| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
201,457 |
186,958 |
$14.93M |
| 99213 |
|
194,582 |
179,005 |
$10.30M |
| 99232 |
|
103,690 |
39,865 |
$4.15M |
| 99233 |
Prolong inpt eval add15 m |
73,748 |
29,549 |
$3.95M |
| G9012 |
Other specified case mgmt |
12,899 |
12,410 |
$3.15M |
| 99215 |
Prolong outpt/office vis |
22,153 |
21,199 |
$2.61M |
| 99204 |
|
19,645 |
18,786 |
$2.22M |
| 99223 |
Prolong inpt eval add15 m |
21,030 |
19,526 |
$2.06M |
| J0585 |
Injection,onabotulinumtoxina |
2,548 |
1,543 |
$1.61M |
| 99203 |
|
19,041 |
18,111 |
$1.37M |
| 99392 |
|
16,307 |
15,949 |
$1.35M |
| 93306 |
|
24,068 |
22,772 |
$1.32M |
| 76816 |
|
15,101 |
12,496 |
$1.22M |
| 90833 |
|
18,989 |
17,106 |
$1.21M |
| 99291 |
|
11,095 |
4,326 |
$1.10M |
| 99391 |
|
14,550 |
13,808 |
$1.08M |
| 76811 |
|
5,914 |
5,618 |
$848K |
| 99239 |
|
14,592 |
13,508 |
$825K |
| 74177 |
|
11,426 |
10,853 |
$735K |
| 93010 |
|
146,782 |
121,756 |
$733K |
| 99393 |
|
8,346 |
8,222 |
$691K |
| 59400 |
|
303 |
291 |
$664K |
| 99222 |
|
7,981 |
7,391 |
$615K |
| 99205 |
Prolong outpt/office vis |
3,692 |
3,589 |
$568K |
| 90834 |
|
8,594 |
5,619 |
$557K |
| H0005 |
Alcohol and/or drug services |
16,874 |
8,676 |
$525K |
| 71045 |
|
98,405 |
77,020 |
$525K |
| 99285 |
|
4,203 |
3,805 |
$447K |
| 70450 |
|
14,021 |
12,548 |
$376K |
| 70553 |
|
4,695 |
4,471 |
$360K |
| 77067 |
|
11,116 |
10,886 |
$326K |
| 90686 |
|
23,921 |
23,467 |
$324K |
| 95819 |
|
2,063 |
1,914 |
$322K |
| 76819 |
|
4,146 |
2,874 |
$280K |
| 71275 |
|
4,151 |
3,953 |
$266K |
| 99394 |
|
2,907 |
2,848 |
$263K |
| 99188 |
|
12,334 |
12,045 |
$261K |
| 90792 |
|
1,580 |
1,497 |
$246K |
| 90791 |
|
1,878 |
1,808 |
$230K |
| 99212 |
|
6,741 |
6,104 |
$202K |
| 76705 |
|
8,828 |
8,384 |
$187K |
| 90670 |
|
10,807 |
10,550 |
$162K |
| 59025 |
|
4,315 |
3,179 |
$161K |
| 64615 |
|
1,468 |
1,380 |
$159K |
| 96112 |
|
1,287 |
1,200 |
$158K |
| 90853 |
|
7,986 |
4,386 |
$155K |
| 94010 |
|
5,578 |
5,411 |
$150K |
| 72148 |
|
2,751 |
2,684 |
$145K |
| 99417 |
Prolong home eval add 15m |
3,431 |
3,170 |
$143K |
| 74018 |
|
23,670 |
18,299 |
$141K |
| 74176 |
|
2,179 |
2,094 |
$132K |
| 76825 |
|
605 |
534 |
$130K |
| 76830 |
|
4,200 |
4,083 |
$130K |
| 92551 |
|
12,360 |
12,146 |
$129K |
| 99231 |
|
5,366 |
2,126 |
$128K |
| 96110 |
|
12,593 |
8,326 |
$127K |
| 71046 |
|
16,974 |
15,868 |
$125K |
| 95886 |
|
1,292 |
1,180 |
$122K |
| 95816 |
|
844 |
776 |
$117K |
| 0241U |
|
857 |
841 |
$109K |
