| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
211,056 |
202,224 |
$11.30M |
| 99214 |
|
89,576 |
87,071 |
$6.57M |
| 99283 |
|
139,800 |
138,680 |
$6.18M |
| 99472 |
|
13,049 |
2,476 |
$4.18M |
| 99215 |
Prolong outpt/office vis |
35,275 |
34,029 |
$3.72M |
| 99284 |
|
43,022 |
42,581 |
$3.48M |
| 99203 |
|
26,007 |
25,705 |
$1.95M |
| 99285 |
|
8,289 |
8,095 |
$939K |
| 93303 |
|
15,848 |
14,498 |
$913K |
| 99232 |
|
16,426 |
7,801 |
$733K |
| 88305 |
|
6,881 |
6,423 |
$608K |
| 99392 |
|
18,752 |
17,099 |
$599K |
| 93320 |
|
17,354 |
15,455 |
$576K |
| 93306 |
|
7,713 |
7,425 |
$497K |
| 93325 |
|
29,075 |
26,135 |
$467K |
| 99391 |
|
14,743 |
13,466 |
$453K |
| 99480 |
|
3,883 |
1,160 |
$432K |
| 99204 |
|
3,942 |
3,905 |
$427K |
| 99238 |
|
7,992 |
7,802 |
$409K |
| 99393 |
|
12,824 |
11,467 |
$408K |
| 90839 |
|
3,832 |
3,579 |
$387K |
| 70551 |
|
5,748 |
5,576 |
$373K |
| 93010 |
|
50,677 |
43,512 |
$352K |
| 96110 |
|
16,195 |
15,461 |
$352K |
| 90471 |
|
31,998 |
29,950 |
$313K |
| 71045 |
|
59,964 |
37,966 |
$295K |
| 90723 |
|
9,094 |
7,859 |
$295K |
| 71046 |
|
36,406 |
35,323 |
$257K |
| 92567 |
|
18,920 |
18,062 |
$250K |
| 74018 |
|
41,960 |
35,257 |
$234K |
| 90472 |
|
13,400 |
12,445 |
$216K |
| V2020 |
Vision svcs frames purchases |
5,686 |
5,417 |
$214K |
| S9083 |
Urgent care center global |
4,021 |
4,003 |
$195K |
| 99233 |
Prolong inpt eval add15 m |
2,855 |
1,226 |
$171K |
| 99212 |
|
6,456 |
6,261 |
$162K |
| 99394 |
|
6,310 |
5,685 |
$160K |
| 76770 |
|
6,463 |
6,393 |
$160K |
| 69436 |
|
892 |
886 |
$158K |
| 70553 |
|
1,521 |
1,452 |
$141K |
| 99222 |
|
1,459 |
1,420 |
$138K |
| 93304 |
|
2,546 |
2,454 |
$131K |
| 90686 |
|
28,006 |
25,900 |
$128K |
| 99243 |
|
1,284 |
1,266 |
$128K |
| 95720 |
|
935 |
898 |
$127K |
| 99469 |
|
417 |
127 |
$125K |
| 99291 |
|
756 |
287 |
$114K |
| 95810 |
|
956 |
953 |
$112K |
| 93000 |
|
4,843 |
4,714 |
$108K |
| 76705 |
|
5,645 |
5,258 |
$108K |
| 70450 |
|
3,036 |
2,911 |
$107K |
| V2784 |
Lens polycarb or equal |
4,625 |
2,761 |
$104K |
| 99417 |
Prolong home eval add 15m |
2,191 |
2,091 |
$86K |
| 92015 |
|
20,135 |
19,263 |
$72K |
| 43239 |
|
319 |
316 |
$69K |
| 42820 |
|
347 |
344 |
$67K |
| 90670 |
|
11,026 |
9,583 |
$65K |
| 99205 |
Prolong outpt/office vis |
507 |
495 |
$65K |
| 99244 |
