| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
163,420 |
147,197 |
$12.08M |
| 99213 |
|
93,263 |
83,885 |
$5.22M |
| 99203 |
|
16,097 |
15,210 |
$1.31M |
| 99232 |
|
38,533 |
10,728 |
$1.31M |
| J0585 |
Injection,onabotulinumtoxina |
2,197 |
1,066 |
$1.02M |
| 99204 |
|
6,713 |
6,282 |
$737K |
| 76811 |
|
5,841 |
5,553 |
$425K |
| 76816 |
|
11,825 |
10,777 |
$391K |
| 99291 |
|
3,437 |
1,320 |
$374K |
| 76819 |
|
9,710 |
5,956 |
$298K |
| G0108 |
Diab manage trn per indiv |
4,022 |
3,658 |
$273K |
| 99233 |
Prolong inpt eval add15 m |
4,542 |
1,854 |
$226K |
| 76805 |
|
5,946 |
5,656 |
$222K |
| 99223 |
Prolong inpt eval add15 m |
2,003 |
1,772 |
$195K |
| 90792 |
|
1,773 |
1,584 |
$183K |
| 97802 |
|
1,468 |
1,402 |
$164K |
| 97803 |
|
1,908 |
1,753 |
$151K |
| 76813 |
|
3,267 |
3,087 |
$144K |
| 99215 |
Prolong outpt/office vis |
1,473 |
1,334 |
$143K |
| 99222 |
|
1,849 |
1,677 |
$130K |
| 76801 |
|
3,212 |
2,970 |
$120K |
| 99239 |
|
2,031 |
1,815 |
$114K |
| 99238 |
|
2,106 |
1,745 |
$101K |
| 64615 |
|
1,006 |
954 |
$96K |
| 20610 |
|
2,212 |
1,925 |
$78K |
| 96372 |
|
5,087 |
4,336 |
$75K |
| 76817 |
|
2,476 |
2,227 |
$71K |
| 99391 |
|
812 |
729 |
$69K |
| 99212 |
|
1,900 |
1,759 |
$68K |
| 94729 |
|
3,346 |
3,166 |
$63K |
| 0002A |
|
2,669 |
2,399 |
$55K |
| 0001A |
|
2,845 |
2,543 |
$54K |
| M0243 |
Casirivi and imdevi inj |
219 |
196 |
$53K |
| 99460 |
|
885 |
695 |
$52K |
| G2211 |
Complex e/m visit add on |
5,003 |
4,574 |
$49K |
| 64721 |
|
169 |
153 |
$48K |
| 99205 |
Prolong outpt/office vis |
374 |
343 |
$47K |
| 99202 |
|
894 |
852 |
$47K |
| 99392 |
|
473 |
462 |
$46K |
| 95811 |
|
441 |
420 |
$40K |
| 95810 |
|
416 |
407 |
$37K |
| 92557 |
|
1,426 |
1,353 |
$35K |
| 76821 |
|
1,052 |
653 |
$33K |
| 29827 |
|
61 |
52 |
$33K |
| 99495 |
|
266 |
237 |
$32K |
| 90686 |
|
1,727 |
1,679 |
$31K |
| 71046 |
|
1,853 |
1,372 |
$30K |
| 94060 |
|
2,101 |
1,989 |
$29K |
| 94726 |
|
1,706 |
1,615 |
$27K |
| 95806 |
|
760 |
751 |
$27K |
| 99442 |
|
822 |
647 |
$26K |
| 87880 |
|
2,476 |
2,376 |
$25K |
| 99443 |
|
825 |
642 |
$25K |
| 80305 |
|
3,402 |
2,638 |
$25K |
| 76820 |
|
1,002 |
612 |
$24K |
| 69210 |
|
957 |
860 |
$24K |
| 45385 |
|
252 |
240 |
$23K |
| J3301 |
Triamcinolone acet inj nos |
4,495 |
3,821 |
$22K |
| 99219 |
|
293 |
246 |
$20K |
| 99393 |
|
204 |
202 |
$20K |
| 92567 |
|
1,837 |
1,731 |
$19K |
| 76825 |
|
282 |
263 |
$17K |
| 95251 |
|
883 |
802 |
$16K |
| 74018 |
|
1,058 |
832 |
$15K |
| 73110 |
|
438 |
348 |
$12K |
| 99479 |
|
79 |
12 |
$12K |
| 95816 |
|
333 |
313 |
$11K |
| 96110 |
|
1,322 |
1,276 |
$11K |
| 73130 |
|
472 |
368 |
