| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
110,313 |
102,298 |
$242K |
| 99291 |
|
15,065 |
6,302 |
$216K |
| 99203 |
|
29,037 |
27,869 |
$165K |
| 99233 |
Prolong inpt eval add15 m |
27,494 |
11,804 |
$148K |
| 99232 |
|
29,049 |
11,840 |
$123K |
| 99223 |
Prolong inpt eval add15 m |
11,341 |
11,049 |
$98K |
| 99214 |
|
31,661 |
30,474 |
$94K |
| 99239 |
|
12,221 |
11,960 |
$72K |
| 87426 |
|
13,618 |
13,288 |
$51K |
| 99204 |
|
10,283 |
10,159 |
$46K |
| Z1034 |
|
572 |
337 |
$31K |
| 0011A |
|
617 |
537 |
$19K |
| 0012A |
|
564 |
500 |
$18K |
| 59409 |
|
1,018 |
1,014 |
$15K |
| 99222 |
|
1,944 |
1,909 |
$12K |
| 59514 |
|
666 |
597 |
$8K |
| 59425 |
|
1,016 |
703 |
$8K |
| 27447 |
|
132 |
123 |
$5K |
| 99202 |
|
2,286 |
2,200 |
$5K |
| 99212 |
|
3,679 |
3,544 |
$5K |
| 47563 |
|
168 |
145 |
$5K |
| 43775 |
|
67 |
67 |
$4K |
| 87804 |
|
15,956 |
12,363 |
$4K |
| 98960 |
|
541 |
417 |
$3K |
| H1001 |
Antepartum management |
9,985 |
6,040 |
$3K |
| 0003A |
|
78 |
74 |
$3K |
| 0013A |
|
72 |
68 |
$2K |
| 96372 |
|
4,766 |
4,281 |
$2K |
| 99231 |
|
1,082 |
512 |
$2K |
| 87880 |
|
12,315 |
11,931 |
$2K |
| 0004A |
|
67 |
58 |
$2K |
| 20610 |
|
4,890 |
4,315 |
$2K |
| 99215 |
Prolong outpt/office vis |
354 |
343 |
$2K |
| 59025 |
|
1,143 |
571 |
$1K |
| 87635 |
|
395 |
388 |
$1K |
| 99238 |
|
954 |
940 |
$1K |
| 0064A |
|
30 |
29 |
$1K |
| 43644 |
|
13 |
13 |
$948.25 |
| 71046 |
|
1,628 |
1,580 |
$917.60 |
| 99497 |
|
121 |
96 |
$889.71 |
| J3301 |
Triamcinolone acet inj nos |
3,102 |
3,000 |
$864.51 |
| 99460 |
|
232 |
230 |
$818.80 |
| 43239 |
|
211 |
210 |
$762.17 |
| 77067 |
|
376 |
376 |
$636.40 |
| G2023 |
Specimen collect covid-19 |
2,858 |
2,788 |
$625.74 |
| 87811 |
|
167 |
165 |
$615.11 |
| 81025 |
|
6,161 |
5,997 |
$610.66 |
| Z6400 |
|
39 |
31 |
$585.15 |
| 73562 |
|
2,327 |
2,262 |
$578.55 |
| 94640 |
|
1,811 |
1,687 |
$503.10 |
| 0002A |
|
29 |
23 |
$496.82 |
| J3490 |
Drugs unclassified injection |
240 |
240 |
$454.39 |
| H1000 |
Prenatal care atrisk assessm |
442 |
440 |
$435.56 |
| 45378 |
|
38 |
37 |
$406.03 |
| 51729 |
|
12 |
12 |
$397.91 |
| 81002 |
|
6,005 |
5,511 |
$373.22 |
| 99490 |
Ccm add 20min |
286 |
286 |
$354.13 |
| 73610 |
|
730 |
704 |
$349.62 |
| 99244 |
|
134 |
134 |
$317.46 |
| J1040 |
Methylprednisolone 80 mg inj |
831 |
820 |
$289.71 |
| 77066 |
Tomosynthesis, mammo |
119 |
119 |
$275.16 |
| H1002 |
Carecoordination prenatal |
207 |
207 |
$271.66 |
| 0001A |
|
17 |
14 |
$252.22 |
| 85025 |
|
1,627 |
1,611 |
$249.74 |
| H1003 |
Prenatal at risk education |
1,599 |
1,351 |
$245.16 |
| 99243 |
|
129 |
128 |
$238.00 |
| 99498 |
|
36 |
29 |
$223.46 |
| 80053 |
|
701 |
698 |
$216.52 |
| 87807 |
|
824 |
808 |
$216.22 |
| 99220 |
|
82 |
80 |
$213.00 |
| 84443 |
|
67 |
67 |
$200.53 |
| 99221 |
|
14 |
14 |
$188.31 |
| 76642 |
|
77 |
76 |
$176.80 |
| G8510 |
Scr dep neg, no plan reqd |
273 |
266 |
$172.58 |
