| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
136,766 |
117,197 |
$10.17M |
| H1000 |
Prenatal care atrisk assessm |
80,332 |
51,048 |
$5.16M |
| 99233 |
Prolong inpt eval add15 m |
100,647 |
38,525 |
$4.89M |
| 99232 |
|
153,224 |
56,428 |
$4.24M |
| 99213 |
|
55,698 |
48,853 |
$3.18M |
| 99215 |
Prolong outpt/office vis |
25,705 |
21,079 |
$2.73M |
| 99204 |
|
17,757 |
14,260 |
$2.28M |
| 99223 |
Prolong inpt eval add15 m |
28,780 |
22,364 |
$2.14M |
| 76816 |
|
31,506 |
25,303 |
$1.92M |
| 99283 |
|
30,807 |
26,783 |
$1.53M |
| 99203 |
|
10,525 |
9,328 |
$1.22M |
| 76811 |
|
10,379 |
8,900 |
$1.04M |
| 99244 |
|
6,250 |
5,276 |
$824K |
| 93303 |
|
7,733 |
6,385 |
$697K |
| 99238 |
|
15,024 |
11,835 |
$655K |
| 99291 |
|
7,939 |
3,315 |
$618K |
| 93306 |
|
16,567 |
13,340 |
$614K |
| 99392 |
|
6,313 |
5,290 |
$608K |
| 90792 |
|
8,372 |
6,459 |
$575K |
| 99239 |
|
9,657 |
7,815 |
$554K |
| 59410 |
|
690 |
557 |
$513K |
| 99391 |
|
6,153 |
5,260 |
$500K |
| 99222 |
|
8,040 |
6,269 |
$498K |
| 76819 |
|
11,762 |
8,996 |
$479K |
| 95720 |
|
2,552 |
1,724 |
$476K |
| 93010 |
|
101,124 |
76,330 |
$475K |
| 59025 |
|
23,657 |
17,151 |
$465K |
| 01922 |
|
3,398 |
2,991 |
$440K |
| 74177 |
|
10,378 |
8,520 |
$425K |
| 99205 |
Prolong outpt/office vis |
2,314 |
1,935 |
$385K |
| 90460 |
|
12,034 |
9,835 |
$375K |
| 99284 |
|
3,945 |
3,626 |
$354K |
| H1001 |
Antepartum management |
2,577 |
2,101 |
$353K |
| 71045 |
|
87,424 |
66,800 |
$315K |
| 93304 |
|
5,491 |
4,270 |
$285K |
| 76805 |
|
4,088 |
3,576 |
$285K |
| 70450 |
|
19,290 |
15,305 |
$282K |
| 76818 |
|
3,217 |
2,180 |
$216K |
| 70551 |
|
3,821 |
3,272 |
$193K |
| 81003 |
|
42,883 |
28,828 |
$174K |
| 99282 |
|
6,527 |
5,143 |
$173K |
| 81002 |
|
4,947 |
3,270 |
$169K |
| 99395 |
|
1,716 |
1,575 |
$159K |
| 71275 |
|
4,501 |
3,725 |
$146K |
| 99254 |
|
1,705 |
1,360 |
$146K |
| 99255 |
|
1,503 |
1,176 |
$146K |
| 90791 |
|
2,394 |
1,993 |
$141K |
| 54161 |
|
535 |
462 |
$131K |
| 59430 |
|
2,501 |
2,025 |
$114K |
| 90833 |
|
4,236 |
1,654 |
$112K |
| 94010 |
|
5,750 |
5,096 |
$111K |
| 99243 |
|
1,256 |
1,102 |
$108K |
| 99253 |
|
1,346 |
1,189 |
$104K |
| 99393 |
|
1,129 |
954 |
$103K |
| 99231 |
|
4,348 |
1,926 |
$102K |
| 93320 |
|
8,265 |
6,670 |
$94K |
| 72082 |
|
2,171 |
1,917 |
$89K |
| 76830 |
|
1,721 |
1,428 |
$88K |
| 71046 |
|
10,104 |
9,585 |
$80K |
| 99212 |
|
2,848 |
2,389 |
$80K |
| 99460 |
|
1,492 |
1,208 |
$79K |
| 70553 |
|
923 |
837 |
$78K |
| 43239 |
|
432 |
373 |
$76K |
| 99188 |
|
5,609 |
4,459 |
$72K |
| 99245 |
|
748 |
561 |
$71K |
| 76705 |
|
3,545 |
3,107 |
$66K |
| 74176 |
|
1,651 |
1,357 |
$65K |
| 76770 |
|
2,549 |
2,322 |
$62K |
| 72125 |
|
2,808 |
2,148 |
$61K |
| 74018 |
|
12,892 |
7,575 |
$61K |
| 76820 |
|
3,433 |
2,226 |
$56K |
| 90461 |
|
4,337 |
3,285 |
