| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
37,330 |
33,937 |
$3.59M |
| 99213 |
|
28,804 |
26,616 |
$1.87M |
| J2357 |
Omalizumab injection |
809 |
476 |
$826K |
| S0302 |
Completed epsdt |
14,919 |
14,506 |
$664K |
| 99215 |
Prolong outpt/office vis |
3,061 |
2,838 |
$470K |
| 90471 |
|
24,476 |
23,484 |
$350K |
| 99392 |
|
2,804 |
2,764 |
$263K |
| X5622 |
|
7,291 |
5,772 |
$207K |
| 95165 |
|
636 |
431 |
$205K |
| 97810 |
|
4,613 |
2,666 |
$199K |
| 99393 |
|
2,296 |
2,286 |
$198K |
| 99203 |
|
3,005 |
2,906 |
$189K |
| T1013 |
Sign lang/oral interpreter |
12,043 |
10,086 |
$188K |
| 99391 |
|
2,186 |
2,092 |
$188K |
| 95117 |
|
17,721 |
8,215 |
$184K |
| 99394 |
|
1,620 |
1,614 |
$156K |
| 97811 |
|
4,566 |
2,640 |
$151K |
| 90472 |
|
7,988 |
7,720 |
$146K |
| 97110 |
|
4,459 |
2,777 |
$140K |
| 99204 |
|
807 |
786 |
$134K |
| 99395 |
|
1,185 |
1,134 |
$119K |
| 36415 |
|
34,241 |
30,909 |
$114K |
| 98941 |
|
5,573 |
3,207 |
$98K |
| 92551 |
|
8,859 |
8,714 |
$92K |
| 96127 |
|
12,853 |
12,556 |
$90K |
| 83036 |
|
9,004 |
8,759 |
$84K |
| 99212 |
|
1,995 |
1,942 |
$82K |
| 96372 |
|
3,385 |
1,880 |
$74K |
| 77067 |
|
364 |
355 |
$68K |
| 90686 |
|
12,768 |
12,460 |
$68K |
| 0002A |
|
1,365 |
1,341 |
$60K |
| 0001A |
|
1,569 |
1,525 |
$59K |
| 99396 |
|
615 |
580 |
$57K |
| 99202 |
|
1,498 |
1,450 |
$55K |
| 91320 |
|
486 |
459 |
$44K |
| S0281 |
Medical home, maintenance |
2,064 |
2,052 |
$39K |
| 99188 |
|
3,675 |
3,554 |
$37K |
| 87491 |
|
1,759 |
1,672 |
$37K |
| 87591 |
|
1,756 |
1,672 |
$37K |
| 95004 |
|
118 |
114 |
$35K |
| 97535 |
|
1,054 |
880 |
$32K |
| 90480 |
|
860 |
830 |
$32K |
| 97140 |
|
1,145 |
707 |
$31K |
| 90715 |
|
1,989 |
1,926 |
$25K |
| 90651 |
|
1,422 |
1,385 |
$24K |
| 85027 |
|
3,902 |
3,813 |
$24K |
| 90834 |
|
171 |
127 |
$23K |
| 99173 |
|
8,790 |
8,647 |
$21K |
| 97162 |
|
239 |
235 |
$20K |
| 96110 |
|
2,651 |
2,208 |
$19K |
| 87389 |
|
1,218 |
1,202 |
$17K |
| 85025 |
|
2,526 |
2,398 |
$17K |
| 90832 |
|
270 |
237 |
$16K |
| 82306 |
|
994 |
978 |
$16K |
| 98940 |
|
1,674 |
1,059 |
$16K |
| 0054A |
|
346 |
339 |
$16K |
| 99442 |
|
296 |
247 |
$16K |
| 97112 |
|
341 |
206 |
$15K |
| 80061 |
|
1,939 |
1,896 |
$15K |
| 84443 |
|
1,486 |
1,434 |
$14K |
| 99211 |
|
828 |
790 |
$14K |
| 0124A |
|
397 |
387 |
$14K |
| 99443 |
|
173 |
162 |
$14K |
| 94375 |
|
258 |
249 |
$13K |
| 90791 |
|
120 |
119 |
$13K |
| 0012A |
|
276 |
271 |
$12K |
| 80048 |
|
2,561 |
2,430 |
$12K |
| 87502 |
|
215 |
211 |
$11K |
| 71046 |
|
511 |
482 |
$11K |
| 0011A |
|
231 |
230 |
$11K |
| 81025 |
|
1,362 |
1,321 |
$10K |
| 87430 |
|
967 |
942 |
$9K |
| 95012 |
|
309 |
303 |
$8K |
| 0004A |
|
236 |
231 |
$8K |
| 0072A |
|
168 |
167 |
$8K |
| 0071A |
|
167 |
163 |
$7K |
| 0064A |
|
174 |
173 |
$7K |
| 80076 |
|
1,360 |
1,315 |
$6K |
| 87210 |
|
1,451 |
1,391 |
$6K |
| 90473 |
|
471 |
465 |
$6K |
| 81003 |
|
