| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
30,526 |
26,910 |
$2.65M |
| 99203 |
|
6,776 |
6,254 |
$738K |
| 99214 |
|
4,538 |
4,225 |
$541K |
| S9088 |
Services provided in urgent |
22,879 |
19,961 |
$390K |
| 87428 |
|
6,176 |
5,854 |
$186K |
| 87880 |
|
6,548 |
5,981 |
$98K |
| 99204 |
|
467 |
433 |
$73K |
| 99212 |
|
956 |
923 |
$53K |
| 87804 |
|
1,723 |
1,110 |
$40K |
| 87426 |
|
843 |
818 |
$38K |
| 99202 |
|
451 |
375 |
$33K |
| 96372 |
|
1,665 |
1,500 |
$28K |
| 81003 |
|
2,727 |
2,528 |
$16K |
| 99215 |
Prolong outpt/office vis |
110 |
103 |
$15K |
| 94640 |
|
761 |
629 |
$9K |
| 87807 |
|
427 |
401 |
$6K |
| J7620 |
Albuterol ipratrop non-comp |
484 |
414 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
576 |
500 |
$3K |
| 93000 |
|
149 |
139 |
$2K |
| 85025 |
|
259 |
210 |
$2K |
| 99051 |
|
101 |
99 |
$2K |
| E0114 |
Crutch underarm pair no wood |
15 |
15 |
$983.69 |
| J1100 |
Dexamethasone sodium phos |
465 |
432 |
$973.74 |
| 80047 |
|
59 |
54 |
$609.36 |
| 90471 |
|
15 |
15 |
$187.84 |
| J2919 |
Inj, methylpred sod succ 5mg |
29 |
29 |
$181.26 |
| J2930 |
Methylprednisolone injection |
13 |
12 |
$169.20 |
| J7613 |
Albuterol non-comp unit |
110 |
70 |
$155.20 |
| J0696 |
Ceftriaxone sodium injection |
55 |
41 |
$105.52 |
| A6449 |
Lt compres band >=3" <5"/yd |
29 |
29 |
$56.97 |