| Code | Description | Claims | Beneficiaries | Total Paid |
| 99469 |
|
12,740 |
1,937 |
$4.23M |
| 99214 |
|
67,632 |
63,613 |
$3.64M |
| 99213 |
|
83,418 |
77,771 |
$3.08M |
| 99232 |
|
64,526 |
19,786 |
$2.64M |
| 99472 |
|
7,440 |
778 |
$2.50M |
| 59409 |
|
3,068 |
3,032 |
$2.31M |
| 99479 |
|
19,707 |
2,198 |
$2.03M |
| 99223 |
Prolong inpt eval add15 m |
17,728 |
14,968 |
$1.90M |
| 99222 |
|
21,424 |
18,136 |
$1.60M |
| 99480 |
|
15,560 |
2,979 |
$1.53M |
| 99468 |
|
1,811 |
1,784 |
$1.40M |
| 99391 |
|
24,644 |
22,839 |
$1.15M |
| 59514 |
|
1,356 |
1,342 |
$1.15M |
| 99233 |
Prolong inpt eval add15 m |
18,325 |
8,020 |
$1.10M |
| 99204 |
|
13,072 |
12,955 |
$1.06M |
| 99392 |
|
17,548 |
17,293 |
$931K |
| 99238 |
|
18,826 |
18,116 |
$788K |
| 59426 |
|
1,123 |
1,109 |
$759K |
| 99215 |
Prolong outpt/office vis |
8,847 |
8,344 |
$684K |
| 99393 |
|
10,675 |
10,561 |
$514K |
| 99231 |
|
20,618 |
9,963 |
$476K |
| 76811 |
|
8,138 |
7,931 |
$458K |
| 99203 |
|
8,247 |
8,173 |
$425K |
| 99396 |
|
6,786 |
6,718 |
$400K |
| 99460 |
|
6,621 |
6,545 |
$362K |
| 99205 |
Prolong outpt/office vis |
3,463 |
3,431 |
$355K |
| 99395 |
|
5,862 |
5,783 |
$317K |
| 59025 |
|
13,656 |
4,312 |
$289K |
| 99394 |
|
5,362 |
5,286 |
$266K |
| 76816 |
|
9,380 |
8,410 |
$262K |
| 59430 |
|
1,495 |
1,478 |
$231K |
| 99464 |
|
4,559 |
4,527 |
$193K |
| 99471 |
|
243 |
238 |
$175K |
| 93306 |
|
3,008 |
2,963 |
$150K |
| 76817 |
|
6,229 |
5,644 |
$143K |
| 93303 |
|
2,809 |
2,624 |
$126K |
| 99212 |
|
6,191 |
5,954 |
$125K |
| 54150 |
|
2,103 |
2,075 |
$121K |
| 99239 |
|
1,947 |
1,886 |
$121K |
| 76815 |
|
5,042 |
3,460 |
$100K |
| 99462 |
|
4,090 |
3,411 |
$97K |
| 99385 |
|
1,564 |
1,542 |
$97K |
| 99221 |
|
1,720 |
1,644 |
$92K |
| 59425 |
|
208 |
207 |
$83K |
| 76805 |
|
2,335 |
2,277 |
$73K |
| 76801 |
|
2,393 |
2,247 |
$72K |
| 76820 |
|
4,589 |
2,209 |
$71K |
| 99386 |
|
898 |
885 |
$70K |
| 99219 |
|
829 |
791 |
$61K |
| 99235 |
|
640 |
637 |
$59K |
| 99477 |
|
199 |
189 |
$57K |
| 93010 |
|
12,451 |
12,207 |
$54K |
| 99220 |
|
533 |
490 |
$51K |
| 99465 |
|
607 |
601 |
$49K |
| 99291 |
|
400 |
187 |
$49K |
| 95819 |
|
1,107 |
1,072 |
$37K |
| 93320 |
|
2,995 |
2,803 |
$36K |
| 99496 |
|
354 |
351 |
$34K |
| 43239 |
|
442 |
439 |
$32K |
| 99442 |
|
1,184 |
1,147 |
$32K |
| 99202 |
|
1,013 |
1,004 |
$30K |
| 90460 |
|
1,805 |
1,757 |
$27K |
| 99495 |
|
344 |
342 |
$25K |