2,589 |
2,440 |
$5K |
| 90677 |
|
112 |
103 |
$5K |
| 90656 |
|
687 |
673 |
$5K |
| 90670 |
|
1,810 |
1,780 |
$5K |
| 99385 |
|
79 |
76 |
$5K |
| 90662 |
|
153 |
147 |
$5K |
| 97813 |
|
53 |
37 |
$4K |
| 99384 |
|
25 |
25 |
$4K |
| 87081 |
|
960 |
943 |
$4K |
| 86803 |
|
316 |
312 |
$3K |
| 97814 |
|
53 |
37 |
$3K |
| Q0091 |
Obtaining screen pap smear |
460 |
431 |
$3K |
| 99244 |
|
37 |
24 |
$3K |
| 97802 |
|
30 |
26 |
$3K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
246 |
244 |
$3K |
| 99441 |
|
99 |
68 |
$3K |
| 87088 |
|
318 |
300 |
$3K |
| 81001 |
|
1,067 |
985 |
$3K |
| 0052A |
|
52 |
51 |
$3K |
| J1050 |
Medroxyprogesterone acetate |
29 |
29 |
$3K |
| 85018 |
|
1,191 |
1,185 |
$3K |
| 0134A |
|
69 |
67 |
$3K |
| 93306 |
|
13 |
12 |
$3K |
| 86592 |
|
957 |
939 |
$2K |
| U0005 |
Infec agen detec ampli probe |
67 |
67 |
$2K |
| 87340 |
|
336 |
331 |
$2K |
| 99383 |
|
28 |
27 |
$2K |
| 90750 |
|
12 |
12 |
$2K |
| 83655 |
|
328 |
322 |
$2K |
| 0051A |
|
26 |
26 |
$2K |
| 93005 |
|
234 |
224 |
$1K |
| G0008 |
Admin influenza virus vac |
236 |
225 |
$1K |
| 90734 |
|
874 |
857 |
$1K |
| 87077 |
|
155 |
152 |
$1K |
| 90716 |
|
251 |
244 |
$1K |
| 94060 |
|
12 |
12 |
$1K |
| 99421 |
|
585 |
571 |
$985.67 |
| 86481 |
|
13 |
12 |
$899.19 |
| 99422 |
|
94 |
90 |
$772.57 |
| 87880 |
|
74 |
73 |
$720.35 |
| H1001 |
Antepartum management |
12 |
12 |
$715.50 |
| 86706 |
|
82 |
80 |
$637.82 |
| 87086 |
|
418 |
398 |
$610.32 |
| 99607 |
|
17 |
14 |
$602.70 |
| 90474 |
|
195 |
190 |
$567.92 |
| 87661 |
|
15 |
13 |
$547.41 |
| 97803 |
|
19 |
12 |
$532.44 |
| 82728 |
|
34 |
34 |
$514.15 |
| G2211 |
Complex e/m visit add on |
400 |
383 |
$512.85 |
| 36416 |
|
155 |
132 |
$457.56 |
| 82043 |
|
60 |
57 |
$280.36 |
| 82570 |
|
87 |
84 |
$264.46 |
| 84466 |
|
17 |
16 |
$245.63 |
| 83540 |
|
30 |
29 |
$221.48 |
| 82947 |
|
64 |
63 |
$207.60 |
| 87624 |
|
37 |
37 |
$194.44 |
| 86762 |
|
12 |
12 |
$191.76 |
| 86787 |
|
13 |
13 |
$185.90 |
| 82950 |
|
26 |
25 |
$120.12 |
| 82948 |
|
14 |
12 |
$78.96 |
| 82248 |
|
12 |
12 |
$70.99 |
| 90672 |
|
12 |
12 |
$45.75 |
| 83789 |
|
16 |
16 |
$26.25 |
| 83721 |
|
25 |
24 |
$24.37 |
| 84460 |
|
13 |
13 |
$6.41 |
| 84450 |
|
13 |
13 |
$6.26 |
| 90647 |
|
1,258 |
1,237 |
$0.62 |
| 90723 |
|
1,207 |
1,183 |
$0.56 |
| 90633 |
|
836 |
825 |
$0.54 |
| 90680 |
|
1,019 |
1,001 |
$0.49 |
| 90710 |
|
145 |
145 |
$0.31 |
| 90696 |
|
196 |
196 |
$0.29 |
| 90707 |
|
128 |
125 |
$0.26 |
| G2061 |
Qual nonmd est pt 5-10m |
34 |
33 |
$0.00 |
| 82607 |
|
12 |
12 |
$0.00 |
| 99072 |
|
2,780 |
2,119 |
$0.00 |
| 91300 |
|
343 |
314 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90700 |
|
79 |
78 |
$0.00 |
| 86480 |
|
12 |
12 |
$0.00 |
| 85610 |
|
21 |
12 |
$0.00 |
| 90685 |
|
106 |
100 |
$0.00 |
| 17110 |
|
40 |
39 |
$0.00 |
| H1000 |
Prenatal care atrisk assessm |
12 |
12 |
$0.00 |
| 80307 |
|
15 |
13 |
$0.00 |