| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
296,715 |
258,042 |
$14.84M |
| 99213 |
|
334,037 |
279,706 |
$13.94M |
| 99232 |
|
71,302 |
27,152 |
$1.90M |
| 01967 |
|
5,205 |
4,261 |
$1.69M |
| 90960 |
|
21,751 |
20,405 |
$1.13M |
| J0585 |
Injection,onabotulinumtoxina |
1,957 |
1,230 |
$1.00M |
| 88305 |
|
20,079 |
18,560 |
$963K |
| 99203 |
|
17,133 |
14,976 |
$831K |
| 99391 |
|
8,070 |
7,323 |
$805K |
| 59426 |
|
10,177 |
6,689 |
$789K |
| 99204 |
|
13,406 |
11,266 |
$772K |
| 90460 |
|
19,766 |
17,919 |
$765K |
| 92014 |
|
11,679 |
10,306 |
$663K |
| 87502 |
|
8,814 |
7,573 |
$612K |
| 99392 |
|
6,819 |
5,919 |
$576K |
| 99233 |
Prolong inpt eval add15 m |
16,562 |
6,612 |
$537K |
| 99244 |
|
4,144 |
3,722 |
$528K |
| 93306 |
|
9,212 |
8,568 |
$503K |
| 92004 |
|
5,712 |
4,862 |
$445K |
| 97110 |
|
19,248 |
6,033 |
$425K |
| 76811 |
|
3,952 |
3,408 |
$421K |
| 90791 |
|
4,885 |
3,713 |
$418K |
| 95004 |
|
2,472 |
2,209 |
$400K |
| U0002 |
Covid-19 lab test non-cdc |
11,419 |
9,814 |
$382K |
| 99222 |
|
9,251 |
8,387 |
$373K |
| 95811 |
|
1,263 |
1,190 |
$362K |
| 76816 |
|
5,454 |
4,481 |
$359K |
| 96413 |
|
3,611 |
1,841 |
$333K |
| 95810 |
|
1,161 |
1,065 |
$331K |
| 99309 |
|
20,248 |
17,546 |
$315K |
| 92015 |
|
17,647 |
14,984 |
$300K |
| 90834 |
|
6,177 |
3,680 |
$295K |
| 92523 |
|
2,035 |
1,773 |
$295K |
| 59425 |
|
3,869 |
3,122 |
$287K |
| 99291 |
|
3,646 |
2,190 |
$276K |
| 69436 |
|
1,713 |
1,496 |
$272K |
| 99239 |
|
9,572 |
8,680 |
$266K |
| 71046 |
|
19,901 |
18,286 |
$258K |
| 99219 |
|
4,192 |
3,837 |
$251K |
| 99223 |
Prolong inpt eval add15 m |
4,945 |
4,451 |
$249K |
| 77067 |
|
2,510 |
2,393 |
$243K |
| 99308 |
|
20,657 |
18,091 |
$238K |
| 96130 |
|
3,719 |
2,791 |
$236K |
| 87651 |
|
7,611 |
6,629 |
$232K |
| 00170 |
|
1,728 |
1,566 |
$225K |
| 99212 |
|
11,482 |
9,306 |
$224K |
| 99243 |
|
2,590 |
2,352 |
$216K |
| 76819 |
|
4,089 |
2,110 |
$201K |
| 99242 |
|
3,297 |
2,892 |
$197K |
| 76817 |
|
3,437 |
2,701 |
$184K |
| 87635 |
|
5,252 |
4,129 |
$174K |
| 94010 |
|
11,752 |
11,060 |
$167K |
| 85025 |
|
43,241 |
34,286 |
$162K |
| 87804 |
|
12,898 |
6,832 |
$161K |
| 96131 |
|
3,378 |
2,506 |
$158K |
| 76820 |
|
4,872 |
2,839 |
$151K |
| 90961 |
|
3,248 |
