| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
107,704 |
92,089 |
$6.62M |
| 99233 |
Prolong inpt eval add15 m |
61,133 |
13,756 |
$3.28M |
| 99215 |
Prolong outpt/office vis |
34,043 |
28,180 |
$2.74M |
| 99213 |
|
47,648 |
42,915 |
$2.03M |
| 99232 |
|
39,499 |
12,481 |
$1.57M |
| 99223 |
Prolong inpt eval add15 m |
10,379 |
8,199 |
$1.00M |
| 90837 |
|
9,698 |
5,053 |
$971K |
| 99472 |
|
2,965 |
216 |
$878K |
| 99204 |
|
10,470 |
9,899 |
$875K |
| 99205 |
Prolong outpt/office vis |
6,924 |
6,507 |
$770K |
| 99203 |
|
11,377 |
10,810 |
$619K |
| 99480 |
|
7,033 |
996 |
$542K |
| 76811 |
|
8,002 |
7,687 |
$507K |
| 92004 |
|
7,873 |
7,525 |
$503K |
| 92014 |
|
9,743 |
9,339 |
$479K |
| 99222 |
|
6,691 |
5,409 |
$419K |
| 76816 |
|
13,386 |
10,805 |
$390K |
| 99479 |
|
4,237 |
473 |
$318K |
| 99244 |
|
2,716 |
2,539 |
$293K |
| 99469 |
|
1,211 |
158 |
$288K |
| T1013 |
Sign lang/oral interpreter |
6,811 |
5,087 |
$280K |
| 99238 |
|
5,762 |
5,226 |
$276K |
| 99443 |
|
6,260 |
5,041 |
$261K |
| 96133 |
|
1,182 |
1,063 |
$246K |
| 88305 |
|
4,878 |
4,121 |
$241K |
| 99239 |
|
3,381 |
3,092 |
$240K |
| 90834 |
|
2,944 |
2,001 |
$209K |
| 76819 |
|
7,178 |
3,733 |
$196K |
| 99442 |
|
6,386 |
5,069 |
$182K |
| 99254 |
|
1,597 |
1,362 |
$172K |
| 93303 |
|
3,777 |
2,608 |
$164K |
| S0302 |
Completed epsdt |
4,380 |
4,217 |
$157K |
| 71045 |
|
27,996 |
7,044 |
$153K |
| 99392 |
|
1,747 |
1,699 |
$150K |
| 90792 |
|
1,056 |
1,022 |
$143K |
| 99231 |
|
5,814 |
2,752 |
$142K |
| 74177 |
|
3,101 |
2,528 |
$136K |
| 99391 |
|
1,787 |
1,672 |
$132K |
| 95720 |
|
1,268 |
572 |
$132K |
| 99221 |
|
2,474 |
2,161 |
$132K |
| 90471 |
|
8,600 |
8,236 |
$132K |
| 92134 |
|
8,431 |
7,820 |
$127K |
| 99468 |
|
204 |
194 |
$120K |
| 99393 |
|
1,363 |
1,354 |
$118K |
| 92060 |
|
4,854 |
4,610 |
$114K |
| 93306 |
|
2,011 |
1,707 |
$108K |
| 96132 |
|
1,389 |
1,267 |
$106K |
| 99417 |
Prolong home eval add 15m |
2,337 |
2,090 |
$94K |
| 92012 |
|
2,817 |
2,596 |
$92K |
| 90472 |
|
4,130 |
3,951 |
$91K |
| 96137 |
|
858 |
785 |
$83K |
| 90870 |
|
984 |
341 |
$79K |
| S0281 |
Medical home, maintenance |
770 |
699 |
$77K |
| 99394 |
|
799 |
780 |
$75K |
| 99460 |
|
1,215 |
1,138 |
$74K |
| 70450 |
|
3,769 |
2,402 |
$73K |
| 99441 |
|
3,391 |
2,774 |
$70K |
| 99212 |
|
3,043 |
2,727 |
$67K |
| 99395 |
|
712 |
649 |
$62K |
| 99243 |
|
925 |
852 |
$62K |
| 71046 |
|
8,036 |
5,946 |
$58K |
| 99253 |
|
768 |
627 |
$56K |
| 74018 |
|
10,741 |
3,273 |
$56K |
| 95718 |
|
746 |
