| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
181,840 |
178,720 |
$19.88M |
| 99214 |
|
261,866 |
254,592 |
$15.69M |
| 99244 |
|
62,608 |
61,449 |
$10.08M |
| 99215 |
Prolong outpt/office vis |
106,066 |
98,352 |
$9.49M |
| 99213 |
|
207,364 |
189,118 |
$8.68M |
| 99243 |
|
52,431 |
51,677 |
$6.03M |
| 99472 |
|
14,136 |
3,891 |
$5.96M |
| 99233 |
Prolong inpt eval add15 m |
71,683 |
32,256 |
$5.76M |
| 00170 |
|
20,002 |
19,653 |
$5.27M |
| 99283 |
|
68,458 |
67,700 |
$4.26M |
| 99291 |
|
17,980 |
7,445 |
$4.15M |
| 99285 |
|
28,239 |
27,801 |
$3.85M |
| 99203 |
|
52,738 |
51,670 |
$3.45M |
| 99232 |
|
44,806 |
24,241 |
$2.65M |
| 99238 |
|
34,305 |
33,828 |
$2.51M |
| 99469 |
|
5,346 |
1,524 |
$2.40M |
| 99480 |
|
15,038 |
3,832 |
$2.20M |
| 99460 |
|
22,206 |
22,019 |
$2.20M |
| 69436 |
|
16,460 |
8,120 |
$2.08M |
| 99204 |
|
20,575 |
20,076 |
$1.96M |
| 93303 |
|
21,340 |
20,487 |
$1.76M |
| 93306 |
|
16,475 |
16,019 |
$1.75M |
| 95720 |
|
8,569 |
4,113 |
$1.59M |
| 92014 |
|
18,616 |
17,813 |
$1.59M |
| 76816 |
|
30,708 |
27,583 |
$1.46M |
| 76705 |
|
44,419 |
42,170 |
$1.31M |
| 42820 |
|
4,175 |
4,100 |
$1.26M |
| 70553 |
|
11,103 |
10,842 |
$1.21M |
| 93010 |
|
101,625 |
88,466 |
$1.17M |
| 71045 |
|
141,265 |
90,651 |
$1.10M |
| 76811 |
|
12,162 |
11,623 |
$1.03M |
| 76770 |
|
24,894 |
24,501 |
$975K |
| 95810 |
|
8,534 |
8,205 |
$944K |
| 01922 |
|
2,240 |
2,195 |
$883K |
| 70450 |
|
20,832 |
19,983 |
$833K |
| 70551 |
|
11,142 |
10,975 |
$794K |
| 92012 |
|
13,376 |
12,776 |
$786K |
| 59025 |
|
28,899 |
19,896 |
$766K |
| 99205 |
Prolong outpt/office vis |
5,808 |
5,645 |
$761K |
| 71046 |
|
63,690 |
62,935 |
$706K |
| 92060 |
|
10,588 |
10,076 |
$642K |
| 99245 |
|
2,728 |
2,655 |
$629K |
| 90791 |
|
4,042 |
3,932 |
$605K |
| 93320 |
|
22,820 |
21,500 |
$543K |
| 99479 |
|
3,361 |
952 |
$522K |
| 99239 |
|
5,461 |
5,317 |
$521K |
| 99223 |
Prolong inpt eval add15 m |
3,152 |
3,029 |
$512K |
| 99254 |
|
3,057 |
2,934 |
$483K |
| 96112 |
|
3,908 |
3,811 |
$481K |
| 99462 |
|
9,982 |
8,944 |
$468K |
| 92004 |
|
4,556 |
4,377 |
$452K |
| 99212 |
|
15,789 |
14,480 |
$435K |
| 74018 |
|
48,199 |
42,958 |
$431K |
| 95812 |
|
6,580 |
6,419 |
$430K |
| 99253 |
|
4,027 |
3,810 |
$401K |
| 74177 |
|
4,475 |
4,346 |
$383K |
| 93975 |
|
6,714 |
6,564 |
$383K |
| 90847 |
|
3,545 |
