| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
270,488 |
250,675 |
$9.48M |
| 99213 |
|
343,691 |
317,233 |
$8.49M |
| 99284 |
|
143,228 |
137,475 |
$7.34M |
| 99285 |
|
90,973 |
86,572 |
$6.27M |
| 99232 |
|
112,400 |
41,863 |
$2.58M |
| 99291 |
|
29,816 |
11,680 |
$1.92M |
| 99233 |
Prolong inpt eval add15 m |
51,244 |
20,333 |
$1.66M |
| 88305 |
|
35,763 |
33,636 |
$1.61M |
| 74177 |
|
32,586 |
30,454 |
$1.25M |
| 70450 |
|
46,366 |
41,208 |
$1.20M |
| 93306 |
|
30,359 |
28,603 |
$1.06M |
| 99215 |
Prolong outpt/office vis |
23,892 |
21,601 |
$984K |
| 59409 |
|
1,504 |
1,405 |
$872K |
| 76816 |
|
22,022 |
20,816 |
$767K |
| 99283 |
|
23,342 |
22,384 |
$734K |
| 93010 |
|
123,268 |
108,370 |
$731K |
| 71045 |
|
131,838 |
104,468 |
$728K |
| 70553 |
|
8,923 |
8,375 |
$668K |
| 95720 |
|
5,528 |
2,428 |
$658K |
| 76819 |
|
25,545 |
20,816 |
$652K |
| 90960 |
|
12,897 |
12,026 |
$601K |
| 99204 |
|
11,162 |
10,723 |
$594K |
| 59025 |
|
26,102 |
17,406 |
$550K |
| 88307 |
|
7,816 |
7,397 |
$477K |
| 71260 |
|
10,493 |
9,819 |
$460K |
| 76811 |
|
6,878 |
6,548 |
$447K |
| 99223 |
Prolong inpt eval add15 m |
6,882 |
6,370 |
$415K |
| 99203 |
|
13,124 |
12,621 |
$407K |
| 95951 |
|
4,159 |
1,545 |
$392K |
| 71275 |
|
6,496 |
6,080 |
$377K |
| 99211 |
|
26,004 |
24,668 |
$342K |
| 76817 |
|
12,934 |
12,228 |
$337K |
| 71046 |
|
44,321 |
42,263 |
$320K |
| 72125 |
|
8,398 |
7,739 |
$255K |
| 77067 |
|
12,395 |
12,135 |
$252K |
| 90837 |
|
3,570 |
1,975 |
$248K |
| 88342 |
|
8,859 |
8,254 |
$232K |
| 93970 |
|
9,310 |
8,279 |
$211K |
| 71250 |
|
8,072 |
7,663 |
$202K |
| 64615 |
|
3,284 |
3,174 |
$187K |
| 90791 |
|
2,127 |
2,010 |
$182K |
| 90460 |
|
12,161 |
5,070 |
$173K |
| 76700 |
|
6,327 |
6,044 |
$169K |
| 76830 |
|
6,221 |
6,041 |
$162K |
| 76805 |
|
4,085 |
3,970 |
$155K |
| 74018 |
|
29,287 |
24,001 |
$151K |
| 20610 |
|
6,788 |
5,877 |
$148K |
| 99212 |
|
8,438 |
7,839 |
$140K |
| 76801 |
|
4,717 |
4,527 |
$137K |
| 76820 |
|
6,290 |
4,835 |
$132K |
| 01967 |
|
455 |
422 |
$128K |
| 76856 |
|
5,076 |
4,918 |
$128K |
| 78815 |
|
1,966 |
1,864 |
$125K |
| 93298 |
|
7,632 |
7,353 |
$121K |
| 99254 |
|
1,685 |
1,534 |
$118K |
