| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
42,276 |
35,641 |
$2.93M |
| 99213 |
|
49,472 |
41,859 |
$2.50M |
| S0302 |
Completed epsdt |
11,865 |
11,089 |
$397K |
| X5622 |
|
5,135 |
4,698 |
$312K |
| 99392 |
|
3,995 |
3,797 |
$305K |
| 99391 |
|
4,346 |
3,869 |
$276K |
| 99215 |
Prolong outpt/office vis |
2,428 |
2,193 |
$239K |
| 99393 |
|
2,907 |
2,776 |
$217K |
| 90460 |
|
6,250 |
5,864 |
$212K |
| 92014 |
|
2,756 |
2,585 |
$205K |
| 97110 |
|
5,866 |
2,274 |
$200K |
| 99203 |
|
2,521 |
2,358 |
$166K |
| 90837 |
|
2,206 |
1,381 |
$164K |
| 90471 |
|
9,909 |
9,443 |
$144K |
| 87635 |
|
2,760 |
2,616 |
$134K |
| 99394 |
|
1,631 |
1,576 |
$134K |
| T1013 |
Sign lang/oral interpreter |
3,910 |
3,121 |
$127K |
| 99395 |
|
1,485 |
1,396 |
$126K |
| 92004 |
|
1,408 |
1,312 |
$123K |
| 87651 |
|
3,472 |
3,243 |
$118K |
| 82306 |
|
3,904 |
3,758 |
$103K |
| 90461 |
|
3,940 |
3,648 |
$98K |
| 99204 |
|
895 |
858 |
$90K |
| 99212 |
|
2,794 |
2,552 |
$87K |
| 99396 |
|
919 |
873 |
$82K |
| 99232 |
|
1,813 |
609 |
$81K |
| 36415 |
|
33,237 |
28,523 |
$78K |
| 99309 |
|
1,033 |
954 |
$78K |
| 80053 |
|
9,215 |
8,504 |
$73K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,653 |
1,188 |
$72K |
| 85025 |
|
11,775 |
10,690 |
$71K |
| 84443 |
|
5,053 |
4,807 |
$66K |
| 99238 |
|
1,282 |
1,173 |
$60K |
| 99202 |
|
1,293 |
1,152 |
$60K |
| 92015 |
|
4,724 |
4,435 |
$59K |
| 90686 |
|
9,284 |
9,074 |
$59K |
| V2020 |
Vision svcs frames purchases |
1,810 |
1,559 |
$58K |
| 80050 |
|
1,190 |
1,131 |
$57K |
| 76816 |
|
701 |
559 |
$56K |
| 92340 |
|
2,328 |
2,121 |
$55K |
| 77067 |
|
846 |
665 |
$54K |
| 80061 |
|
5,465 |
5,228 |
$54K |
| 71046 |
|
2,979 |
2,373 |
$51K |
| 90472 |
|
2,764 |
2,639 |
$48K |
| 96372 |
|
4,839 |
3,967 |
$47K |
| 59410 |
|
97 |
72 |
$47K |
| 83036 |
|
5,839 |
5,613 |
$44K |
| 59426 |
|
83 |
76 |
$43K |
| 99308 |
|
788 |
693 |
$41K |
| G0179 |
Md recertification hha pt |
1,893 |
1,737 |
$40K |
| 0202U |
|
95 |
93 |
$40K |
| 99243 |
|
450 |
409 |
$38K |
| 97161 |
|
617 |
579 |
$37K |
| 87804 |
|
1,128 |
1,087 |
$35K |
| 87507 |
|
114 |
82 |
$34K |
| Q0091 |
Obtaining screen pap smear |
828 |
774 |
$34K |
| 99442 |
|
806 |
689 |
$33K |
| J1050 |
Medroxyprogesterone acetate |
414 |
376 |
$33K |
| 80048 |
|
4,991 |
4,538 |
$32K |
| 0001A |
|
830 |
822 |
$32K |
| 90715 |
|
1,641 |
1,556 |
$31K |
| 99222 |
|
371 |
238 |
$31K |
| 17110 |
|
404 |
342 |
$30K |
| 0002A |
|
729 |
724 |
$29K |
| 87389 |
|
1,214 |
1,162 |
$28K |
| 92551 |
|
4,247 |
4,131 |
$28K |
| 99244 |
|
217 |
204 |
$27K |
| 99188 |
|
4,699 |
4,445 |
$27K |
| 99460 |
|
418 |
394 |
$26K |
| 87880 |
|
1,789 |
1,611 |
$26K |
| 81001 |
|
9,385 |
8,451 |
$25K |
| 90834 |
|
410 |
286 |
$24K |
| 76801 |
|
236 |
202 |
$20K |
| G0439 |
Ppps, subseq visit |