551 |
$55K |
| 59409 |
|
103 |
100 |
$53K |
| 99202 |
|
1,445 |
1,376 |
$53K |
| 99255 |
|
375 |
350 |
$52K |
| 90833 |
|
920 |
820 |
$52K |
| 93320 |
|
4,117 |
2,658 |
$50K |
| 90791 |
|
452 |
432 |
$49K |
| X5622 |
|
13,115 |
7,116 |
$47K |
| 67028 |
|
746 |
710 |
$47K |
| 92133 |
|
3,425 |
3,243 |
$46K |
| 70553 |
|
641 |
589 |
$44K |
| 92083 |
|
2,664 |
2,475 |
$44K |
| 59025 |
|
2,251 |
1,230 |
$43K |
| 99396 |
|
427 |
412 |
$43K |
| 43239 |
|
505 |
501 |
$41K |
| 83036 |
|
4,356 |
4,117 |
$40K |
| 36415 |
|
14,598 |
12,586 |
$39K |
| 80061 |
|
3,051 |
2,898 |
$38K |
| 77014 |
|
1,315 |
385 |
$36K |
| 96110 |
|
5,444 |
4,566 |
$36K |
| 74176 |
|
892 |
697 |
$35K |
| 87491 |
|
1,625 |
1,505 |
$35K |
| 87591 |
|
1,604 |
1,490 |
$34K |
| 99245 |
|
269 |
233 |
$33K |
| 80048 |
|
4,205 |
3,726 |
$32K |
| 76820 |
|
1,884 |
1,000 |
$32K |
| 76770 |
|
1,294 |
1,146 |
$31K |
| 88307 |
|
285 |
244 |
$31K |
| 90651 |
|
880 |
861 |
$30K |
| 71260 |
|
874 |
769 |
$29K |
| J1050 |
Medroxyprogesterone acetate |
321 |
309 |
$27K |
| 70551 |
|
603 |
533 |
$25K |
| 92551 |
|
3,421 |
3,312 |
$25K |
| 93975 |
|
740 |
523 |
$25K |
| 85060 |
|
1,119 |
981 |
$25K |
| 93010 |
|
4,414 |
3,065 |
$24K |
| 87389 |
|
1,562 |
1,508 |
$24K |
| 90715 |
|
1,301 |
1,251 |
$23K |
| 99291 |
|
180 |
42 |
$23K |
| 76705 |
|
1,322 |
1,091 |
$23K |
| 97803 |
|
623 |
597 |
$23K |
| 88342 |
|
637 |
548 |
$22K |
| 90670 |
|
1,793 |
1,701 |
$22K |
| 84443 |
|
1,835 |
1,771 |
$22K |
| 71250 |
|
746 |
598 |
$22K |
| G0452 |
Molecular pathology interpr |
1,721 |
1,212 |
$22K |
| 90832 |
|
364 |
285 |
$21K |
| 80306 |
|
1,561 |
1,206 |
$20K |
| 76825 |
|
307 |
276 |
$19K |
| 96136 |
|
971 |
898 |
$19K |
| 69436 |
|
134 |
133 |
$19K |
| 99188 |
|
2,035 |
1,958 |
$18K |
| 76815 |
|
760 |
530 |
$17K |
| 59400 |
|
13 |
12 |
$17K |
| 90686 |
|
2,994 |
2,938 |
$17K |
| 88341 |
|
173 |
158 |
$17K |
| 76801 |
|
384 |
309 |
$16K |
| 80053 |
|
1,634 |
1,516 |
$16K |
| 99477 |
|
82 |
70 |
$15K |
| 82306 |
|
504 |
494 |
$15K |
| 96127 |
|
3,254 |
3,157 |
$15K |
| 81025 |
|
1,653 |
1,504 |
$14K |
| 71275 |
|
270 |
248 |
$14K |
| 85025 |
|
2,044 |
1,887 |
$14K |
| 76805 |
|
317 |
203 |
$13K |
| 59514 |
|
27 |
25 |
$13K |
| 90785 |
|
1,044 |
673 |
$13K |
| 93325 |
|
5,420 |
3,608 |
$13K |
| 76817 |
|
456 |
332 |
$13K |
| 90662 |
|
264 |
250 |
$12K |
| 90732 |
|
110 |
108 |
$11K |
| 90688 |
|
879 |
845 |
$11K |
| 93970 |
|
567 |
429 |
$11K |
| 84165 |
|
608 |
541 |
$9K |
| 96372 |
|
816 |
716 |
$9K |
| 99217 |
|
171 |
162 |
$9K |
| 85027 |
|
1,299 |
1,226 |
$8K |
| 87635 |
|
251 |
245 |
$8K |
| 76506 |
|
417 |
246 |
$8K |
| 93971 |
|
624 |
486 |
$8K |
| 99219 |
|
84 |
80 |
$8K |
| 87210 |
|
1,181 |
1,113 |
$7K |
| 76827 |
|
307 |
276 |
$7K |
| 36416 |
|
1,396 |
1,265 |
$6K |
| 90853 |
|
256 |
103 |
$6K |
| 76830 |
|
206 |
190 |
$6K |
| 87804 |
|
218 |
187 |
$5K |
| 99173 |
|
3,383 |
3,286 |
$5K |
| 42820 |
|
26 |
26 |
$5K |
| 87086 |
|
893 |
860 |
$5K |
| 93000 |
|
420 |
391 |
$5K |
| 86780 |
|
311 |
306 |
$5K |
| 96161 |
|
2,407 |
2,239 |
$5K |
| 85018 |
|
1,845 |
1,738 |
$5K |
| 73721 |
|
95 |
93 |
$5K |
| 83655 |
|
942 |
895 |
$4K |
| 82728 |
|
359 |
351 |
$4K |
| 74019 |
|
550 |
456 |
$4K |
| 49083 |
|
70 |
25 |
$4K |
| 90716 |
|
428 |
406 |
$4K |
| 88112 |
|
142 |
134 |
$4K |
| 86480 |
|
54 |
51 |
$4K |
| 45385 |
|
26 |
26 |
$4K |
| 76700 |
|
148 |
133 |
$4K |
| 94375 |
|
465 |
440 |
$4K |
| 82043 |
|
665 |
648 |
$4K |
| 99462 |
|
127 |
100 |
$4K |
| 86803 |
|
346 |
333 |
$3K |
| 87880 |
|
204 |
189 |
$3K |
| 90847 |
|
58 |
26 |
$3K |
| G0008 |
Admin influenza virus vac |
402 |
369 |
$3K |
| 99220 |
|
26 |
25 |
$3K |
| G0439 |
Ppps, subseq visit |
31 |
31 |
$3K |
| 78816 |
|
45 |
40 |
$3K |
| 87340 |
|
511 |
491 |
$3K |
| 80076 |
|
330 |
305 |
$3K |
| 81003 |
|
1,367 |
1,285 |
$3K |
| 76856 |
|
88 |
78 |
$3K |
| 90691 |
|
33 |
30 |
$2K |
| 92202 |
|
245 |
139 |
$2K |
| 86706 |
|
331 |
316 |
$2K |
| 99607 |
|
86 |
67 |
$2K |
| 90734 |
|
550 |
529 |
$2K |
| 98968 |
|
203 |
146 |
$2K |
| 90473 |
|
110 |
108 |
$2K |
| 20610 |
|
47 |
44 |
$2K |
| G2211 |
Complex e/m visit add on |
3,006 |
2,895 |
$2K |
| 76818 |
|
54 |
36 |
$2K |
| 70491 |
|
41 |
39 |
$2K |
| 99499 |
|
26 |
25 |
$2K |
| 81001 |
|
565 |
528 |
$2K |
| 82607 |
|
100 |
99 |
$2K |
| 99201 |
|
86 |
83 |
$2K |
| G0438 |
Ppps, initial visit |
12 |
12 |
$2K |
| 90707 |
|
325 |
304 |
$2K |
| 85390 |
|
58 |
55 |
$2K |
| 82570 |
|
369 |
357 |
$2K |
| 88312 |
|
43 |
42 |
$2K |
| 73630 |
|
201 |
153 |
$2K |
| 92235 |
|
65 |
56 |
$1K |
| 86334 |
|
84 |
76 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 72148 |
|
28 |
28 |
$1K |
| 96139 |
|
21 |
13 |
$1K |
| 88189 |
|
14 |
13 |
$1K |
| 88304 |
|
84 |
84 |
$1K |
| 99385 |
|
13 |
12 |
$1K |
| 99152 |
|
234 |
195 |
$1K |
| 92025 |
|
96 |
94 |
$1K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
31 |
31 |
$1K |
| 88321 |
|
20 |
12 |
$1K |
| 87624 |
|
24 |
24 |
$1K |
| 72125 |
|
30 |
28 |
$1K |
| 77072 |
|
188 |
165 |
$1K |
| 88291 |
|
40 |