|
531 |
531 |
$64K |
| 90847 |
|
924 |
498 |
$63K |
| 99231 |
|
2,388 |
1,535 |
$63K |
| 93321 |
|
4,008 |
3,857 |
$62K |
| 99282 |
|
2,248 |
2,229 |
$60K |
| D1120 |
|
1,812 |
1,765 |
$59K |
| 96156 |
|
1,297 |
1,255 |
$58K |
| 90647 |
|
7,953 |
6,822 |
$53K |
| 95951 |
|
274 |
148 |
$50K |
| 0002A |
|
1,890 |
1,688 |
$49K |
| 90791 |
|
352 |
342 |
$49K |
| 0001A |
|
1,886 |
1,614 |
$48K |
| D0120 |
|
1,984 |
1,923 |
$45K |
| 99188 |
|
2,336 |
2,054 |
$45K |
| 92201 |
|
3,512 |
2,242 |
$45K |
| 90837 |
|
415 |
361 |
$41K |
| 0071A |
|
1,190 |
1,155 |
$40K |
| 0072A |
|
1,121 |
1,112 |
$39K |
| 95819 |
|
875 |
866 |
$38K |
| 97110 |
|
1,574 |
571 |
$38K |
| D1206 |
|
2,009 |
1,934 |
$37K |
| 99460 |
|
558 |
544 |
$35K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,416 |
997 |
$32K |
| 00170 |
|
471 |
469 |
$31K |
| 94010 |
|
4,650 |
4,527 |
$28K |
| 54150 |
|
163 |
154 |
$28K |
| 01922 |
|
343 |
337 |
$28K |
| 96130 |
|
265 |
258 |
$26K |
| 88307 |
|
316 |
305 |
$25K |
| 73090 |
|
3,717 |
3,556 |
$25K |
| 92579 |
|
783 |
715 |
$24K |
| 99239 |
|
309 |
305 |
$24K |
| 88108 |
|
1,219 |
958 |
$22K |
| 95251 |
|
1,306 |
1,283 |
$21K |
| 74019 |
|
2,746 |
2,697 |
$21K |
| 90834 |
|
224 |
185 |
$20K |
| D0272 |
|
906 |
884 |
$20K |
| 83036 |
|
2,256 |
2,182 |
$20K |
| 72082 |
|
1,830 |
1,770 |
$19K |
| 92004 |
|
244 |
243 |
$19K |
| 77072 |
|
2,692 |
2,683 |
$18K |
| 72170 |
|
2,393 |
2,326 |
$18K |
| D1110 |
|
396 |
376 |
$16K |
| 62370 |
|
303 |
293 |
$16K |
| 90681 |
|
2,274 |
1,931 |
$16K |
| 31575 |
|
195 |
189 |
$15K |
| 90633 |
|
2,333 |
2,047 |
$15K |
| 73590 |
|
2,209 |
2,091 |
$15K |
| 99479 |
|
131 |
39 |
$15K |
| 76700 |
|
588 |
552 |
$15K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
421 |
323 |
$14K |
| 92014 |
|
395 |
372 |
$14K |
| D9230 |
|
397 |
331 |
$13K |
| 99221 |
|
221 |
214 |
$13K |
| D0274 |
|
435 |
402 |
$13K |
| 73610 |
|
1,773 |
1,742 |
$13K |
| 90832 |
|
196 |
180 |
$12K |
| 90480 |
|
558 |
527 |
$12K |
| 67311 |
|
25 |
25 |
$12K |
| 80503 |
|
799 |
743 |
$12K |
| 90671 |
|
1,652 |
1,637 |
$12K |
| 96167 |
|
422 |
393 |
$12K |
| D0230 |
|
1,055 |
355 |
$11K |
| 73630 |
|
1,361 |
1,318 |
$11K |
| 96127 |
|
13,573 |
12,552 |
$11K |
| 80500 |
|
630 |
605 |
$11K |
| 92587 |
|
551 |
505 |
$10K |
| 73100 |
|
1,686 |
1,587 |
$10K |
