| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
165,714 |
163,021 |
$16.65M |
| 99214 |
|
201,802 |
193,041 |
$12.44M |
| 99233 |
Prolong inpt eval add15 m |
100,399 |
39,546 |
$8.05M |
| 99213 |
|
158,907 |
152,854 |
$6.88M |
| 99232 |
|
86,509 |
41,573 |
$5.31M |
| 99285 |
|
36,361 |
35,825 |
$5.09M |
| 99291 |
|
35,583 |
17,815 |
$4.91M |
| 74177 |
|
46,690 |
45,699 |
$3.54M |
| 99215 |
Prolong outpt/office vis |
33,961 |
31,901 |
$2.87M |
| 70450 |
|
65,567 |
60,988 |
$2.32M |
| 99469 |
|
5,840 |
1,757 |
$2.24M |
| 99283 |
|
21,402 |
21,186 |
$1.69M |
| 88305 |
|
27,155 |
26,495 |
$1.47M |
| 99480 |
|
11,701 |
3,075 |
$1.30M |
| 99204 |
|
12,001 |
11,887 |
$1.19M |
| 71045 |
|
153,006 |
112,950 |
$1.16M |
| 93306 |
|
21,974 |
21,319 |
$1.10M |
| 99244 |
|
8,472 |
8,340 |
$1.08M |
| 99238 |
|
14,945 |
14,717 |
$1.08M |
| 99392 |
|
13,550 |
13,504 |
$1.03M |
| 76816 |
|
22,043 |
20,707 |
$1.01M |
| 99472 |
|
2,502 |
1,118 |
$997K |
| 70553 |
|
9,507 |
9,251 |
$903K |
| 71260 |
|
16,879 |
16,520 |
$885K |
| 99223 |
Prolong inpt eval add15 m |
5,992 |
5,840 |
$861K |
| 99243 |
|
9,181 |
9,117 |
$846K |
| 99391 |
|
10,490 |
10,376 |
$802K |
| 76811 |
|
6,326 |
6,155 |
$781K |
| 71275 |
|
10,398 |
10,132 |
$753K |
| 99479 |
|
6,381 |
1,538 |
$726K |
| 71046 |
|
77,223 |
72,157 |
$711K |
| 99222 |
|
5,553 |
5,471 |
$700K |
| 93303 |
|
11,011 |
10,163 |
$695K |
| 76819 |
|
13,695 |
10,173 |
$687K |
| 99203 |
|
10,411 |
10,283 |
$672K |
| 72125 |
|
13,431 |
13,107 |
$610K |
| 99282 |
|
17,306 |
17,143 |
$607K |
| 70551 |
|
9,339 |
9,084 |
$596K |
| 70498 |
|
7,374 |
7,205 |
$579K |
| 93010 |
|
85,992 |
69,807 |
$551K |
| 99239 |
|
5,945 |
5,786 |
$534K |
| 95004 |
|
2,373 |
2,331 |
$521K |
| 76770 |
|
13,875 |
13,715 |
$490K |
| 99393 |
|
5,241 |
5,230 |
$408K |
| 90837 |
|
4,330 |
2,960 |
$394K |
| 90834 |
|
5,316 |
3,416 |
$388K |
| 88307 |
|
4,301 |
4,219 |
$384K |
| 43239 |
|
2,582 |
2,511 |
$383K |
| 76700 |
|
11,012 |
10,852 |
$363K |
| 76817 |
|
7,521 |
7,150 |
$354K |
| 93976 |
|
9,229 |
9,074 |
$329K |
| 95720 |
|
3,084 |
1,801 |
$326K |
| 90960 |
|
6,839 |
6,594 |
$310K |
| 90961 |
|
6,493 |
6,292 |
$297K |
| 99442 |
|
5,100 |
5,007 |
$293K |
| 77067 |
|
6,428 |
6,386 |
$264K |
| 99460 |
|
2,959 |
2,888 |
$260K |
| 74018 |
|
33,633 |
28,653 |
$259K |
| 99152 |
|
10,301 |
9,784 |
$258K |
| 90833 |
|
7,646 |
7,111 |
$245K |
| 01967 |
|
671 |
650 |
$232K |
| 99231 |
|
6,924 |
4,189 |
$225K |
| 99443 |
|
2,994 |
2,921 |
$222K |
| 95951 |
|
828 |
