| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
|
46,306 |
44,210 |
$497K |
| 99204 |
|
19,467 |
19,163 |
$263K |
| S9083 |
Urgent care center global |
5,649 |
5,350 |
$252K |
| 94760 |
|
77,979 |
73,090 |
$168K |
| 99213 |
|
7,172 |
6,858 |
$67K |
| G8417 |
Calc bmi abv up param f/u |
38,154 |
35,942 |
$62K |
| 99201 |
|
745 |
711 |
$43K |
| 99214 |
|
4,646 |
4,438 |
$40K |
| G8419 |
Calc bmi out nrm param nof/u |
21,313 |
20,409 |
$37K |
| 99212 |
|
7,771 |
7,339 |
$31K |
| 87426 |
|
9,563 |
9,155 |
$29K |
| 99202 |
|
505 |
475 |
$27K |
| G2023 |
Specimen collect covid-19 |
14,395 |
13,689 |
$25K |
| 71046 |
|
5,961 |
5,845 |
$23K |
| 96372 |
|
6,786 |
5,390 |
$20K |
| G8418 |
Calc bmi blw low param f/u |
13,374 |
12,717 |
$18K |
| 87880 |
|
16,376 |
16,092 |
$18K |
| 93000 |
|
3,213 |
3,187 |
$12K |
| G9903 |
Pt scrn tbco id as non user |
24,665 |
23,561 |
$9K |
| 97597 |
|
1,187 |
1,088 |
$9K |
| 99406 |
|
5,495 |
5,324 |
$8K |
| 81002 |
|
9,452 |
9,210 |
$7K |
| 73630 |
|
1,307 |
1,286 |
$5K |
| G8484 |
Flu immunize no admin |
26,203 |
24,691 |
$4K |
| 73130 |
|
809 |
793 |
$4K |
| 29540 |
|
658 |
656 |
$2K |
| G8427 |
Docrev cur meds by elig clin |
28,175 |
26,443 |
$2K |
| G8420 |
Calc bmi norm parameters |
9,628 |
9,087 |
$2K |
| 73610 |
|
520 |
517 |
$2K |
| 99000 |
|
3,929 |
3,855 |
$2K |
| 29280 |
|
94 |
93 |
$2K |
| 69210 |
|
407 |
403 |
$1K |
| G8482 |
Flu immunize order/admin |
2,340 |
2,253 |
$970.99 |
| 29260 |
|
176 |
175 |
$938.16 |
| 81025 |
|
1,577 |
1,556 |
$869.09 |
| G9902 |
Pt scrn tbco and id as user |
3,730 |
3,394 |
$855.16 |
| 94640 |
|
411 |
381 |
$691.57 |
| 73562 |
|
147 |
139 |
$689.32 |
| J1885 |
Ketorolac tromethamine inj |
1,679 |
1,628 |
$667.02 |
| 73110 |
|
87 |
83 |
$583.30 |
| 1036F |
|
367 |
360 |
$444.24 |
| J0696 |
Ceftriaxone sodium injection |
966 |
932 |
$412.74 |
| G8710 |
Pt pres antibiotic |
3,458 |
3,362 |
$400.00 |
| 82962 |
|
1,416 |
1,399 |
$378.35 |
| G8711 |
Pres antibx on/within 3 day |
6,887 |
6,770 |
$193.26 |
| 29530 |
|
12 |
12 |
$191.13 |
| A7003 |
Nebulizer administration set |
302 |
290 |
$181.85 |
| 36415 |
|
369 |
366 |
$173.08 |
| A6454 |
Self-adher band w>=3" <5"/yd |
791 |
785 |
$145.32 |
| J1094 |
Inj dexamethasone acetate |
149 |
142 |
$143.44 |
| 72100 |
|
70 |
70 |
$137.84 |
| A6453 |
Self-adher band w <3"/yd |
1,039 |
1,032 |
$86.74 |
| G8708 |
Antibiotic not pres |
3,284 |
3,192 |
$70.00 |
| 73030 |
|
26 |
26 |
$51.72 |
| 71100 |
|
13 |
13 |
$51.33 |
| A7015 |
Aerosol mask used w nebulize |
287 |
276 |
$42.27 |
| 73140 |
|
12 |
12 |
$15.43 |
| J7613 |
Albuterol non-comp unit |
319 |
305 |
$1.90 |
| 86140 |
|
16 |
16 |
$0.00 |
| 87635 |
|
13 |
13 |
$0.00 |
| 73564 |
|
15 |
14 |
$0.00 |
| G8712 |
Not pres antibiotic |
712 |
710 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
258 |
246 |
$0.00 |
| G8752 |
Sys bp less 140 |
719 |
701 |
$0.00 |
| 86318 |
|
14 |
14 |
$0.00 |
| 4004F |
|
77 |
69 |
$0.00 |
| 94060 |
|
27 |
27 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
16 |
15 |
$0.00 |
| U0001 |
2019-ncov diagnostic p |
29 |
29 |
$0.00 |
| 99211 |
|
34 |
34 |
$0.00 |
| 99401 |
|
20 |
20 |
$0.00 |