| 90686 |
|
500 |
499 |
$167.19 |
| 81003 |
|
1,727 |
1,577 |
$159.35 |
| 99234 |
|
29 |
29 |
$149.40 |
| J1885 |
Ketorolac tromethamine inj |
2,115 |
1,979 |
$144.92 |
| 31500 |
|
13 |
12 |
$136.20 |
| 96156 |
|
1,946 |
1,747 |
$129.10 |
| 99395 |
|
53 |
43 |
$119.61 |
| 59430 |
|
453 |
436 |
$112.98 |
| 73502 |
|
114 |
114 |
$110.36 |
| 90715 |
|
528 |
521 |
$107.98 |
| 90662 |
|
12 |
12 |
$100.00 |
| 83036 |
|
165 |
163 |
$96.20 |
| 93000 |
|
389 |
382 |
$86.32 |
| 80061 |
|
37 |
36 |
$83.12 |
| 73130 |
|
161 |
160 |
$82.56 |
| 97803 |
|
1,161 |
1,038 |
$82.28 |
| 99401 |
|
1,491 |
1,265 |
$82.28 |
| J1030 |
Methylprednisolone 40 mg inj |
179 |
179 |
$80.10 |
| 99000 |
|
142 |
134 |
$75.21 |
| 87510 |
|
1,243 |
1,219 |
$70.19 |
| 87480 |
|
1,246 |
1,222 |
$70.13 |
| 87660 |
|
1,260 |
1,235 |
$69.89 |
| 51798 |
|
286 |
268 |
$66.60 |
| J0696 |
Ceftriaxone sodium injection |
563 |
495 |
$66.02 |
| 99252 |
|
12 |
12 |
$64.92 |
| 96127 |
|
139 |
105 |
$61.69 |
| 77080 |
|
17 |
17 |
$57.30 |
| 81001 |
|
64 |
63 |
$55.68 |
| 73030 |
|
582 |
572 |
$51.74 |
| 73630 |
|
375 |
355 |
$33.97 |
| 90471 |
|
1,474 |
1,441 |
$29.87 |
| J1010 |
Inj, methylpred acetate 1 mg |
53 |
53 |
$26.50 |
| 73110 |
|
197 |
191 |
$17.19 |
| S9445 |
Pt education noc individ |
159 |
110 |
$16.82 |
| 73560 |
|
41 |
41 |
$12.66 |
| 77065 |
Tomosynthesis, mammo |
38 |
33 |
$10.48 |
| J7613 |
Albuterol non-comp unit |
299 |
250 |
$1.85 |
| 82962 |
|
268 |
259 |
$1.83 |
| 97140 |
|
21 |
13 |
$0.26 |
| 3078F |
|
5,974 |
5,778 |
$0.00 |
| 69209 |
|
121 |
120 |
$0.00 |
| 3077F |
|
431 |
425 |
$0.00 |
| 0502F |
|
886 |
595 |
$0.00 |
| 47562 |
|
13 |
13 |
$0.00 |
| G8752 |
Sys bp less 140 |
146 |
138 |
$0.00 |
| 76705 |
|
14 |
14 |
$0.00 |
| 73140 |
|
26 |
26 |
$0.00 |
| 82947 |
|
13 |
13 |
$0.00 |
| 76856 |
|
19 |
19 |
$0.00 |
| 10060 |
|
33 |
32 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
14 |
14 |
$0.00 |
| 99051 |
|
14 |
14 |
$0.00 |
| J3420 |
Vitamin b12 injection |
50 |
40 |
$0.00 |
| 3074F |
|
6,896 |
6,684 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
34 |
33 |
$0.00 |
| 3079F |
|
1,596 |
1,575 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
166 |
150 |
$0.00 |
| S9088 |
Services provided in urgent |
723 |
654 |
$0.00 |
| 90656 |
|
26 |
26 |
$0.00 |
| 3044F |
|
2,105 |
2,018 |
$0.00 |
| G8754 |
Dias bp less 90 |
304 |
296 |
$0.00 |
| 99439 |
|
75 |
68 |
$0.00 |
| 76830 |
|
12 |
12 |
$0.00 |
| 73564 |
|
35 |
35 |
$0.00 |
| 3075F |
|
612 |
597 |
$0.00 |
| 36415 |
|
345 |
332 |
$0.00 |
| 80048 |
|
13 |
13 |
$0.00 |
| 3080F |
|
263 |
255 |
$0.00 |
| S9452 |
Nutrition class |
244 |
219 |
$0.00 |
| 99217 |
|
15 |
14 |
$0.00 |
| 99406 |
|
14 |
14 |
$0.00 |
| 97802 |
|
16 |
16 |
$0.00 |
| 0503F |
|
30 |
28 |
$0.00 |
| 77063 |
|
64 |
64 |
$0.00 |
| 29700 |
|
24 |
24 |
$0.00 |
| 99412 |
|
12 |
12 |
$0.00 |
| 71045 |
|
27 |
26 |
$0.00 |
| 36556 |
|
14 |
12 |
$0.00 |