| H0004 |
Alcohol and/or drug services |
1,550 |
1,047 |
$109K |
| 90680 |
|
7,751 |
7,506 |
$106K |
| 93970 |
|
5,478 |
4,989 |
$104K |
| 90723 |
|
7,454 |
7,266 |
$103K |
| 90837 |
|
1,026 |
686 |
$100K |
| 99202 |
|
2,027 |
1,915 |
$99K |
| 90647 |
|
7,372 |
7,184 |
$92K |
| 20611 |
|
1,374 |
1,181 |
$88K |
| 93000 |
|
7,194 |
6,924 |
$86K |
| 72125 |
|
2,345 |
2,260 |
$84K |
| 72141 |
|
1,589 |
1,544 |
$83K |
| 20610 |
|
2,084 |
1,660 |
$83K |
| 93971 |
|
6,338 |
5,807 |
$82K |
| 96127 |
|
13,956 |
11,426 |
$79K |
| 71260 |
|
1,878 |
1,832 |
$78K |
| 76805 |
|
1,741 |
1,691 |
$77K |
| 70551 |
|
1,607 |
1,491 |
$76K |
| 99238 |
|
1,477 |
1,397 |
$74K |
| G2211 |
Complex e/m visit add on |
8,599 |
8,285 |
$73K |
| 70498 |
|
1,116 |
1,078 |
$70K |
| 90633 |
|
4,951 |
4,780 |
$69K |
| 96130 |
|
704 |
677 |
$67K |
| 90836 |
|
787 |
738 |
$67K |
| 78815 |
|
1,108 |
1,050 |
$66K |
| 69436 |
|
346 |
321 |
$64K |
| 95810 |
|
833 |
767 |
$63K |
| 93325 |
|
4,763 |
4,300 |
$62K |
| 92567 |
|
4,728 |
4,552 |
$61K |
| 36415 |
|
30,335 |
28,975 |
$60K |
| 71250 |
|
1,614 |
1,537 |
$60K |
| 99221 |
|
1,279 |
1,162 |
$60K |
| 95251 |
|
1,992 |
1,939 |
$59K |
| 83036 |
|
7,052 |
6,850 |
$58K |
| J1050 |
Medroxyprogesterone acetate |
697 |
678 |
$58K |
| 77063 |
|
2,258 |
2,229 |
$57K |
| 11042 |
|
1,586 |
1,179 |
$57K |
| 70496 |
|
894 |
863 |
$56K |
| 76820 |
|
1,480 |
889 |
$56K |
| 96040 |
|
2,408 |
2,287 |
$55K |
| 43239 |
|
644 |
580 |
$54K |
| 72110 |
|
3,240 |
3,114 |
$52K |
| 95951 |
|
354 |
135 |
$52K |
| 11721 |
|
3,955 |
3,493 |
$52K |
| 76642 |
|
1,931 |
1,788 |
$51K |
| 90651 |
|
2,541 |
2,499 |
$50K |
| 99309 |
|
4,958 |
3,929 |
$49K |
| 92579 |
|
1,228 |
1,190 |
$47K |
| 98929 |
|
734 |
711 |
$46K |
| 90832 |
|
821 |
737 |
$45K |
| 99442 |
|
1,097 |
1,049 |
$44K |
| 99284 |
|
594 |
548 |
$44K |
| 73721 |
|
840 |
814 |
$43K |
| 90677 |
|
2,053 |
1,960 |
$43K |
| 92557 |
|
1,503 |
1,455 |
$41K |
| 96137 |
|
598 |
570 |
$40K |
| 72132 |
|
856 |
836 |
$39K |
| 99381 |
|
613 |
560 |
$39K |
| 76770 |
|
1,435 |
1,377 |
$39K |
| 96131 |
|
443 |
395 |
$39K |
| 72170 |
|
3,447 |
3,328 |
$39K |
| 74183 |
|
479 |
472 |
$38K |
| 72082 |
|
1,239 |
1,189 |
$38K |
| 73630 |
|
5,052 |
4,437 |
$37K |
| 99283 |
|
1,079 |
890 |
$36K |
| 73030 |
|
4,422 |
3,981 |
$35K |
| 95720 |
|
258 |
104 |
$34K |
| 93880 |
|
1,721 |
1,617 |
$34K |
| 95806 |
|
980 |
921 |
$34K |
| 90656 |
|
1,810 |
1,806 |
$33K |
| 77066 |
Tomosynthesis, mammo |
773 |
748 |
$33K |
| 90847 |
|
