| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
79,690 |
68,331 |
$12.71M |
| D1206 |
|
40,701 |
38,808 |
$3.38M |
| 99214 |
|
21,287 |
19,293 |
$3.04M |
| D1120 |
|
15,653 |
14,930 |
$2.00M |
| G9150 |
Medical home level iii |
10,821 |
6,898 |
$1.89M |
| 90832 |
|
10,007 |
7,444 |
$1.29M |
| 90834 |
|
6,993 |
5,370 |
$976K |
| 99391 |
|
4,763 |
4,192 |
$872K |
| 99392 |
|
4,500 |
4,446 |
$825K |
| 99393 |
|
4,196 |
4,153 |
$781K |
| D1110 |
|
5,581 |
5,328 |
$742K |
| 99394 |
|
3,265 |
3,195 |
$603K |
| 90837 |
|
3,430 |
2,630 |
$541K |
| 99212 |
|
3,654 |
3,307 |
$515K |
| D0140 |
|
4,340 |
4,056 |
$459K |
| D0150 |
|
4,861 |
4,506 |
$412K |
| D0330 |
|
2,444 |
2,325 |
$349K |
| D7140 |
|
5,052 |
2,459 |
$344K |
| 90791 |
|
2,209 |
2,087 |
$303K |
| D2930 |
|
3,361 |
863 |
$283K |
| D2392 |
|
2,702 |
1,817 |
$250K |
| D2391 |
|
2,402 |
1,593 |
$187K |
| 87637 |
|
1,814 |
1,750 |
$173K |
| S0311 |
Comp mgmt care coord adv ill |
1,697 |
1,157 |
$138K |
| D1351 |
|
25,084 |
5,396 |
$132K |
| S0281 |
Medical home, maintenance |
1,115 |
1,099 |
$115K |
| 87635 |
|
3,578 |
3,427 |
$115K |
| 87502 |
|
1,684 |
1,633 |
$108K |
| D0120 |
|
6,970 |
6,609 |
$107K |
| 99203 |
|
515 |
498 |
$74K |
| D0274 |
|
2,795 |
2,659 |
$70K |
| 96372 |
|
3,609 |
3,254 |
$65K |
| D1354 |
|
6,567 |
2,113 |
$57K |
| 92551 |
|
6,346 |
6,214 |
$50K |
| D0210 |
|
339 |
321 |
$49K |
| 99202 |
|
315 |
307 |
$47K |
| D0145 |
|
527 |
510 |
$45K |
| 87651 |
|
3,531 |
3,435 |
$44K |
| 99173 |
|
7,898 |
7,734 |
$43K |
| 99308 |
|
606 |
473 |
$42K |
| 90471 |
|
12,645 |
12,190 |
$38K |
| D2393 |
|
344 |
278 |
$38K |
| S0280 |
Medical home, initial plan |
177 |
168 |
$28K |
| D0220 |
|
8,356 |
7,633 |
$21K |
| 87804 |
|
1,552 |
1,453 |
$19K |
| D0272 |
|
4,642 |
4,307 |
$19K |
| D9230 |
|
1,505 |
1,272 |
$15K |
| G0467 |
Fqhc visit, estab pt |
14,223 |
10,487 |
$14K |
| 87880 |
|
2,547 |
2,479 |
$14K |
| T1015 |
Clinic service |
71 |
70 |
$13K |
| 99215 |
Prolong outpt/office vis |
118 |
116 |
$12K |
| 90686 |
|
5,064 |
4,841 |
$12K |
| Q3014 |
Telehealth facility fee |
621 |
581 |
$11K |
| 97110 |
|
407 |
200 |
$9K |
| S0221 |
Medical conference, 60 min |
218 |
170 |
$8K |
| 90853 |
|
31 |
24 |
$7K |
| D0240 |
|
575 |
276 |
$7K |
| 90472 |
|
6,436 |
6,276 |
$6K |
| J1050 |
Medroxyprogesterone acetate |
159 |
144 |
$6K |
| D2940 |
|
164 |
82 |
$6K |
| 99238 |
|
159 |
145 |
$6K |
| G9148 |
Medical home level 1 |
88 |
72 |
$5K |
| D0230 |
|
8,094 |
3,553 |
$4K |
| 99384 |
|
19 |