| 99244 |
|
2,073 |
2,035 |
$117K |
| 93295 |
|
3,803 |
3,680 |
$115K |
| 99238 |
|
4,379 |
4,110 |
$114K |
| 72131 |
|
3,719 |
3,442 |
$113K |
| 43775 |
|
179 |
172 |
$110K |
| H1000 |
Prenatal care atrisk assessm |
1,161 |
985 |
$108K |
| 74176 |
|
3,269 |
3,053 |
$108K |
| 70498 |
|
2,175 |
1,987 |
$105K |
| 77063 |
|
4,606 |
4,481 |
$103K |
| 90961 |
|
2,212 |
2,079 |
$100K |
| 70551 |
|
2,259 |
2,128 |
$99K |
| 31579 |
|
1,966 |
1,826 |
$98K |
| 99391 |
|
2,617 |
2,495 |
$97K |
| 90832 |
|
2,948 |
2,322 |
$96K |
| 78452 |
|
2,692 |
2,533 |
$95K |
| 99222 |
|
2,182 |
1,986 |
$94K |
| 93971 |
|
5,816 |
5,464 |
$91K |
| 70496 |
|
1,838 |
1,672 |
$90K |
| 95117 |
|
10,922 |
6,582 |
$89K |
| 99392 |
|
2,154 |
2,103 |
$88K |
| 72128 |
|
2,729 |
2,512 |
$85K |
| 49083 |
|
1,311 |
852 |
$84K |
| G0279 |
Tomosynthesis, mammo |
4,041 |
3,883 |
$81K |
| 73630 |
|
13,028 |
10,693 |
$80K |
| 87624 |
|
3,150 |
3,076 |
$80K |
| 87491 |
|
2,711 |
2,652 |
$77K |
| 87591 |
|
2,712 |
2,653 |
$76K |
| 73030 |
|
11,348 |
9,939 |
$74K |
| 99239 |
|
2,037 |
1,915 |
$73K |
| 88142 |
|
4,579 |
4,515 |
$72K |
| 97803 |
|
2,769 |
2,653 |
$70K |
| 72100 |
|
9,022 |
8,714 |
$69K |
| 31231 |
|
2,855 |
2,682 |
$63K |
| 76642 |
|
2,877 |
2,627 |
$63K |
| 99255 |
|
672 |
614 |
$62K |
| 88112 |
|
3,038 |
2,702 |
$59K |
| 73560 |
|
10,186 |
8,414 |
$59K |
| 73610 |
|
9,463 |
8,269 |
$59K |
| 43239 |
|
661 |
626 |
$58K |
| 88141 |
|
2,651 |
2,597 |
$57K |
| 99231 |
|
3,964 |
2,381 |
$57K |
| 76770 |
|
3,130 |
2,961 |
$53K |
| 76705 |
|
3,504 |
3,251 |
$51K |
| 84165 |
|
5,056 |
4,757 |
$50K |
| 99253 |
|
991 |
914 |
$49K |
| 72148 |
|
1,116 |
1,067 |
$49K |
| 99202 |
|
1,536 |
1,498 |
$47K |
| 83020 |
|
3,846 |
3,516 |
$47K |
| 11721 |
|
5,020 |
4,766 |
$45K |
| 73721 |
|
1,033 |
975 |
$45K |
| 73130 |
|
7,175 |
5,771 |
$45K |
| 99205 |
Prolong outpt/office vis |
756 |
719 |
$44K |
| 90471 |
|
2,546 |
2,393 |
$44K |
| 97802 |
|
848 |
815 |
$43K |
| 71271 |
|
1,200 |
1,167 |
$41K |
| 93016 |
|
2,574 |
2,437 |
$40K |
| 95810 |
|
757 |
738 |
$40K |
| 99245 |
|
555 |
542 |
$37K |
| 90966 |
|
442 |
420 |
$35K |
| 95718 |
|
439 |
393 |
$35K |
| 99395 |
|
783 |
774 |
