| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
251,443 |
238,647 |
$12.43M |
| 99213 |
|
382,001 |
364,981 |
$10.82M |
| T2022 |
Case management, per month |
9,703 |
9,076 |
$5.48M |
| 99283 |
|
139,365 |
133,510 |
$5.24M |
| 99215 |
Prolong outpt/office vis |
63,503 |
59,682 |
$4.07M |
| 99469 |
|
11,862 |
2,318 |
$3.41M |
| 99460 |
|
42,988 |
41,086 |
$3.10M |
| 99284 |
|
46,210 |
44,156 |
$2.91M |
| 99233 |
Prolong inpt eval add15 m |
59,228 |
22,032 |
$2.64M |
| 99232 |
|
74,315 |
32,781 |
$2.31M |
| 99472 |
|
7,426 |
1,254 |
$2.17M |
| 99238 |
|
56,619 |
53,905 |
$2.00M |
| 99392 |
|
48,565 |
47,548 |
$1.86M |
| T2023 |
Targeted case mgmt per month |
1,321 |
1,233 |
$1.74M |
| 99393 |
|
41,513 |
40,661 |
$1.55M |
| 00170 |
|
13,258 |
12,596 |
$1.40M |
| 99391 |
|
42,867 |
41,359 |
$1.39M |
| 99285 |
|
13,148 |
12,489 |
$1.26M |
| 99479 |
|
13,395 |
3,011 |
$1.25M |
| 99282 |
|
56,929 |
55,737 |
$1.21M |
| 69436 |
|
7,835 |
7,191 |
$1.17M |
| 88305 |
|
18,712 |
10,801 |
$1.09M |
| 99243 |
|
22,712 |
21,996 |
$972K |
| 99203 |
|
25,992 |
24,945 |
$968K |
| 92015 |
|
50,217 |
47,987 |
$860K |
| 01922 |
|
7,074 |
6,002 |
$853K |
| 99480 |
|
9,202 |
2,256 |
$816K |
| 99244 |
|
11,902 |
11,484 |
$799K |
| 70551 |
|
13,966 |
12,824 |
$775K |
| 95720 |
|
4,393 |
2,808 |
$692K |
| 99231 |
|
40,499 |
22,787 |
$654K |
| 70553 |
|
7,083 |
6,382 |
$643K |
| 71045 |
|
92,458 |
57,893 |
$640K |
| 93010 |
|
70,019 |
60,938 |
$568K |
| 99394 |
|
13,007 |
12,726 |
$562K |
| 42820 |
|
2,820 |
2,686 |
$548K |
| 93306 |
|
7,002 |
6,589 |
$533K |
| 70450 |
|
14,593 |
12,963 |
$529K |
| 93303 |
|
8,690 |
7,990 |
$508K |
| 71046 |
|
54,301 |
51,522 |
$494K |
| 99462 |
|
14,910 |
11,657 |
$483K |
| 99291 |
|
4,173 |
1,635 |
$455K |
| 99204 |
|
6,904 |
6,468 |
$437K |
| 99212 |
|
29,987 |
28,994 |
$429K |
| 31622 |
|
3,782 |
2,995 |
$347K |
| 95951 |
|
2,271 |
1,393 |
$336K |
| 93325 |
|
40,203 |
35,245 |
$326K |
| 31624 |
|
2,841 |
2,532 |
$294K |
| 99223 |
Prolong inpt eval add15 m |
3,572 |
3,393 |
$293K |
| 31526 |
|
2,330 |
1,855 |
$275K |
| 74018 |
|
36,533 |
31,969 |
$256K |
| 76705 |
|
11,120 |
10,000 |
$222K |
| 43239 |
|
1,477 |
1,340 |
$199K |
| 99222 |
|
3,234 |
3,026 |
$198K |
| 93320 |
|
9,089 |
8,327 |
$184K |
| 93308 |
|
6,389 |
5,827 |
$178K |
| 76770 |
|
6,600 |
6,194 |
$178K |
| 99188 |
