| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
25,262 |
23,364 |
$1.94M |
| 99213 |
|
32,308 |
29,721 |
$1.88M |
| 99203 |
|
8,425 |
8,312 |
$769K |
| 99204 |
|
1,267 |
1,246 |
$155K |
| 99391 |
|
1,380 |
1,293 |
$146K |
| 59400 |
|
62 |
62 |
$126K |
| 99392 |
|
956 |
953 |
$100K |
| 90460 |
|
2,663 |
2,563 |
$95K |
| S9999 |
Sales tax |
8,466 |
7,151 |
$76K |
| 87880 |
|
4,425 |
4,314 |
$74K |
| 87804 |
|
3,872 |
3,487 |
$68K |
| 99393 |
|
605 |
605 |
$65K |
| 93306 |
|
1,424 |
1,391 |
$57K |
| 76801 |
|
399 |
362 |
$55K |
| 90847 |
|
521 |
498 |
$47K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
522 |
508 |
$46K |
| 99212 |
|
1,209 |
1,139 |
$43K |
| 96372 |
|
2,243 |
2,001 |
$40K |
| 99205 |
Prolong outpt/office vis |
318 |
311 |
$37K |
| 76805 |
|
243 |
236 |
$36K |
| 43239 |
|
273 |
266 |
$36K |
| 87428 |
|
522 |
495 |
$35K |
| 76817 |
|
323 |
312 |
$35K |
| 90792 |
|
242 |
237 |
$34K |
| 95911 |
|
134 |
134 |
$30K |
| 99215 |
Prolong outpt/office vis |
281 |
260 |
$29K |
| 81025 |
|
3,419 |
3,310 |
$28K |
| 90461 |
|
459 |
439 |
$26K |
| 99395 |
|
270 |
260 |
$25K |
| 99238 |
|
372 |
368 |
$24K |
| 99232 |
|
464 |
171 |
$21K |
| 90471 |
|
874 |
866 |
$19K |
| 99202 |
|
308 |
305 |
$18K |
| 96110 |
|
1,066 |
948 |
$18K |
| 99394 |
|
165 |
165 |
$17K |
| 99460 |
|
204 |
200 |
$17K |
| 90832 |
|
308 |
293 |
$17K |
| 93000 |
|
1,152 |
1,099 |
$12K |
| 90472 |
|
387 |
269 |
$11K |
| 99422 |
|
228 |
225 |
$10K |
| 93458 |
|
40 |
38 |
$9K |
| 99442 |
|
133 |
124 |
$9K |
| 90670 |
|
252 |
249 |
$7K |
| 90715 |
|
194 |
190 |
$6K |
| 81003 |
|
3,816 |
3,269 |
$6K |
| 36415 |
|
2,198 |
2,067 |
$6K |
| 64493 |
|
33 |
30 |
$6K |
| 20610 |
|
100 |
96 |
$5K |
| 99173 |
|
113 |
113 |
$4K |
| 99381 |
|
25 |
24 |
$4K |
| 64494 |
|
33 |
30 |
$3K |
| 64495 |
|
31 |
28 |
$3K |
| 99443 |
|
27 |
27 |
$3K |
| 90688 |
|
210 |
208 |
$3K |
| 64483 |
|
14 |
14 |
$2K |
| 99385 |
|
14 |
13 |
$2K |
| 45380 |
|
14 |
12 |
$2K |
| 99152 |
|
113 |
104 |
$2K |
| 99423 |
|
26 |
26 |
$2K |
| 78452 |
|
41 |
40 |
$2K |
| 90656 |
|
118 |
118 |
$2K |
| 90474 |
|
82 |
82 |
$2K |
| 99441 |
|
48 |
42 |
$2K |
| 54150 |
|
12 |
12 |
$1K |
| 81002 |
|
775 |
690 |
$1K |
| 87807 |
|
89 |
88 |
$1K |
| 64484 |
|
14 |
14 |
$1K |
| 73610 |
|
47 |
38 |
$1K |
| 99051 |
|
66 |
59 |
$1K |
| 90681 |
|
72 |
70 |
$968.92 |
| 87811 |
|
28 |
28 |
$967.69 |
| 93018 |
|
95 |
91 |
$886.18 |
| 83036 |
|
173 |
170 |
$838.49 |
| 59899 |
|
12 |
12 |
$804.60 |
| 90686 |
|
78 |
77 |
$682.85 |
| 99000 |
|
151 |
140 |
$648.98 |
| 99188 |
|
30 |
30 |
$566.63 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
120 |
120 |
$515.58 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
46 |
39 |
$457.54 |
| 80305 |
|
35 |
34 |
$402.33 |
| 93010 |
|
119 |
114 |
$384.37 |
| 51798 |
|
36 |
36 |
$367.68 |
| 90648 |
|
46 |
46 |
$366.52 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
97 |
89 |
$341.05 |
| 73562 |
|
12 |
12 |
$303.57 |
| 99421 |
|
14 |
14 |
$285.10 |
| 90723 |
|
266 |
264 |
$238.45 |
| 94010 |
|
14 |
14 |
$237.94 |
| 90657 |
|
38 |
38 |
$235.48 |
| 96161 |
|
24 |
24 |
$186.39 |
| 96127 |
|
43 |
41 |
$167.10 |
| 93005 |
|
27 |
27 |
$164.85 |
| 94640 |
|
12 |
12 |
$138.47 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
158 |
151 |
$133.86 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$107.32 |
| 90647 |
|
321 |
295 |
$106.01 |
| 82962 |
|
25 |
25 |
$71.61 |
| 90633 |
|
58 |
58 |
$62.40 |
| 90707 |
|
35 |
35 |
$62.40 |
| 90716 |
|
48 |
48 |
$62.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
39 |
27 |
$53.65 |
| 90658 |
|
138 |
138 |
$12.16 |
| 1159F |
|
3,452 |
3,030 |
$0.00 |
| 3077F |
|
691 |
638 |
$0.00 |
| 3078F |
|
5,594 |
5,165 |
$0.00 |
| 0502F |
|
3,910 |
3,169 |
$0.00 |
| 1160F |
|
4,854 |
4,283 |
$0.00 |
| 90671 |
|
149 |
149 |
$0.00 |
| 1090F |
|
16 |
16 |
$0.00 |
| 90655 |
|
16 |
16 |
$0.00 |
| 3008F |
|
14,979 |
13,618 |
$0.00 |
| 3079F |
|
2,121 |
2,007 |
$0.00 |
| 3074F |
|
6,954 |
6,399 |
$0.00 |
| 1036F |
|
12,581 |
11,211 |
$0.00 |
| 1126F |
|
2,112 |
1,956 |
$0.00 |
| 1125F |
|
1,056 |
1,002 |
$0.00 |
| 3080F |
|
588 |
561 |
$0.00 |
| 1034F |
|
1,061 |
896 |
$0.00 |
| 3075F |
|
355 |
336 |
$0.00 |
| 99024 |
|
167 |
136 |
$0.00 |
| 90696 |
|
27 |
27 |
$0.00 |
| 1101F |
|
16 |
16 |
$0.00 |
| 90680 |
|
63 |
63 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
15 |
$0.00 |
| 0500F |
|
64 |
63 |
$0.00 |
| 1035F |
|
31 |
26 |
$0.00 |
| 1170F |
|
17 |
17 |
$0.00 |