| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
1,306,970 |
937,694 |
$336.74M |
| 99213 |
|
514,954 |
419,830 |
$20.78M |
| 99391 |
|
91,519 |
88,531 |
$9.11M |
| 99381 |
|
29,723 |
28,887 |
$6.39M |
| 99214 |
|
114,153 |
105,650 |
$6.26M |
| 90834 |
|
121,452 |
75,143 |
$5.76M |
| 99392 |
|
75,453 |
73,838 |
$3.94M |
| 99212 |
|
86,347 |
77,072 |
$3.35M |
| 90832 |
|
74,031 |
45,698 |
$2.76M |
| D0999 |
|
9,713 |
8,700 |
$2.24M |
| 99393 |
|
36,912 |
35,982 |
$1.89M |
| 99394 |
|
20,773 |
20,130 |
$1.15M |
| 99203 |
|
17,764 |
17,006 |
$571K |
| 90791 |
|
9,834 |
9,379 |
$536K |
| G9012 |
Other specified case mgmt |
3,889 |
3,002 |
$533K |
| J7307 |
Etonogestrel implant system |
940 |
834 |
$528K |
| 90853 |
|
11,811 |
5,491 |
$499K |
| 99395 |
|
5,062 |
4,862 |
$448K |
| 99204 |
|
10,626 |
10,088 |
$385K |
| 90792 |
|
6,880 |
6,700 |
$379K |
| 99383 |
|
4,262 |
4,053 |
$376K |
| 99382 |
|
2,733 |
2,587 |
$280K |
| 99384 |
|
3,541 |
3,319 |
$263K |
| 59430 |
|
8,380 |
7,659 |
$259K |
| 99202 |
|
5,876 |
5,626 |
$175K |
| 99385 |
|
1,093 |
1,046 |
$129K |
| 99215 |
Prolong outpt/office vis |
1,798 |
1,684 |
$124K |
| G0467 |
Fqhc visit, estab pt |
2,612 |
2,368 |
$99K |
| 97169 |
|
5,121 |
4,976 |
$87K |
| 99396 |
|
656 |
626 |
$85K |
| 90837 |
|
1,151 |
962 |
$71K |
| S0620 |
Routine ophthalmological exa |
1,239 |
1,149 |
$39K |
| 90847 |
|
885 |
633 |
$34K |
| 90471 |
|
172,770 |
167,010 |
$20K |
| 99211 |
|
1,398 |
1,284 |
$20K |
| 99205 |
Prolong outpt/office vis |
303 |
301 |
$15K |
| 99050 |
|
3,465 |
3,372 |
$14K |
| 90846 |
|
122 |
100 |
$13K |
| G2025 |
Dis site tele svcs rhc/fqhc |
681 |
570 |
$12K |
| G0470 |
Fqhc visit, mh estab pt |
386 |
230 |
$12K |
| S0621 |
Routine ophthalmological exa |
344 |
325 |
$9K |
| V2025 |
Eyeglasses delux frames |
410 |
361 |
$9K |
| 90472 |
|
113,320 |
100,620 |
$9K |
| 76801 |
|
12,245 |
11,390 |
$8K |
| 90686 |
|
50,627 |
49,072 |
$8K |
| 87880 |
|
31,645 |
30,058 |
$8K |
| J7300 |
Intra copp contra (paragard) |
12 |
12 |
$8K |
| 87804 |
|
25,752 |
24,594 |
$5K |
| V2020 |
Vision svcs frames purchases |
550 |
514 |
$5K |
| 91322 |
|
787 |
759 |
$4K |
| 81025 |
|
21,172 |
19,639 |
$4K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
468 |
424 |
$4K |
| 90715 |
|
20,250 |
19,419 |
$4K |
| 76805 |
|
5,202 |
4,617 |
$3K |
| 90621 |
|
3,025 |
2,912 |
$3K |
| 87426 |
|
5,066 |
4,771 |
$3K |
| 99401 |
|
26,980 |
26,159 |
$2K |
| 90480 |
|
1,134 |
1,094 |
$2K |
| 87428 |
|
57 |
55 |
$2K |
| 87635 |
|
2,086 |
2,031 |
$2K |
| 11981 |
|
1,032 |
893 |
$2K |
| 90670 |
|
43,537 |
42,727 |
$2K |
| 90723 |
|
52,202 |
50,838 |
$2K |
| G0447 |
Behavior counsel obesity 15m |
12,756 |
12,313 |
$2K |
| 99386 |
|
16 |
13 |
$2K |
| 90648 |
|
65,218 |
63,600 |
$2K |
| 3044F |
|
11,846 |
9,997 |
$1K |
| 76816 |
|
2,539 |
2,282 |
$1K |
| 96372 |
|
6,727 |
6,109 |
$1K |
| J1050 |
Medroxyprogesterone acetate |
4,446 |
4,234 |
$1K |
| 85018 |
|
14,566 |
14,170 |
$1K |
| 90633 |
|
25,696 |
25,064 |
$1K |
| 90710 |
|
7,808 |
7,541 |
$1K |
| 90681 |
|
32,086 |
31,159 |
$886.29 |
| 92551 |
|
12,970 |
12,651 |
$872.07 |
| 87807 |
|
2,973 |
2,887 |
$865.04 |
| A9150 |
Misc/exper non-prescript dru |
3,825 |
3,426 |
$864.51 |
| 99000 |
|
3,531 |
3,337 |
$846.69 |
| 90700 |
|
10,658 |
10,427 |
$762.28 |
| D0150 |
|
1,379 |
1,350 |
$722.71 |
| 92014 |
|
15 |
15 |
$721.36 |
| 3046F |
|
483 |
433 |
$660.00 |
| 90651 |
|
15,598 |
14,967 |
$562.65 |
| V2750 |
Anti-reflective coating |
12 |
12 |
$530.99 |
| 96110 |
|
3,647 |
3,599 |
$469.86 |
| 81002 |
|
5,856 |
5,534 |
$446.77 |
| D0145 |
|
2,519 |
2,475 |
$436.00 |
| 76815 |
|
1,085 |
1,028 |
$424.82 |
| 58300 |
|
288 |
246 |
$417.08 |
| 90734 |
|
9,160 |
8,858 |
$404.35 |
| 81003 |
|
5,392 |
5,012 |
$391.20 |
| 83026 |
|
8,545 |
8,249 |
$388.45 |
| 90716 |
|
12,468 |
12,178 |
$368.55 |
| 3051F |
|
148 |
134 |
$360.00 |
| 90460 |
|
11,400 |
7,873 |
$349.63 |
| D0220 |
|
1,480 |
1,438 |
$335.18 |
| J0561 |
Penicillin g benzathine inj |
496 |
392 |
$302.39 |
| 83036 |
|
1,423 |
1,383 |
$266.08 |
| 90696 |
|
7,255 |
6,997 |
$254.19 |
| D0274 |
|
317 |
310 |
$236.66 |
| D0120 |
|
727 |
723 |
$199.10 |
| D0230 |
|
1,127 |
926 |
$135.61 |
| D1206 |
|
1,472 |
1,449 |
$117.60 |
| 71046 |
|
315 |
288 |
$93.35 |
| 0054A |
|
113 |
109 |
$80.00 |
| 0051A |
|
54 |
54 |
$80.00 |
| 17250 |
|
2,138 |
2,030 |
$75.22 |
| D1120 |
|
1,621 |
1,596 |
$73.50 |
| 90707 |
|
12,226 |
11,949 |
$66.49 |
| 90656 |
|
9,557 |
9,404 |
$66.47 |
| D0330 |
|
187 |
186 |
$63.78 |
| 92557 |
|
47 |
46 |
$62.88 |
| 69209 |
|
447 |
428 |
$61.75 |
| D0140 |
|
27 |
27 |
$32.00 |
| 76817 |
|
210 |
186 |
$27.17 |
| J8499 |
Oral prescrip drug non chemo |
6,224 |
4,678 |
$25.40 |
| D0272 |
|
312 |
311 |
$23.38 |
| 82247 |
|
1,694 |
1,257 |
$16.88 |
| D1208 |
|
106 |
105 |
$14.70 |
| J0696 |
Ceftriaxone sodium injection |
649 |
580 |
$14.59 |
| 94640 |
|
257 |
197 |
$14.31 |
| 86703 |
|
256 |
244 |
$11.52 |
| 99173 |
|
16,260 |
15,848 |
$4.34 |
| J7613 |
Albuterol non-comp unit |
504 |
489 |
$0.70 |
| 90461 |
|
3,639 |
3,358 |
$0.09 |
| 90746 |
|
372 |
369 |
$0.02 |
| 90677 |
|
23,114 |
22,337 |
$0.02 |
| 90474 |
|
6,399 |
6,279 |
$0.01 |
| 90785 |
|
1,287 |
989 |
$0.00 |
| 1160F |
|
158,304 |
129,429 |
$0.00 |
| 99051 |
|
12,462 |
11,974 |
$0.00 |
| 3725F |
|
250 |
226 |
$0.00 |
| 3078F |
|
114,832 |
88,618 |
$0.00 |
| 3077F |
|
3,796 |
3,432 |
$0.00 |
| 91300 |
|
107 |
105 |
$0.00 |
| 87811 |
|
3,404 |
3,284 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
552 |
535 |
$0.00 |
| 0502F |
|
262 |
216 |
$0.00 |
| 90713 |
|
1,117 |
1,084 |
$0.00 |
| 90714 |
|
93 |
89 |
$0.00 |
| 3210F |
|
14,326 |
11,456 |
$0.00 |
| 96160 |
|
176 |
169 |
$0.00 |
| 91321 |
|
241 |
237 |
$0.00 |
| 1159F |
|
158,091 |
129,252 |
$0.00 |
| 1090F |
|
367 |
333 |
$0.00 |
| 87491 |
|
174 |
164 |
$0.00 |
| 90380 |
|
426 |
399 |
$0.00 |
| 59426 |
|
13 |
12 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
13 |
13 |
$0.00 |
| 83655 |
|
29 |
26 |
$0.00 |
| 76818 |
|
220 |
143 |
$0.00 |
| 97803 |
|
24 |
24 |
$0.00 |
| 90750 |
|
70 |
67 |
$0.00 |
| 96130 |
|
25 |
24 |
$0.00 |
| 90655 |
|
37 |
37 |
$0.00 |
| 0071A |
|
49 |
48 |
$0.00 |
| 2028F |
|
57 |
51 |
$0.00 |
| 80305 |
|
26 |
24 |
$0.00 |
| 92552 |
|
24 |
24 |
$0.00 |
| 69210 |
|
14 |
14 |
$0.00 |
| 96137 |
|
13 |
13 |
$0.00 |
| D2391 |
|
16 |
12 |
$0.00 |
| 96136 |
|
13 |
13 |
$0.00 |
| 91312 |
|
15 |
14 |
$0.00 |
| 4000F |
|
3,706 |
3,404 |
$0.00 |
| D0602 |
|
1,655 |
1,623 |
$0.00 |
| 3074F |
|
125,675 |
95,475 |
$0.00 |
| 3079F |
|
19,352 |
16,226 |
$0.00 |
| 36415 |
|
4,883 |
4,622 |
$0.00 |
| J8540 |
Oral dexamethasone |
435 |
418 |
$0.00 |
| 36416 |
|
1,612 |
1,512 |
$0.00 |
| 2000F |
|
130,576 |
96,711 |
$0.00 |
| 91301 |
|
33 |
31 |
$0.00 |
| 82962 |
|
395 |
373 |
$0.00 |
| 3075F |
|
7,234 |
6,404 |
$0.00 |
| J3490 |
Drugs unclassified injection |
651 |
604 |
$0.00 |
| 1000F |
|
88,479 |
63,084 |
$0.00 |
| 3008F |
|
85,699 |
73,920 |
$0.00 |
| 90688 |
|
78 |
76 |
$0.00 |
| D0603 |
|
2,337 |
2,302 |
$0.00 |
| 90381 |
|
640 |
635 |
$0.00 |
| 90744 |
|
1,103 |
1,066 |
$0.00 |
| 3080F |
|
2,829 |
2,545 |
$0.00 |
| 1111F |
|
135 |
129 |
$0.00 |
| 1125F |
|
7,308 |
6,736 |
$0.00 |
| D0601 |
|
1,028 |
1,004 |
$0.00 |
| 2001F |
|
185,850 |
141,733 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
166 |
155 |
$0.00 |
| 91307 |
|
29 |
28 |
$0.00 |
| 1126F |
|
50,235 |
42,597 |
$0.00 |
| D2392 |
|
16 |
14 |
$0.00 |
| D1330 |
|
78 |
78 |
$0.00 |
| 1220F |
|
75,369 |
60,814 |
$0.00 |
| 97802 |
|
69 |
62 |
$0.00 |
| 1036F |
|
394 |
345 |
$0.00 |
| D1351 |
|
58 |
14 |
$0.00 |
| G0008 |
Admin influenza virus vac |
99 |
98 |
$0.00 |
| 88720 |
|
19 |
15 |
$0.00 |
| 90636 |
|
26 |
26 |
$0.00 |
| J2790 |
Rho d immune globulin inj |
249 |
229 |
$0.00 |
| 90698 |
|
100 |
93 |
$0.00 |
| 0052A |
|
13 |
13 |
$0.00 |
| 87591 |
|
28 |
26 |
$0.00 |
| 86803 |
|
14 |
14 |
$0.00 |
| 87081 |
|
59 |
55 |
$0.00 |
| 93000 |
|
19 |
17 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
47 |
43 |
$0.00 |
| 96127 |
|
47 |
46 |
$0.00 |
| 96131 |
|
12 |
12 |
$0.00 |
| 86780 |
|
54 |
53 |
$0.00 |
| 90680 |
|
101 |
93 |
$0.00 |
| 91305 |
|
12 |
12 |
$0.00 |
| J7609 |
Albuterol comp unit |
61 |
51 |
$0.00 |
| 1170F |
|
23 |
23 |
$0.00 |
| 87086 |
|
21 |
21 |
$0.00 |
| 1034F |
|
14 |
12 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
16 |
15 |
$0.00 |