2,981 |
$151K |
| J2357 |
Omalizumab injection |
81 |
64 |
$151K |
| 76825 |
|
940 |
756 |
$148K |
| 96137 |
|
3,563 |
2,633 |
$135K |
| 92340 |
|
8,411 |
6,681 |
$134K |
| 74177 |
|
1,735 |
1,469 |
$134K |
| 99490 |
Ccm add 20min |
16,907 |
16,117 |
$134K |
| 99393 |
|
1,657 |
1,399 |
$129K |
| 88307 |
|
2,280 |
1,994 |
$122K |
| 20610 |
|
6,481 |
4,453 |
$122K |
| 88304 |
|
5,782 |
5,396 |
$120K |
| V2020 |
Vision svcs frames purchases |
5,541 |
4,290 |
$116K |
| 17110 |
|
1,632 |
1,300 |
$115K |
| 93000 |
|
19,909 |
18,427 |
$114K |
| 36415 |
|
77,471 |
65,968 |
$111K |
| 01961 |
|
455 |
353 |
$107K |
| 99051 |
|
8,603 |
6,999 |
$103K |
| 87880 |
|
10,513 |
8,191 |
$100K |
| 70553 |
|
1,371 |
1,168 |
$96K |
| 95165 |
|
522 |
467 |
$95K |
| 87634 |
|
2,537 |
1,890 |
$95K |
| 96127 |
|
24,737 |
21,038 |
$86K |
| 36902 |
|
1,179 |
1,030 |
$86K |
| 96136 |
|
3,746 |
2,789 |
$82K |
| 11730 |
|
1,370 |
1,205 |
$75K |
| 99220 |
|
1,244 |
1,061 |
$75K |
| 96101 |
|
841 |
638 |
$70K |
| 96372 |
|
9,083 |
6,339 |
$68K |
| 43239 |
|
880 |
719 |
$65K |
| A9555 |
Rb82 rubidium |
366 |
250 |
$65K |
| 99394 |
|
675 |
605 |
$61K |
| 00126 |
|
744 |
686 |
$60K |
| 42820 |
|
245 |
226 |
$58K |
| 86738 |
|
4,522 |
3,928 |
$58K |
| 99215 |
Prolong outpt/office vis |
923 |
779 |
$53K |
| 92567 |
|
4,802 |
4,357 |
$50K |
| 92012 |
|
1,801 |
1,504 |
$50K |
| 73721 |
|
386 |
284 |
$50K |
| J2469 |
Palonosetron hcl |
1,019 |
491 |
$49K |
| 99231 |
|
3,541 |
1,572 |
$48K |
| 93015 |
|
702 |
531 |
$47K |
| 71260 |
|
1,091 |
930 |
$46K |
| 88312 |
|
1,052 |
959 |
$45K |
| 90935 |
|
4,664 |
2,600 |
$45K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
3,044 |
2,236 |
$44K |
| 99202 |
|
1,133 |
1,013 |
$44K |
| 92002 |
|
726 |
672 |
$43K |
| 93923 |
|
1,325 |
1,182 |
$43K |
| 99442 |
|
2,460 |
1,975 |
$40K |
| 92557 |
|
1,810 |
1,589 |
$39K |
| 90471 |
|
3,945 |
3,182 |
$39K |
| 99307 |
|
6,349 |
5,963 |
$39K |
| 85004 |
|
7,745 |
6,811 |
$38K |
| 95117 |
|
4,286 |
1,757 |
$37K |
| 37227 |
|
48 |
24 |
$37K |
| 78815 |
|
177 |
113 |
$37K |
| 66984 |
|
292 |
258 |
$34K |
| 99238 |
|
961 |
845 |
$34K |
| 99241 |
|
1,008 |
892 |
$33K |
| 99310 |
Prolong nursin fac eval 15m |
875 |
713 |
$32K |
| 88112 |
|
2,156 |
