| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
37,106 |
30,965 |
$266K |
| 99212 |
|
7,234 |
6,180 |
$149K |
| 99214 |
|
23,066 |
20,360 |
$136K |
| 76700 |
|
1,819 |
1,818 |
$127K |
| 99203 |
|
1,675 |
1,456 |
$121K |
| 99204 |
|
702 |
650 |
$74K |
| 99394 |
|
3,196 |
3,123 |
$64K |
| 93000 |
|
2,760 |
2,739 |
$61K |
| J3490 |
Drugs unclassified injection |
1,012 |
826 |
$55K |
| G9920 |
Scrning perf and negative |
10,530 |
10,469 |
$54K |
| 99383 |
|
678 |
638 |
$52K |
| 99393 |
|
3,489 |
3,378 |
$48K |
| 99384 |
|
473 |
449 |
$41K |
| 76856 |
|
672 |
669 |
$40K |
| 99391 |
|
717 |
679 |
$29K |
| 92551 |
|
10,267 |
10,130 |
$27K |
| 99392 |
|
1,803 |
1,742 |
$23K |
| 93306 |
|
103 |
103 |
$21K |
| Z1032 |
|
131 |
131 |
$20K |
| G8510 |
Scr dep neg, no plan reqd |
11,940 |
11,822 |
$20K |
| Z6500 |
|
157 |
157 |
$19K |
| 90688 |
|
2,180 |
1,659 |
$19K |
| G8431 |
Pos clin depres scrn f/u doc |
3,395 |
3,010 |
$17K |
| 90651 |
|
1,635 |
1,619 |
$17K |
| 99000 |
|
13,404 |
12,854 |
$17K |
| Z6410 |
|
546 |
489 |
$14K |
| 99202 |
|
138 |
107 |
$14K |
| 90750 |
|
85 |
85 |
$14K |
| 90686 |
|
2,683 |
2,448 |
$13K |
| 0011A |
|
310 |
310 |
$12K |
| 93970 |
|
84 |
82 |
$12K |
| 0012A |
|
292 |
292 |
$12K |
| J0696 |
Ceftriaxone sodium injection |
7,396 |
5,396 |
$9K |
| 99381 |
|
130 |
128 |
$9K |
| S9445 |
Pt education noc individ |
658 |
658 |
$8K |
| J3301 |
Triamcinolone acet inj nos |
2,897 |
2,224 |
$8K |
| 90756 |
|
690 |
413 |
$7K |
| 90714 |
|
277 |
271 |
$7K |
| 96372 |
|
8,515 |
7,824 |
$7K |
| 90633 |
|
1,294 |
1,271 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
6,866 |
5,182 |
$6K |
| 90656 |
|
311 |
310 |
$6K |
| 90670 |
|
1,191 |
1,182 |
$5K |
| 81025 |
|
2,308 |
2,270 |
$5K |
| 0013A |
|
129 |
129 |
$5K |
| 85018 |
|
5,068 |
4,635 |
$4K |
| 0001A |
|
111 |
109 |
$4K |
| 90658 |
|
235 |
234 |
$4K |
| 90716 |
|
647 |
644 |
$4K |
| 0002A |
|
103 |
103 |
$4K |
| J1100 |
Dexamethasone sodium phos |
6,204 |
4,801 |
$4K |
| Z6400 |
|
260 |
259 |
$4K |
| J7609 |
Albuterol comp unit |
179 |
148 |
$4K |
| 90648 |
|
1,040 |
1,027 |
$4K |
| 90715 |
|
931 |
916 |
$4K |
| 99382 |
|
50 |
44 |
$4K |
| 99395 |
|
1,919 |
1,912 |
$4K |
| 0003A |
|
86 |
85 |
$3K |
| S0197 |
Prenatal vitamins 30 day |
2,156 |
1,558 |
$3K |
| 88141 |
|
333 |
247 |
$3K |
| 90723 |
|
658 |
654 |
$3K |
| 99188 |
|
176 |
175 |
$3K |
| 90674 |
|
221 |
193 |
$2K |
| 0071A |
|
61 |
60 |
$2K |
| 90734 |
|
669 |
661 |
$2K |
| 0072A |
|
57 |
57 |
$2K |
| 93925 |
|
26 |
26 |
$2K |
| 97802 |
|
4,994 |
4,961 |
$2K |
| 90680 |
|
441 |
436 |
$2K |
| Z6406 |
|
117 |
112 |
$2K |
| Z6204 |
|
105 |
100 |
$2K |
| 90707 |
|
401 |
397 |
$2K |
| J3420 |
Vitamin b12 injection |
2,212 |
2,041 |
$2K |
| 99211 |
|
3,021 |
2,800 |
$2K |
| 76536 |
|
27 |
27 |
$1K |
| 86580 |
|
2,795 |
2,728 |
$1K |
| 97803 |
|
4,616 |
4,493 |
$1K |
| 93005 |
|
90 |
90 |
$1K |
| 90733 |
|
322 |
322 |
$1K |
| G0447 |
Behavior counsel obesity 15m |
7,366 |
7,074 |
$1K |
| 96127 |
|
318 |
318 |
$1K |
| 81003 |