|
8,268 |
7,886 |
$167K |
| 93304 |
|
4,793 |
4,292 |
$166K |
| 93000 |
|
7,733 |
7,187 |
$152K |
| 93321 |
|
16,708 |
15,006 |
$148K |
| 99245 |
|
1,522 |
1,459 |
$139K |
| 76825 |
|
1,678 |
1,418 |
$134K |
| 95816 |
|
3,446 |
3,266 |
$120K |
| 94010 |
|
12,593 |
11,882 |
$109K |
| 88313 |
|
4,798 |
4,106 |
$105K |
| 99202 |
|
4,753 |
4,659 |
$94K |
| 99239 |
|
2,001 |
1,862 |
$87K |
| 99205 |
Prolong outpt/office vis |
1,190 |
1,133 |
$86K |
| 88307 |
|
1,060 |
897 |
$69K |
| 99242 |
|
2,059 |
1,983 |
$62K |
| 88342 |
|
1,586 |
1,340 |
$61K |
| H2000 |
Comp multidisipln evaluation |
327 |
255 |
$59K |
| 00126 |
|
1,321 |
1,251 |
$59K |
| 74019 |
|
6,792 |
6,102 |
$58K |
| 99254 |
|
748 |
718 |
$58K |
| 25600 |
|
331 |
317 |
$55K |
| 99417 |
Prolong home eval add 15m |
1,756 |
1,638 |
$52K |
| 76827 |
|
2,123 |
1,704 |
$52K |
| 92201 |
|
2,718 |
1,751 |
$48K |
| 88108 |
|
3,079 |
2,613 |
$45K |
| 99468 |
|
66 |
59 |
$42K |
| 88312 |
|
2,125 |
1,803 |
$37K |
| 99478 |
|
380 |
80 |
$37K |
| 73100 |
|
4,858 |
4,426 |
$34K |
| 99219 |
|
599 |
566 |
$33K |
| 73630 |
|
4,315 |
3,847 |
$32K |
| 92014 |
|
1,053 |
987 |
$31K |
| 17110 |
|
879 |
810 |
$29K |
| 92004 |
|
934 |
858 |
$29K |
| D2930 |
|
144 |
30 |
$29K |
| 88300 |
|
8,443 |
8,057 |
$28K |
| 76820 |
|
1,416 |
1,098 |
$28K |
| 73610 |
|
3,617 |
3,409 |
$27K |
| 54150 |
|
551 |
521 |
$26K |
| 95957 |
|
482 |
359 |
$25K |
| 95810 |
|
308 |
287 |
$24K |
| 73090 |
|
3,497 |
2,918 |
$23K |
| 12011 |
|
743 |
725 |
$23K |
| 88304 |
|
2,604 |
2,467 |
$22K |
| 74177 |
|
357 |
324 |
$19K |
| 99255 |
|
156 |
150 |
$18K |
| 92226 |
|
1,430 |
534 |
$17K |
| 88348 |
|
333 |
298 |
$17K |
| 99471 |
|
26 |
26 |
$16K |
| 99221 |
|
416 |
392 |
$16K |
| 64642 |
|
254 |
216 |
$16K |
| 51784 |
|
375 |
326 |
$15K |
| 99463 |
|
190 |
183 |
$15K |
| 64643 |
|
207 |
173 |
$15K |
| 73721 |
|
263 |
230 |
$14K |
| 74230 |
|
704 |
669 |
$13K |
| 94060 |
|
910 |
855 |
$13K |
| 88104 |
|
745 |
527 |
$13K |
| 73590 |
|
1,747 |
1,545 |
$12K |
| 95782 |
|
177 |
170 |
$12K |
| 73560 |
|
1,610 |
1,468 |
$12K |
| 12001 |
|
407 |
395 |
$12K |
| 73070 |
|
1,941 |
1,786 |
$12K |
| 73140 |
|
1,938 |
1,863 |
$12K |
| 93018 |
|
799 |
762 |
$11K |
| 95819 |
|
365 |
330 |
$10K |
| 93227 |
|
415 |
391 |
$10K |
| 94621 |
|
198 |
192 |
$9K |
| 76506 |
|
350 |
236 |
$9K |
| 99252 |
|
245 |