398 |
$218K |
| 99253 |
|
1,905 |
1,887 |
$208K |
| 93320 |
|
10,894 |
10,048 |
$197K |
| 76801 |
|
3,223 |
3,143 |
$195K |
| 73130 |
|
21,494 |
18,231 |
$173K |
| 99254 |
|
1,041 |
1,021 |
$167K |
| 99212 |
|
6,313 |
5,811 |
$164K |
| 45380 |
|
927 |
879 |
$163K |
| 90870 |
|
1,564 |
768 |
$159K |
| 43235 |
|
1,142 |
1,098 |
$153K |
| 70496 |
|
2,190 |
2,074 |
$151K |
| 20610 |
|
5,656 |
4,154 |
$151K |
| 99245 |
|
878 |
868 |
$150K |
| H2000 |
Comp multidisipln evaluation |
273 |
270 |
$150K |
| 42820 |
|
512 |
510 |
$149K |
| 41899 |
|
222 |
220 |
$148K |
| 99468 |
|
156 |
148 |
$138K |
| 93971 |
|
7,217 |
6,951 |
$137K |
| 73562 |
|
16,835 |
14,162 |
$133K |
| 73721 |
|
2,085 |
1,967 |
$132K |
| 73610 |
|
16,225 |
14,729 |
$131K |
| 43264 |
|
641 |
608 |
$128K |
| 73630 |
|
16,987 |
14,733 |
$128K |
| 93970 |
|
4,380 |
4,145 |
$127K |
| 90847 |
|
1,712 |
1,175 |
$124K |
| 73110 |
|
14,125 |
12,700 |
$117K |
| 99394 |
|
1,450 |
1,447 |
$116K |
| 76856 |
|
3,680 |
3,577 |
$113K |
| 90935 |
|
3,783 |
2,096 |
$111K |
| 76830 |
|
3,285 |
3,203 |
$105K |
| 85060 |
|
5,039 |
4,831 |
$101K |
| 00170 |
|
665 |
660 |
$101K |
| 72170 |
|
12,146 |
11,846 |
$100K |
| 72148 |
|
1,739 |
1,712 |
$99K |
| 76813 |
|
1,647 |
1,629 |
$97K |
| 71250 |
|
2,765 |
2,716 |
$92K |
| 76705 |
|
3,210 |
3,138 |
$91K |
| J7307 |
Etonogestrel implant system |
85 |
84 |
$91K |
| 96127 |
|
8,246 |
5,384 |
$89K |
| 85390 |
|
2,765 |
2,655 |
$89K |
| 72082 |
|
5,677 |
5,582 |
$89K |
| 73590 |
|
11,506 |
10,423 |
$88K |
| 96110 |
|
5,450 |
5,430 |
$86K |
| 92134 |
|
6,081 |
5,589 |
$85K |
| 90832 |
|
1,391 |
1,127 |
$82K |
| 45385 |
|
379 |
368 |
$82K |
| 31231 |
|
993 |
965 |
$82K |
| 92014 |
|
2,829 |
2,688 |
$81K |
| 66984 |
|
299 |
269 |
$80K |
| 88342 |
|
2,238 |
2,196 |
$73K |
| 76805 |
|
1,173 |
1,161 |
$72K |
| 73080 |
|
8,496 |
7,881 |
$71K |
| 99242 |
|
994 |
992 |
$70K |
| 77063 |
|
3,644 |
3,633 |
$70K |
| 73030 |
|
8,886 |
7,982 |
$69K |
| 72141 |
|
1,086 |
1,050 |
$65K |
| 99153 |
Mod sedat endo service >5yrs |
4,903 |
4,575 |
$63K |
| 88108 |
|
3,452 |
3,121 |
$63K |
| 76820 |
|
1,766 |
1,254 |
$61K |
| 43259 |
|
446 |
428 |
$60K |
| 99381 |
|
475 |
468 |
$60K |
| 59025 |
|
1,825 |
1,150 |
$59K |
| 45378 |
|
299 |
282 |
$59K |
| 73090 |
|
7,136 |
6,468 |
$57K |
| 92012 |
|
2,494 |
2,285 |
$56K |
| 76815 |
|
1,299 |
1,245 |
$55K |
| 76942 |
|
2,202 |
2,135 |
$54K |
| 76642 |
|
1,671 |
1,444 |
$49K |
| 74176 |
|
773 |
755 |
$47K |
| 94010 |
|
5,718 |
5,537 |
$45K |
