| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99051 |
|
28,994 |
25,722 |
$1.39M |
| S9083 |
Global fee urgent care centers |
3,247 |
2,293 |
$167K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
943 |
568 |
$28K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
74 |
36 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
71 |
35 |
$572.05 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
70 |
36 |
$248.01 |
| J0290 |
Injection, ampicillin sodium, 500 mg |
433 |
269 |
$220.66 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
592 |
447 |
$209.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
361 |
214 |
$124.08 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
53 |
30 |
$37.76 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
67 |
37 |
$4.29 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
27 |
16 |
$0.27 |
| S0028 |
Injection, famotidine, 20 mg |
27 |
17 |
$0.00 |