298 |
284 |
$30K |
| 74174 |
|
394 |
372 |
$30K |
| 99220 |
|
319 |
306 |
$30K |
| 31231 |
|
188 |
180 |
$30K |
| 81025 |
|
4,142 |
3,954 |
$29K |
| 76801 |
|
392 |
364 |
$29K |
| 73562 |
|
3,321 |
2,827 |
$28K |
| 72129 |
|
616 |
604 |
$28K |
| 73564 |
|
2,753 |
2,389 |
$28K |
| 99173 |
|
10,878 |
10,689 |
$28K |
| 99395 |
|
317 |
312 |
$27K |
| 77065 |
Tomosynthesis, mammo |
815 |
768 |
$27K |
| 76817 |
|
829 |
735 |
$27K |
| 85018 |
|
10,525 |
10,271 |
$26K |
| 92558 |
|
1,298 |
1,265 |
$25K |
| 96372 |
|
1,911 |
1,789 |
$24K |
| 94060 |
|
1,151 |
1,085 |
$24K |
| 73502 |
|
2,724 |
2,524 |
$24K |
| 72100 |
|
2,578 |
2,446 |
$24K |
| 96136 |
|
650 |
627 |
$23K |
| 76536 |
|
1,046 |
1,027 |
$23K |
| 59510 |
|
12 |
12 |
$23K |
| 96161 |
|
8,959 |
8,512 |
$23K |
| 90697 |
|
1,361 |
1,291 |
$22K |
| 73130 |
|
3,007 |
2,506 |
$22K |
| 64493 |
|
255 |
229 |
$21K |
| 93308 |
|
676 |
599 |
$21K |
| 90734 |
|
1,185 |
1,175 |
$21K |
| 73610 |
|
2,876 |
2,583 |
$21K |
| 99443 |
|
396 |
377 |
$20K |
| 93295 |
|
1,023 |
980 |
$20K |
| 87804 |
|
1,356 |
654 |
$19K |
| 77077 |
|
926 |
871 |
$18K |
| 90471 |
|
3,012 |
2,919 |
$18K |
| 99219 |
|
180 |
172 |
$18K |
| 76813 |
|
205 |
185 |
$18K |
| 99384 |
|
170 |
162 |
$17K |
| 99152 |
|
2,002 |
1,800 |
$17K |
| 93321 |
|
1,222 |
1,092 |
$16K |
| 93303 |
|
103 |
100 |
$15K |
| 72158 |
|
182 |
174 |
$15K |
| 95811 |
|
219 |
193 |
$14K |
| 77062 |
|
234 |
230 |
$14K |
| 93297 |
|
1,135 |
1,068 |
$14K |
| 88738 |
|
3,418 |
3,316 |
$14K |
| 72131 |
|
391 |
379 |
$14K |
| 71271 |
|
384 |
368 |
$13K |
| 90710 |
|
902 |
884 |
$13K |
| 96111 |
|
130 |
121 |
$13K |
| 43775 |
|
13 |
13 |
$12K |
| 93294 |
|
1,010 |
963 |
$12K |
| 95913 |
|
67 |
61 |
$12K |
| 72040 |
|
1,330 |
1,242 |
$12K |
| 62323 |
|
159 |
155 |
$11K |
| 99308 |
|
1,154 |
774 |
$11K |
| 76815 |
|
207 |
184 |
$11K |
| 87880 |
|
767 |
752 |
$11K |
| 72050 |
|
960 |
913 |
$11K |
| 99441 |
|
413 |
394 |
$11K |
| 90707 |
|
727 |
716 |
$11K |
| 95004 |
|
211 |
206 |
$10K |
| 90716 |
|
692 |
680 |
$10K |
| 93458 |
|
57 |
56 |
$10K |
| 90715 |
|
485 |
476 |
$10K |
| 70486 |
|
295 |
292 |
$10K |
| 70491 |
|
186 |
180 |
$10K |
| 42820 |
|
42 |
40 |
$9K |
| 72126 |
|
193 |
189 |
$9K |
| 90696 |
|
647 |
636 |
$9K |
| 69210 |
|
232 |
221 |
$9K |
| 99310 |
Prolong nursin fac eval 15m |
742 |
667 |
$9K |
| J3301 |
Triamcinolone acet inj nos |
1,817 |
1,700 |
$9K |
| 95909 |
|
87 |
82 |
$9K |
| 90700 |
|
609 |
594 |
$9K |
| 73110 |
|
1,261 |
1,122 |
$9K |
| 73590 |