$34K |
| 73590 |
|
5,322 |
4,539 |
$32K |
| 93975 |
|
836 |
748 |
$32K |
| 72040 |
|
4,327 |
4,103 |
$31K |
| 90833 |
|
1,167 |
922 |
$30K |
| 31575 |
|
1,041 |
968 |
$28K |
| 95886 |
|
1,603 |
1,513 |
$28K |
| 73562 |
|
4,089 |
3,364 |
$28K |
| 73564 |
|
3,554 |
2,939 |
$28K |
| 62323 |
|
403 |
388 |
$28K |
| 90792 |
|
382 |
358 |
$27K |
| 76813 |
|
673 |
631 |
$27K |
| 90688 |
|
2,721 |
2,636 |
$27K |
| 93458 |
|
279 |
251 |
$26K |
| 93018 |
|
3,021 |
2,851 |
$26K |
| 00731 |
|
465 |
426 |
$24K |
| 93308 |
|
1,685 |
1,562 |
$24K |
| 95811 |
|
392 |
381 |
$24K |
| 99282 |
|
1,269 |
1,164 |
$24K |
| 11042 |
|
1,607 |
1,195 |
$24K |
| 86334 |
|
2,493 |
2,339 |
$24K |
| 92004 |
|
588 |
573 |
$24K |
| 94060 |
|
1,879 |
1,777 |
$24K |
| 45385 |
|
120 |
111 |
$22K |
| 72141 |
|
478 |
454 |
$21K |
| 73502 |
|
2,885 |
2,762 |
$21K |
| 57454 |
|
234 |
229 |
$20K |
| 77066 |
Tomosynthesis, mammo |
838 |
787 |
$19K |
| 91200 |
|
1,680 |
1,615 |
$19K |
| 97810 |
|
790 |
367 |
$18K |
| 99219 |
|
402 |
378 |
$18K |
| 73110 |
|
2,943 |
2,514 |
$18K |
| 99217 |
|
640 |
615 |
$18K |
| 90686 |
|
2,223 |
2,125 |
$17K |
| 99308 |
|
1,028 |
732 |
$17K |
| 70486 |
|
537 |
510 |
$17K |
| 67028 |
|
284 |
247 |
$16K |
| 88304 |
|
1,184 |
1,139 |
$15K |
| 80500 |
|
1,370 |
1,284 |
$15K |
| 95816 |
|
708 |
649 |
$15K |
| 64642 |
|
311 |
287 |
$15K |
| 01961 |
|
86 |
78 |
$15K |
| 99243 |
|
425 |
414 |
$14K |
| 70491 |
|
292 |
283 |
$14K |
| 76815 |
|
578 |
503 |
$14K |
| 76818 |
|
458 |
339 |
$13K |
| 88341 |
|
280 |
260 |
$12K |
| 72156 |
|
151 |
138 |
$12K |
| 77065 |
Tomosynthesis, mammo |
1,454 |
1,346 |
$12K |
| 72170 |
|
2,031 |
1,858 |
$12K |
| 64643 |
|
312 |
291 |
$12K |
| G0297 |
Ldct for lung ca screen |
384 |
378 |
$11K |
| 99152 |
|
1,648 |
1,465 |
$11K |
| 36558 |
|
133 |
102 |
$11K |
| 90935 |
|
475 |
251 |
$11K |
| 73552 |
|
1,889 |
1,633 |
$11K |
| 54150 |
|
319 |
299 |
$11K |
| 93294 |
|
673 |
656 |
$10K |
| 94729 |
|
2,940 |
2,782 |
$10K |
| 99220 |
|
164 |
161 |
$9K |
| 74230 |
|
794 |
713 |
$9K |
| 29580 |
|
555 |
227 |
$9K |
| 99394 |
|
137 |
135 |
$9K |
| 77080 |
|
2,467 |
2,382 |
$9K |
| 92134 |
|
897 |
835 |
$8K |
| 99442 |
|
1,282 |
