| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
161,219 |
141,328 |
$5.33M |
| 99214 |
|
95,145 |
84,757 |
$4.52M |
| 99284 |
|
33,261 |
30,106 |
$2.12M |
| 99285 |
|
23,859 |
21,794 |
$2.12M |
| 90837 |
|
13,616 |
8,040 |
$1.22M |
| 92014 |
|
19,382 |
19,065 |
$988K |
| 99232 |
|
26,841 |
7,451 |
$772K |
| 92004 |
|
10,231 |
9,903 |
$682K |
| 99215 |
Prolong outpt/office vis |
8,864 |
8,382 |
$553K |
| 99204 |
|
7,469 |
7,122 |
$494K |
| 99203 |
|
11,430 |
10,875 |
$477K |
| H0040 |
Assert comm tx pgm per diem |
5,399 |
421 |
$428K |
| 90460 |
|
13,591 |
13,077 |
$416K |
| 59400 |
|
406 |
399 |
$412K |
| 99283 |
|
11,202 |
10,499 |
$386K |
| 99391 |
|
9,636 |
8,935 |
$374K |
| 92015 |
|
31,642 |
30,906 |
$365K |
| 99392 |
|
7,657 |
7,511 |
$358K |
| 99223 |
Prolong inpt eval add15 m |
3,838 |
3,302 |
$297K |
| 90834 |
|
3,529 |
2,498 |
$214K |
| 90833 |
|
3,458 |
3,270 |
$200K |
| X5622 |
|
2,252 |
2,020 |
$197K |
| 74177 |
|
4,081 |
3,926 |
$189K |
| 99239 |
|
4,245 |
4,020 |
$189K |
| 88305 |
|
4,675 |
3,818 |
$177K |
| 99393 |
|
3,690 |
3,644 |
$174K |
| 99222 |
|
2,879 |
2,421 |
$153K |
| 99238 |
|
3,135 |
2,996 |
$120K |
| 90792 |
|
741 |
726 |
$118K |
| H2017 |
Psysoc rehab svc, per 15 min |
1,596 |
408 |
$118K |
| 93306 |
|
3,710 |
3,614 |
$117K |
| 99212 |
|
6,627 |
6,289 |
$102K |
| 90791 |
|
840 |
816 |
$99K |
| 93010 |
|
26,709 |
20,897 |
$98K |
| S0302 |
Completed epsdt |
8,198 |
7,794 |
$95K |
| 90847 |
|
1,041 |
815 |
$94K |
| 99394 |
|
1,663 |
1,630 |
$92K |
| H2011 |
Crisis interven svc, 15 min |
631 |
486 |
$90K |
| 99202 |
|
3,076 |
2,976 |
$80K |
| 99460 |
|
1,384 |
1,345 |
$76K |
| 67028 |
|
1,572 |
1,514 |
$74K |
| 99395 |
|
1,161 |
1,143 |
$64K |
| 70450 |
|
3,289 |
3,094 |
$61K |
| 99231 |
|
4,019 |
1,609 |
$61K |
| 99291 |
|
518 |
461 |
$60K |
| 71045 |
|
14,838 |
12,365 |
$59K |
| 99396 |
|
962 |
940 |
$59K |
| 88307 |
|
851 |
779 |
$58K |
| 77067 |
|
3,025 |
2,996 |
$55K |
| 76816 |
|
2,118 |
1,924 |
$54K |
| H2014 |
Skills train and dev, 15 min |
1,083 |
485 |
$53K |
| 99233 |
Prolong inpt eval add15 m |
1,136 |
569 |
$50K |
| 90832 |
|
1,035 |
753 |
$48K |
| 99205 |
Prolong outpt/office vis |
536 |
512 |
$47K |
| 92551 |
|
6,025 |
5,879 |
$44K |
| 99309 |
|
1,353 |
1,255 |
$44K |
| 99221 |
|
1,049 |
880 |
$43K |
| 77063 |
|
2,816 |
2,785 |
$41K |
| 20611 |
|
1,133 |
1,050 |
$38K |
| 74176 |
|
931 |
891 |
$36K |
| 92340 |
|
1,303 |
1,293 |
$32K |
| 71046 |
|
5,993 |
5,735 |
$31K |
| 99217 |
|
900 |
877 |
$30K |
| 92134 |
|
2,761 |
2,657 |
$30K |
| 76801 |
|
999 |
945 |
$28K |
| 99220 |
|
323 |
313 |
$28K |
| 90960 |
|
576 |
560 |
$27K |
| 17110 |
|
920 |
869 |
$27K |
| 11042 |
|
1,020 |
703 |
$26K |
| 76705 |
|
1,684 |