| 90656 |
|
1,982 |
1,975 |
$9K |
| 88304 |
|
1,019 |
1,007 |
$9K |
| 99381 |
|
199 |
184 |
$9K |
| 90846 |
|
110 |
76 |
$9K |
| 76506 |
|
310 |
250 |
$8K |
| 96136 |
|
196 |
190 |
$8K |
| 96137 |
|
110 |
107 |
$8K |
| D1351 |
|
293 |
54 |
$8K |
| S0580 |
Polycarb lens |
1,471 |
861 |
$8K |
| D0220 |
|
553 |
527 |
$7K |
| 73721 |
|
133 |
126 |
$7K |
| 73070 |
|
1,039 |
999 |
$6K |
| 73140 |
|
1,256 |
1,207 |
$6K |
| 88342 |
|
212 |
198 |
$6K |
| 96131 |
|
77 |
75 |
$6K |
| 95782 |
|
70 |
70 |
$6K |
| 99202 |
|
135 |
134 |
$6K |
| 92226 |
|
458 |
223 |
$5K |
| D0330 |
|
147 |
139 |
$5K |
| 00731 |
|
73 |
71 |
$5K |
| 74177 |
|
92 |
92 |
$5K |
| 44970 |
|
13 |
12 |
$4K |
| 25600 |
|
24 |
24 |
$4K |
| 0003A |
|
112 |
112 |
$4K |
| 76811 |
|
52 |
52 |
$4K |
| 99242 |
|
39 |
39 |
$4K |
| 44361 |
|
29 |
29 |
$3K |
| 31561 |
|
16 |
14 |
$3K |
| 99462 |
|
173 |
120 |
$3K |
| 97803 |
|
105 |
103 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
26 |
26 |
$3K |
| 76825 |
|
55 |
53 |
$3K |
| 85027 |
|
360 |
345 |
$3K |
| 99254 |
|
24 |
24 |
$3K |
| 12051 |
|
14 |
13 |
$3K |
| 93308 |
|
65 |
63 |
$3K |
| 31622 |
|
27 |
25 |
$3K |
| V2100 |
Lens spher single plano 4.00 |
278 |
98 |
$3K |
| 90707 |
|
166 |
150 |
$3K |
| 95816 |
|
66 |
66 |
$3K |
| 72148 |
|
42 |
42 |
$3K |
| 99245 |
|
14 |
14 |
$2K |
| 85097 |
|
40 |
36 |
$2K |
| 96158 |
|
77 |
62 |
$2K |
| 90619 |
|
314 |
283 |
$2K |
| 99395 |
|
75 |
65 |
$2K |
| 90474 |
|
166 |
164 |
$2K |
| 73130 |
|
309 |
287 |
$2K |
| 93298 |
|
112 |
112 |
$2K |
| 90651 |
|
454 |
408 |
$2K |
| 00126 |
|
44 |
44 |
$2K |
| 76827 |
|
67 |
65 |
$2K |
| 88313 |
|
103 |
92 |
$2K |
| 83655 |
|
150 |
148 |
$2K |
| 92555 |
|
137 |
133 |
$2K |
| 90710 |
|
48 |
38 |
$2K |
| 99464 |
|
27 |
26 |
$2K |
| 72141 |
|
25 |
25 |
$2K |
| 62369 |
|
25 |
25 |
$2K |
| G2212 |
Prolong outpt/office vis |
460 |
440 |
$1K |
| 92504 |
|
81 |
81 |
$1K |
| 76816 |
|
46 |
40 |
$1K |
| D2392 |
|
30 |
13 |
$1K |
| 80061 |
|
87 |
81 |
$1K |
| D2391 |
|
18 |
14 |
$1K |
| 92552 |
|
63 |
62 |
$1K |
| 73552 |
|
172 |
164 |
$1K |
| 85060 |
|
84 |
64 |
$1K |
| 94664 |
|
156 |
153 |
$1K |
| 76377 |
|
43 |
40 |
$1K |
| 90849 |
|
45 |
25 |
$1K |
| 90716 |
|
196 |
179 |
$1K |
| 97112 |
|
76 |
24 |
$1K |
| 92582 |
|
24 |
24 |
$1K |
| 87400 |
|
164 |
80 |
$1K |
| 90734 |
|
251 |