1,002 |
986 |
$18K |
| 77063 |
|
655 |
531 |
$18K |
| 59400 |
|
13 |
13 |
$17K |
| 81025 |
|
2,157 |
1,965 |
$17K |
| 83655 |
|
774 |
736 |
$17K |
| 93010 |
|
3,532 |
2,925 |
$16K |
| 85027 |
|
2,839 |
2,606 |
$16K |
| 76805 |
|
144 |
143 |
$16K |
| V5008 |
Hearing screening |
2,701 |
2,456 |
$15K |
| 99443 |
|
299 |
248 |
$15K |
| 86780 |
|
1,135 |
1,067 |
$14K |
| 85610 |
|
4,452 |
2,277 |
$14K |
| 96127 |
|
3,730 |
3,610 |
$14K |
| 90670 |
|
3,194 |
2,967 |
$14K |
| G0108 |
Diab manage trn per indiv |
330 |
260 |
$14K |
| 86140 |
|
2,784 |
2,544 |
$13K |
| 76856 |
|
164 |
153 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
105 |
81 |
$12K |
| 99211 |
|
988 |
601 |
$12K |
| 90651 |
|
845 |
791 |
$12K |
| 99441 |
|
399 |
364 |
$12K |
| 87088 |
|
1,675 |
1,444 |
$12K |
| 83013 |
|
156 |
154 |
$11K |
| 93000 |
|
1,144 |
1,038 |
$11K |
| G0008 |
Admin influenza virus vac |
1,664 |
1,611 |
$10K |
| 99173 |
|
6,791 |
6,500 |
$10K |
| 87653 |
|
271 |
262 |
$9K |
| 76830 |
|
115 |
104 |
$9K |
| 97803 |
|
349 |
292 |
$9K |
| 96110 |
|
1,321 |
1,274 |
$9K |
| 20610 |
|
229 |
190 |
$9K |
| 99339 |
|
174 |
168 |
$9K |
| 85018 |
|
3,606 |
3,420 |
$8K |
| 0004A |
|
336 |
330 |
$8K |
| 92567 |
|
825 |
691 |
$8K |
| 74019 |
|
335 |
298 |
$8K |
| 74177 |
|
53 |
36 |
$8K |
| 90832 |
|
183 |
142 |
$8K |
| 82570 |
|
1,853 |
1,694 |
$7K |
| 87210 |
|
1,383 |
1,262 |
$7K |
| 82607 |
|
557 |
509 |
$7K |
| 84439 |
|
816 |
774 |
$7K |
| 92310 |
|
127 |
114 |
$7K |
| 11721 |
|
567 |
487 |
$7K |
| 90791 |
|
74 |
44 |
$7K |
| 90691 |
|
65 |
65 |
$7K |
| 73562 |
|
265 |
189 |
$6K |
| 73110 |
|
212 |
176 |
$6K |
| 92557 |
|
233 |
193 |
$6K |
| 90662 |
|
170 |
157 |
$6K |
| 97140 |
|
230 |
98 |
$6K |
| 36416 |
|
1,664 |
1,291 |
$5K |
| 87633 |
|
44 |
43 |
$5K |
| 99242 |
|
81 |
73 |
$5K |
| 87340 |
|
524 |
470 |
$5K |
| 73630 |
|
265 |
209 |
$5K |
| 90732 |
|
76 |
75 |
$5K |
| 76815 |
|
91 |
55 |
$5K |
| 86803 |
|
346 |
332 |
$5K |
| 99239 |
|
68 |
57 |
$5K |
| 82043 |
|
967 |
922 |
$5K |
| 82728 |
|
371 |
342 |
$5K |
| 95911 |
|
26 |
24 |
$4K |
| 95886 |
|
27 |
27 |
$4K |
| 76705 |
|
100 |
65 |
$4K |
| 0071A |
|
104 |
97 |
$4K |
| 90473 |
|
252 |
240 |
$4K |
| 73610 |
|
178 |
151 |
$4K |
| 92133 |
|
151 |
145 |
$4K |
| 92341 |
|
141 |
131 |
$4K |
| 83690 |
|
574 |
531 |
$4K |
| 76819 |
|
53 |
30 |
$4K |
| 93793 |
|
681 |
457 |
$3K |
| 98968 |
|
131 |
81 |
$3K |
| 90734 |
|
810 |
766 |
$3K |
| 87077 |
|
482 |
402 |
$3K |
| J3301 |
Triamcinolone acet inj nos |
531 |
464 |
$3K |
| 96161 |
|
2,119 |
1,943 |
$3K |
| 87186 |
|
444 |
376 |
$3K |
| 01967 |
|
25 |
25 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
293 |
263 |
$3K |
| 86762 |
|
197 |
189 |
$3K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
66 |
31 |
$3K |
| 83550 |