$54K |
| 76856 |
|
1,576 |
1,435 |
$52K |
| J1050 |
Medroxyprogesterone acetate |
910 |
821 |
$49K |
| 99024 |
|
11,746 |
8,515 |
$47K |
| 93325 |
|
18,353 |
14,440 |
$44K |
| 92552 |
|
2,096 |
1,667 |
$43K |
| 99221 |
|
710 |
586 |
$40K |
| 81025 |
|
7,976 |
6,738 |
$35K |
| 93000 |
|
5,922 |
4,779 |
$34K |
| 93321 |
|
7,175 |
5,761 |
$33K |
| 90471 |
|
5,659 |
5,365 |
$31K |
| 76801 |
|
810 |
700 |
$31K |
| 96372 |
|
1,527 |
1,359 |
$30K |
| 95812 |
|
274 |
217 |
$25K |
| 76813 |
|
403 |
344 |
$25K |
| 99462 |
|
1,318 |
906 |
$25K |
| 74019 |
|
2,892 |
2,712 |
$24K |
| 77072 |
|
1,316 |
1,195 |
$23K |
| 93298 |
|
2,219 |
1,929 |
$22K |
| 76506 |
|
1,156 |
873 |
$22K |
| 00920 |
|
263 |
219 |
$22K |
| 99220 |
|
233 |
207 |
$22K |
| 99385 |
|
221 |
198 |
$20K |
| 00731 |
|
124 |
112 |
$17K |
| 76815 |
|
432 |
362 |
$16K |
| 76817 |
|
768 |
638 |
$16K |
| 90472 |
|
3,216 |
3,021 |
$15K |
| 97597 |
|
795 |
414 |
$15K |
| 99241 |
|
100 |
85 |
$15K |
| 11042 |
|
613 |
365 |
$14K |
| 99217 |
|
421 |
356 |
$13K |
| 78452 |
|
237 |
185 |
$12K |
| 16020 |
|
303 |
203 |
$12K |
| 73100 |
|
499 |
396 |
$12K |
| 83036 |
|
1,989 |
1,659 |
$11K |
| A4627 |
Spacer bag/reservoir |
465 |
358 |
$11K |
| 76700 |
|
378 |
347 |
$11K |
| 99252 |
|
288 |
238 |
$11K |
| 95819 |
|
304 |
254 |
$10K |
| 11981 |
|
12 |
12 |
$10K |
| 93970 |
|
553 |
461 |
$10K |
| 93886 |
|
289 |
141 |
$10K |
| 95951 |
|
29 |
24 |
$9K |
| 73130 |
|
1,027 |
749 |
$9K |
| 72170 |
|
334 |
283 |
$9K |
| J0585 |
Injection,onabotulinumtoxina |
131 |
67 |
$8K |
| 73610 |
|
1,036 |
876 |
$8K |
| 72148 |
|
90 |
86 |
$7K |
| 00170 |
|
86 |
78 |
$7K |
| 73630 |
|
904 |
796 |
$7K |
| G1004 |
Cdsm ndsc |
90,729 |
64,528 |
$7K |
| 72131 |
|
427 |
349 |
$6K |
| 83655 |
|
1,098 |
753 |
$6K |
| 93227 |
|
242 |
223 |
$6K |
| 78815 |
|
191 |
160 |
$6K |
| 85018 |
|
4,705 |
3,750 |
$5K |
| 93971 |
|
463 |
369 |
$5K |
| 73562 |
|
932 |
768 |
$5K |
| 99415 |
Prolong outpt/office vis |
868 |
836 |
$5K |
| 72141 |
|
92 |
87 |
$5K |
| 73110 |
|
565 |
404 |
$5K |
| 99242 |
|
113 |
85 |
$4K |
| 58300 |
|
12 |
12 |
$4K |
| 95816 |
|
187 |
155 |
$4K |
| 77067 |
|
239 |
217 |
$4K |
| 99202 |
|
60 |
57 |
$4K |
| 99236 |
Prolong inpt eval add15 m |
31 |
30 |
$4K |
| 94664 |
|
297 |
277 |
$4K |
| 73090 |
|
219 |
189 |
$4K |
| 96110 |
|
2,827 |
1,887 |
$3K |
| 90847 |
|
47 |
41 |
$3K |
| 73030 |
|
441 |
310 |
$3K |
| 95718 |
|
30 |
26 |
$3K |
| 87426 |
|
91 |
71 |
$2K |
| 93880 |
|
127 |
111 |
$2K |
| 94729 |
|
71 |
61 |
$2K |
| 99219 |
|
43 |
40 |
$2K |
| 93272 |
|
71 |
68 |
$2K |
| 93224 |
|
19 |
19 |
$2K |
| 77427 |
|
15 |
12 |
$2K |
| 93016 |
|
126 |
115 |
$2K |
| 74174 |
|
33 |
25 |
$2K |
| 57456 |
|
12 |
12 |
$1K |
| 54150 |
|
13 |
12 |
$1K |
| 99394 |
|
13 |
13 |
$1K |
| 36416 |
|
1,724 |
1,117 |
$1K |
| 90670 |
|
3,520 |