38 |
$1K |
| 73610 |
|
119 |
105 |
$981.15 |
| 43762 |
|
44 |
41 |
$967.37 |
| 86592 |
|
728 |
698 |
$896.35 |
| 74183 |
|
14 |
14 |
$828.89 |
| 17110 |
|
12 |
12 |
$825.52 |
| 90474 |
|
68 |
68 |
$801.26 |
| 85610 |
|
188 |
128 |
$795.60 |
| 87338 |
|
44 |
44 |
$786.31 |
| 43235 |
|
14 |
13 |
$776.24 |
| 97802 |
|
12 |
12 |
$692.60 |
| 85097 |
|
13 |
12 |
$689.70 |
| 88311 |
|
53 |
50 |
$670.14 |
| 76937 |
|
84 |
71 |
$643.43 |
| 72100 |
|
59 |
52 |
$635.94 |
| 83880 |
|
13 |
13 |
$580.96 |
| 86140 |
|
91 |
88 |
$577.64 |
| 73560 |
|
69 |
53 |
$552.20 |
| 99605 |
|
12 |
12 |
$549.12 |
| 96450 |
|
13 |
12 |
$499.41 |
| 82947 |
|
101 |
100 |
$467.58 |
| 99606 |
|
15 |
13 |
$448.80 |
| 88313 |
|
18 |
16 |
$448.46 |
| 86762 |
|
52 |
48 |
$417.96 |
| 83735 |
|
48 |
42 |
$388.50 |
| 84439 |
|
32 |
31 |
$366.70 |
| 73130 |
|
46 |
42 |
$347.90 |
| 83540 |
|
43 |
41 |
$345.36 |
| J3301 |
Triamcinolone acet inj nos |
40 |
40 |
$335.81 |
| G0009 |
Admin pneumococcal vaccine |
29 |
29 |
$304.71 |
| 76536 |
|
12 |
12 |
$299.27 |
| 11900 |
|
14 |
12 |
$292.82 |
| 76514 |
|
58 |
54 |
$281.66 |
| 87088 |
|
26 |
26 |
$276.51 |
| 74230 |
|
15 |
13 |
$272.44 |
| 86850 |
|
24 |
24 |
$268.56 |
| 91200 |
|
38 |
38 |
$268.05 |
| G0328 |
Fecal blood scrn immunoassay |
13 |
13 |
$265.59 |
| 76942 |
|
15 |
15 |
$265.35 |
| 84466 |
|
15 |
15 |
$243.33 |
| 99358 |
Prolong nursin fac eval 15m |
103 |
98 |
$239.64 |
| 96130 |
|
20 |
12 |
$230.28 |
| 73030 |
|
30 |
26 |
$229.38 |
| 90713 |
|
118 |
118 |
$210.92 |
| 82950 |
|
37 |
37 |
$202.28 |
| 73562 |
|
16 |
13 |
$199.15 |
| 97530 |
|
118 |
71 |
$193.56 |
| 98967 |
|
46 |
35 |
$174.31 |
| 92285 |
|
79 |
68 |
$149.31 |
| 84156 |
|
43 |
41 |
$148.62 |
| 96138 |
|
21 |
13 |
$148.00 |
| 93790 |
|
12 |
12 |
$146.22 |
| 77001 |
|
14 |
14 |
$142.96 |
| 87186 |
|
12 |
12 |
$141.98 |
| 92250 |
|
12 |
12 |
$135.80 |
| 92507 |
|
131 |
68 |
$126.80 |
| 80069 |
|
14 |
13 |
$125.49 |
| 97110 |
|
41 |
31 |
$99.10 |
| 85651 |
|
15 |
15 |
$73.00 |
| 86900 |
|
26 |
26 |
$48.26 |
| 86901 |
|
26 |
26 |
$48.26 |
| 87650 |
|
89 |
87 |
$23.18 |
| 90648 |
|
1,503 |
1,439 |
$13.19 |
| 90723 |
|
1,033 |
993 |
$0.51 |
| 90633 |
|
924 |
892 |
$0.44 |
| 90700 |
|
310 |
295 |
$0.00 |
| 90681 |
|
405 |
388 |
$0.00 |
| 90710 |
|
163 |
159 |
$0.00 |
| 90685 |
|
43 |
40 |
$0.00 |
| 84702 |
|
38 |
26 |
$0.00 |
| 84403 |
|
12 |
12 |
$0.00 |
| 90696 |
|
184 |
176 |
$0.00 |
| 90680 |
|
41 |
40 |
$0.00 |
| 90698 |
|
51 |
49 |
$0.00 |
| 90744 |
|
29 |
27 |
$0.00 |