19 |
$3K |
| 90651 |
|
1,427 |
1,367 |
$3K |
| D9420 |
|
29 |
27 |
$3K |
| 81025 |
|
423 |
397 |
$2K |
| 99381 |
|
12 |
12 |
$2K |
| 90670 |
|
2,428 |
2,405 |
$2K |
| 83036 |
|
317 |
308 |
$2K |
| 99307 |
|
36 |
26 |
$2K |
| D2330 |
|
41 |
26 |
$2K |
| 94640 |
|
49 |
47 |
$2K |
| D2331 |
|
35 |
27 |
$2K |
| 90710 |
|
1,529 |
1,488 |
$2K |
| 92507 |
|
30 |
16 |
$2K |
| 87807 |
|
154 |
152 |
$2K |
| 90715 |
|
1,001 |
954 |
$2K |
| 81003 |
|
1,230 |
1,156 |
$1K |
| G0470 |
Fqhc visit, mh estab pt |
1,860 |
1,283 |
$1K |
| 83655 |
|
107 |
105 |
$1K |
| 99460 |
|
15 |
15 |
$900.00 |
| D0270 |
|
1,078 |
1,017 |
$856.08 |
| 99309 |
|
18 |
12 |
$847.55 |
| D2332 |
|
16 |
13 |
$761.80 |
| 97161 |
|
13 |
12 |
$564.64 |
| 98940 |
|
782 |
413 |
$559.65 |
| 90647 |
|
2,285 |
2,268 |
$459.90 |
| 87426 |
|
15 |
14 |
$432.00 |
| J1885 |
Ketorolac tromethamine inj |
191 |
169 |
$381.23 |
| 87905 |
|
38 |
37 |
$367.63 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
983 |
808 |
$347.45 |
| 87634 |
|
17 |
17 |
$333.45 |
| 71046 |
|
53 |
50 |
$323.33 |
| 90734 |
|
796 |
742 |
$253.00 |
| 87808 |
|
23 |
23 |
$228.05 |
| J0561 |
Penicillin g benzathine inj |
85 |
85 |
$215.85 |
| 99406 |
|
16 |
13 |
$200.85 |
| 0071A |
|
22 |
22 |
$200.00 |
| 90696 |
|
422 |
404 |
$166.70 |
| 90620 |
|
120 |
113 |
$166.70 |
| 81002 |
|
169 |
119 |
$158.28 |
| 90723 |
|
2,227 |
2,208 |
$128.27 |
| 90680 |
|
1,801 |
1,788 |
$126.50 |
| 85018 |
|
91 |
87 |
$123.93 |
| 36415 |
|
4,806 |
4,522 |
$110.13 |
| 93005 |
|
16 |
15 |
$100.77 |
| J1100 |
Dexamethasone sodium phos |
242 |
230 |
$83.56 |
| 90480 |
|
82 |
81 |
$20.26 |
| D0603 |
|
4,308 |
4,099 |
$18.30 |
| J0696 |
Ceftriaxone sodium injection |
45 |
43 |
$0.10 |
| D0191 |
|
3,837 |
3,723 |
$0.00 |
| 3078F |
|
481 |
436 |
$0.00 |
| 90700 |
|
277 |
273 |
$0.00 |
| 90633 |
|
1,704 |
1,666 |
$0.00 |
| 3077F |
|
26 |
24 |
$0.00 |
| 91322 |
|
12 |
12 |
$0.00 |
| 90662 |
|
25 |
24 |
$0.00 |
| 96167 |
|
31 |
26 |
$0.00 |
| 90685 |
|
44 |
43 |
$0.00 |
| 90677 |
|
509 |
504 |
$0.00 |
| 3074F |
|
175 |
157 |
$0.00 |
| 3075F |
|
327 |
298 |
$0.00 |
| 3079F |
|
519 |
454 |
$0.00 |
| D1330 |
|
399 |
395 |
$0.00 |
| 90619 |
|
109 |
109 |
$0.00 |
| 90656 |
|
261 |
261 |
$0.00 |
| D3120 |
|
27 |
26 |
$0.00 |
| G0008 |
Admin influenza virus vac |
129 |
123 |
$0.00 |
| D9995 |
|
20 |
20 |
$0.00 |
| 94760 |
|
299 |
213 |
$0.00 |
| 0001A |
|
15 |
13 |
$0.00 |
| D1353 |
|
467 |
155 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
25 |
24 |
$0.00 |