
105 |
102 |
$0.00 |
| G8484 |
Flu immunize no admin |
43 |
41 |
$0.00 |
| 3017F |
|
64 |
61 |
$0.00 |
| 1101F |
|
26 |
26 |
$0.00 |
| 1036F |
|
78 |
75 |
$0.00 |