1,926 |
$32K |
| 96110 |
|
1,689 |
1,371 |
$31K |
| 99441 |
|
1,459 |
1,194 |
$29K |
| J2785 |
Regadenoson injection |
693 |
502 |
$28K |
| G2023 |
Specimen collect covid-19 |
1,605 |
1,338 |
$28K |
| 99217 |
|
1,555 |
1,299 |
$27K |
| 76775 |
|
1,015 |
922 |
$26K |
| 73562 |
|
1,476 |
1,101 |
$26K |
| 72148 |
|
330 |
276 |
$26K |
| 96161 |
|
2,040 |
1,911 |
$25K |
| 95874 |
|
869 |
776 |
$23K |
| 0001A |
|
1,120 |
1,028 |
$23K |
| 0002A |
|
967 |
914 |
$22K |
| 97161 |
|
870 |
595 |
$22K |
| 78431 |
|
217 |
126 |
$22K |
| 11056 |
|
1,315 |
1,178 |
$21K |
| 00910 |
|
514 |
464 |
$20K |
| 64616 |
|
173 |
161 |
$20K |
| 96401 |
|
800 |
381 |
$19K |
| 94729 |
|
827 |
766 |
$19K |
| 92551 |
|
1,658 |
1,406 |
$19K |
| 78492 |
|
54 |
48 |
$19K |
| V2100 |
Lens spher single plano 4.00 |
734 |
574 |
$19K |
| 64615 |
|
201 |
160 |
$18K |
| G2211 |
Complex e/m visit add on |
4,880 |
4,596 |
$18K |
| 00142 |
|
625 |
460 |
$18K |
| M0243 |
Casirivi and imdevi inj |
108 |
94 |
$17K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,431 |
4,431 |
$17K |
| 76641 |
|
367 |
309 |
$17K |
| V2784 |
Lens polycarb or equal |
3,531 |
2,503 |
$16K |
| A9500 |
Tc99m sestamibi |
159 |
89 |
$16K |
| 90686 |
|
6,371 |
5,389 |
$16K |
| 80305 |
|
3,696 |
3,218 |
$16K |
| 92552 |
|
844 |
757 |
$16K |
| 87086 |
|
4,584 |
4,012 |
$15K |
| 96375 |
|
2,644 |
1,202 |
$15K |
| 94726 |
|
789 |
734 |
$15K |
| 99205 |
Prolong outpt/office vis |
244 |
186 |
$14K |
| J0702 |
Betamethasone acet&sod phosp |
4,192 |
3,385 |
$14K |
| 73630 |
|
1,111 |
768 |
$14K |
| 11720 |
|
3,165 |
2,946 |
$13K |
| 74018 |
|
987 |
803 |
$13K |
| 99443 |
|
466 |
389 |
$13K |
| J0897 |
Denosumab injection |
219 |
109 |
$12K |
| D0145 |
|
324 |
301 |
$12K |
| 99255 |
|
88 |
73 |
$12K |
| 99173 |
|
2,530 |
2,183 |
$12K |
| 45380 |
|
127 |
105 |
$12K |
| 20611 |
|
483 |
332 |
$12K |
| 86308 |
|
2,721 |
2,336 |
$12K |
| 92083 |
|
329 |
287 |
$12K |
| 90677 |
|
1,016 |
836 |
$12K |
| 93325 |
|
938 |
762 |
$12K |
| 95886 |
|
266 |
225 |
$11K |
| 64493 |
|
190 |
133 |
$11K |
| 81001 |
|
11,511 |
9,881 |
$11K |
| 99050 |
|
917 |
812 |
$10K |
| 80053 |
|
2,512 |
2,142 |
$10K |
| 99218 |
|
186 |
169 |
$10K |
| 94060 |
|
241 |
203 |
$10K |
| 69210 |
|
477 |
279 |