226 |
$1K |
| 90700 |
|
46 |
36 |
$1K |
| 00300 |
|
12 |
12 |
$1K |
| 92002 |
|
27 |
27 |
$1K |
| 99383 |
|
13 |
13 |
$932.69 |
| 76818 |
|
19 |
12 |
$930.42 |
| 90677 |
|
173 |
171 |
$920.24 |
| 87502 |
|
15 |
15 |
$900.09 |
| 91318 |
|
67 |
66 |
$897.42 |
| 70486 |
|
24 |
24 |
$884.71 |
| 88341 |
|
46 |
26 |
$866.25 |
| 0082A |
|
32 |
32 |
$858.55 |
| 72146 |
|
12 |
12 |
$832.51 |
| 0124A |
|
33 |
26 |
$826.40 |
| D0150 |
|
32 |
25 |
$796.80 |
| 0083A |
|
27 |
27 |
$775.20 |
| 16020 |
|
17 |
17 |
$731.55 |
| 76856 |
|
27 |
26 |
$725.82 |
| 92551 |
|
29 |
26 |
$713.57 |
| 95812 |
|
19 |
19 |
$691.00 |
| 92012 |
|
12 |
12 |
$660.12 |
| 96150 |
|
27 |
24 |
$635.70 |
| 74230 |
|
27 |
27 |
$600.07 |
| 73562 |
|
67 |
63 |
$597.66 |
| 97530 |
|
26 |
12 |
$591.68 |
| 99217 |
|
13 |
13 |
$569.16 |
| 96168 |
|
45 |
38 |
$542.70 |
| 73560 |
|
71 |
66 |
$531.74 |
| 73620 |
|
80 |
58 |
$513.19 |
| 90620 |
|
68 |
68 |
$502.36 |
| 82728 |
|
25 |
25 |
$500.15 |
| 90380 |
|
55 |
55 |
$491.15 |
| 92558 |
|
55 |
55 |
$486.86 |
| 80048 |
|
43 |
42 |
$478.27 |
| 80076 |
|
41 |
40 |
$468.75 |
| 0052A |
|
12 |
12 |
$442.00 |
| 73110 |
|
63 |
63 |
$441.71 |
| 93244 |
|
27 |
26 |
$425.24 |
| 93790 |
|
91 |
88 |
$414.88 |
| 0154A |
|
15 |
13 |
$400.20 |
| 0081A |
|
14 |
14 |
$397.50 |
| 92134 |
|
29 |
28 |
$390.97 |
| 93998 |
|
36 |
27 |
$381.39 |
| 91319 |
|
30 |
30 |
$361.16 |
| 69210 |
|
13 |
12 |
$352.52 |
| 77075 |
|
12 |
12 |
$310.81 |
| 93356 |
|
12 |
12 |
$216.70 |
| 90785 |
|
62 |
51 |
$206.40 |
| 88346 |
|
14 |
14 |
$175.09 |
| 76882 |
|
13 |
12 |
$170.44 |
| 92133 |
|
12 |
12 |
$155.43 |
| 87430 |
|
13 |
13 |
$134.00 |
| 91321 |
|
24 |
24 |
$131.17 |
| 73521 |
|
14 |
14 |
$110.43 |
| 77080 |
|
13 |
13 |
$93.36 |
| 76010 |
|
12 |
12 |
$91.42 |
| 99100 |
|
15 |
13 |
$79.76 |
| 81003 |
|
55 |
55 |
$61.00 |
| 90685 |
|
829 |
824 |
$10.54 |
| V5266 |
Battery for hearing device |
12 |
12 |
$5.94 |
| G9920 |
Scrning perf and negative |
18,939 |
16,743 |
$4.30 |
| 1031F |
|
5,255 |
4,743 |
$0.00 |
| 1000F |
|
233 |
199 |
$0.00 |
| D1330 |
|
95 |
95 |
$0.00 |
| 99288 |
|
67 |
65 |
$0.00 |
| 99358 |
Prolong nursin fac eval 15m |
204 |
194 |
$0.00 |
| D1999 |
|
107 |
91 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
112 |
96 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |