| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
39,435 |
37,005 |
$3.04M |
| 99213 |
|
39,550 |
36,757 |
$2.16M |
| 99203 |
|
16,373 |
16,044 |
$1.14M |
| 99204 |
|
9,668 |
9,458 |
$979K |
| 87428 |
|
17,956 |
17,204 |
$535K |
| 99058 |
|
22,128 |
19,547 |
$504K |
| 87880 |
|
28,507 |
27,511 |
$358K |
| 99202 |
|
6,409 |
6,335 |
$318K |
| 87426 |
|
11,308 |
10,946 |
$312K |
| 71046 |
|
9,634 |
9,239 |
$228K |
| 87804 |
|
18,218 |
8,851 |
$228K |
| 99212 |
|
6,867 |
6,473 |
$223K |
| 99215 |
Prolong outpt/office vis |
1,284 |
1,242 |
$135K |
| 85025 |
|
15,686 |
14,898 |
$105K |
| 80047 |
|
10,774 |
10,313 |
$90K |
| 99205 |
Prolong outpt/office vis |
452 |
434 |
$55K |
| 36415 |
|
20,264 |
19,093 |
$44K |
| 99051 |
|
5,960 |
5,636 |
$43K |
| 73564 |
|
1,306 |
1,187 |
$42K |
| 96372 |
|
3,554 |
3,273 |
$37K |
| 93000 |
|
3,278 |
3,185 |
$34K |
| 73610 |
|
1,277 |
1,229 |
$33K |
| 81000 |
|
9,857 |
9,326 |
$31K |
| 73630 |
|
1,196 |
1,134 |
$29K |
| 90686 |
|
1,601 |
1,568 |
$24K |
| 81025 |
|
3,691 |
3,574 |
$23K |
| 72110 |
|
660 |
639 |
$23K |
| 99201 |
|
788 |
772 |
$23K |
| 90715 |
|
763 |
741 |
$23K |
| 81002 |
|
8,672 |
8,368 |
$22K |
| 90471 |
|
3,616 |
3,450 |
$21K |
| E0114 |
Crutch underarm pair no wood |
495 |
485 |
$21K |
| L3908 |
Who cock-up nonmolde pre ots |
364 |
358 |
$20K |
| 73140 |
|
614 |
589 |
$17K |
| 87210 |
|
3,871 |
3,678 |
$17K |
| 73110 |
|
526 |
506 |
$15K |
| 86580 |
|
1,875 |
1,743 |
$14K |
| 73030 |
|
554 |
530 |
$13K |
| 73130 |
|
458 |
420 |
$12K |
| L4350 |
Ankle control ortho pre ots |
141 |
136 |
$12K |
| 87220 |
|
4,022 |
3,826 |
$10K |
| 94640 |
|
877 |
830 |
$8K |
| 84703 |
|
1,118 |
1,086 |
$7K |
| L3260 |
Ambulatory surgical boot eac |
221 |
210 |
$6K |
| 99211 |
|
524 |
506 |
$6K |
| 72050 |
|
148 |
145 |
$5K |
| 99070 |
|
640 |
613 |
$5K |
| 90619 |
|
35 |
35 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
1,731 |
1,638 |
$3K |
| 99050 |
|
7,455 |
7,000 |
$3K |
| 90734 |
|
58 |
57 |
$2K |
| 90656 |
|
97 |
97 |
$2K |
| 74018 |
|
73 |
70 |
$2K |
| 85027 |
|
255 |
247 |
$1K |
| 73660 |
|
75 |
70 |
$1K |
| 29125 |
|
27 |
27 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
1,060 |
999 |
$1K |
| 86308 |
|
263 |
254 |
$1K |
| 85007 |
|
255 |
247 |
$867.83 |
| 73502 |
|
13 |
13 |
$399.56 |
| 96360 |
|
14 |
14 |
$360.36 |
| 71101 |
|
13 |
13 |
$335.49 |
| 73080 |
|
12 |
12 |
$308.00 |
| 90716 |
|
14 |
13 |
$254.02 |
| S9083 |
Urgent care center global |
14 |
14 |
$250.65 |
| 90633 |
|
16 |
15 |
$235.77 |
| 90713 |
|
18 |
16 |
$196.97 |
| S0119 |
Ondansetron 4 mg |
624 |
613 |
$159.05 |
| 90744 |
|
14 |
12 |
$132.00 |
| 99000 |
|
40 |
37 |
$121.44 |
| 90472 |
|
121 |
105 |
$58.00 |
| J7620 |
Albuterol ipratrop non-comp |
508 |
433 |
$46.54 |
| A4565 |
Slings |
481 |
470 |
$24.45 |
| J7030 |
Normal saline solution infus |
18 |
14 |
$21.52 |
| J7510 |
Prednisolone oral per 5 mg |
86 |
83 |
$21.06 |
| J7613 |
Albuterol non-comp unit |
156 |
148 |
$15.57 |
| A6449 |
Lt compres band >=3" <5"/yd |
1,185 |
1,152 |
$14.93 |
| S9088 |
Services provided in urgent |
66 |
59 |
$4.14 |
| 94150 |
|
308 |
285 |
$0.00 |
| A4570 |
Splint |
293 |
285 |
$0.00 |
| 36416 |
|
122 |
117 |
$0.00 |