$9K |
| 45385 |
|
101 |
74 |
$9K |
| 85018 |
|
5,918 |
5,123 |
$9K |
| 81003 |
|
11,199 |
9,656 |
$9K |
| 31575 |
|
217 |
186 |
$8K |
| 59410 |
|
62 |
47 |
$8K |
| 71250 |
|
353 |
220 |
$8K |
| 70486 |
|
107 |
91 |
$8K |
| J3301 |
Triamcinolone acet inj nos |
4,107 |
3,298 |
$8K |
| 77065 |
Tomosynthesis, mammo |
286 |
265 |
$8K |
| 90682 |
|
793 |
503 |
$8K |
| 99254 |
|
67 |
63 |
$7K |
| 90833 |
|
191 |
162 |
$7K |
| 72141 |
|
64 |
63 |
$7K |
| 88342 |
|
277 |
219 |
$6K |
| 81025 |
|
1,530 |
1,242 |
$6K |
| 51798 |
|
2,009 |
1,729 |
$6K |
| 64483 |
|
82 |
78 |
$6K |
| J1050 |
Medroxyprogesterone acetate |
181 |
125 |
$6K |
| A9579 |
Gad-base mr contrast nos,1ml |
902 |
654 |
$6K |
| 00731 |
|
174 |
136 |
$6K |
| 73564 |
|
368 |
268 |
$6K |
| U0003 |
Cov-19 amp prb hgh thruput |
50 |
48 |
$6K |
| 88302 |
|
778 |
568 |
$6K |
| 37229 |
|
13 |
12 |
$5K |
| 11721 |
|
730 |
674 |
$5K |
| 83036 |
|
2,416 |
1,922 |
$5K |
| 76805 |
|
71 |
52 |
$5K |
| 86003 |
|
33 |
24 |
$5K |
| 95115 |
|
709 |
341 |
$5K |
| 96112 |
|
31 |
31 |
$4K |
| 85651 |
|
2,794 |
2,578 |
$4K |
| J1453 |
Fosaprepitant injection |
17 |
12 |
$4K |
| 86140 |
|
2,299 |
2,066 |
$4K |
| 87081 |
|
661 |
515 |
$4K |
| T1023 |
Program intake assessment |
210 |
183 |
$4K |
| 62323 |
|
39 |
37 |
$4K |
| 77066 |
Tomosynthesis, mammo |
151 |
124 |
$4K |
| 93312 |
|
85 |
80 |
$4K |
| 64494 |
|
181 |
119 |
$4K |
| 96365 |
|
341 |
177 |
$4K |
| 90715 |
|
665 |
462 |
$4K |
| 99407 |
|
814 |
678 |
$4K |
| 78434 |
|
266 |
158 |
$4K |
| 99460 |
|
41 |
40 |
$4K |
| 96367 |
|
433 |
200 |
$4K |
| 84443 |
|
397 |
306 |
$3K |
| 83655 |
|
271 |
239 |
$3K |
| V2101 |
Single visn sphere 4.12-7.00 |
93 |
90 |
$3K |
| 80061 |
|
252 |
212 |
$3K |
| 64495 |
|
141 |
94 |
$3K |
| 87631 |
|
492 |
390 |
$3K |
| 99221 |
|
277 |
230 |
$3K |
| L1812 |
Ko elastic w/joints pre ots |
124 |
99 |
$3K |
| 97597 |
|
459 |
301 |
$3K |
| 0004A |
|
145 |
125 |
$3K |
| A9552 |
F18 fdg |
138 |
97 |
$3K |
| 99318 |
|
160 |
151 |
$3K |
| 0071A |
|
138 |
106 |
$3K |
| 87807 |
|
270 |
231 |
$3K |
| 93297 |
|
245 |
235 |
$3K |
| 99406 |
|
674 |
537 |
$3K |
| G2066 |
Inter devc remote 30d |
330 |
293 |
$3K |
| 90792 |
|
32 |
29 |
$3K |
| 99305 |
|
41 |
39 |
$3K |
| 00813 |
|
86 |
62 |
$3K |
| 85027 |
|
800 |
721 |
$2K |
| 72100 |
|
280 |
178 |
$2K |
| 92136 |
|
567 |
301 |
$2K |
| 73130 |
|
230 |
132 |
$2K |
| 76813 |
|
38 |
29 |
$2K |
| 93880 |
|
164 |
88 |
$2K |
| 0072A |
|
83 |
82 |
$2K |
| 73610 |
|
210 |
136 |
$2K |
| 92250 |
|
118 |
94 |
$2K |
| 99152 |
|
1,174 |
889 |
$2K |
| 0054A |
|
66 |
66 |
$2K |
| 66821 |
|
44 |
37 |
$2K |
| 93005 |
|
1,573 |
1,520 |
$2K |
| 76705 |
|
79 |
50 |
$2K |
| 75574 |
|
14 |
14 |
$2K |
| 95012 |
|
122 |
114 |
$2K |
| 96417 |
|
53 |
37 |
$2K |
| 76937 |
|
327 |
238 |
$2K |
| 87210 |
|
685 |
553 |
$2K |
| 73030 |
|
427 |
266 |
$2K |
| 99462 |
|
52 |
39 |
$2K |
| 73110 |
|
127 |
83 |
$2K |
| 99381 |
|
18 |
12 |
$2K |
| 11102 |
|
93 |
62 |
$2K |
| 99395 |
|
48 |
41 |
$2K |
| 75635 |
|
13 |
13 |
$2K |
| 99349 |
|
18 |
12 |
$2K |
| 97802 |
|
84 |
54 |
$1K |
| 92556 |
|
86 |
66 |
$1K |
| 87491 |
|
54 |
53 |
$1K |
| 87591 |
|
54 |
53 |
$1K |
| 76536 |
|
71 |
51 |
$1K |
| 36620 |
|
218 |
176 |
$1K |
| 00840 |
|
25 |
14 |
$1K |
| 88311 |
|
314 |
271 |
$1K |
| 01400 |
|
22 |
15 |
$1K |
| 11100 |
|
30 |
24 |
$1K |
| 0031A |
|
57 |
42 |
$1K |
| 93296 |
|
194 |
184 |
$1K |
| G0127 |
Trim nail(s) |
2,865 |
2,649 |
$1K |
| 96111 |
|
18 |
12 |
$1K |
| 99284 |
|
12 |
12 |
$1K |
| 29075 |
|
35 |
24 |
$1K |
| 76801 |
|
13 |
12 |
$1K |
| 20553 |
|
51 |
43 |
$1K |
| J1100 |
Dexamethasone sodium phos |
2,201 |
1,183 |
$1K |
| 76770 |
|
13 |
13 |
$986.69 |
| 00790 |
|
52 |
42 |
$957.63 |
| L4361 |
Pneuma/vac walk boot pre ots |
24 |
16 |
$955.21 |
| 73140 |
|
44 |
35 |
$940.76 |
| 90732 |
|
25 |
25 |
$923.97 |
| 99306 |
Prolong nursin fac eval 15m |
19 |
14 |
$902.86 |
| 01480 |
|
24 |
16 |
$885.50 |
| 93295 |
|
59 |
55 |
$859.29 |
| 17000 |
|
171 |
98 |
$807.30 |
| G2058 |
Ccm add 20min |
73 |
60 |
$728.88 |
| A9577 |
Inj multihance |
67 |
51 |
$726.20 |
| 90670 |
|
3,525 |
3,388 |
$691.11 |
| 43235 |
|
16 |
13 |
$670.97 |
| 73502 |
|
138 |
94 |
$670.38 |
| 94664 |
|
130 |
100 |
$667.76 |
| 82044 |
|
294 |
285 |
$661.66 |
| 11042 |
|
28 |
14 |
$655.23 |
| 99402 |
|
12 |
12 |
$653.88 |
| 36556 |
|
19 |
16 |
$622.42 |
| 01968 |
|
18 |
13 |
$598.34 |
| 93320 |
|
86 |
80 |
$550.66 |
| 00851 |
|
20 |
14 |
$506.87 |
| 73560 |
|
165 |
91 |
$504.02 |
| 80048 |