1,638 |
$26K |
| 71275 |
|
554 |
540 |
$24K |
| 99308 |
|
1,103 |
1,041 |
$24K |
| 76856 |
|
1,271 |
1,232 |
$24K |
| 76817 |
|
1,032 |
906 |
$22K |
| 76830 |
|
1,187 |
1,157 |
$22K |
| 76805 |
|
715 |
709 |
$21K |
| 73721 |
|
585 |
548 |
$21K |
| 70553 |
|
333 |
321 |
$17K |
| 99225 |
|
456 |
258 |
$17K |
| 99480 |
|
210 |
37 |
$16K |
| 20610 |
|
881 |
827 |
$15K |
| 98941 |
|
768 |
524 |
$15K |
| 99219 |
|
213 |
205 |
$14K |
| 99188 |
|
2,294 |
2,243 |
$14K |
| 59025 |
|
841 |
542 |
$14K |
| 73630 |
|
3,267 |
2,877 |
$14K |
| 96110 |
|
1,938 |
1,888 |
$14K |
| 73610 |
|
2,671 |
2,316 |
$12K |
| 96161 |
|
1,394 |
1,302 |
$12K |
| 99462 |
|
463 |
293 |
$12K |
| 72148 |
|
361 |
357 |
$11K |
| 73110 |
|
2,291 |
1,825 |
$10K |
| H0046 |
Mental health service, nos |
1,087 |
540 |
$10K |
| 73130 |
|
2,032 |
1,680 |
$10K |
| 92060 |
|
511 |
487 |
$9K |
| 66984 |
|
40 |
28 |
$9K |
| 59410 |
|
14 |
14 |
$9K |
| 73562 |
|
1,873 |
1,635 |
$9K |
| 76819 |
|
385 |
257 |
$8K |
| V2784 |
Lens polycarb or equal |
186 |
172 |
$8K |
| 99495 |
|
134 |
131 |
$8K |
| 99417 |
Prolong home eval add 15m |
141 |
138 |
$8K |
| V2020 |
Vision svcs frames purchases |
230 |
213 |
$8K |
| 73030 |
|
1,637 |
1,460 |
$7K |
| 71250 |
|
342 |
340 |
$7K |
| 93298 |
|
270 |
267 |
$7K |
| 99254 |
|
72 |
69 |
$7K |
| 99310 |
Prolong nursin fac eval 15m |
176 |
130 |
$7K |
| V5266 |
Battery for hearing device |
305 |
303 |
$7K |
| 43239 |
|
111 |
109 |
$6K |
| 90785 |
|
702 |
386 |
$6K |
| 71260 |
|
186 |
184 |
$5K |
| 93294 |
|
343 |
338 |
$5K |
| 92587 |
|
473 |
447 |
$5K |
| 92341 |
|
200 |
200 |
$5K |
| 88304 |
|
503 |
482 |
$5K |
| 93971 |
|
490 |
475 |
$5K |
| 72125 |
|
211 |
206 |
$5K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
86 |
85 |
$5K |
| 73502 |
|
942 |
878 |
$5K |
| 11102 |
|
264 |
263 |
$5K |
| 01967 |
|
30 |
30 |
$4K |
| 00731 |
|
37 |
37 |
$4K |
| 73140 |
|
980 |
821 |
$4K |
| 98940 |
|
309 |
224 |
$4K |
| 93016 |
|
482 |
474 |
$4K |
| 90961 |
|
28 |
28 |
$3K |
| 93975 |
|
77 |
74 |
$3K |
| 45378 |
|
44 |
41 |
$3K |
| 73080 |
|
543 |
452 |
$3K |
| 99442 |
|
88 |
84 |
$3K |
| 36415 |
|
346 |
318 |
$3K |
| 93018 |
|
487 |
479 |
$2K |
| 99443 |
|
38 |
37 |
$2K |
| 90846 |
|
51 |
26 |
$2K |
| 92083 |
|
177 |
170 |
$2K |
| 42820 |
|
12 |
12 |
$2K |
| 99152 |
|
513 |
473 |
$2K |
| 76770 |
|
108 |
108 |
$2K |
| 93970 |
|
112 |
109 |
$2K |
| 92133 |
|
226 |
222 |
$2K |
| 95810 |
|
28 |
28 |
$2K |
| 99282 |
|
85 |
82 |
$2K |
| 99381 |
|
43 |
42 |
$2K |
| 69436 |
|
12 |
12 |
$2K |
| 73221 |
|
46 |
44 |
$2K |
| 73560 |
|
404 |
325 |
$2K |
| 93308 |
|
121 |
120 |
$2K |
| 99496 |
|
28 |
28 |
$2K |
| 99173 |
|
1,598 |
1,543 |
$2K |
| 93244 |
|
109 |
108 |
$2K |
| 87426 |
|
45 |
