| Code | Description | Claims | Beneficiaries | Total Paid |
| S9083 |
Urgent care center global |
333,029 |
299,717 |
$34.46M |
| 99214 |
|
186,893 |
169,505 |
$8.68M |
| 99213 |
|
168,379 |
154,111 |
$6.86M |
| 87426 |
|
244,872 |
222,087 |
$4.78M |
| 99203 |
|
62,474 |
56,116 |
$3.23M |
| 87804 |
|
266,052 |
129,337 |
$1.46M |
| 99204 |
|
18,509 |
16,935 |
$1.26M |
| 87428 |
|
34,558 |
31,786 |
$1.23M |
| 87880 |
|
165,992 |
152,424 |
$848K |
| 96372 |
|
41,848 |
37,880 |
$275K |
| 99202 |
|
6,960 |
5,668 |
$257K |
| 87811 |
|
9,254 |
6,891 |
$108K |
| 99212 |
|
2,384 |
2,021 |
$76K |
| J0696 |
Ceftriaxone sodium injection |
4,527 |
4,082 |
$54K |
| 96127 |
|
19,190 |
16,987 |
$39K |
| 87807 |
|
5,574 |
5,087 |
$23K |
| 71046 |
|
2,452 |
2,281 |
$17K |
| J1100 |
Dexamethasone sodium phos |
22,120 |
19,355 |
$9K |
| 81003 |
|
26,633 |
24,391 |
$8K |
| 90471 |
|
277 |
264 |
$3K |
| 94640 |
|
772 |
726 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
3,231 |
2,880 |
$2K |
| 99406 |
|
540 |
454 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$1K |
| 99205 |
Prolong outpt/office vis |
14 |
13 |
$1K |
| 90756 |
|
100 |
99 |
$1K |
| 90674 |
|
113 |
107 |
$1K |
| 99051 |
|
4,833 |
4,183 |
$1K |
| 74018 |
|
83 |
83 |
$742.03 |
| 86308 |
|
172 |
162 |
$449.24 |
| J1040 |
Methylprednisolone 80 mg inj |
53 |
52 |
$372.26 |
| 82962 |
|
217 |
195 |
$226.41 |
| 81025 |
|
210 |
191 |
$190.29 |
| 73610 |
|
12 |
12 |
$168.86 |
| J2930 |
Methylprednisolone injection |
77 |
57 |
$156.48 |
| 36415 |
|
63 |
52 |
$143.34 |
| 73630 |
|
36 |
36 |
$135.59 |
| J3301 |
Triamcinolone acet inj nos |
25 |
24 |
$67.72 |
| J7613 |
Albuterol non-comp unit |
328 |
312 |
$10.73 |
| A6448 |
Lt compres band <3"/yd |
41 |
40 |
$8.29 |
| 99000 |
|
970 |
736 |
$7.43 |
| J7510 |
Prednisolone oral per 5 mg |
13 |
13 |
$4.95 |
| J7620 |
Albuterol ipratrop non-comp |
42 |
37 |
$2.79 |
| J8540 |
Oral dexamethasone |
19 |
19 |
$2.75 |
| 3725F |
|
9,201 |
8,098 |
$0.00 |
| 888888 |
|
5,414 |
5,185 |
$0.00 |
| 4004F |
|
178 |
156 |
$0.00 |
| 3351F |
|
6,751 |
5,952 |
$0.00 |
| 3352F |
|
451 |
414 |
$0.00 |
| 3353F |
|
280 |
260 |
$0.00 |
| 4000F |
|
178 |
156 |
$0.00 |
| 96373 |
|
82 |
82 |
$0.00 |
| J7611 |
Albuterol non-comp con |
13 |
13 |
$0.00 |
| J2001 |
Lidocaine injection |
57 |
55 |
$0.00 |