| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
88,706 |
73,118 |
$4.50M |
| T1015 |
Clinic service |
112,829 |
86,480 |
$2.24M |
| 99214 |
|
24,039 |
19,302 |
$1.59M |
| 99212 |
|
22,279 |
18,290 |
$773K |
| 92014 |
|
9,423 |
8,095 |
$737K |
| 59426 |
|
8,301 |
3,879 |
$648K |
| 59425 |
|
8,946 |
6,215 |
$624K |
| 59409 |
|
867 |
737 |
$433K |
| 99391 |
|
5,768 |
4,799 |
$424K |
| 99392 |
|
5,005 |
4,374 |
$395K |
| 99393 |
|
3,345 |
2,982 |
$255K |
| 99395 |
|
3,160 |
2,785 |
$238K |
| 90472 |
|
11,317 |
9,624 |
$184K |
| V2020 |
Vision svcs frames purchases |
9,241 |
7,923 |
$177K |
| 90471 |
|
16,253 |
13,801 |
$156K |
| 99394 |
|
1,698 |
1,502 |
$125K |
| 92015 |
|
10,110 |
8,727 |
$115K |
| G0467 |
Fqhc visit, estab pt |
5,162 |
3,430 |
$114K |
| 99203 |
|
1,860 |
1,533 |
$101K |
| 76805 |
|
1,272 |
1,115 |
$89K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
5,303 |
2,538 |
$88K |
| 99396 |
|
1,124 |
992 |
$86K |
| V2100 |
Lens spher single plano 4.00 |
4,333 |
3,308 |
$85K |
| 98941 |
|
3,038 |
1,512 |
$77K |
| 59430 |
|
498 |
425 |
$69K |
| 90792 |
|
437 |
355 |
$58K |
| 99381 |
|
849 |
732 |
$56K |
| 76830 |
|
781 |
705 |
$55K |
| 76816 |
|
782 |
650 |
$54K |
| 90837 |
|
556 |
366 |
$44K |
| 99202 |
|
980 |
878 |
$40K |
| 77067 |
|
925 |
873 |
$36K |
| 90832 |
|
1,167 |
951 |
$36K |
| 90834 |
|
643 |
416 |
$34K |
| 76801 |
|
360 |
310 |
$25K |
| V2784 |
Lens polycarb or equal |
2,009 |
982 |
$23K |
| 92004 |
|
231 |
204 |
$23K |
| 81025 |
|
4,173 |
3,339 |
$17K |
| 90474 |
|
1,393 |
1,185 |
$17K |
| 99354 |
|
436 |
334 |
$16K |
| 98940 |
|
863 |
565 |
$16K |
| V2200 |
Lens spher bifoc plano 4.00d |
531 |
299 |
$13K |
| 83036 |
|
3,401 |
2,922 |
$13K |
| 90791 |
|
101 |
88 |
$10K |
| 87804 |
|
849 |
734 |
$10K |
| 90686 |
|
1,784 |
1,491 |
$8K |
| 76815 |
|
117 |
107 |
$7K |
| 96372 |
|
550 |
506 |
$5K |
| 99211 |
|
380 |
315 |
$5K |
| 99383 |
|
67 |
41 |
$4K |
| G9997 |
Doc pt preg dur msrmt pd |
81 |
68 |
$4K |
| 90715 |
|
822 |
699 |
$2K |
| 71046 |
|
220 |
196 |
$2K |
| 81003 |
|
3,524 |
2,677 |
$2K |
| 99384 |
|
35 |
13 |
$2K |
| 77066 |
Tomosynthesis, mammo |
156 |
148 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$2K |
| 98943 |
|
99 |
66 |
$2K |
| 58300 |
|
31 |
24 |
$2K |
| 90670 |
|
4,418 |
3,784 |
$2K |
| 76642 |
|
176 |
158 |
$2K |
| 0064A |
|
188 |
99 |
$1K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
66 |
38 |
$1K |
| 99382 |
|
17 |
12 |
$1K |
| G2025 |
Dis site tele svcs rhc/fqhc |
179 |
76 |
$1K |
| 59025 |
|
30 |
16 |
$1K |
| 99050 |
|
6,576 |
5,387 |
$1K |
| 87880 |
|
102 |
97 |
$1K |
| V2750 |
Anti-reflective coating |
566 |
193 |
$960.00 |
| 90656 |
|
76 |
68 |
$877.89 |
| 90680 |
|
2,335 |
2,002 |
$875.45 |
| 58301 |
|
12 |
12 |
$857.00 |
| 76641 |
|
12 |
12 |
$828.50 |
| 90853 |
|
94 |
26 |
$789.34 |
| 90723 |
|
1,796 |
1,489 |
$703.29 |
| 76817 |
|
18 |
13 |
$677.14 |
| 90734 |
|
1,054 |
901 |
$518.95 |
| 90756 |
|
30 |
15 |
$500.01 |
| 87430 |
|
85 |
74 |
$462.64 |
| 0071A |
|
57 |
34 |
$446.52 |
| 0072A |
|
30 |
13 |
$409.31 |
| 86580 |
|
114 |
89 |
$402.58 |
| 87635 |
|
13 |
13 |
$379.17 |
| 87280 |
|
49 |
46 |
$344.24 |
| V2107 |
Spherocylinder 4.25d/12-2d |
19 |
12 |
$340.00 |
| 90633 |
|
3,317 |
2,861 |
$280.08 |
| 90651 |
|
662 |
571 |
$227.18 |
| 92310 |
|
15 |
13 |
$223.79 |
| 90716 |
|
615 |
533 |
$184.24 |
| V2782 |
Lens, 1.54-1.65 p/1.60-1.79g |
1,710 |
599 |
$130.00 |
| 90698 |
|
424 |
372 |
$90.56 |
| 90648 |
|
2,232 |
1,859 |
$62.08 |
| 82962 |
|
36 |
25 |
$39.09 |
| 72100 |
|
17 |
17 |
$29.51 |
| J1050 |
Medroxyprogesterone acetate |
1,243 |
1,075 |
$5.08 |
| 90697 |
|
804 |
731 |
$0.00 |
| 90619 |
|
294 |
245 |
$0.00 |
| 90696 |
|
370 |
336 |
$0.00 |
| 91301 |
|
112 |
61 |
$0.00 |
| 90677 |
|
324 |
310 |
$0.00 |
| 91306 |
|
151 |
76 |
$0.00 |
| 91307 |
|
170 |
92 |
$0.00 |
| 90620 |
|
127 |
113 |
$0.00 |
| 90480 |
|
36 |
25 |
$0.00 |
| 99385 |
|
25 |
24 |
$0.00 |
| 90647 |
|
13 |
12 |
$0.00 |
| 90710 |
|
1,020 |
896 |
$0.00 |
| 90707 |
|
573 |
502 |
$0.00 |
| 90700 |
|
273 |
252 |
$0.00 |
| 90671 |
|
18 |
14 |
$0.00 |
| 91322 |
|
36 |
25 |
$0.00 |