| 78815 |
|
479 |
466 |
$44K |
| 86077 |
|
1,204 |
1,127 |
$43K |
| 90962 |
|
1,032 |
1,011 |
$43K |
| 93325 |
|
13,325 |
12,281 |
$42K |
| 84165 |
|
3,173 |
2,968 |
$40K |
| 67028 |
|
1,104 |
1,005 |
$38K |
| 99205 |
Prolong outpt/office vis |
331 |
326 |
$38K |
| 76506 |
|
1,161 |
1,033 |
$36K |
| 90471 |
|
1,841 |
1,783 |
$36K |
| 77073 |
|
2,775 |
2,759 |
$34K |
| 92133 |
|
1,840 |
1,782 |
$33K |
| 88304 |
|
2,722 |
2,694 |
$33K |
| 93295 |
|
1,190 |
1,143 |
$31K |
| G2211 |
Complex e/m visit add on |
2,548 |
2,454 |
$31K |
| 69436 |
|
143 |
142 |
$31K |
| 99202 |
|
664 |
661 |
$30K |
| 76536 |
|
1,307 |
1,278 |
$29K |
| 93298 |
|
1,937 |
1,900 |
$29K |
| 95718 |
|
415 |
380 |
$29K |
| 73564 |
|
2,960 |
2,239 |
$29K |
| 72110 |
|
2,354 |
2,302 |
$28K |
| 00104 |
|
621 |
383 |
$27K |
| 70486 |
|
741 |
722 |
$27K |
| 73552 |
|
3,223 |
2,943 |
$26K |
| 90791 |
|
197 |
196 |
$25K |
| 81025 |
|
2,982 |
2,916 |
$25K |
| 73221 |
|
428 |
402 |
$25K |
| 11982 |
|
85 |
85 |
$24K |
| 90966 |
|
407 |
402 |
$24K |
| 99462 |
|
582 |
440 |
$24K |
| 76886 |
|
736 |
717 |
$24K |
| 99172 |
|
543 |
541 |
$23K |
| 99441 |
|
698 |
683 |
$23K |
| 95811 |
|
250 |
245 |
$23K |
| 95886 |
|
520 |
487 |
$23K |
| 99476 |
|
66 |
40 |
$22K |
| 74183 |
|
262 |
256 |
$21K |
| 95810 |
|
202 |
199 |
$21K |
| G0452 |
Molecular pathology interpr |
1,306 |
1,192 |
$19K |
| 73502 |
|
2,364 |
2,289 |
$19K |
| 92083 |
|
890 |
874 |
$19K |
| 11042 |
|
445 |
325 |
$18K |
| 77014 |
|
840 |
74 |
$18K |
| 49083 |
|
172 |
130 |
$18K |
| 74230 |
|
762 |
733 |
$18K |
| 77080 |
|
2,528 |
2,486 |
$17K |
| 99221 |
|
218 |
214 |
$17K |
| 01810 |
|
224 |
218 |
$17K |
| 77427 |
|
182 |
76 |
$16K |
| 90945 |
|
536 |
464 |
$16K |
| 72100 |
|
1,605 |
1,572 |
$15K |
| 88312 |
|
396 |
390 |
$15K |
| 99292 |
|
147 |
106 |
$15K |
| 76825 |
|
177 |
169 |
$14K |
| 74178 |
|
188 |
185 |
$14K |
| 92504 |
|
1,210 |
1,166 |
$14K |
| J1050 |
Medroxyprogesterone acetate |
141 |
139 |
$13K |
| 94060 |
|
1,190 |
1,175 |
$13K |
| 67228 |
|
67 |
52 |
$13K |
| 90734 |
|
138 |
136 |
$13K |
| 99255 |
|
53 |
51 |
$12K |
| 25600 |
|
67 |
67 |
$12K |
| 70491 |
|
197 |
189 |
$11K |
| 43274 |
|
30 |
27 |
$11K |
| 90785 |
|
2,017 |
1,932 |
$11K |
| 93297 |
|
998 |
955 |
$11K |
| 95812 |
|
229 |
221 |
$11K |
| 99252 |
|
141 |
140 |
$10K |
| 73060 |
|
1,323 |
1,228 |
$10K |
| 93923 |
|
700 |
683 |
$10K |
| 00142 |
|
145 |
138 |
$10K |
| 72050 |
|
775 |
753 |
$9K |
| 72081 |
|
695 |
677 |
$8K |
| 96372 |
|
499 |
383 |
$8K |
| 95813 |