|
2,707 |
2,551 |
$863.53 |
| 99385 |
|
253 |
253 |
$827.76 |
| D1206 |
|
167 |
167 |
$732.40 |
| G0442 |
Annual alcohol screen 15 min |
84 |
80 |
$694.84 |
| 90471 |
|
4,200 |
4,072 |
$619.62 |
| 90697 |
|
38 |
38 |
$589.44 |
| 94640 |
|
366 |
342 |
$548.37 |
| 90744 |
|
67 |
67 |
$459.00 |
| 90696 |
|
182 |
181 |
$456.75 |
| 98960 |
|
12 |
12 |
$453.22 |
| G0008 |
Admin influenza virus vac |
3,304 |
3,247 |
$450.00 |
| 90713 |
|
60 |
60 |
$440.91 |
| 69210 |
|
337 |
268 |
$419.40 |
| G0444 |
Depression screen annual |
1,900 |
1,832 |
$371.30 |
| 90657 |
|
111 |
110 |
$345.86 |
| Z6304 |
|
19 |
19 |
$296.74 |
| 90710 |
|
102 |
102 |
$294.75 |
| 90620 |
|
61 |
61 |
$170.82 |
| 90700 |
|
91 |
88 |
$153.00 |
| 99442 |
|
30 |
29 |
$146.15 |
| G9919 |
Scrn nd pos nd prov of rec |
65 |
65 |
$145.00 |
| 3078F |
|
31,340 |
27,979 |
$105.31 |
| 96160 |
|
2,582 |
2,576 |
$97.54 |
| 99173 |
|
7,592 |
7,470 |
$86.96 |
| 99396 |
|
1,667 |
1,661 |
$78.60 |
| 94664 |
|
225 |
215 |
$31.07 |
| 90472 |
|
2,292 |
2,256 |
$25.66 |
| J7613 |
Albuterol non-comp unit |
391 |
217 |
$16.81 |
| 83655 |
|
40 |
35 |
$10.52 |
| 36415 |
|
2,758 |
2,711 |
$2.97 |
| 80053 |
|
405 |
402 |
$0.04 |
| 3074F |
|
33,853 |
30,002 |
$0.01 |
| G8427 |
Docrev cur meds by elig clin |
1,235 |
1,171 |
$0.00 |
| 3050F |
|
81 |
81 |
$0.00 |
| 3077F |
|
3,534 |
3,228 |
$0.00 |
| G8752 |
Sys bp less 140 |
599 |
568 |
$0.00 |
| 82947 |
|
15 |
13 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
334 |
320 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
1,157 |
1,144 |
$0.00 |
| 3046F |
|
429 |
426 |
$0.00 |
| 3045F |
|
165 |
158 |
$0.00 |
| 99446 |
|
133 |
127 |
$0.00 |
| G8482 |
Flu immunize order/admin |
368 |
362 |
$0.00 |
| 4004F |
|
98 |
97 |
$0.00 |
| 3725F |
|
1,177 |
1,114 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
78 |
74 |
$0.00 |
| 99397 |
|
106 |
104 |
$0.00 |
| G9899 |
Scrn mam perf rslts doc |
15 |
15 |
$0.00 |
| 99448 |
|
35 |
33 |
$0.00 |
| G0446 |
Intens behave ther cardio dx |
36 |
34 |
$0.00 |
| 3044F |
|
215 |
211 |
$0.00 |
| 1036F |
|
1,409 |
1,408 |
$0.00 |
| 3075F |
|
6,149 |
5,842 |
$0.00 |
| 3080F |
|
1,524 |
1,425 |
$0.00 |
| 3008F |
|
52,600 |
45,065 |
$0.00 |
| 3061F |
|
565 |
559 |
$0.00 |
| 3079F |
|
10,652 |
9,864 |
$0.00 |
| H0049 |
Alcohol/drug screening |
5,616 |
5,596 |
$0.00 |
| 3048F |
|
495 |
482 |
$0.00 |
| 3351F |
|
2,063 |
2,039 |
$0.00 |
| 3014F |
|
51 |
49 |
$0.00 |
| 1000F |
|
2,266 |
2,251 |
$0.00 |
| 1220F |
|
3,145 |
3,109 |
$0.00 |
| 3353F |
|
979 |
974 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
80 |
74 |
$0.00 |
| G8754 |
Dias bp less 90 |
794 |
755 |
$0.00 |
| 99496 |
|
185 |
184 |
$0.00 |
| 1111F |
|
37 |
37 |
$0.00 |
| 3049F |
|
83 |
83 |
$0.00 |
| 99447 |
|
325 |
261 |
$0.00 |
| 1110F |
|
46 |
46 |
$0.00 |
| H0001 |
Alcohol and/or drug assess |
33 |
32 |
$0.00 |
| 3352F |
|
26 |
26 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
14 |
13 |
$0.00 |
| 99441 |
|
12 |
12 |
$0.00 |
| 99386 |
|
12 |
12 |
$0.00 |