2,644 |
$363K |
| 99222 |
|
2,764 |
2,657 |
$343K |
| 93227 |
|
10,481 |
10,152 |
$333K |
| 73721 |
|
4,626 |
4,228 |
$318K |
| 95782 |
|
2,645 |
2,598 |
$306K |
| 90837 |
|
2,588 |
1,666 |
$294K |
| 99255 |
|
1,465 |
1,386 |
$286K |
| 44970 |
|
527 |
500 |
$278K |
| 76815 |
|
8,968 |
7,210 |
$264K |
| 99417 |
Prolong home eval add 15m |
7,826 |
6,414 |
$241K |
| 76856 |
|
5,979 |
5,908 |
$232K |
| 95718 |
|
1,934 |
1,512 |
$227K |
| 93325 |
|
51,280 |
47,886 |
$217K |
| 54150 |
|
2,271 |
2,229 |
$217K |
| 72082 |
|
12,394 |
12,278 |
$212K |
| 76506 |
|
7,044 |
5,989 |
$180K |
| 99231 |
|
4,806 |
3,002 |
$180K |
| 49452 |
|
1,298 |
1,249 |
$174K |
| 90834 |
|
2,006 |
1,603 |
$170K |
| 00126 |
|
956 |
944 |
$160K |
| 92015 |
|
32,016 |
31,271 |
$144K |
| 90792 |
|
867 |
833 |
$141K |
| 76805 |
|
2,605 |
2,510 |
$134K |
| 72170 |
|
12,923 |
12,761 |
$133K |
| 93321 |
|
14,050 |
13,186 |
$131K |
| 99242 |
|
1,450 |
1,435 |
$130K |
| 74019 |
|
11,541 |
11,128 |
$129K |
| 76801 |
|
1,459 |
1,403 |
$128K |
| D0120 |
|
6,824 |
6,387 |
$128K |
| 76536 |
|
4,146 |
4,065 |
$126K |
| 69210 |
|
4,101 |
2,894 |
$125K |
| 76700 |
|
2,717 |
2,681 |
$121K |
| 93308 |
|
3,626 |
3,385 |
$118K |
| D1120 |
|
5,647 |
5,134 |
$115K |
| 95251 |
|
4,589 |
4,496 |
$109K |
| 76817 |
|
1,397 |
1,282 |
$108K |
| 76820 |
|
4,686 |
2,803 |
$103K |
| 93304 |
|
2,243 |
2,128 |
$98K |
| 42830 |
|
459 |
447 |
$93K |
| D8670 |
|
2,633 |
2,404 |
$87K |
| 92201 |
|
4,559 |
2,454 |
$87K |
| 54161 |
|
364 |
354 |
$86K |
| 74230 |
|
3,263 |
3,194 |
$85K |
| 73090 |
|
9,655 |
9,014 |
$81K |
| 96409 |
|
889 |
482 |
$79K |
| 99202 |
|
1,669 |
1,640 |
$76K |
| 73630 |
|
8,117 |
7,121 |
$74K |
| 75573 |
|
619 |
599 |
$70K |
| D1206 |
|
7,600 |
6,988 |
$69K |
| 94010 |
|
7,914 |
7,690 |
$68K |
| 73610 |
|
6,889 |
6,609 |
$68K |
| 95783 |
|
547 |
543 |
$67K |
| 99157 |
|
281 |
261 |
$66K |
| 85025 |
|
9,771 |
8,252 |
$64K |
| 90832 |
|
858 |
737 |
$64K |
| 77072 |
|
6,119 |
6,085 |
$62K |
| D1110 |
|
1,727 |
1,614 |
$62K |
| 96450 |
|
791 |
696 |
$60K |
| 90471 |
|
5,911 |
5,715 |
$58K |
| 92133 |
|
1,774 |
1,691 |
$58K |
| 76819 |
|
1,495 |
1,050 |
$56K |
| 99464 |
|
456 |
452 |
$52K |
| 77073 |
|
3,285 |
3,247 |
$49K |
| 73100 |
|
4,967 |
4,729 |
$48K |
| 76882 |
|
1,919 |
1,765 |
$46K |
| 73080 |
|
5,053 |
4,900 |
$46K |
| 73590 |
|
5,116 |
4,680 |
$45K |
| 59409 |
|
52 |
50 |
$41K |
| 99282 |
|
1,096 |
1,090 |
$40K |
| 92227 |
|
3,168 |
3,072 |
$40K |
| 17110 |
|
501 |
488 |
$40K |
| 99217 |
|
561 |
546 |
$38K |
| 76818 |
|
443 |
310 |
$38K |
| 99241 |
|
733 |
721 |
$38K |
| 99394 |
|
308 |
307 |
$38K |
| 94060 |
|
3,372 |
3,340 |
$38K |
| 99393 |
|
334 |
331 |
$36K |
| 85045 |
|
10,928 |
8,843 |
$36K |
| 76830 |
|
828 |
814 |
$34K |
| 62370 |
|
674 |
653 |
$34K |
| 99471 |
|
37 |
37 |
$34K |
| 76885 |
|
807 |
798 |
$33K |
| 77075 |
|
1,145 |
1,117 |
$31K |
| 54640 |
|
49 |
42 |
$31K |
| 59430 |
|
245 |
240 |
$30K |
| 43239 |
|
218 |
211 |
$28K |
| 97597 |
|
802 |
683 |
$28K |
| 71260 |
|
383 |
375 |
$28K |
| 64642 |
|
268 |
260 |
$27K |
| 64643 |
|
287 |
280 |
$27K |
| 73140 |
|
3,610 |
3,496 |
$27K |
| 73130 |
|
2,836 |
2,669 |
$27K |
| 70543 |
|
243 |
238 |
$26K |
| 99220 |
|
166 |
158 |
$25K |
| 11772 |
|
44 |
41 |
$25K |
| D0210 |
|
616 |
529 |
$24K |
| 99476 |
|
77 |
25 |
$24K |
| 43762 |
|
300 |
289 |
$24K |
| 92250 |
|
826 |
792 |
$23K |
| 72148 |
|
343 |
337 |
$23K |
| D0150 |
|
1,204 |
1,052 |
$23K |
| D1351 |
|
1,409 |
337 |
$22K |
| D7140 |
|
901 |
240 |
$22K |
| 92083 |
|
656 |
627 |
$22K |
| 99155 |
|
272 |
259 |
$21K |
| 73562 |
|
1,815 |
1,648 |
$19K |
| 95819 |
|
302 |
291 |
$19K |
| 73110 |
|
1,942 |
1,853 |
$19K |
| 51600 |
|
386 |
372 |
$19K |
| 70360 |
|
1,965 |
1,948 |
$18K |
| D9420 |
|
1,211 |
1,058 |
$18K |
| 93272 |
|
438 |
430 |
$17K |
| D2930 |
|
276 |
53 |
$17K |
| 74240 |
|
429 |
422 |
$17K |
| 92002 |
|
265 |
260 |
$17K |
| 73560 |
|
1,856 |
1,548 |
$16K |
| 90846 |
|
194 |
164 |
$16K |
| 99392 |
|
161 |
152 |
$16K |
| 90472 |
|
1,992 |
1,008 |
$15K |
| 92504 |
|
1,763 |
1,676 |
$15K |
| 73552 |
|
1,515 |
1,375 |
$15K |
| 81003 |
|
5,776 |
3,868 |
$15K |
| 95811 |
|
124 |
118 |
$15K |
| 95004 |
|
135 |
123 |
$14K |
| 29888 |
|
12 |
12 |
$14K |
| 51728 |
|
91 |
89 |
$14K |
| 01920 |
|
40 |
38 |
$13K |
| 96132 |
|
130 |
120 |
$13K |
| 99292 |
|
114 |
40 |
$13K |
| 99252 |
|
172 |
164 |
$13K |
| 00920 |
|
62 |
62 |
$13K |
| 96113 |
|
146 |
135 |
$12K |
| 71250 |
|
210 |
204 |
$12K |
| 96156 |
|
155 |
151 |
$12K |
| 99418 |
Prolong nursin fac eval 15m |
233 |
130 |
$12K |
| 76870 |
|
312 |
310 |
$11K |
| 78264 |
|
290 |
286 |
$11K |
| 90715 |
|
277 |
270 |
$11K |
| D0272 |
|
1,161 |
1,010 |
