| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
10,272 |
9,557 |
$114K |
| 98941 |
|
14,023 |
9,603 |
$67K |
| 90834 |
|
3,309 |
2,796 |
$59K |
| 99213 |
|
128,544 |
99,191 |
$55K |
| 92014 |
|
1,820 |
1,819 |
$38K |
| 90791 |
|
1,027 |
1,023 |
$25K |
| V2020 |
Vision svcs frames purchases |
2,424 |
2,413 |
$25K |
| 90792 |
|
708 |
704 |
$24K |
| 92004 |
|
2,263 |
2,263 |
$21K |
| 92340 |
|
2,202 |
2,193 |
$21K |
| 92015 |
|
4,629 |
4,629 |
$14K |
| S9455 |
Diabetic management program, |
448 |
419 |
$13K |
| 98940 |
|
2,788 |
1,911 |
$11K |
| 90833 |
|
1,317 |
1,276 |
$8K |
| 99215 |
Prolong outpt/office vis |
393 |
371 |
$7K |
| S9445 |
Pt education noc individ |
232 |
224 |
$7K |
| 90832 |
|
309 |
305 |
$6K |
| 59425 |
|
534 |
419 |
$5K |
| 99392 |
|
2,228 |
2,226 |
$4K |
| 99212 |
|
32,501 |
26,715 |
$4K |
| 99393 |
|
2,319 |
2,317 |
$3K |
| 99391 |
|
1,326 |
1,311 |
$3K |
| 90837 |
|
44 |
37 |
$2K |
| 92551 |
|
4,905 |
4,879 |
$1K |
| G9920 |
Scrning perf and negative |
907 |
862 |
$1K |
| 99401 |
|
1,337 |
1,177 |
$918.76 |
| 90715 |
|
870 |
850 |
$917.48 |
| 90688 |
|
2,811 |
2,803 |
$853.22 |
| 99202 |
|
654 |
643 |
$755.62 |
| 85018 |
|
5,905 |
5,859 |
$656.22 |
| 90670 |
|
940 |
930 |
$621.00 |
| 90471 |
|
251 |
247 |
$620.23 |
| 99201 |
|
189 |
189 |
$609.37 |
| 90472 |
|
56 |
31 |
$468.42 |
| H1003 |
Prenatal at risk education |
395 |
359 |
$384.19 |
| 86580 |
|
1,821 |
1,755 |
$355.18 |
| 71020 |
|
58 |
47 |
$325.56 |
| 99394 |
|
1,135 |
1,134 |
$314.74 |
| 99173 |
|
5,084 |
5,076 |
$278.18 |
| 90648 |
|
66 |
66 |
$252.00 |
| 90710 |
|
205 |
202 |
$252.00 |
| 90633 |
|
414 |
413 |
$234.00 |
| 94640 |
|
55 |
50 |
$195.59 |
| 81025 |
|
1,692 |
1,618 |
$185.41 |
| 90723 |
|
504 |
500 |
$180.00 |
| 81003 |
|
5,273 |
4,674 |
$179.25 |
| J1885 |
Ketorolac tromethamine inj |
1,713 |
1,551 |
$170.76 |
| 99203 |
|
110 |
109 |
$165.75 |
| 90686 |
|
2,736 |
2,714 |
$162.00 |
| 71046 |
|
778 |
754 |
$153.62 |
| 96151 |
|
42 |
36 |
$145.80 |
| 90647 |
|
547 |
541 |
$144.00 |
| J3420 |
Vitamin b12 injection |
3,378 |
3,210 |
$138.00 |
| J1040 |
Methylprednisolone 80 mg inj |
63 |
52 |
$110.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
553 |
407 |
$92.03 |
| 90681 |
|
24 |
24 |
$81.00 |
| 90696 |
|
115 |
110 |
$63.00 |
| G9919 |
Scrn nd pos nd prov of rec |
33 |
33 |
$58.00 |
| 87880 |
|
91 |
90 |
$47.16 |
| 90734 |
|
54 |
54 |