2,868 |
$1K |
| J0702 |
Betamethasone acet&sod phosp |
221 |
128 |
$1K |
| 99285 |
|
22 |
12 |
$1K |
| 87804 |
|
119 |
43 |
$1K |
| 78816 |
|
15 |
14 |
$1K |
| 96161 |
|
763 |
532 |
$999.34 |
| 87428 |
|
26 |
25 |
$998.34 |
| 20610 |
|
188 |
145 |
$988.75 |
| 78264 |
|
46 |
44 |
$980.50 |
| 93356 |
|
91 |
69 |
$973.06 |
| 99234 |
|
14 |
12 |
$956.98 |
| 93018 |
|
229 |
187 |
$918.23 |
| 77063 |
|
113 |
104 |
$916.93 |
| 76641 |
|
55 |
50 |
$891.98 |
| 72128 |
|
58 |
47 |
$882.75 |
| 73721 |
|
19 |
17 |
$848.86 |
| 90656 |
|
421 |
411 |
$845.32 |
| 73070 |
|
36 |
24 |
$822.80 |
| 64642 |
|
139 |
85 |
$807.71 |
| 73700 |
|
33 |
26 |
$789.27 |
| 72146 |
|
13 |
13 |
$698.51 |
| 70486 |
|
28 |
26 |
$675.88 |
| 70498 |
|
14 |
12 |
$609.47 |
| 99281 |
|
121 |
77 |
$586.74 |
| 76377 |
|
58 |
44 |
$500.61 |
| 74230 |
|
43 |
39 |
$472.00 |
| 90686 |
|
5,297 |
4,706 |
$471.76 |
| 73140 |
|
13 |
12 |
$449.68 |
| 90474 |
|
165 |
152 |
$420.00 |
| 76870 |
|
28 |
24 |
$356.01 |
| 90648 |
|
4,288 |
3,554 |
$354.19 |
| 73080 |
|
63 |
53 |
$353.10 |
| 73590 |
|
86 |
73 |
$351.12 |
| 76885 |
|
13 |
12 |
$348.08 |
| 78582 |
|
21 |
16 |
$320.23 |
| 71260 |
|
13 |
12 |
$304.02 |
| 84703 |
|
168 |
151 |
$289.17 |
| 99459 |
|
16 |
14 |
$257.87 |
| 93295 |
|
12 |
12 |
$248.79 |
| 93294 |
|
45 |
36 |
$247.79 |
| 90715 |
|
14 |
12 |
$242.02 |
| J1030 |
Methylprednisolone 40 mg inj |
105 |
95 |
$226.62 |
| 76942 |
|
105 |
61 |
$196.56 |
| 99251 |
|
125 |
73 |
$194.86 |
| 90633 |
|
1,112 |
835 |
$189.06 |
| 64643 |
|
50 |
29 |
$180.04 |
| 99152 |
|
77 |
40 |
$172.01 |
| 99451 |
|
21 |
19 |
$164.13 |
| 76642 |
|
15 |
12 |
$155.50 |
| 93280 |
|
14 |
12 |
$144.52 |
| 92558 |
|
26 |
24 |
$136.63 |
| 90681 |
|
757 |
631 |
$125.00 |
| 71250 |
|
17 |
13 |
$121.95 |
| 94060 |
|
39 |
12 |
$105.46 |
| 99354 |
|
15 |
13 |
$96.61 |
| 82962 |
|
72 |
56 |
$87.79 |
| 97110 |
|
1,135 |
331 |
$40.80 |
| 96160 |
|
17 |
12 |
$40.80 |
| J3301 |
Triamcinolone acet inj nos |
173 |
162 |
$26.81 |
| 77077 |
|
28 |
26 |
$25.81 |
| 99173 |
|
1,411 |
948 |
$20.04 |
| 99497 |
|
57 |
43 |
$15.16 |
| 90723 |
|
2,724 |
2,277 |
$14.18 |
| 1123F |
|
47 |
43 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
617 |
466 |
$0.00 |
| 3074F |
|
694 |
649 |
$0.00 |
| 96127 |
|
142 |
92 |
$0.00 |
| 99174 |
|
25 |
25 |
$0.00 |
| 3079F |
|
14 |
13 |
$0.00 |
| 90696 |
|
48 |
41 |
$0.00 |
| 96112 |
|
55 |
54 |
$0.00 |
| 90688 |
|
29 |
26 |
$0.00 |
| 1159F |
|
453 |
432 |
$0.00 |
| 3078F |
|
1,614 |
1,507 |
$0.00 |
| 90671 |
|
807 |
720 |
$0.00 |
| 1160F |
|
426 |
404 |
$0.00 |
| 3077F |
|
96 |
93 |
$0.00 |
| 90710 |
|
16 |
15 |
$0.00 |
| 90685 |
|
38 |
35 |
$0.00 |
| 90846 |
|
22 |
13 |
$0.00 |
| G2211 |
Complex e/m visit add on |
15 |
14 |
$0.00 |
| 97530 |
|
122 |
55 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |