| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
124,462 |
119,047 |
$8.83M |
| 99203 |
|
91,537 |
89,083 |
$5.88M |
| 99213 |
|
62,181 |
59,804 |
$4.11M |
| 99204 |
|
28,979 |
28,364 |
$2.17M |
| 99211 |
|
6,139 |
5,768 |
$330K |
| 99202 |
|
5,203 |
5,060 |
$314K |
| S9083 |
Urgent care center global |
1,745 |
1,683 |
$160K |
| 87880 |
|
23,881 |
23,304 |
$93K |
| 87811 |
|
3,221 |
3,108 |
$92K |
| 99212 |
|
1,233 |
1,204 |
$75K |
| K1034 |
Covid test self-admn/collect |
1,340 |
901 |
$60K |
| 96372 |
|
6,265 |
6,081 |
$21K |
| 81002 |
|
14,441 |
14,027 |
$17K |
| 81025 |
|
4,100 |
3,986 |
$16K |
| 87804 |
|
2,276 |
1,515 |
$14K |
| 71046 |
|
734 |
718 |
$8K |
| 99051 |
|
2,182 |
2,152 |
$4K |
| 94640 |
|
866 |
837 |
$4K |
| 73630 |
|
352 |
341 |
$4K |
| 81003 |
|
2,009 |
1,929 |
$3K |
| 99441 |
|
51 |
51 |
$3K |
| 73610 |
|
153 |
151 |
$2K |
| 10060 |
|
51 |
51 |
$1K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| J2930 |
Methylprednisolone injection |
682 |
668 |
$1K |
| 73130 |
|
95 |
93 |
$1K |
| 69209 |
|
252 |
206 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
880 |
853 |
$860.66 |
| 87428 |
|
25 |
25 |
$635.84 |
| S9088 |
Services provided in urgent |
4,423 |
4,332 |
$608.00 |
| J0696 |
Ceftriaxone sodium injection |
810 |
785 |
$593.45 |
| 87426 |
|
22 |
21 |
$565.28 |
| 93000 |
|
73 |
66 |
$532.16 |
| 99000 |
|
6,476 |
6,270 |
$434.37 |
| J1100 |
Dexamethasone sodium phos |
395 |
387 |
$325.42 |
| 90471 |
|
116 |
116 |
$314.49 |
| 36415 |
|
85 |
85 |
$264.83 |
| J1040 |
Methylprednisolone 80 mg inj |
50 |
50 |
$172.71 |
| 73140 |
|
13 |
13 |
$126.66 |
| 86308 |
|
32 |
32 |
$106.63 |
| 90714 |
|
12 |
12 |
$83.05 |
| J7644 |
Ipratropium bromide non-comp |
546 |
532 |
$44.13 |
| J7613 |
Albuterol non-comp unit |
811 |
791 |
$37.34 |
| A9150 |
Misc/exper non-prescript dru |
978 |
922 |
$8.95 |
| Q4049 |
Finger splint, static |
12 |
12 |
$3.09 |
| J8540 |
Oral dexamethasone |
16 |
16 |
$0.00 |
| 99072 |
|
1,512 |
1,468 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
24 |
24 |
$0.00 |