| 90472 |
|
1,318 |
1,312 |
$24K |
| G0463 |
Hospital outpt clinic visit |
851 |
785 |
$24K |
| 76818 |
|
705 |
462 |
$24K |
| 90471 |
|
2,555 |
2,536 |
$22K |
| 99383 |
|
299 |
296 |
$21K |
| 95251 |
|
1,022 |
1,013 |
$19K |
| 20610 |
|
563 |
474 |
$19K |
| 93304 |
|
787 |
678 |
$19K |
| 76819 |
|
771 |
570 |
$19K |
| 99236 |
Prolong inpt eval add15 m |
133 |
133 |
$17K |
| Q0091 |
Obtaining screen pap smear |
2,070 |
2,054 |
$15K |
| 99217 |
|
373 |
355 |
$14K |
| 95720 |
|
97 |
50 |
$12K |
| 83036 |
|
2,139 |
2,087 |
$12K |
| 93325 |
|
3,799 |
3,429 |
$11K |
| 99381 |
|
163 |
162 |
$11K |
| 99443 |
|
338 |
324 |
$10K |
| 93298 |
|
667 |
656 |
$10K |
| 93000 |
|
1,212 |
1,200 |
$9K |
| 90791 |
|
113 |
107 |
$8K |
| 73630 |
|
954 |
813 |
$6K |
| 99384 |
|
81 |
80 |
$6K |
| 99463 |
|
85 |
85 |
$5K |
| 73564 |
|
306 |
266 |
$5K |
| 93458 |
|
28 |
26 |
$4K |
| 99406 |
|
703 |
669 |
$4K |
| 82962 |
|
1,913 |
1,863 |
$4K |
| 93321 |
|
912 |
795 |
$4K |
| 99382 |
|
67 |
67 |
$4K |
| 73610 |
|
396 |
363 |
$3K |
| 90670 |
|
1,142 |
1,134 |
$3K |
| 78452 |
|
71 |
69 |
$3K |
| 11042 |
|
108 |
65 |
$3K |
| 77073 |
|
173 |
171 |
$3K |
| 73110 |
|
222 |
185 |
$3K |
| 93016 |
|
210 |
207 |
$3K |
| 93018 |
|
311 |
309 |
$3K |
| 73030 |
|
185 |
166 |
$2K |
| 99285 |
|
25 |
24 |
$2K |
| 99441 |
|
193 |
190 |
$2K |
| 98966 |
|
2,286 |
2,099 |
$2K |
| 99459 |
|
280 |
276 |
$1K |
| 99283 |
|
30 |
30 |
$1K |
| 90686 |
|
1,016 |
1,003 |
$1K |
| 99356 |
|
25 |
13 |
$1K |
| 99292 |
|
16 |
13 |
$1K |
| 73590 |
|
177 |
157 |
$1K |
| 96372 |
|
81 |
68 |
$955.44 |
| G2211 |
Complex e/m visit add on |
463 |
451 |
$922.91 |
| 90677 |
|
194 |
194 |
$894.84 |
| 99284 |
|
14 |
13 |
$873.83 |
| 76830 |
|
28 |
27 |
$705.01 |
| 93272 |
|
51 |
51 |
$698.09 |
| 90651 |
|
29 |
27 |
$688.32 |
| 92551 |
|
203 |
202 |
$646.46 |
| 99243 |
|
12 |
12 |
$637.79 |
| 99211 |
|
108 |
102 |
$632.10 |
| 73080 |
|
63 |
60 |
$587.08 |
| 73502 |
|
44 |
41 |
$501.92 |
| 96110 |
|
93 |
82 |
$493.90 |
| 99000 |
|
682 |
674 |
$465.33 |
| 92228 |
|
45 |
45 |
$436.24 |
| 76856 |
|
15 |
14 |
$321.26 |
| 87428 |
|
15 |
15 |
$316.40 |
| 94010 |
|
100 |
89 |
$312.85 |
| 87804 |
|
36 |
26 |
$252.84 |
| D0190 |
|
89 |
89 |
$248.67 |
| 36416 |
|
93 |
92 |
$235.52 |
| 99152 |
|
39 |
33 |
$210.68 |
| 51701 |
|
13 |
13 |
$195.40 |
| 99188 |
|
30 |
30 |
$181.19 |
| 97802 |
|
102 |
98 |
$180.91 |
| 87880 |
|
14 |
14 |