|
1,387 |
1,192 |
$9K |
| 83655 |
|
692 |
664 |
$9K |
| 49083 |
|
95 |
53 |
$9K |
| 64494 |
|
185 |
167 |
$8K |
| 90620 |
|
273 |
271 |
$8K |
| 93298 |
|
565 |
536 |
$8K |
| 73560 |
|
1,247 |
1,090 |
$8K |
| 90619 |
|
400 |
394 |
$7K |
| 99307 |
|
1,240 |
494 |
$7K |
| 77061 |
|
163 |
154 |
$6K |
| 76506 |
|
259 |
216 |
$6K |
| 3078F |
|
1,716 |
1,700 |
$6K |
| 73090 |
|
895 |
733 |
$6K |
| 64483 |
|
63 |
63 |
$6K |
| 0071A |
|
120 |
120 |
$5K |
| 87426 |
|
152 |
151 |
$5K |
| 3074F |
|
1,306 |
1,293 |
$5K |
| 76775 |
|
238 |
230 |
$5K |
| 93975 |
|
133 |
120 |
$5K |
| 93227 |
|
345 |
337 |
$4K |
| 76818 |
|
48 |
37 |
$4K |
| 80061 |
|
361 |
352 |
$4K |
| 51701 |
|
143 |
124 |
$4K |
| 76870 |
|
171 |
162 |
$4K |
| 95911 |
|
26 |
24 |
$4K |
| 43235 |
|
43 |
40 |
$4K |
| 0072A |
|
92 |
92 |
$4K |
| 73552 |
|
568 |
497 |
$4K |
| 73100 |
|
445 |
397 |
$4K |
| 94729 |
|
657 |
636 |
$4K |
| 73080 |
|
508 |
479 |
$4K |
| 72156 |
|
45 |
41 |
$4K |
| 45385 |
|
25 |
24 |
$4K |
| 73140 |
|
594 |
552 |
$3K |
| 99000 |
|
5,102 |
3,915 |
$3K |
| 95910 |
|
27 |
26 |
$3K |
| 73221 |
|
65 |
64 |
$3K |
| G9001 |
Mccd, initial rate |
132 |
123 |
$3K |
| 88720 |
|
676 |
549 |
$3K |
| 73700 |
|
79 |
71 |
$3K |
| 87635 |
|
63 |
59 |
$3K |
| 95874 |
|
73 |
66 |
$3K |
| 72128 |
|
77 |
77 |
$3K |
| 99401 |
|
222 |
195 |
$3K |
| 96160 |
|
1,271 |
1,212 |
$3K |
| 95012 |
|
176 |
173 |
$2K |
| 94726 |
|
217 |
202 |
$2K |
| 95885 |
|
34 |
30 |
$2K |
| 93320 |
|
54 |
54 |
$2K |
| 99217 |
|
53 |
48 |
$2K |
| 29075 |
|
26 |
22 |
$2K |
| 36416 |
|
6,794 |
6,540 |
$2K |
| 81003 |
|
999 |
914 |
$2K |
| 76882 |
|
66 |
62 |
$2K |
| 31575 |
|
26 |
24 |
$2K |
| 70360 |
|
220 |
219 |
$2K |
| 76700 |
|
54 |
52 |
$2K |
| 29065 |
|
17 |
14 |
$2K |
| 99292 |
|
18 |
12 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
26 |
25 |
$2K |
| 73070 |
|
224 |
194 |
$1K |
| 72146 |
|
26 |
26 |
$1K |
| 93296 |
|
113 |
111 |
$1K |
| 99459 |
|
146 |
140 |
$1K |
| 82962 |
|
635 |
601 |
$1K |
| 72120 |
|
63 |
63 |
$1K |
| 74022 |
|
119 |
81 |
$1K |
| 20550 |
|
40 |
24 |
$1K |
| 72197 |
|
14 |
14 |
$1K |
| 72070 |
|
164 |
158 |
$1K |
| 0002A |
|
30 |
29 |
$1K |
| 0001A |
|
29 |
29 |
$1K |
| 62321 |
|
17 |
14 |
$1K |
| 95822 |
|
28 |
25 |
$1K |
| 90732 |
|
14 |
13 |
$1K |
| 82465 |
|
263 |
263 |
$1K |
| 91320 |
|
12 |
12 |
$1K |
| 20553 |
|
27 |
24 |
$990.36 |
| 73522 |
|
86 |
84 |
$965.38 |
| 90636 |
|
12 |
12 |
$959.88 |
| 11102 |
|
12 |
12 |
$930.35 |
| 99211 |
|
64 |
54 |
$927.59 |
| 82950 |
