| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
34,509 |
31,113 |
$1.84M |
| 99214 |
|
12,062 |
11,339 |
$804K |
| 99203 |
|
10,478 |
10,412 |
$626K |
| 99058 |
|
8,574 |
7,688 |
$417K |
| 99204 |
|
3,021 |
2,994 |
$240K |
| 87426 |
|
6,470 |
6,033 |
$137K |
| 99212 |
|
1,982 |
1,860 |
$84K |
| 87428 |
|
2,784 |
2,722 |
$56K |
| 99202 |
|
1,316 |
1,294 |
$55K |
| 96372 |
|
8,715 |
8,158 |
$50K |
| 87430 |
|
4,631 |
4,490 |
$36K |
| 87880 |
|
3,667 |
3,577 |
$22K |
| 87804 |
|
1,976 |
1,049 |
$13K |
| 71046 |
|
841 |
814 |
$9K |
| 81025 |
|
2,652 |
2,582 |
$9K |
| 87400 |
|
939 |
465 |
$8K |
| 99000 |
|
1,267 |
1,233 |
$6K |
| 87801 |
|
178 |
173 |
$6K |
| 73610 |
|
467 |
454 |
$6K |
| 73630 |
|
371 |
353 |
$4K |
| 87807 |
|
709 |
693 |
$3K |
| 99072 |
|
3,242 |
2,985 |
$3K |
| 81003 |
|
2,926 |
2,847 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
3,293 |
3,088 |
$3K |
| J1100 |
Dexamethasone sodium phos |
3,229 |
3,052 |
$3K |
| 87811 |
|
169 |
166 |
$3K |
| 81002 |
|
2,438 |
2,366 |
$3K |
| J2930 |
Methylprednisolone injection |
1,085 |
1,026 |
$2K |
| 87591 |
|
218 |
212 |
$2K |
| 87635 |
|
92 |
90 |
$2K |
| 73130 |
|
118 |
116 |
$2K |
| 94640 |
|
348 |
325 |
$1K |
| 0011A |
|
35 |
35 |
$892.05 |
| 73110 |
|
55 |
52 |
$835.40 |
| 0012A |
|
33 |
32 |
$766.35 |
| J0696 |
Ceftriaxone sodium injection |
795 |
765 |
$705.77 |
| 93000 |
|
114 |
112 |
$667.84 |
| 73562 |
|
30 |
30 |
$415.17 |
| 87491 |
|
27 |
24 |
$261.45 |
| 73140 |
|
18 |
18 |
$242.83 |
| 87808 |
|
41 |
41 |
$189.90 |
| 74018 |
|
24 |
24 |
$105.18 |
| 86308 |
|
36 |
36 |
$102.96 |
| 36415 |
|
83 |
82 |
$90.70 |
| 82962 |
|
27 |
27 |
$29.81 |
| A6449 |
Lt compres band >=3" <5"/yd |
26 |
25 |
$17.28 |
| S9088 |
Services provided in urgent |
17,014 |
15,523 |
$10.32 |
| U0002 |
Covid-19 lab test non-cdc |
29 |
27 |
$0.12 |
| J8540 |
Oral dexamethasone |
192 |
189 |
$0.00 |
| A9150 |
Misc/exper non-prescript dru |
121 |
121 |
$0.00 |
| 91301 |
|
60 |
59 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
12 |
12 |
$0.00 |
| S9083 |
Urgent care center global |
18 |
18 |
$0.00 |