|
341 |
309 |
$3K |
| 0072A |
|
64 |
64 |
$3K |
| 80306 |
|
154 |
123 |
$3K |
| 83540 |
|
418 |
370 |
$2K |
| 87081 |
|
362 |
324 |
$2K |
| 92593 |
|
87 |
81 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
30 |
18 |
$2K |
| 99462 |
|
88 |
65 |
$2K |
| 99140 |
|
106 |
61 |
$2K |
| 00812 |
|
13 |
13 |
$2K |
| 83970 |
|
41 |
40 |
$2K |
| 99374 |
|
271 |
257 |
$2K |
| 87798 |
|
45 |
44 |
$2K |
| 87581 |
|
44 |
43 |
$2K |
| 87486 |
|
44 |
43 |
$2K |
| 92370 |
|
68 |
65 |
$2K |
| 0064A |
|
40 |
39 |
$2K |
| 73130 |
|
77 |
54 |
$2K |
| 82950 |
|
317 |
299 |
$1K |
| 99217 |
|
27 |
25 |
$1K |
| 87591 |
|
40 |
39 |
$1K |
| 87491 |
|
40 |
39 |
$1K |
| 99417 |
Prolong home eval add 15m |
41 |
40 |
$1K |
| 83014 |
|
154 |
152 |
$1K |
| 84153 |
|
80 |
66 |
$1K |
| 97802 |
|
27 |
26 |
$1K |
| 90620 |
|
76 |
68 |
$1K |
| 95251 |
|
39 |
39 |
$1K |
| 97162 |
|
13 |
13 |
$952.36 |
| 83516 |
|
59 |
24 |
$906.51 |
| 81003 |
|
465 |
399 |
$902.67 |
| J1885 |
Ketorolac tromethamine inj |
545 |
474 |
$786.03 |
| 82565 |
|
173 |
154 |
$772.07 |
| 90716 |
|
467 |
414 |
$768.81 |
| 85379 |
|
65 |
61 |
$651.82 |
| 84156 |
|
194 |
178 |
$644.48 |
| 90707 |
|
380 |
324 |
$638.65 |
| 88720 |
|
148 |
104 |
$630.72 |
| 83735 |
|
99 |
86 |
$597.01 |
| L3807 |
Whfo w/o joints pre cst |
15 |
14 |
$554.40 |
| 84702 |
|
37 |
28 |
$552.30 |
| 85651 |
|
163 |
134 |
$546.80 |
| 84550 |
|
144 |
118 |
$520.24 |
| 82784 |
|
49 |
37 |
$494.39 |
| 94640 |
|
61 |
43 |
$493.77 |
| J0696 |
Ceftriaxone sodium injection |
250 |
179 |
$446.73 |
| 84460 |
|
80 |
75 |
$436.88 |
| 85652 |
|
154 |
148 |
$426.53 |
| 82150 |
|
76 |
64 |
$420.76 |
| 69209 |
|
27 |
26 |
$386.81 |
| 82947 |
|
101 |
91 |
$384.91 |
| 82746 |
|
27 |
26 |
$360.72 |
| 86038 |
|
35 |
28 |
$345.36 |
| 72100 |
|
12 |
12 |
$339.86 |
| 90714 |
|
13 |
13 |
$328.40 |
| 73140 |
|
14 |
12 |
$319.11 |
| 73030 |
|
13 |
12 |
$311.27 |
| S0281 |
Medical home, maintenance |
13 |
12 |
$299.84 |
| J1100 |
Dexamethasone sodium phos |
237 |
231 |
$289.76 |
| 98967 |
|
12 |
12 |
$286.62 |
| 87070 |
|
38 |
29 |
$263.61 |
| G0471 |
Ven blood coll snf/hha |
55 |
41 |
$220.00 |
| 84450 |
|
40 |
37 |
$212.48 |
| 80076 |
|
25 |
25 |
$197.18 |
| 87807 |
|
12 |
12 |
$164.76 |
| 90672 |
|
165 |
164 |
$137.93 |
| 85007 |
|
41 |
28 |
$106.63 |
| 86580 |
|
16 |
12 |
$104.68 |
| 90647 |
|
2,351 |
2,178 |
$82.37 |
| 86308 |
|
12 |
12 |
$68.42 |
| 84132 |
|
14 |
13 |
$59.90 |
| J2405 |
Ondansetron hcl injection |
92 |
86 |
$24.50 |
| 90633 |
|
1,573 |
1,466 |
$1.15 |
| 90723 |
|
2,404 |
2,216 |
$1.11 |
| 90710 |
|
447 |
412 |
$0.34 |
| 90696 |
|
436 |
404 |
$0.33 |
| 90700 |
|
375 |
342 |
$0.18 |
| 90681 |
|
1,167 |
1,055 |
$0.00 |
| G1004 |
Cdsm ndsc |
1,394 |
1,258 |
$0.00 |
| G0475 |
Hiv combination assay |
13 |
13 |
$0.00 |