209 |
$9K |
| 73521 |
|
912 |
876 |
$9K |
| 96127 |
|
1,738 |
1,597 |
$8K |
| 92134 |
|
533 |
475 |
$8K |
| 51727 |
|
119 |
108 |
$8K |
| 93244 |
|
451 |
412 |
$8K |
| 90833 |
|
239 |
224 |
$7K |
| 99477 |
|
27 |
26 |
$7K |
| 90837 |
|
251 |
178 |
$7K |
| 54163 |
|
54 |
51 |
$7K |
| 72082 |
|
544 |
515 |
$7K |
| 76700 |
|
215 |
199 |
$7K |
| 93505 |
|
48 |
37 |
$7K |
| 96156 |
|
139 |
133 |
$7K |
| 92133 |
|
493 |
436 |
$7K |
| 99381 |
|
253 |
242 |
$6K |
| 99253 |
|
114 |
108 |
$6K |
| 72148 |
|
104 |
97 |
$6K |
| 31575 |
|
127 |
120 |
$6K |
| 84165 |
|
765 |
707 |
$6K |
| 93976 |
|
196 |
177 |
$6K |
| 99354 |
|
135 |
113 |
$6K |
| 73130 |
|
781 |
750 |
$6K |
| D7140 |
|
50 |
15 |
$6K |
| 74183 |
|
70 |
54 |
$6K |
| 90834 |
|
249 |
186 |
$6K |
| H0036 |
Comm psy face-face per 15min |
1,136 |
496 |
$5K |
| 99211 |
|
335 |
332 |
$5K |
| 92551 |
|
823 |
776 |
$5K |
| 94680 |
|
420 |
407 |
$5K |
| 70360 |
|
748 |
705 |
$5K |
| 92002 |
|
262 |
243 |
$5K |
| 29450 |
|
80 |
37 |
$4K |
| 95974 |
|
89 |
69 |
$4K |
| 74712 |
|
46 |
42 |
$4K |
| 76937 |
|
360 |
302 |
$4K |
| 72141 |
|
59 |
54 |
$4K |
| 96110 |
|
398 |
376 |
$4K |
| 00731 |
|
41 |
38 |
$4K |
| 74240 |
|
125 |
116 |
$4K |
| 42830 |
|
43 |
38 |
$3K |
| 99384 |
|
81 |
80 |
$3K |
| 69210 |
|
232 |
219 |
$3K |
| 77072 |
|
451 |
433 |
$3K |
| 72081 |
|
316 |
302 |
$3K |
| 90792 |
|
33 |
33 |
$3K |
| 88341 |
|
57 |
48 |
$3K |
| 93224 |
|
25 |
25 |
$3K |
| 00920 |
|
54 |
53 |
$3K |
| 99395 |
|
66 |
65 |
$3K |
| 87210 |
|
690 |
650 |
$2K |
| 49452 |
|
12 |
12 |
$2K |
| 78816 |
|
16 |
14 |
$2K |
| 92083 |
|
157 |
145 |
$2K |
| 88344 |
|
78 |
68 |
$2K |
| 92012 |
|
123 |
115 |
$2K |
| 00520 |
|
15 |
15 |
$2K |
| 88311 |
|
234 |
187 |
$2K |
| 93975 |
|
44 |
37 |
$2K |
| 0358T |
|
7,469 |
7,311 |
$2K |
| 93568 |
|
46 |
37 |
$2K |
| 76942 |
|
97 |
78 |
$2K |
| 36415 |
|
518 |
512 |
$2K |
| 54161 |
|
12 |
12 |
$2K |
| 72197 |
|
17 |
12 |
$2K |
| 24640 |
|
40 |
40 |
$2K |
| 72146 |
|
26 |
25 |
$2K |
| 31615 |
|
27 |
25 |
$2K |
| 72170 |
|
215 |
199 |
$1K |
| 94770 |
|
395 |
376 |
$1K |
| 93248 |
|
70 |
67 |
$1K |
| 99307 |
|
75 |
74 |
$1K |
| 74455 |
|
86 |
82 |
$1K |
| 86334 |
|
139 |
127 |
$1K |
| 64644 |
|
12 |
12 |
$1K |
| 26720 |
|
12 |
12 |
$1K |
| 99220 |
|
13 |
13 |
$1K |
| 99217 |
|
29 |
27 |
$1K |
| 99308 |
|
38 |
25 |
$1K |
| 76499 |
|
38 |
