| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
|
12,462 |
11,850 |
$418K |
| 87637 |
|
3,596 |
3,199 |
$322K |
| 99214 |
|
19,234 |
15,626 |
$259K |
| U0004 |
Cov-19 test non-cdc hgh thru |
6,350 |
5,262 |
$218K |
| 99213 |
|
11,203 |
8,914 |
$200K |
| U0002 |
Covid-19 lab test non-cdc |
7,886 |
7,024 |
$199K |
| 0225U |
|
1,612 |
1,377 |
$160K |
| 87636 |
|
2,231 |
1,831 |
$146K |
| 99203 |
|
1,310 |
1,216 |
$118K |
| 0241U |
|
2,442 |
2,155 |
$113K |
| 87428 |
|
2,282 |
1,801 |
$70K |
| 87811 |
|
3,021 |
2,691 |
$69K |
| G2023 |
Specimen collect covid-19 |
7,117 |
6,012 |
$62K |
| U0005 |
Infec agen detec ampli probe |
5,531 |
4,627 |
$48K |
| 99000 |
|
17,180 |
14,440 |
$37K |
| S9088 |
Services provided in urgent |
4,574 |
3,542 |
$28K |
| 99072 |
|
15,374 |
12,553 |
$12K |
| 99211 |
|
1,353 |
1,236 |
$12K |
| 91320 |
|
196 |
184 |
$9K |
| 0124A |
|
232 |
229 |
$7K |
| 99212 |
|
410 |
367 |
$6K |
| 90480 |
|
384 |
364 |
$5K |
| 0134A |
|
163 |
158 |
$5K |
| 91322 |
|
136 |
136 |
$3K |
| 99051 |
|
2,515 |
2,191 |
$3K |
| 81025 |
|
2,640 |
2,551 |
$3K |
| 96372 |
|
394 |
374 |
$3K |
| S9445 |
Pt education noc individ |
152 |
152 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
25 |
24 |
$2K |
| 99215 |
Prolong outpt/office vis |
90 |
87 |
$2K |
| 90686 |
|
82 |
82 |
$1K |
| A4267 |
Male condom |
231 |
222 |
$1K |
| 0004A |
|
96 |
95 |
$1K |
| 81000 |
|
910 |
865 |
$1K |
| 93000 |
|
204 |
201 |
$1K |
| 90756 |
|
48 |
48 |
$939.13 |
| 0002A |
|
241 |
241 |
$866.39 |
| 99205 |
Prolong outpt/office vis |
27 |
27 |
$809.49 |
| 0064A |
|
43 |
43 |
$804.29 |
| 0053A |
|
27 |
27 |
$797.60 |
| 36415 |
|
2,340 |
2,116 |
$578.06 |
| 90471 |
|
128 |
127 |
$451.11 |
| 0001A |
|
218 |
215 |
$450.00 |
| 0072A |
|
64 |
61 |
$438.18 |
| 0054A |
|
12 |
12 |
$380.64 |
| 0071A |
|
70 |
69 |
$369.38 |
| J0696 |
Ceftriaxone sodium injection |
113 |
110 |
$259.63 |
| 90688 |
|
14 |
14 |
$221.06 |
| 87804 |
|
86 |
80 |
$210.33 |
| 99202 |
|
24 |
23 |
$180.41 |
| J1100 |
Dexamethasone sodium phos |
56 |
55 |
$120.42 |
| S9083 |
Urgent care center global |
225 |
209 |
$105.34 |
| 99173 |
|
254 |
252 |
$80.75 |
| 81002 |
|
1,049 |
1,007 |
$76.12 |
| G0008 |
Admin influenza virus vac |
25 |
24 |
$60.00 |
| J1885 |
Ketorolac tromethamine inj |
13 |
13 |
$24.94 |
| 88150 |
|
2,919 |
2,912 |
$22.89 |
| 82962 |
|
71 |
56 |
$7.92 |
| 99385 |
|
52 |
52 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
301 |
294 |
$0.00 |
| 99395 |
|
72 |
72 |
$0.00 |
| 99199 |
|
29 |
29 |
$0.00 |
| 99396 |
|
12 |
12 |
$0.00 |