$179.75 |
| 90715 |
|
44 |
43 |
$152.93 |
| 90674 |
|
15 |
15 |
$142.08 |
| 81002 |
|
124 |
116 |
$102.22 |
| 73090 |
|
14 |
13 |
$97.28 |
| 90656 |
|
46 |
46 |
$89.40 |
| 85025 |
|
15 |
15 |
$87.21 |
| 93005 |
|
32 |
31 |
$85.16 |
| 81025 |
|
45 |
45 |
$80.84 |
| 95117 |
|
21 |
12 |
$60.66 |
| 81003 |
|
27 |
27 |
$47.57 |
| G9008 |
Mccd,phys coor-care ovrsght |
13 |
13 |
$29.42 |
| 86580 |
|
27 |
27 |
$26.31 |
| 36415 |
|
161 |
144 |
$17.45 |
| 96127 |
|
14 |
12 |
$5.54 |
| 97803 |
|
12 |
12 |
$5.00 |
| 99499 |
|
242 |
236 |
$0.72 |
| G9002 |
Mccd,maintenance rate |
1,012 |
895 |
$0.57 |
| 1160F |
|
56,810 |
51,497 |
$0.21 |
| 1159F |
|
54,555 |
49,389 |
$0.21 |
| 3008F |
|
68,798 |
64,533 |
$0.21 |
| 3079F |
|
16,191 |
15,699 |
$0.21 |
| 1036F |
|
50,322 |
46,034 |
$0.21 |
| 3074F |
|
42,220 |
40,127 |
$0.21 |
| G9007 |
Mccd, sch team conf |
52 |
46 |
$0.05 |
| 3046F |
|
1,723 |
1,697 |
$0.00 |
| 3051F |
|
1,068 |
1,063 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
1,354 |
1,328 |
$0.00 |
| 4004F |
|
144 |
142 |
$0.00 |
| G9622 |
No unheal etoh user |
9,007 |
8,673 |
$0.00 |
| 3078F |
|
37,143 |
35,339 |
$0.00 |
| 3288F |
|
7,500 |
7,231 |
$0.00 |
| 3077F |
|
8,577 |
8,160 |
$0.00 |
| 3045F |
|
57 |
57 |
$0.00 |
| 2028F |
|
465 |
464 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
3,617 |
3,484 |
$0.00 |
| 3725F |
|
29,832 |
28,362 |
$0.00 |
| 90633 |
|
277 |
276 |
$0.00 |
| G9621 |
Scr unheal etoh w/counsel |
262 |
250 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 0502F |
|
164 |
122 |
$0.00 |
| 91300 |
|
32 |
29 |
$0.00 |
| 99173 |
|
158 |
158 |
$0.00 |
| 90707 |
|
41 |
41 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
12 |
12 |
$0.00 |
| 90710 |
|
21 |
21 |
$0.00 |
| 90461 |
|
54 |
54 |
$0.00 |
| 90647 |
|
786 |
780 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
35,609 |
33,865 |
$0.00 |
| 1035F |
|
1,154 |
1,046 |
$0.00 |
| 3080F |
|
6,763 |
6,483 |
$0.00 |
| 3075F |
|
9,368 |
9,153 |
$0.00 |
| 90716 |
|
30 |
30 |
$0.00 |
| 99024 |
|
4,056 |
3,483 |
$0.00 |
| 1126F |
|
54,258 |
50,464 |
$0.00 |
| 1034F |
|
9,668 |
8,741 |
$0.00 |
| 1125F |
|
11,896 |
11,397 |
$0.00 |
| 3044F |
|
2,895 |
2,878 |
$0.00 |
| 90680 |
|
507 |
501 |
$0.00 |
| 3052F |
|
865 |
861 |
$0.00 |
| 90723 |
|
818 |
811 |
$0.00 |
| 1111F |
|
256 |
253 |
$0.00 |
| 1000F |
|
165 |
162 |
$0.00 |
| 90696 |
|
20 |
20 |
$0.00 |
| 90697 |
|
28 |
28 |
$0.00 |