1,171 |
$8K |
| 95874 |
|
1,208 |
1,136 |
$8K |
| 93922 |
|
741 |
717 |
$8K |
| 11900 |
|
285 |
259 |
$8K |
| 73221 |
|
174 |
167 |
$8K |
| 76536 |
|
535 |
513 |
$8K |
| 92014 |
|
217 |
211 |
$7K |
| 59514 |
|
12 |
12 |
$7K |
| 92504 |
|
2,310 |
2,090 |
$7K |
| 90962 |
|
137 |
130 |
$7K |
| 93000 |
|
525 |
517 |
$7K |
| 99281 |
|
569 |
539 |
$6K |
| 99309 |
|
224 |
130 |
$6K |
| 97811 |
|
408 |
197 |
$6K |
| 51701 |
|
202 |
185 |
$6K |
| 99393 |
|
136 |
135 |
$6K |
| 99221 |
|
195 |
182 |
$6K |
| 11056 |
|
573 |
521 |
$6K |
| J3301 |
Triamcinolone acet inj nos |
942 |
855 |
$6K |
| G2211 |
Complex e/m visit add on |
13,726 |
12,853 |
$6K |
| 59430 |
|
132 |
125 |
$6K |
| 17250 |
|
407 |
322 |
$6K |
| 76376 |
|
1,469 |
1,433 |
$6K |
| 99417 |
Prolong home eval add 15m |
199 |
182 |
$6K |
| 99226 |
|
209 |
145 |
$5K |
| 93325 |
|
1,999 |
1,823 |
$5K |
| 99396 |
|
100 |
96 |
$5K |
| 74183 |
|
83 |
78 |
$5K |
| 93272 |
|
232 |
217 |
$5K |
| 99225 |
|
247 |
205 |
$5K |
| 94618 |
|
425 |
403 |
$5K |
| 84166 |
|
510 |
478 |
$5K |
| 90834 |
|
114 |
93 |
$5K |
| 97804 |
|
279 |
268 |
$5K |
| 99443 |
|
287 |
280 |
$4K |
| 94010 |
|
675 |
618 |
$4K |
| 64644 |
|
117 |
115 |
$4K |
| 76942 |
|
312 |
286 |
$4K |
| 45378 |
|
26 |
26 |
$4K |
| 94726 |
|
1,185 |
1,114 |
$4K |
| M0243 |
Casirivi and imdevi inj |
14 |
14 |
$4K |
| 88174 |
|
232 |
215 |
$4K |
| 93880 |
|
233 |
220 |
$4K |
| 80503 |
|
261 |
247 |
$4K |
| 85060 |
|
339 |
313 |
$4K |
| 92557 |
|
274 |
249 |
$4K |
| 77427 |
|
51 |
24 |
$4K |
| 88173 |
|
88 |
67 |
$4K |
| 73620 |
|
691 |
487 |
$4K |
| 88311 |
|
369 |
330 |
$3K |
| 72082 |
|
264 |
252 |
$3K |
| 52000 |
|
108 |
100 |
$3K |
| 72110 |
|
315 |
304 |
$3K |
| 88175 |
|
163 |
145 |
$3K |
| 62329 |
|
59 |
55 |
$3K |
| 00170 |
|
57 |
41 |
$3K |
| 94727 |
|
764 |
736 |
$3K |
| 78431 |
|
49 |
41 |
$3K |
| 99177 |
|
347 |
341 |
$3K |
| 95165 |
|
59 |
57 |
$3K |
| 31624 |
|
180 |
152 |
$3K |
| 62370 |
|
252 |
231 |
$3K |
| 73700 |
|
92 |
82 |
$3K |
| 93321 |
|
608 |
542 |
$3K |
| 93290 |
|
296 |
256 |
$3K |
| 77001 |
|
442 |
357 |
$3K |
| 94003 |
|
65 |
24 |
$3K |
| 99459 |
|
176 |
168 |
$3K |
| 76937 |
|
403 |
333 |
$2K |
| 36415 |
|