|
104 |
101 |
$8K |
| 91320 |
|
90 |
88 |
$8K |
| 43244 |
|
43 |
42 |
$8K |
| 94729 |
|
1,189 |
1,171 |
$7K |
| 98968 |
|
401 |
241 |
$7K |
| 77066 |
Tomosynthesis, mammo |
177 |
177 |
$7K |
| 11100 |
|
179 |
168 |
$7K |
| 77065 |
Tomosynthesis, mammo |
195 |
193 |
$7K |
| 36620 |
|
143 |
138 |
$7K |
| 90836 |
|
94 |
93 |
$7K |
| 58301 |
|
29 |
29 |
$6K |
| 64615 |
|
71 |
64 |
$5K |
| 54161 |
|
26 |
26 |
$5K |
| 97803 |
|
218 |
216 |
$5K |
| 77092 |
|
982 |
956 |
$5K |
| 77075 |
|
198 |
184 |
$5K |
| 93294 |
|
298 |
295 |
$5K |
| 64483 |
|
42 |
42 |
$5K |
| 11721 |
|
409 |
381 |
$5K |
| 77076 |
|
146 |
130 |
$5K |
| 64721 |
|
23 |
17 |
$4K |
| 93272 |
|
178 |
177 |
$4K |
| 64642 |
|
62 |
60 |
$4K |
| 90686 |
|
259 |
259 |
$4K |
| 99173 |
|
186 |
186 |
$4K |
| 76827 |
|
115 |
108 |
$4K |
| 51600 |
|
34 |
33 |
$4K |
| 11981 |
|
12 |
12 |
$4K |
| 93321 |
|
696 |
678 |
$4K |
| 99451 |
|
89 |
89 |
$3K |
| 99477 |
|
13 |
12 |
$3K |
| 20553 |
|
131 |
122 |
$3K |
| 92523 |
|
12 |
12 |
$3K |
| 88341 |
|
46 |
44 |
$3K |
| 01922 |
|
24 |
24 |
$3K |
| 92004 |
|
47 |
47 |
$3K |
| 11104 |
|
59 |
54 |
$3K |
| 72197 |
|
38 |
38 |
$3K |
| 93308 |
|
160 |
155 |
$3K |
| 92201 |
|
179 |
122 |
$3K |
| 11012 |
|
13 |
12 |
$3K |
| 90656 |
|
190 |
189 |
$3K |
| 72072 |
|
298 |
294 |
$3K |
| 72158 |
|
28 |
27 |
$3K |
| 74241 |
|
81 |
75 |
$3K |
| 99342 |
|
31 |
31 |
$3K |
| 99384 |
|
15 |
15 |
$3K |
| 77049 |
|
26 |
25 |
$3K |
| 74328 |
|
146 |
133 |
$3K |
| 88112 |
|
113 |
110 |
$3K |
| 0001A |
|
72 |
66 |
$3K |
| 73560 |
|
352 |
329 |
$2K |
| 92060 |
|
67 |
65 |
$2K |
| 11102 |
|
62 |
61 |
$2K |
| 20552 |
|
116 |
105 |
$2K |
| 93351 |
|
36 |
36 |
$2K |
| 64643 |
|
41 |
40 |
$2K |
| 95251 |
|
58 |
58 |
$2K |
| 26600 |
|
15 |
15 |
$2K |
| 64450 |
|
41 |
36 |
$2K |
| 20611 |
|
52 |
48 |
$2K |
| 90480 |
|
77 |
75 |
$2K |
| 93356 |
|
89 |
63 |
$2K |
| 93248 |
|
93 |
93 |
$2K |
| 90677 |
|
12 |
12 |
$2K |
| 00126 |
|
32 |
32 |
$2K |
| 72146 |
|
27 |
27 |
$2K |
| 94726 |
|
184 |
178 |
$2K |
| G0008 |
Admin influenza virus vac |
188 |
183 |
$2K |
| 17311 |
|
14 |
13 |
$2K |
| 88189 |
|
26 |
25 |
$2K |
| 99344 |
|
14 |
13 |
$2K |
| 72190 |
|
164 |
154 |
$2K |
| 99217 |
|
27 |
24 |
$2K |
| 77072 |
|
176 |
176 |
$2K |
| 43262 |
|
14 |
13 |
$2K |
| 70544 |
|
27 |
26 |
$1K |
| 77077 |
|
122 |
102 |
$1K |
| 92015 |
|
233 |
232 |
$1K |
| 73700 |
|
29 |
25 |
$1K |
| 76937 |
|
184 |
176 |
$1K |
| 90732 |
|
18 |
16 |
$1K |
| 99219 |
|
14 |
14 |
$1K |
| 77263 |
|
14 |
12 |
$1K |
| 57454 |
|
