| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Urgent care center global |
75,099 |
70,639 |
$5.37M |
| 99204 |
|
3,205 |
3,197 |
$244K |
| 99214 |
|
4,102 |
3,895 |
$163K |
| 99203 |
|
260 |
260 |
$16K |
| 99213 |
|
370 |
368 |
$10K |
| 96372 |
|
4,409 |
3,860 |
$1K |
| 81002 |
|
9,191 |
8,999 |
$736.41 |
| 87880 |
|
1,646 |
1,633 |
$675.44 |
| 93000 |
|
811 |
809 |
$626.52 |
| 81025 |
|
5,642 |
5,503 |
$267.83 |
| 69209 |
|
326 |
319 |
$209.50 |
| 94640 |
|
1,147 |
1,108 |
$207.54 |
| 90715 |
|
105 |
105 |
$183.35 |
| J1100 |
Dexamethasone sodium phos |
243 |
242 |
$125.84 |
| 82962 |
|
1,568 |
1,561 |
$98.46 |
| A9150 |
Misc/exper non-prescript dru |
1,546 |
1,505 |
$58.00 |
| 85018 |
|
980 |
978 |
$42.96 |
| 90471 |
|
112 |
112 |
$36.92 |
| J1885 |
Ketorolac tromethamine inj |
514 |
502 |
$33.41 |
| S0119 |
Ondansetron 4 mg |
1,014 |
1,011 |
$29.69 |
| J0696 |
Ceftriaxone sodium injection |
289 |
282 |
$18.78 |
| A6448 |
Lt compres band <3"/yd |
159 |
156 |
$15.00 |
| A6449 |
Lt compres band >=3" <5"/yd |
117 |
117 |
$2.00 |
| J7620 |
Albuterol ipratrop non-comp |
605 |
584 |
$0.03 |
| 36416 |
|
581 |
577 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
24 |
24 |
$0.00 |
| J1094 |
Inj dexamethasone acetate |
16 |
15 |
$0.00 |
| J8540 |
Oral dexamethasone |
144 |
141 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
105 |
102 |
$0.00 |
| 94760 |
|
32 |
31 |
$0.00 |
| J7626 |
Budesonide non-comp unit |
27 |
27 |
$0.00 |
| J7611 |
Albuterol non-comp con |
12 |
12 |
$0.00 |
| 99051 |
|
47 |
46 |
$0.00 |
| 81003 |
|
582 |
568 |
$0.00 |
| J2930 |
Methylprednisolone injection |
172 |
166 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
42 |
24 |
$0.00 |