$11K |
| 81025 |
|
1,372 |
1,318 |
$11K |
| 78816 |
|
93 |
90 |
$10K |
| 72081 |
|
751 |
739 |
$10K |
| 93790 |
|
582 |
582 |
$10K |
| 31615 |
|
96 |
92 |
$10K |
| 54360 |
|
12 |
12 |
$10K |
| 72100 |
|
785 |
772 |
$10K |
| 73070 |
|
1,048 |
1,012 |
$9K |
| 74455 |
|
582 |
571 |
$9K |
| 99219 |
|
95 |
92 |
$9K |
| 94621 |
|
108 |
108 |
$8K |
| 99140 |
|
100 |
94 |
$8K |
| 90853 |
|
293 |
127 |
$8K |
| 95873 |
|
396 |
387 |
$8K |
| 76821 |
|
277 |
147 |
$7K |
| 29450 |
|
98 |
28 |
$7K |
| D0140 |
|
709 |
688 |
$7K |
| 36557 |
|
26 |
25 |
$7K |
| 96131 |
|
57 |
44 |
$7K |
| 31526 |
|
79 |
62 |
$7K |
| 51798 |
|
763 |
717 |
$7K |
| 00300 |
|
26 |
25 |
$7K |
| 31622 |
|
84 |
70 |
$7K |
| 72040 |
|
559 |
548 |
$7K |
| 72141 |
|
87 |
84 |
$7K |
| D0330 |
|
332 |
302 |
$6K |
| 96130 |
|
57 |
55 |
$6K |
| 99395 |
|
65 |
65 |
$6K |
| 96133 |
|
29 |
26 |
$6K |
| 73723 |
|
58 |
41 |
$6K |
| 73221 |
|
84 |
76 |
$6K |
| 76942 |
|
181 |
178 |
$6K |
| 73000 |
|
573 |
567 |
$5K |
| 99358 |
Prolong nursin fac eval 15m |
52 |
52 |
$5K |
| 77002 |
|
193 |
174 |
$5K |
| 51741 |
|
576 |
536 |
$5K |
| 76825 |
|
58 |
52 |
$5K |
| 76937 |
|
383 |
353 |
$5K |
| 93976 |
|
132 |
120 |
$5K |
| 87804 |
|
318 |
197 |
$5K |
| D7240 |
|
76 |
24 |
$5K |
| 93294 |
|
176 |
168 |
$5K |
| 93042 |
|
508 |
480 |
$5K |
| 99221 |
|
66 |
55 |
$5K |
| 85027 |
|
809 |
616 |
$5K |
| 77001 |
|
268 |
248 |
$5K |
| 99236 |
Prolong inpt eval add15 m |
35 |
26 |
$5K |
| 90686 |
|
1,681 |
1,650 |
$5K |
| 75574 |
|
39 |
39 |
$5K |
| 72158 |
|
38 |
37 |
$5K |
| 93971 |
|
265 |
234 |
$4K |
| 73030 |
|
434 |
406 |
$4K |
| 96137 |
|
109 |
65 |
$4K |
| 73060 |
|
431 |
397 |
$4K |
| 70250 |
|
390 |
375 |
$4K |
| D0367 |
|
124 |
89 |
$4K |
| 92228 |
|
322 |
320 |
$4K |
| 51797 |
|
79 |
77 |
$4K |
| 00731 |
|
12 |
12 |
$4K |
| 99100 |
|
38 |
38 |
$4K |
| 29065 |
|
39 |
36 |
$3K |
| 70486 |
|
80 |
80 |
$3K |
| 73564 |
|
284 |
266 |
$3K |
| 90480 |
|
104 |
103 |
$3K |
| 70491 |
|
41 |
41 |
$3K |
| 76981 |
|
92 |
90 |
$3K |
| 85007 |
|
809 |
616 |
$3K |
| 73660 |
|
325 |
314 |
$3K |
| 95816 |
|
40 |
39 |
$3K |
| 74183 |
|
25 |
25 |
$2K |
| 73620 |
|
310 |
211 |
$2K |
| 93000 |
|
204 |
201 |
$2K |
| 96158 |
|
56 |
55 |
$2K |
| 31575 |
|
43 |
38 |
$2K |
| 99201 |
|
57 |
57 |
$2K |
| 96110 |
|
223 |
172 |
$2K |
| 76827 |
|
83 |
64 |
$2K |
| 91122 |
|
28 |
24 |
$2K |
| J9370 |
Vincristine sulfate 1 mg inj |
261 |
197 |
$2K |
| 93886 |
|
46 |
42 |
$2K |
| 77080 |
|
214 |
214 |
$2K |
| 76642 |
|
55 |
52 |
$2K |
| 73718 |
|
31 |
25 |
$2K |
| 51784 |
|
58 |
51 |
$2K |
| 74181 |
|
26 |
25 |
$2K |
| 72070 |
|
156 |
152 |
$2K |
| 96136 |
|
69 |
66 |
$2K |
| 99235 |
|
14 |
12 |
$2K |
| 72157 |
|
12 |
12 |
$2K |
| 72156 |
|
13 |
13 |
$2K |
| 99354 |
|
26 |
25 |
$2K |
| 73720 |
|
17 |
13 |
$2K |
| 94016 |
|
59 |
57 |
$2K |
| 75565 |
|
127 |
119 |
$2K |
| 31579 |
|
12 |
12 |
$1K |
| 92226 |
|
110 |
36 |
$1K |
| 92285 |
|
150 |
137 |
$1K |
| 99356 |
|
21 |
13 |
$1K |
| 96411 |
|
21 |
13 |
$1K |
| 38222 |
|
13 |
12 |
$1K |
| 91120 |
|
12 |
12 |
$1K |
| 78803 |
|
14 |
14 |
$844.35 |
| 76813 |
|
13 |
13 |
$830.45 |
| 71555 |
|
12 |
12 |
$821.45 |
| D1208 |
|
173 |
166 |
$820.26 |
| 90833 |
|
13 |
12 |
$795.93 |
| 99375 |
|
14 |
12 |
$731.60 |
| 92134 |
|
26 |
24 |
$709.38 |
| 72125 |
|
13 |
12 |
$692.11 |
| 93018 |
|
28 |
27 |
$677.33 |
| 93356 |
|
1,866 |
1,768 |
$674.92 |
| S0620 |
Routine ophthalmological exa |
298 |
291 |
$633.31 |
| 92025 |
|
40 |
39 |
$597.25 |
| 69200 |
|
12 |
12 |
$530.30 |
| 74270 |
|
13 |
12 |
$505.17 |
| 83036 |
|
102 |
74 |
$498.30 |
| D0220 |
|
257 |
179 |
$464.72 |
| 90656 |
|
275 |
271 |
$377.16 |
| 94729 |
|
40 |
40 |
$361.56 |
| 93295 |
|
12 |
12 |
$350.57 |
| 74340 |
|
12 |
12 |
$317.68 |
| D0145 |
|
149 |
139 |
$312.00 |
| 97602 |
|
182 |
160 |
$280.00 |
| D0230 |
|
211 |
141 |
$230.20 |
| 62368 |
|
12 |
12 |
$229.99 |
| 44500 |
|
12 |
12 |
$221.49 |
| 95885 |
|
13 |
12 |
$191.02 |
| D0470 |
|
13 |
12 |
$176.40 |
| D9230 |
|
66 |
53 |
$162.66 |
| 73600 |
|
16 |
12 |
$118.93 |
| 99211 |
|
18 |
18 |
$116.63 |
| 94150 |
|
14 |
14 |
$8.44 |
| 90785 |
|
344 |
188 |
$2.34 |
| 90688 |
|
106 |
105 |
$0.76 |
| G2211 |
Complex e/m visit add on |
887 |
858 |
$0.10 |
| 90651 |
|
80 |
80 |
$0.03 |
| 90670 |
|
13 |
12 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| S0621 |
Routine ophthalmological exa |
89 |
88 |
$0.00 |
| 99448 |
|
78 |
68 |
$0.00 |
| G2212 |
Prolong outpt/office vis |
16 |
16 |
$0.00 |
| D0603 |
|
7,696 |
7,145 |
$0.00 |
| 91319 |
|
14 |
14 |
$0.00 |
| D0602 |
|
465 |
451 |
$0.00 |
| D0601 |
|
220 |
216 |
$0.00 |
| 99459 |
|
25 |
24 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
35 |
26 |
$0.00 |