45 |
$2K |
| G0279 |
Tomosynthesis, mammo |
86 |
85 |
$2K |
| 99211 |
|
92 |
89 |
$1K |
| 78452 |
|
92 |
90 |
$1K |
| 74018 |
|
404 |
359 |
$1K |
| 92012 |
|
40 |
39 |
$1K |
| 12001 |
|
51 |
51 |
$1K |
| 77080 |
|
257 |
250 |
$1K |
| 70551 |
|
38 |
37 |
$1K |
| 99383 |
|
29 |
28 |
$1K |
| 43235 |
|
14 |
12 |
$1K |
| 76642 |
|
53 |
53 |
$996.71 |
| 99441 |
|
56 |
56 |
$978.69 |
| 93321 |
|
243 |
235 |
$971.29 |
| V2100 |
Lens spher single plano 4.00 |
12 |
12 |
$892.71 |
| 73590 |
|
231 |
185 |
$874.71 |
| 27096 |
|
12 |
12 |
$807.71 |
| 11900 |
|
46 |
40 |
$777.78 |
| 90671 |
|
1,116 |
1,042 |
$757.41 |
| 76811 |
|
12 |
12 |
$731.39 |
| 90686 |
|
2,337 |
2,296 |
$720.65 |
| 92136 |
|
55 |
53 |
$674.07 |
| V5020 |
Conformity evaluation |
51 |
37 |
$672.04 |
| 92558 |
|
102 |
102 |
$605.08 |
| 93325 |
|
310 |
297 |
$587.61 |
| 99406 |
|
92 |
91 |
$543.91 |
| 73090 |
|
91 |
79 |
$504.05 |
| 0124A |
|
26 |
26 |
$460.56 |
| 0298T |
|
42 |
42 |
$452.88 |
| 90461 |
|
5,008 |
4,797 |
$443.29 |
| 88342 |
|
18 |
17 |
$399.38 |
| 58300 |
|
24 |
24 |
$387.04 |
| 97110 |
|
17 |
12 |
$369.37 |
| 70486 |
|
25 |
25 |
$320.87 |
| 92002 |
|
15 |
15 |
$311.74 |
| 90471 |
|
87 |
85 |
$310.48 |
| 17000 |
|
13 |
13 |
$307.33 |
| 92593 |
|
13 |
13 |
$306.36 |
| 95251 |
|
15 |
15 |
$304.68 |
| 90651 |
|
292 |
292 |
$292.22 |
| 72100 |
|
52 |
52 |
$273.57 |
| 76942 |
|
13 |
13 |
$246.17 |
| 90670 |
|
3,806 |
3,750 |
$237.04 |
| 93922 |
|
44 |
42 |
$232.54 |
| 88300 |
|
58 |
54 |
$212.88 |
| 93248 |
|
12 |
12 |
$198.08 |
| 88302 |
|
25 |
25 |
$166.49 |
| 93925 |
|
12 |
12 |
$162.41 |
| 96127 |
|
36 |
36 |
$126.97 |
| 93280 |
|
12 |
12 |
$117.23 |
| G2211 |
Complex e/m visit add on |
25 |
25 |
$81.00 |
| 90715 |
|
121 |
121 |
$78.03 |
| 11100 |
|
89 |
81 |
$77.39 |
| 90680 |
|
2,970 |
2,905 |
$71.63 |
| 90723 |
|
2,790 |
2,760 |
$69.60 |
| 54150 |
|
53 |
52 |
$67.76 |
| 72170 |
|
12 |
12 |
$57.18 |
| 0054A |
|
17 |
16 |
$39.20 |
| 0064A |
|
17 |
17 |
$37.64 |
| 90647 |
|
2,709 |
2,683 |
$28.40 |
| Q0091 |
Obtaining screen pap smear |
35 |
31 |
$28.08 |
| 90656 |
|
85 |
84 |
$22.03 |
| 90633 |
|
1,598 |
1,592 |
$0.00 |
| 90734 |
|
230 |
230 |
$0.00 |
| 90710 |
|
903 |
899 |
$0.00 |
| 90700 |
|
574 |
573 |
$0.00 |
| G1004 |
Cdsm ndsc |
3,339 |
3,010 |
$0.00 |
| 90707 |
|
178 |
178 |
$0.00 |
| 90685 |
|
361 |
360 |
$0.00 |
| 92557 |
|
46 |
44 |
$0.00 |
| 90473 |
|
13 |
13 |
$0.00 |
| 98968 |
|
61 |
47 |
$0.00 |
| 99201 |
|
14 |
12 |
$0.00 |
| 10060 |
|
13 |
13 |
$0.00 |
| 90696 |
|
252 |
252 |
$0.00 |
| 90716 |
|
193 |
193 |
$0.00 |
| 90697 |
|
172 |
159 |
$0.00 |
| 92567 |
|
65 |
64 |
$0.00 |
| 92310 |
|
14 |
13 |
$0.00 |
| 90619 |
|
19 |
19 |
$0.00 |
| 93458 |
|
12 |
12 |
$0.00 |