1,138 |
1,066 |
$2K |
| 88313 |
|
85 |
77 |
$2K |
| 43235 |
|
39 |
37 |
$2K |
| 45380 |
|
15 |
14 |
$2K |
| 72157 |
|
28 |
26 |
$2K |
| 99235 |
|
28 |
27 |
$2K |
| 95115 |
|
302 |
180 |
$2K |
| 17311 |
|
13 |
13 |
$2K |
| 64721 |
|
13 |
12 |
$2K |
| 64447 |
|
67 |
63 |
$2K |
| 73070 |
|
353 |
316 |
$2K |
| 99252 |
|
46 |
44 |
$2K |
| 11102 |
|
57 |
53 |
$2K |
| 11981 |
|
56 |
54 |
$2K |
| 99441 |
|
512 |
485 |
$2K |
| 96372 |
|
172 |
120 |
$2K |
| 73090 |
|
263 |
226 |
$2K |
| 88189 |
|
39 |
36 |
$2K |
| 90715 |
|
81 |
64 |
$2K |
| 95908 |
|
50 |
48 |
$1K |
| 96365 |
|
63 |
38 |
$1K |
| 93976 |
|
48 |
43 |
$1K |
| 99292 |
|
37 |
13 |
$1K |
| 94690 |
|
57 |
51 |
$1K |
| 69210 |
|
158 |
135 |
$1K |
| 92567 |
|
153 |
144 |
$1K |
| 78434 |
|
58 |
53 |
$1K |
| 16020 |
|
51 |
43 |
$1K |
| 95976 |
|
80 |
79 |
$1K |
| 81025 |
|
188 |
182 |
$1K |
| 46600 |
|
32 |
30 |
$1K |
| 99315 |
|
49 |
46 |
$1K |
| J1050 |
Medroxyprogesterone acetate |
13 |
12 |
$1K |
| 36573 |
|
31 |
25 |
$1K |
| 99381 |
|
26 |
24 |
$1K |
| 80504 |
|
32 |
30 |
$995.90 |
| 72070 |
|
134 |
130 |
$956.59 |
| 99385 |
|
12 |
12 |
$821.53 |
| 64483 |
|
29 |
24 |
$810.21 |
| 78492 |
|
26 |
26 |
$809.94 |
| 86335 |
|
85 |
79 |
$802.06 |
| 88312 |
|
43 |
38 |
$771.88 |
| 90670 |
|
365 |
346 |
$738.43 |
| H0020 |
Alcohol and/or drug services |
94 |
25 |
$721.56 |
| H0048 |
Spec coll non-blood:a/d test |
208 |
189 |
$697.12 |
| 90656 |
|
91 |
91 |
$695.88 |
| 73060 |
|
110 |
100 |
$694.09 |
| 72050 |
|
66 |
63 |
$681.91 |
| 74240 |
|
30 |
29 |
$661.87 |
| 11055 |
|
111 |
104 |
$659.22 |
| 96127 |
|
186 |
173 |
$657.77 |
| 00104 |
|
24 |
17 |
$640.29 |
| 76821 |
|
15 |
13 |
$633.82 |
| 31615 |
|
14 |
13 |
$629.18 |
| 88188 |
|
14 |
14 |
$624.14 |
| 00812 |
|
12 |
12 |
$615.13 |
| 29581 |
|
59 |
25 |
$601.70 |
| 76604 |
|
41 |
38 |
$564.40 |
| 77003 |
|
43 |
39 |
$563.95 |
| 92012 |
|
24 |
18 |
$544.46 |
| 73600 |
|
100 |
92 |
$537.45 |
| 36620 |
|
13 |
12 |
$518.32 |
| 93923 |
|
31 |
28 |
$509.48 |
| 36556 |
|
15 |
12 |
$501.48 |
| 88302 |
|
82 |
73 |
$489.59 |
| 92083 |
|
43 |
43 |
$464.17 |
| 90662 |
|
19 |
18 |
$448.32 |
| 87210 |
|
116 |
109 |
$406.04 |
| 92978 |
|
12 |
12 |
$387.65 |
