| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
81,246 |
74,984 |
$5.47M |
| 99490 |
Ccm add 20min |
50,594 |
50,394 |
$1.56M |
| 99204 |
|
12,544 |
12,435 |
$1.17M |
| 99213 |
|
19,519 |
18,163 |
$941K |
| 76536 |
|
11,977 |
11,915 |
$776K |
| 99215 |
Prolong outpt/office vis |
6,327 |
6,001 |
$560K |
| 95250 |
|
5,436 |
5,404 |
$448K |
| 99439 |
|
10,051 |
10,018 |
$306K |
| 92250 |
|
7,575 |
7,322 |
$152K |
| 95251 |
|
7,834 |
7,633 |
$150K |
| 99205 |
Prolong outpt/office vis |
1,151 |
1,150 |
$131K |
| 92004 |
|
1,701 |
1,664 |
$122K |
| 99203 |
|
1,960 |
1,948 |
$121K |
| 82947 |
|
32,245 |
30,462 |
$101K |
| 99212 |
|
3,243 |
1,713 |
$89K |
| 96372 |
|
10,605 |
8,864 |
$86K |
| 99457 |
|
3,132 |
3,114 |
$86K |
| 83036 |
|
10,627 |
10,553 |
$80K |
| V2020 |
Vision svcs frames purchases |
4,031 |
3,949 |
$80K |
| 87426 |
|
2,318 |
924 |
$75K |
| 10005 |
|
909 |
899 |
$71K |
| 97802 |
|
2,852 |
2,769 |
$59K |
| 60100 |
|
712 |
684 |
$49K |
| 92340 |
|
2,869 |
2,844 |
$48K |
| 99442 |
|
888 |
882 |
$47K |
| 92015 |
|
4,833 |
4,622 |
$47K |
| 99458 |
|
1,361 |
1,353 |
$41K |
| 99454 |
|
1,411 |
1,390 |
$40K |
| 11721 |
|
1,739 |
1,719 |
$40K |
| 93923 |
|
611 |
610 |
$37K |
| 92012 |
|
786 |
753 |
$36K |
| 99441 |
|
896 |
892 |
$29K |
| 92014 |
|
373 |
357 |
$22K |
| 76942 |
|
673 |
659 |
$21K |
| 11056 |
|
464 |
454 |
$20K |
| 92083 |
|
623 |
594 |
$20K |
| 73630 |
|
934 |
658 |
$19K |
| 92342 |
|
855 |
845 |
$18K |
| J1071 |
Inj testosterone cypionate |
3,436 |
2,249 |
$15K |
| 92134 |
|
723 |
693 |
$13K |
| 99211 |
|
1,386 |
1,056 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
97 |
84 |
$10K |
| J3420 |
Vitamin b12 injection |
5,836 |
5,713 |
$9K |
| V2101 |
Single visn sphere 4.12-7.00 |
714 |
708 |
$8K |
| 92133 |
|
421 |
407 |
$7K |
| 93922 |
|
148 |
148 |
$7K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
989 |
850 |
$7K |
| 95249 |
|
195 |
191 |
$7K |
| 96360 |
|
405 |
345 |
$7K |
| 97803 |
|
102 |
98 |
$6K |
| 92285 |
|
609 |
561 |
$6K |
| 92132 |
|
437 |
417 |
$6K |
| V2102 |
Singl visn sphere 7.12-20.00 |
403 |
396 |
$5K |
| 99202 |
|
135 |
134 |
$5K |
| 99232 |
|
139 |
55 |
$5K |
| V2100 |
Lens spher single plano 4.00 |
802 |
732 |
$5K |
| 92341 |
|
288 |
288 |
$5K |
| V2302 |
Lens sphere trifocal 7.12-20 |
273 |
249 |
$5K |
| 99415 |
Prolong outpt/office vis |
541 |
416 |
$4K |
| 17110 |
|
65 |
57 |
$4K |
| G2058 |
Ccm add 20min |
154 |
153 |
$4K |
| 77080 |
|
179 |
174 |
$4K |
| 99443 |
|
44 |
43 |
$3K |
| 96374 |
|
157 |
144 |
$3K |
| V2301 |
Lens sphere trifocal 4.12-7. |
177 |
166 |
$3K |
| 96365 |
|
116 |
114 |
$3K |
| 99453 |
|
183 |
182 |
$2K |
| 36415 |
|
430 |
335 |
$2K |
| 92060 |
|
55 |
51 |
$2K |
| G0506 |
Comp asses care plan ccm svc |
447 |
445 |
$1K |
| 92020 |
|
122 |
118 |
$1K |
| 76856 |
|
24 |
24 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
27 |
13 |
$1K |
| 99000 |
|
450 |
347 |
$1K |
| 99416 |
Prolong outpt/office vis |
284 |
213 |
$1K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
239 |
205 |
$1K |
| V2202 |
Lens sphere bifocal 7.12-20. |
85 |
82 |
$1K |
| V2300 |
Lens sphere trifocal 4.00d |
108 |
101 |
$952.07 |
| 96361 |
|
42 |
32 |
$595.98 |
| 90756 |
|
28 |
28 |
$592.54 |
| S0620 |
Routine ophthalmological exa |
46 |
46 |
$520.99 |
| V2200 |
Lens spher bifoc plano 4.00d |
85 |
72 |
$455.34 |
| 90471 |
|
46 |
46 |
$366.28 |
| G0108 |
Diab manage trn per indiv |
15 |
15 |
$355.20 |
| 90688 |
|
14 |
14 |
$267.05 |
| 76514 |
|
43 |
42 |
$253.87 |
| 90686 |
|
13 |
13 |
$228.36 |
| V2303 |
Lens sphcy trifocal 4.0/.12- |
14 |
14 |
$199.71 |
| S0621 |
Routine ophthalmological exa |
21 |
20 |
$51.90 |
| J7040 |
Normal saline solution infus |
34 |
32 |
$34.24 |
| 99051 |
|
39 |
39 |
$25.00 |
| 36000 |
|
594 |
468 |
$15.06 |
| J7050 |
Normal saline solution infus |
26 |
25 |
$13.18 |
| V2784 |
Lens polycarb or equal |
41 |
41 |
$6.00 |
| 3077F |
|
9,117 |
8,407 |
$0.01 |
| 3078F |
|
63,980 |
56,156 |
$0.01 |
| 3074F |
|
75,303 |
65,389 |
$0.01 |
| 3080F |
|
5,617 |
5,234 |
$0.01 |
| 3051F |
|
1,678 |
1,668 |
$0.00 |
| G8404 |
Low extemity neur exam docum |
929 |
919 |
$0.00 |
| 3046F |
|
2,525 |
2,508 |
$0.00 |
| 3045F |
|
1,037 |
1,027 |
$0.00 |
| 2024F |
|
6,560 |
6,358 |
$0.00 |
| 2028F |
|
895 |
887 |
$0.00 |
| 80428 |
|
31 |
30 |
$0.00 |
| A4221 |
Supp non-insulin inf cath/wk |
150 |
140 |
$0.00 |
| 2022F |
|
47 |
45 |
$0.00 |
| 80434 |
|
14 |
14 |
$0.00 |
| 3052F |
|
1,203 |
1,197 |
$0.00 |
| 3079F |
|
29,304 |
27,161 |
$0.00 |
| 3044F |
|
3,656 |
3,636 |
$0.00 |
| 3075F |
|
14,489 |
13,632 |
$0.00 |
| G8410 |
Eval on foot documented |
929 |
919 |
$0.00 |
| 3072F |
|
331 |
320 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
266 |
259 |
$0.00 |
| 80435 |
|
156 |
111 |
$0.00 |
| 99070 |
|
349 |
275 |
$0.00 |