12 |
12 |
$1K |
| 74240 |
|
37 |
36 |
$1K |
| T1023 |
Program intake assessment |
475 |
470 |
$1K |
| 93280 |
|
53 |
50 |
$1K |
| 69210 |
|
40 |
40 |
$1K |
| 96130 |
|
13 |
13 |
$1K |
| 72157 |
|
13 |
12 |
$1K |
| 72156 |
|
13 |
13 |
$1K |
| 72040 |
|
121 |
120 |
$1K |
| 54150 |
|
12 |
12 |
$1K |
| 99418 |
Prolong nursin fac eval 15m |
19 |
12 |
$1K |
| 90460 |
|
40 |
37 |
$1K |
| 77334 |
|
18 |
13 |
$976.26 |
| 99464 |
|
13 |
12 |
$958.78 |
| 36415 |
|
164 |
161 |
$882.32 |
| 00731 |
|
13 |
13 |
$860.94 |
| 96131 |
|
12 |
12 |
$814.56 |
| 99607 |
|
27 |
24 |
$789.94 |
| 93880 |
|
38 |
36 |
$766.77 |
| 99188 |
|
59 |
59 |
$766.05 |
| 0002A |
|
19 |
19 |
$750.40 |
| 92225 |
|
79 |
67 |
$750.24 |
| 73000 |
|
96 |
90 |
$738.24 |
| 97110 |
|
23 |
12 |
$731.36 |
| 94618 |
|
40 |
39 |
$724.42 |
| 17110 |
|
12 |
12 |
$716.55 |
| 96136 |
|
46 |
44 |
$700.08 |
| 98941 |
|
30 |
17 |
$694.27 |
| 99606 |
|
25 |
24 |
$688.65 |
| 95873 |
|
46 |
44 |
$687.95 |
| 76870 |
|
24 |
24 |
$681.10 |
| 99307 |
|
37 |
30 |
$673.10 |
| 74455 |
|
32 |
31 |
$668.23 |
| G0500 |
Mod sedat endo service >5yrs |
706 |
637 |
$652.74 |
| 95717 |
|
15 |
15 |
$623.52 |
| 99241 |
|
14 |
13 |
$590.66 |
| 94727 |
|
70 |
69 |
$572.91 |
| 98967 |
|
43 |
41 |
$539.03 |
| G2212 |
Prolong outpt/office vis |
14 |
14 |
$523.81 |
| 85097 |
|
13 |
13 |
$472.70 |
| 81015 |
|
137 |
132 |
$472.36 |
| 90472 |
|
32 |
30 |
$469.72 |
| 0003A |
|
16 |
14 |
$454.00 |
| 99447 |
|
12 |
12 |
$443.98 |
| 97802 |
|
12 |
12 |
$407.71 |
| 77061 |
|
12 |
12 |
$396.11 |
| 96137 |
|
13 |
13 |
$386.48 |
| 81002 |
|
137 |
133 |
$305.84 |
| 88300 |
|
58 |
55 |
$274.56 |
| 93227 |
|
12 |
12 |
$260.18 |
| 93798 |
|
16 |
13 |
$255.14 |
| 88141 |
|
12 |
12 |
$244.15 |
| 86703 |
|
14 |
14 |
$238.50 |
| 99446 |
|
14 |
14 |
$233.02 |
| 77081 |
|
58 |
57 |
$194.87 |
| 74022 |
|
14 |
14 |
$194.05 |
| 84166 |
|
12 |
12 |
$170.35 |
| 88313 |
|
13 |
13 |
$137.81 |
| 20550 |
|
15 |
12 |
$123.81 |
| 88311 |
|
12 |
12 |
$118.11 |
| 70360 |
|
13 |
12 |
$111.45 |
| S0191 |
Misoprostol, oral, 200 mcg |
25 |
25 |
$105.95 |
| 91065 |
|
12 |
12 |
$99.82 |
| 93290 |
|
12 |
12 |
$99.40 |
| 93005 |
|
13 |
13 |
$75.80 |
| 99080 |
|
15 |
15 |
$75.00 |
| 73140 |
|
13 |
13 |
$74.43 |
| 99308 |
|
16 |
12 |
$69.58 |
| G1004 |
Cdsm ndsc |
2,665 |
2,402 |
$16.79 |
| 91300 |
|
129 |
129 |
$0.50 |
| E1390 |
Oxygen concentrator |
17 |
17 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
12 |
12 |
$0.00 |
| E0431 |
Portable gaseous 02 |
12 |
12 |
$0.00 |