| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
90,615 |
86,034 |
$6.61M |
| 99284 |
|
105,996 |
100,174 |
$5.47M |
| 99214 |
|
127,594 |
117,352 |
$5.33M |
| 99213 |
|
129,109 |
114,259 |
$4.38M |
| 99232 |
|
40,790 |
13,111 |
$802K |
| 99283 |
|
23,762 |
23,014 |
$688K |
| 93306 |
|
12,030 |
11,376 |
$410K |
| 90837 |
|
6,376 |
4,846 |
$408K |
| 99204 |
|
6,766 |
6,452 |
$399K |
| 99233 |
Prolong inpt eval add15 m |
12,509 |
4,903 |
$368K |
| 99203 |
|
7,400 |
6,971 |
$298K |
| 97810 |
|
12,514 |
7,282 |
$226K |
| 93010 |
|
37,983 |
32,598 |
$217K |
| 97811 |
|
12,323 |
7,165 |
$179K |
| 76830 |
|
2,482 |
2,360 |
$162K |
| 99223 |
Prolong inpt eval add15 m |
2,459 |
2,298 |
$143K |
| 76816 |
|
3,805 |
3,394 |
$136K |
| 99215 |
Prolong outpt/office vis |
2,516 |
2,350 |
$136K |
| 99239 |
|
3,690 |
3,501 |
$134K |
| 43239 |
|
1,509 |
1,443 |
$126K |
| 98941 |
|
9,998 |
5,647 |
$112K |
| 99222 |
|
2,360 |
2,153 |
$100K |
| 99395 |
|
1,220 |
1,124 |
$71K |
| 76805 |
|
1,806 |
1,739 |
$68K |
| 45380 |
|
514 |
494 |
$67K |
| 95886 |
|
2,971 |
2,857 |
$65K |
| 20610 |
|
1,765 |
1,353 |
$60K |
| 99231 |
|
4,542 |
1,835 |
$55K |
| 20553 |
|
2,243 |
2,032 |
$55K |
| 76811 |
|
829 |
807 |
$52K |
| 73630 |
|
3,769 |
2,905 |
$50K |
| 99205 |
Prolong outpt/office vis |
676 |
647 |
$50K |
| 99212 |
|
2,811 |
2,593 |
$45K |
| 99442 |
|
2,648 |
2,483 |
$42K |
| 76817 |
|
712 |
669 |
$40K |
| 99291 |
|
899 |
475 |
$38K |
| 95251 |
|
2,109 |
1,911 |
$36K |
| 76801 |
|
1,205 |
1,131 |
$36K |
| 99238 |
|
1,261 |
1,206 |
$35K |
| 81003 |
|
18,361 |
14,183 |
$32K |
| 76819 |
|
1,113 |
793 |
$32K |
| 99202 |
|
1,093 |
1,018 |
$32K |
| 99211 |
|
3,905 |
3,377 |
$30K |
| 92557 |
|
1,096 |
1,028 |
$29K |
| 00731 |
|
643 |
575 |
$28K |
| 90791 |
|
387 |
365 |
$28K |
| 99401 |
|
1,277 |
1,178 |
$28K |
| 99244 |
|
381 |
376 |
$27K |
| 90870 |
|
876 |
262 |
$26K |
| 97803 |
|
1,165 |
1,062 |
$25K |
| 45385 |
|
86 |
83 |
$18K |
| 90471 |
|
1,083 |
1,034 |
$15K |
| 73030 |
|
1,075 |
956 |
$15K |
| 76813 |
|
343 |
327 |
$15K |
| 92567 |
|
1,386 |
1,299 |
$14K |
| 93000 |
|
1,211 |
1,125 |
$14K |
| 99221 |
|
481 |
434 |
$13K |
| 99443 |
|
846 |
794 |
$11K |
| 99402 |
|
306 |
280 |
$11K |
| 93018 |
|
1,199 |
1,147 |
$11K |
| 95913 |
|
84 |
78 |
$11K |
| 90688 |
|
662 |
629 |
$9K |
| 36415 |
|
3,183 |
2,801 |
$9K |
| 99460 |
|
119 |
117 |
$8K |
| 76815 |
|
327 |
260 |
$7K |
| 85610 |
|
2,661 |
2,248 |
$7K |
| J3301 |
Triamcinolone acet inj nos |
740 |
696 |
$6K |
| 31579 |
|
66 |
59 |
$6K |
| 90833 |
|
213 |
204 |
$5K |
| 99078 |
|
136 |
122 |
$5K |
| 99441 |
|
562 |
539 |
$5K |
| 31231 |
|
59 |
56 |
$5K |
| 62323 |
|
91 |
88 |
$5K |
| 59025 |
|
182 |
74 |
$4K |
| 64483 |
|
141 |
130 |
$4K |
| 93291 |
|
348 |
337 |
$4K |
| 83036 |
|
540 |
519 |
$4K |
| 99243 |
|
78 |
78 |
$4K |
| J1050 |
Medroxyprogesterone acetate |
40 |
32 |
$4K |
| 99255 |
|
52 |
42 |
$4K |
| 99252 |
|
104 |
99 |
$4K |
| 98940 |
|
534 |
415 |
$4K |
| 95811 |
|
55 |
55 |
$4K |
| 64493 |
|
78 |
62 |
$3K |
| 01967 |
|
37 |
27 |
$3K |
| 99254 |
|
49 |
39 |
$3K |
| 95912 |
|
41 |
41 |
$3K |
| 90834 |
|
60 |
53 |
$3K |
| 99245 |
|