$45.00 |
| 82962 |
|
611 |
565 |
$41.67 |
| 72100 |
|
322 |
322 |
$28.62 |
| 72072 |
|
71 |
71 |
$23.31 |
| 87426 |
|
4,063 |
3,949 |
$0.28 |
| 87428 |
|
269 |
268 |
$0.02 |
| 3079F |
|
2,000 |
1,898 |
$0.00 |
| J3490 |
Drugs unclassified injection |
373 |
366 |
$0.00 |
| 1126F |
|
6,225 |
5,656 |
$0.00 |
| 3008F |
|
8,431 |
7,594 |
$0.00 |
| 96156 |
|
1,336 |
1,202 |
$0.00 |
| H1001 |
Antepartum management |
1,704 |
1,366 |
$0.00 |
| 1036F |
|
8,461 |
7,255 |
$0.00 |
| 3075F |
|
1,239 |
1,179 |
$0.00 |
| 3074F |
|
5,825 |
5,292 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
31 |
31 |
$0.00 |
| 3080F |
|
175 |
171 |
$0.00 |
| 91307 |
|
197 |
188 |
$0.00 |
| 1125F |
|
183 |
177 |
$0.00 |
| 96372 |
|
239 |
223 |
$0.00 |
| 90656 |
|
69 |
69 |
$0.00 |
| 0072A |
|
122 |
122 |
$0.00 |
| 1034F |
|
46 |
41 |
$0.00 |
| J2360 |
Orphenadrine injection |
148 |
145 |
$0.00 |
| 91306 |
|
107 |
106 |
$0.00 |
| 97802 |
|
53 |
53 |
$0.00 |
| 92250 |
|
15 |
15 |
$0.00 |
| 0064A |
|
107 |
106 |
$0.00 |
| G9226 |
3 comp foot exam completed |
109 |
108 |
$0.00 |
| 90657 |
|
77 |
77 |
$0.00 |
| 90716 |
|
38 |
38 |
$0.00 |
| V2784 |
Lens polycarb or equal |
20 |
20 |
$0.00 |
| 72040 |
|
13 |
13 |
$0.00 |
| 99243 |
|
18 |
18 |
$0.00 |
| 99381 |
|
12 |
12 |
$0.00 |
| V2100 |
Lens spher single plano 4.00 |
44 |
43 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
18 |
14 |
$0.00 |
| 92227 |
|
55 |
51 |
$0.00 |
| S9452 |
Nutrition class |
12 |
12 |
$0.00 |
| 3725F |
|
7,997 |
6,954 |
$0.00 |
| 3078F |
|
5,369 |
4,903 |
$0.00 |
| 1159F |
|
7,731 |
6,827 |
$0.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
605 |
605 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
637 |
636 |
$0.00 |
| 3077F |
|
578 |
547 |
$0.00 |
| 99396 |
|
510 |
509 |
$0.00 |
| 90649 |
|
289 |
286 |
$0.00 |
| 99395 |
|
238 |
237 |
$0.00 |
| 1160F |
|
7,732 |
6,828 |
$0.00 |
| 97803 |
|
176 |
169 |
$0.00 |
| 92012 |
|
40 |
40 |
$0.00 |
| 90644 |
|
103 |
103 |
$0.00 |
| 73562 |
|
184 |
145 |
$0.00 |
| 90707 |
|
24 |
24 |
$0.00 |
| S3000 |
Bilat dil retinal exam |
346 |
345 |
$0.00 |
| 82274 |
|
175 |
157 |
$0.00 |
| 90700 |
|
61 |
57 |
$0.00 |
| 91300 |
|
54 |
50 |
$0.00 |
| 0071A |
|
75 |
75 |
$0.00 |
| L3040 |
Ft arch suprt premold longit |
29 |
29 |
$0.00 |
| 73030 |
|
66 |
61 |
$0.00 |
| 0004A |
|
12 |
12 |
$0.00 |
| 99499 |
|
15 |
15 |
$0.00 |
| 0002A |
|
14 |
14 |
$0.00 |