$11K |
| 94010 |
|
656 |
595 |
$11K |
| 90832 |
|
152 |
116 |
$8K |
| 94640 |
|
549 |
498 |
$7K |
| 99480 |
|
66 |
25 |
$7K |
| 73610 |
|
326 |
283 |
$7K |
| 99231 |
|
424 |
140 |
$7K |
| G0500 |
Mod sedat endo service >5yrs |
1,850 |
1,770 |
$7K |
| 43239 |
|
86 |
86 |
$7K |
| 0012A |
|
429 |
351 |
$6K |
| 29823 |
|
63 |
54 |
$6K |
| 99220 |
|
89 |
77 |
$5K |
| 76827 |
|
250 |
238 |
$5K |
| 73564 |
|
208 |
160 |
$5K |
| 81003 |
|
3,648 |
3,367 |
$4K |
| 99441 |
|
198 |
173 |
$4K |
| 90833 |
|
39 |
28 |
$4K |
| 0011A |
|
379 |
302 |
$4K |
| 83036 |
|
521 |
505 |
$3K |
| 0004A |
|
148 |
130 |
$3K |
| 51798 |
|
387 |
348 |
$3K |
| 91322 |
|
30 |
28 |
$3K |
| 95886 |
|
39 |
33 |
$3K |
| 45388 |
|
26 |
25 |
$3K |
| 0003A |
|
158 |
134 |
$3K |
| 73630 |
|
104 |
92 |
$2K |
| 73030 |
|
93 |
75 |
$2K |
| 81002 |
|
1,033 |
975 |
$2K |
| 99217 |
|
40 |
36 |
$2K |
| 45380 |
|
15 |
14 |
$2K |
| 96152 |
|
56 |
37 |
$2K |
| 95910 |
|
13 |
12 |
$2K |
| 31231 |
|
13 |
12 |
$1K |
| 99395 |
|
14 |
13 |
$1K |
| 90670 |
|
50 |
50 |
$1K |
| 29075 |
|
16 |
13 |
$1K |
| 93325 |
|
391 |
368 |
$972.22 |
| 90834 |
|
14 |
12 |
$881.31 |
| 31575 |
|
12 |
12 |
$827.74 |
| 90480 |
|
30 |
28 |
$815.68 |
| 20550 |
|
22 |
13 |
$773.65 |
| 96150 |
|
15 |
14 |
$712.95 |
| 99462 |
|
46 |
25 |
$692.55 |
| J1885 |
Ketorolac tromethamine inj |
480 |
420 |
$684.33 |
| 90656 |
|
32 |
32 |
$674.79 |
| 99221 |
|
17 |
16 |
$567.23 |
| 20600 |
|
18 |
14 |
$559.45 |
| 90723 |
|
24 |
24 |
$527.04 |
| 0072A |
|
14 |
14 |
$520.00 |
| 90677 |
|
16 |
12 |
$508.26 |
| 92587 |
|
27 |
27 |
$492.99 |
| 76815 |
|
19 |
14 |
$475.26 |
| J1100 |
Dexamethasone sodium phos |
378 |
349 |
$384.64 |
| 73562 |
|
14 |
14 |
$367.59 |
| 90647 |
|
16 |
12 |
$351.36 |
| 90685 |
|
12 |
12 |
$263.52 |
| 90633 |
|
12 |
12 |
$263.52 |
| 81025 |
|
46 |
43 |
$229.14 |
| 96160 |
|
69 |
55 |
$201.62 |
| Q4010 |
Cast sup sht arm adult fbrgl |
14 |
12 |
$200.76 |
| 36415 |
|
98 |
92 |
$166.30 |
| J2930 |
Methylprednisolone injection |
13 |
12 |
$67.47 |
| 82962 |
|
27 |
27 |
$45.78 |
| 95012 |
|
12 |
12 |
$32.28 |
| J7613 |
Albuterol non-comp unit |
381 |
342 |
$32.14 |
| J7620 |
Albuterol ipratrop non-comp |
195 |
187 |
$24.76 |
| J0696 |
Ceftriaxone sodium injection |
12 |
12 |
$18.37 |
| 3079F |
|
6,443 |
6,210 |
$0.00 |
| 3075F |
|
2,393 |
2,312 |
$0.00 |
| 3074F |
|
38,297 |
36,604 |
$0.00 |
| 3080F |
|
114 |
112 |
$0.00 |
| 0509F |
|
100 |
88 |
$0.00 |
| 3078F |
|
36,681 |
35,100 |
$0.00 |
| 1090F |
|
295 |
253 |
$0.00 |
| 3077F |
|
867 |
835 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
192 |
181 |
$0.00 |
| 91300 |
|
24 |
24 |
$0.00 |