39 |
38 |
$3K |
| J0702 |
Betamethasone acet&sod phosp |
116 |
105 |
$3K |
| 99308 |
|
257 |
238 |
$3K |
| 59430 |
|
37 |
37 |
$3K |
| 95911 |
|
53 |
51 |
$3K |
| 88305 |
|
85 |
81 |
$3K |
| 76536 |
|
109 |
106 |
$3K |
| 11721 |
|
187 |
176 |
$3K |
| 73562 |
|
136 |
121 |
$2K |
| 97804 |
|
175 |
172 |
$2K |
| 95909 |
|
54 |
54 |
$2K |
| 43235 |
|
27 |
27 |
$2K |
| 95910 |
|
44 |
39 |
$2K |
| 78452 |
|
46 |
46 |
$2K |
| 96127 |
|
615 |
407 |
$2K |
| 99403 |
|
38 |
35 |
$2K |
| 96130 |
|
42 |
42 |
$2K |
| 93295 |
|
65 |
63 |
$2K |
| 73610 |
|
130 |
109 |
$2K |
| 90832 |
|
55 |
53 |
$2K |
| 00811 |
|
45 |
44 |
$2K |
| 64494 |
|
72 |
50 |
$2K |
| 95810 |
|
26 |
26 |
$2K |
| 99253 |
|
31 |
31 |
$2K |
| 93016 |
|
121 |
111 |
$2K |
| 73110 |
|
150 |
128 |
$1K |
| 96137 |
|
55 |
54 |
$1K |
| 99385 |
|
15 |
15 |
$1K |
| 96372 |
|
84 |
72 |
$1K |
| 93923 |
|
75 |
63 |
$1K |
| G2211 |
Complex e/m visit add on |
1,835 |
1,781 |
$1K |
| 76821 |
|
42 |
26 |
$1K |
| 96136 |
|
42 |
42 |
$980.96 |
| 76820 |
|
56 |
37 |
$978.47 |
| 20552 |
|
45 |
40 |
$887.67 |
| 93298 |
|
55 |
55 |
$811.53 |
| 64484 |
|
32 |
29 |
$804.31 |
| 00813 |
|
12 |
12 |
$619.31 |
| L1902 |
Afo ankle gauntlet pre ots |
17 |
12 |
$603.23 |
| 64635 |
|
16 |
13 |
$594.23 |
| 99309 |
|
38 |
34 |
$588.27 |
| 99226 |
|
23 |
14 |
$587.40 |
| 00812 |
|
12 |
12 |
$573.79 |
| 93227 |
|
26 |
26 |
$573.49 |
| 72100 |
|
27 |
27 |
$559.06 |
| H1000 |
Prenatal care atrisk assessm |
45 |
44 |
$548.93 |
| 73130 |
|
48 |
43 |
$543.13 |
| 93248 |
|
28 |
27 |
$522.01 |
| 92550 |
|
45 |
45 |
$491.84 |
| 99282 |
|
30 |
30 |
$491.50 |
| 31575 |
|
12 |
12 |
$476.48 |
| 93321 |
|
78 |
69 |
$406.13 |
| 93308 |
|
31 |
26 |
$402.14 |
| 51705 |
|
34 |
25 |
$387.31 |
| 90853 |
|
22 |
15 |
$383.35 |
| 93272 |
|
25 |
25 |
$368.90 |
| 90715 |
|
16 |
16 |
$353.65 |
| 87880 |
|
31 |
28 |
$350.48 |
| 20550 |
|
16 |
12 |
$349.19 |
| 64495 |
|
14 |
12 |
$338.49 |
| J1885 |
Ketorolac tromethamine inj |
163 |
151 |
$333.16 |
| 93325 |
|
93 |
82 |
$303.26 |
| 90686 |
|
15 |
14 |
$282.57 |
| 92015 |
|
16 |
15 |
$279.84 |
| 64636 |
|
16 |
13 |
$241.51 |
| 11042 |
|
49 |
26 |
$187.05 |
| 99306 |
Prolong nursin fac eval 15m |
15 |
13 |
$175.50 |
| 99459 |
|
13 |
12 |
$172.02 |
| 99407 |
|
14 |
13 |
$159.60 |
| J1030 |
Methylprednisolone 40 mg inj |
12 |
12 |
$151.35 |
| 51798 |
|
14 |
14 |
$147.07 |
| 82570 |
|
27 |
27 |
$111.23 |
| J1040 |
Methylprednisolone 80 mg inj |
12 |
12 |
$105.71 |
| 82044 |
|
27 |
27 |
$98.79 |
| G0008 |
Admin influenza virus vac |
14 |
13 |
$81.28 |
| 36416 |
|
59 |
53 |
$73.55 |
| 97110 |
|
12 |
12 |
$69.04 |
| 81025 |
|
14 |
13 |
$60.07 |
| 98967 |
|
27 |
27 |
$43.61 |
| 96146 |
|
37 |
37 |
$34.15 |
| 82962 |
|
15 |
15 |
$28.89 |
| 3079F |
|
19,405 |
18,001 |
$0.00 |
| 3074F |
|
84,357 |
77,493 |
$0.00 |
| 3075F |
|
2,475 |
2,352 |
$0.00 |
| 3080F |
|
1,437 |
1,334 |
$0.00 |
| 3044F |
|
87 |
78 |
$0.00 |
| 3052F |
|
37 |
37 |
$0.00 |
| 1220F |
|
76 |
69 |
$0.00 |
| 3078F |
|
63,046 |
58,171 |
$0.00 |
| 3077F |
|
2,600 |
2,464 |
$0.00 |
| 3046F |
|
201 |
183 |
$0.00 |
| 98968 |
|
37 |
25 |
$0.00 |
| 3051F |
|
71 |
64 |
$0.00 |