|
338 |
259 |
$470.69 |
| 72110 |
|
13 |
13 |
$445.69 |
| A9578 |
Inj multihance multipack |
40 |
40 |
$406.65 |
| 92133 |
|
51 |
51 |
$381.83 |
| J1885 |
Ketorolac tromethamine inj |
1,094 |
780 |
$375.65 |
| 90656 |
|
347 |
335 |
$372.11 |
| 0124A |
|
110 |
69 |
$361.90 |
| 78452 |
|
33 |
14 |
$359.11 |
| 85060 |
|
40 |
36 |
$347.10 |
| J0696 |
Ceftriaxone sodium injection |
687 |
474 |
$345.55 |
| 64455 |
|
13 |
12 |
$341.51 |
| 96523 |
|
99 |
52 |
$334.41 |
| 36416 |
|
3,516 |
2,617 |
$333.86 |
| 73120 |
|
58 |
29 |
$316.54 |
| 96415 |
|
172 |
75 |
$312.47 |
| 99496 |
|
12 |
12 |
$298.18 |
| 93010 |
|
377 |
368 |
$282.59 |
| 96380 |
|
16 |
16 |
$275.57 |
| 75710 |
|
14 |
12 |
$270.32 |
| 94640 |
|
24 |
24 |
$258.00 |
| 93458 |
|
23 |
18 |
$257.83 |
| 97113 |
|
64 |
13 |
$250.44 |
| 90472 |
|
50 |
37 |
$250.05 |
| D1206 |
|
12 |
12 |
$249.87 |
| 90461 |
|
495 |
296 |
$249.60 |
| 64450 |
|
22 |
13 |
$246.90 |
| 95251 |
|
77 |
54 |
$237.79 |
| 76942 |
|
100 |
65 |
$231.83 |
| 11055 |
|
26 |
25 |
$231.41 |
| 90651 |
|
187 |
145 |
$231.35 |
| 0012A |
|
22 |
16 |
$224.25 |
| 01810 |
|
30 |
13 |
$222.81 |
| 93298 |
|
46 |
41 |
$207.07 |
| 82785 |
|
12 |
12 |
$199.39 |
| G2012 |
Brief check in by md/qhp |
82 |
75 |
$196.74 |
| 97016 |
|
21 |
12 |
$173.09 |
| 85379 |
|
33 |
30 |
$165.04 |
| 0011A |
|
22 |
19 |
$160.82 |
| 74420 |
|
25 |
25 |
$155.16 |
| Q4010 |
Cast sup sht arm adult fbrgl |
42 |
26 |
$147.74 |
| E0114 |
Crutch underarm pair no wood |
22 |
12 |
$141.56 |
| 93971 |
|
21 |
13 |
$140.64 |
| 99497 |
|
14 |
14 |
$136.00 |
| 00811 |
|
14 |
12 |
$111.31 |
| 90662 |
|
1,395 |
807 |
$103.90 |
| A9576 |
Inj prohance multipack |
150 |
82 |
$103.66 |
| 99001 |
|
362 |
299 |
$101.04 |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
22 |
13 |
$98.64 |
| 84439 |
|
14 |
12 |
$96.37 |
| 90680 |
|
1,508 |
1,390 |
$91.15 |
| 90723 |
|
2,267 |
2,097 |
$88.87 |
| 99348 |
|
15 |
12 |
$88.83 |
| J1200 |
Diphenhydramine hcl injectio |
415 |
164 |
$87.17 |
| 73521 |
|
57 |
25 |
$74.86 |
| 82950 |
|
23 |
17 |
$71.33 |
| 96160 |
|
104 |
85 |
$67.30 |
| 99225 |
|
27 |
18 |
$62.36 |
| J3420 |
Vitamin b12 injection |
472 |
339 |
$62.25 |
| 85610 |
|
318 |
158 |
$55.12 |
| 17003 |
|
95 |
48 |
$54.50 |
| 99153 |
Mod sedat endo service >5yrs |
177 |
109 |
$51.04 |
| 90648 |
|
1,663 |
1,518 |
$35.06 |
| 82962 |
|
34 |
19 |
$31.60 |
| 82565 |
|
13 |
13 |
$27.43 |
| 3074F |
|
109,491 |
91,899 |
$26.28 |
| 93294 |
|
13 |
12 |
$25.76 |
| 73620 |
|
28 |
12 |
$22.71 |
| 84520 |
|
13 |
13 |
$21.17 |
| 84550 |
|
52 |
32 |
$16.40 |
| 3075F |
|
18,550 |
13,465 |
$14.31 |
| 3008F |
|
189,200 |
156,475 |
$13.89 |
| 88341 |
|
15 |
14 |
$11.68 |
| G0279 |
Tomosynthesis, mammo |
325 |
316 |
$5.80 |
| 3077F |
|
21,345 |
14,620 |
$1.93 |
| 1159F |
|
37,022 |
25,984 |
$1.27 |
| 90633 |
|
737 |
632 |
$0.01 |
| 3078F |
|
113,185 |
93,476 |
$0.00 |
| 1160F |
|
37,001 |
25,965 |
$0.00 |
| 0502F |
|
15,677 |
11,203 |
$0.00 |
| 2022F |
|
115 |
75 |
$0.00 |
| 3046F |
|
141 |
91 |
$0.00 |
| 90671 |
|
659 |
550 |
$0.00 |
| 90681 |
|
60 |
58 |
$0.00 |
| 90734 |
|
139 |
111 |
$0.00 |
| 90380 |
|
78 |
73 |
$0.00 |
| 90700 |
|
134 |
118 |
$0.00 |
| G1003 |
Cdsm medicalis |
60 |
51 |
$0.00 |
| 90710 |
|
195 |
160 |
$0.00 |
| 2028F |
|
27 |
27 |
$0.00 |
| 77062 |
|
61 |
53 |
$0.00 |
| 74176 |
|
55 |
30 |
$0.00 |
| 90707 |
|
148 |
134 |
$0.00 |
| 3051F |
|
225 |
139 |
$0.00 |
| 97803 |
|
38 |
38 |
$0.00 |
| 99499 |
|
21 |
21 |
$0.00 |
| 00300 |
|
14 |
12 |
$0.00 |
| 90647 |
|
1,017 |
990 |
$0.00 |
| 3079F |
|
28,589 |
21,932 |
$0.00 |
| 90696 |
|
228 |
194 |
$0.00 |
| 1125F |
|
3,135 |
2,839 |
$0.00 |
| G0008 |
Admin influenza virus vac |
2,750 |
1,844 |
$0.00 |
| 3080F |
|
9,423 |
6,450 |
$0.00 |
| 77063 |
|
1,530 |
1,447 |
$0.00 |
| 0500F |
|
918 |
830 |
$0.00 |
| 1126F |
|
2,775 |
2,426 |
$0.00 |
| 1111F |
|
1,950 |
1,047 |
$0.00 |
| 1170F |
|
208 |
169 |
$0.00 |
| 3351F |
|
1,099 |
881 |
$0.00 |
| G0439 |
Ppps, subseq visit |
187 |
163 |
$0.00 |
| 3044F |
|
1,108 |
796 |
$0.00 |
| 99439 |
|
29 |
29 |
$0.00 |
| 3353F |
|
14 |
13 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
291 |
152 |
$0.00 |
| 3052F |
|
70 |
52 |
$0.00 |
| 90716 |
|
107 |
101 |
$0.00 |
| 0503F |
|
43 |
39 |
$0.00 |
| 20550 |
|
30 |
13 |
$0.00 |
| G0296 |
Visit to determ ldct elig |
13 |
12 |
$0.00 |
| 2023F |
|
15 |
12 |
$0.00 |
| 90381 |
|
134 |
116 |
$0.00 |
| 99495 |
|
100 |
53 |
$0.00 |
| 3072F |
|
27 |
14 |
$0.00 |
| 77001 |
|
21 |
15 |
$0.00 |