|
202 |
198 |
$868.79 |
| 0502F |
|
172 |
157 |
$800.00 |
| 90685 |
|
60 |
60 |
$735.84 |
| 90381 |
|
53 |
53 |
$697.21 |
| 90480 |
|
27 |
26 |
$684.00 |
| 77012 |
|
12 |
12 |
$671.91 |
| 77072 |
|
84 |
81 |
$654.00 |
| 99422 |
|
29 |
24 |
$635.50 |
| 81000 |
|
210 |
196 |
$620.12 |
| 76937 |
|
32 |
25 |
$611.62 |
| 0124A |
|
16 |
16 |
$573.43 |
| 99406 |
|
71 |
65 |
$565.26 |
| G0463 |
Hospital outpt clinic visit |
106 |
92 |
$563.04 |
| 11056 |
|
29 |
25 |
$502.72 |
| 76856 |
|
16 |
16 |
$500.73 |
| 93280 |
|
14 |
14 |
$492.07 |
| 73060 |
|
76 |
64 |
$485.46 |
| 93016 |
|
38 |
36 |
$479.11 |
| 70487 |
|
12 |
12 |
$468.31 |
| 93922 |
|
70 |
68 |
$468.00 |
| 93272 |
|
27 |
27 |
$463.26 |
| 76641 |
|
13 |
12 |
$452.49 |
| 73503 |
|
13 |
13 |
$445.70 |
| 74240 |
|
13 |
13 |
$416.80 |
| 76885 |
|
12 |
12 |
$390.15 |
| 77080 |
|
50 |
50 |
$381.28 |
| 99305 |
|
46 |
31 |
$375.37 |
| 93018 |
|
38 |
36 |
$330.19 |
| 90460 |
|
53 |
53 |
$306.52 |
| 70250 |
|
46 |
37 |
$297.26 |
| 74300 |
|
19 |
19 |
$276.07 |
| 87210 |
|
57 |
56 |
$272.68 |
| 92504 |
|
15 |
14 |
$263.97 |
| 99051 |
|
2,127 |
2,043 |
$261.27 |
| J0702 |
Betamethasone acet&sod phosp |
16 |
12 |
$256.65 |
| 94640 |
|
15 |
13 |
$254.05 |
| 93926 |
|
16 |
14 |
$252.43 |
| 77073 |
|
12 |
12 |
$225.64 |
| 3075F |
|
28 |
28 |
$225.00 |
| J1100 |
Dexamethasone sodium phos |
458 |
427 |
$223.80 |
| 3044F |
|
73 |
73 |
$220.30 |
| 78264 |
|
12 |
12 |
$211.82 |
| 77001 |
|
13 |
13 |
$197.72 |
| 85025 |
|
39 |
39 |
$195.06 |
| G0127 |
Trim nail(s) |
59 |
51 |
$166.52 |
| 98960 |
|
14 |
14 |
$165.06 |
| 72081 |
|
14 |
12 |
$160.80 |
| Q4010 |
Cast sup sht arm adult fbrgl |
13 |
12 |
$129.42 |
| 73000 |
|
18 |
17 |
$128.02 |
| 80047 |
|
14 |
14 |
$122.64 |
| 73120 |
|
15 |
14 |
$118.30 |
| Q4012 |
Cast sup sht arm ped fbrglas |
19 |
17 |
$112.01 |
| 73620 |
|
14 |
13 |
$105.20 |
| 85027 |
|
15 |
15 |
$101.60 |
| 51798 |
|
13 |
13 |
$101.06 |
| 73600 |
|
14 |
12 |
$98.53 |
| Q4008 |
Cast sup long arm ped fbrgls |
13 |
12 |
$90.80 |
| 3046F |
|
15 |
15 |
$85.00 |
| 94760 |
|
41 |
39 |
$55.26 |
| 81005 |
|
13 |
12 |
$13.91 |
| 1126F |
|
290 |
290 |
$5.40 |
| J7613 |
Albuterol non-comp unit |
38 |
27 |
$4.34 |
| 91307 |
|
267 |
262 |
$2.13 |
| 91300 |
|
143 |
125 |
$0.95 |
| 91305 |
|
26 |
26 |
$0.17 |
| G1004 |
Cdsm ndsc |
43,593 |
31,210 |
$0.04 |
| 1159F |
|
2,841 |
2,807 |
$0.00 |
| 3100F |
|
77 |
58 |
$0.00 |
| 1125F |
|
78 |
78 |
$0.00 |
| G0008 |
Admin influenza virus vac |
14 |
13 |
$0.00 |