| 49424 |
|
16 |
12 |
$359.74 |
| 99406 |
|
41 |
41 |
$347.93 |
| 95885 |
|
55 |
53 |
$345.80 |
| 87804 |
|
28 |
14 |
$327.62 |
| 78306 |
|
15 |
15 |
$321.08 |
| 17000 |
|
13 |
12 |
$310.72 |
| 99316 |
|
13 |
12 |
$297.57 |
| 73140 |
|
56 |
50 |
$274.34 |
| 64484 |
|
17 |
12 |
$266.39 |
| 31502 |
|
27 |
24 |
$261.17 |
| 99307 |
|
18 |
12 |
$258.10 |
| 90648 |
|
308 |
294 |
$250.52 |
| 95819 |
|
12 |
12 |
$247.84 |
| 76080 |
|
14 |
12 |
$235.27 |
| 51784 |
|
13 |
12 |
$225.54 |
| 90785 |
|
26 |
25 |
$219.68 |
| 73100 |
|
43 |
37 |
$218.47 |
| 90658 |
|
13 |
13 |
$206.55 |
| 3044F |
|
25,924 |
24,162 |
$185.65 |
| 73020 |
|
35 |
33 |
$179.88 |
| 93228 |
|
15 |
13 |
$168.28 |
| 93320 |
|
13 |
13 |
$162.99 |
| 76857 |
|
12 |
12 |
$149.10 |
| 81003 |
|
125 |
117 |
$148.02 |
| 51600 |
|
13 |
12 |
$147.52 |
| 80305 |
|
21 |
15 |
$135.07 |
| 74455 |
|
12 |
12 |
$132.25 |
| 99201 |
|
14 |
14 |
$127.45 |
| 92250 |
|
13 |
12 |
$123.94 |
| 90734 |
|
35 |
34 |
$115.99 |
| G0008 |
Admin influenza virus vac |
549 |
515 |
$115.21 |
| 70250 |
|
16 |
12 |
$112.19 |
| 73120 |
|
22 |
15 |
$103.90 |
| 73000 |
|
16 |
14 |
$103.79 |
| 73565 |
|
13 |
13 |
$94.23 |
| 90472 |
|
14 |
12 |
$89.62 |
| 74019 |
|
15 |
13 |
$70.31 |
| 73080 |
|
13 |
12 |
$70.21 |
| 90723 |
|
72 |
65 |
$70.03 |
| 62369 |
|
16 |
14 |
$69.90 |
| 77077 |
|
13 |
12 |
$68.51 |
| 0482T |
|
13 |
13 |
$54.75 |
| 51798 |
|
64 |
59 |
$51.06 |
| 90633 |
|
42 |
42 |
$50.26 |
| 82962 |
|
38 |
36 |
$46.57 |
| 83036 |
|
12 |
12 |
$45.85 |
| G1004 |
Cdsm ndsc |
1,410 |
945 |
$36.78 |
| J7030 |
Normal saline solution infus |
16 |
14 |
$30.33 |
| 81002 |
|
13 |
12 |
$27.40 |
| 90698 |
|
59 |
54 |
$10.24 |
| 90680 |
|
13 |
13 |
$10.01 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
32 |
30 |
$6.23 |
| Q0244 |
Casirivi and imdevi 1200 mg |
15 |
13 |
$0.01 |
| 90685 |
|
12 |
12 |
$0.01 |
| 3079F |
|
1,006 |
964 |
$0.00 |
| 3074F |
|
2,176 |
2,078 |
$0.00 |
| 3075F |
|
492 |
483 |
$0.00 |
| 3080F |
|
620 |
578 |
$0.00 |
| 3078F |
|
4,736 |
4,533 |
$0.00 |
| 3077F |
|
2,729 |
2,568 |
$0.00 |
| 97602 |
|
70 |
55 |
$0.00 |
| 3046F |
|
75 |
66 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |