| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
1,197 |
1,175 |
$1.08M |
| 99203 |
|
15,403 |
15,364 |
$1.02M |
| 99213 |
|
21,613 |
20,752 |
$1.00M |
| 99204 |
|
8,940 |
8,909 |
$874K |
| 59409 |
|
1,033 |
1,017 |
$871K |
| 99214 |
|
11,784 |
11,265 |
$777K |
| 59430 |
|
1,106 |
1,103 |
$241K |
| 59514 |
|
297 |
246 |
$210K |
| 20610 |
|
6,717 |
5,777 |
$199K |
| 69436 |
|
1,389 |
1,362 |
$191K |
| 42820 |
|
975 |
963 |
$180K |
| J7298 |
Mirena, 52 mg |
164 |
164 |
$158K |
| 59025 |
|
6,245 |
2,935 |
$136K |
| 99395 |
|
944 |
936 |
$83K |
| J1050 |
Medroxyprogesterone acetate |
1,234 |
1,218 |
$78K |
| 99212 |
|
2,571 |
2,405 |
$67K |
| Q0091 |
Obtaining screen pap smear |
2,102 |
2,084 |
$52K |
| 90715 |
|
1,406 |
1,387 |
$47K |
| 43239 |
|
706 |
703 |
$46K |
| 99202 |
|
1,092 |
1,083 |
$45K |
| 59425 |
|
88 |
84 |
$38K |
| 73564 |
|
1,624 |
1,429 |
$38K |
| 73610 |
|
1,765 |
1,599 |
$38K |
| 49083 |
|
683 |
291 |
$37K |
| 76817 |
|
618 |
543 |
$36K |
| 25600 |
|
142 |
142 |
$31K |
| 45385 |
|
200 |
198 |
$29K |
| 76816 |
|
408 |
373 |
$29K |
| 76815 |
|
548 |
495 |
$27K |
| J3301 |
Triamcinolone acet inj nos |
3,220 |
3,122 |
$24K |
| 73630 |
|
1,131 |
1,051 |
$24K |
| 73110 |
|
958 |
806 |
$24K |
| 73030 |
|
1,287 |
1,170 |
$21K |
| 31575 |
|
313 |
310 |
$21K |
| J1040 |
Methylprednisolone 80 mg inj |
2,080 |
2,003 |
$20K |
| 96372 |
|
2,024 |
1,917 |
$20K |
| 58300 |
|
370 |
367 |
$18K |
| 81025 |
|
2,381 |
2,329 |
$17K |
| 90471 |
|
1,990 |
1,946 |
$17K |
| 20611 |
|
326 |
312 |
$17K |
| G0101 |
Ca screen;pelvic/breast exam |
988 |
980 |
$16K |
| 73502 |
|
693 |
671 |
$16K |
| 54150 |
|
240 |
236 |
$15K |
| 99232 |
|
355 |
196 |
$14K |
| 69210 |
|
508 |
497 |
$14K |
| 99396 |
|
111 |
110 |
$11K |
| J7307 |
Etonogestrel implant system |
12 |
12 |
$10K |
| 90686 |
|
493 |
484 |
$9K |
| 99215 |
Prolong outpt/office vis |
94 |
94 |
$8K |
| 11042 |
|
247 |
143 |
$8K |
| 73562 |
|
343 |
334 |
$7K |
| 73560 |
|
375 |
349 |
$7K |
| 97110 |
|
387 |
381 |
$6K |
| 73100 |
|
302 |
250 |
$6K |
| 36415 |
|
1,973 |
1,881 |
$6K |
| 64721 |
|
26 |
26 |
$6K |
| 99152 |
|
786 |
746 |
$6K |
| 31231 |
|
44 |
43 |
$5K |
| 73130 |
|
243 |
205 |
$5K |
| 51798 |
|
556 |
544 |
$4K |
| 42826 |
|
26 |
26 |
$4K |
| 30520 |
|
12 |
12 |
$4K |
| 81002 |
|
1,686 |
1,582 |
$4K |
| 57454 |
|
37 |
37 |
$4K |
| 99222 |
|
44 |
41 |
$3K |
| 76942 |
|
151 |
142 |
$3K |
| 45378 |
|
25 |
25 |
$3K |
| 70553 |
|
40 |
40 |
$3K |
| 45380 |
|
26 |
26 |
$3K |
| 52000 |
|
28 |
28 |
$2K |
| J1010 |
Inj, methylpred acetate 1 mg |
294 |
279 |
$2K |
| 92511 |
|
26 |
26 |
$2K |
| 73140 |
|
74 |
62 |
$2K |
| J1030 |
Methylprednisolone 40 mg inj |
274 |
268 |
$2K |
| 58301 |
|
25 |
25 |
$1K |
| 11982 |
|
14 |
14 |
$1K |
| 72148 |
|
30 |
30 |
$1K |
| J2790 |
Rho d immune globulin inj |
14 |
12 |
$1K |
| 99231 |
|
48 |
26 |
$1K |
| 11981 |
|
14 |
14 |
$1K |
| 73080 |
|
46 |
42 |
$906.68 |
| 99233 |
Prolong inpt eval add15 m |
15 |
12 |
$770.63 |
| 99211 |
|
54 |
53 |
$723.75 |
| 20605 |
|
28 |
26 |
$707.62 |
| Q4010 |
Cast sup sht arm adult fbrgl |
48 |
40 |
$682.32 |
| 99221 |
|
13 |
12 |
$632.08 |
| 20550 |
|
26 |
24 |
$566.85 |
| 97597 |
|
22 |
17 |
$428.82 |
| J0702 |
Betamethasone acet&sod phosp |
26 |
26 |
$340.84 |
| 93880 |
|
13 |
13 |
$286.03 |
| 77080 |
|
43 |
43 |
$263.03 |
| 77001 |
|
25 |
25 |
$257.28 |
| 93970 |
|
12 |
12 |
$249.41 |
| 90472 |
|
27 |
26 |
$193.42 |
| 76937 |
|
13 |
13 |
$98.59 |
| G2211 |
Complex e/m visit add on |
14 |
14 |
$70.20 |
| 87220 |
|
29 |
29 |
$63.37 |
| 0500F |
|
84 |
77 |
$0.00 |
| 0503F |
|
13 |
13 |
$0.00 |
| 0502F |
|
3,362 |
1,861 |
$0.00 |
| T1015 |
Clinic service |
31 |
28 |
$0.00 |