28 |
$1K |
| 74270 |
|
42 |
38 |
$991.33 |
| 58300 |
|
25 |
25 |
$947.86 |
| 99375 |
|
90 |
81 |
$937.50 |
| 90832 |
|
127 |
99 |
$915.70 |
| 99358 |
Prolong nursin fac eval 15m |
69 |
65 |
$915.60 |
| 74241 |
|
31 |
28 |
$795.65 |
| 91122 |
|
12 |
12 |
$794.12 |
| 76811 |
|
14 |
12 |
$761.93 |
| 96158 |
|
25 |
12 |
$750.20 |
| 93784 |
|
33 |
24 |
$747.75 |
| D0150 |
|
14 |
14 |
$704.90 |
| 95813 |
|
20 |
14 |
$647.44 |
| 95939 |
|
12 |
12 |
$612.09 |
| 77080 |
|
132 |
125 |
$609.02 |
| 72040 |
|
70 |
64 |
$595.23 |
| 90791 |
|
30 |
30 |
$579.99 |
| 41010 |
|
14 |
12 |
$566.21 |
| 76821 |
|
26 |
24 |
$550.52 |
| 94726 |
|
80 |
72 |
$539.89 |
| 99383 |
|
13 |
12 |
$539.52 |
| 43762 |
|
14 |
13 |
$528.33 |
| 92567 |
|
37 |
37 |
$527.76 |
| 95861 |
|
13 |
12 |
$527.40 |
| 91200 |
|
35 |
33 |
$518.47 |
| 70486 |
|
13 |
12 |
$475.59 |
| 99140 |
|
50 |
36 |
$469.02 |
| 73030 |
|
57 |
55 |
$458.07 |
| 92228 |
|
40 |
40 |
$432.21 |
| D1120 |
|
12 |
12 |
$420.42 |
| 99464 |
|
18 |
13 |
$396.57 |
| H2019 |
Ther behav svc, per 15 min |
24 |
23 |
$386.56 |
| 99401 |
|
38 |
38 |
$382.07 |
| 99421 |
|
38 |
37 |
$368.58 |
| 99251 |
|
14 |
13 |
$349.45 |
| 94618 |
|
14 |
14 |
$334.34 |
| 99100 |
|
70 |
63 |
$326.70 |
| 90471 |
|
133 |
132 |
$270.79 |
| D0272 |
|
13 |
13 |
$255.45 |
| 98962 |
|
27 |
21 |
$250.90 |
| 92060 |
|
14 |
13 |
$219.10 |
| 73552 |
|
28 |
25 |
$208.23 |
| 84166 |
|
15 |
15 |
$194.25 |
| 73660 |
|
32 |
32 |
$193.60 |
| 95938 |
|
12 |
12 |
$188.19 |
| 94729 |
|
29 |
24 |
$158.51 |
| 95937 |
|
15 |
14 |
$146.13 |
| 73564 |
|
14 |
14 |
$137.40 |
| 92250 |
|
14 |
12 |
$124.08 |
| 11900 |
|
12 |
12 |
$119.37 |
| 77085 |
|
12 |
12 |
$118.30 |
| 77081 |
|
16 |
14 |
$117.99 |
| 77073 |
|
14 |
13 |
$114.27 |
| 72100 |
|
12 |
12 |
$104.02 |
| 73060 |
|
13 |
13 |
$102.57 |
| 90472 |
|
29 |
29 |
$10.45 |
| 3078F |
|
23,757 |
22,219 |
$0.00 |
| G9002 |
Mccd,maintenance rate |
1,871 |
1,061 |
$0.00 |
| G8752 |
Sys bp less 140 |
1,965 |
1,935 |
$0.00 |
| 4004F |
|
59 |
57 |
$0.00 |
| 3074F |
|
24,266 |
22,697 |
$0.00 |
| G9006 |
Mccd, home monitoring |
39,455 |
9,988 |
$0.00 |
| G8754 |
Dias bp less 90 |
1,978 |
1,945 |
$0.00 |
| 1036F |
|
3,671 |
3,562 |
$0.00 |
| G9009 |
Mccd, risk adj, level 3 |
596 |
528 |
$0.00 |
| G9007 |
Mccd, sch team conf |
2,584 |
1,401 |
$0.00 |
| 3075F |
|
28 |
28 |
$0.00 |