| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
208,174 |
179,746 |
$15.55M |
| 99203 |
|
86,310 |
74,493 |
$6.08M |
| 99204 |
|
58,921 |
51,788 |
$5.54M |
| 99213 |
|
69,234 |
61,928 |
$4.56M |
| 87426 |
|
54,143 |
47,833 |
$910K |
| 99202 |
|
11,988 |
10,342 |
$661K |
| 87428 |
|
31,380 |
27,493 |
$433K |
| 87635 |
|
10,956 |
9,856 |
$284K |
| 87804 |
|
57,907 |
25,259 |
$256K |
| 87880 |
|
44,815 |
39,274 |
$157K |
| 99215 |
Prolong outpt/office vis |
791 |
758 |
$84K |
| 96372 |
|
6,717 |
5,986 |
$81K |
| 99212 |
|
1,906 |
1,641 |
$57K |
| 99205 |
Prolong outpt/office vis |
379 |
354 |
$48K |
| S9083 |
Urgent care center global |
1,182 |
1,116 |
$22K |
| 99201 |
|
354 |
299 |
$15K |
| 71046 |
|
909 |
844 |
$14K |
| 94640 |
|
1,473 |
1,323 |
$13K |
| 81025 |
|
2,836 |
2,626 |
$9K |
| 73610 |
|
370 |
352 |
$7K |
| 73630 |
|
400 |
377 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
918 |
862 |
$4K |
| 93000 |
|
315 |
307 |
$3K |
| 73130 |
|
170 |
155 |
$3K |
| 81003 |
|
2,188 |
2,008 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
914 |
884 |
$2K |
| 73110 |
|
86 |
78 |
$2K |
| 69209 |
|
195 |
177 |
$1K |
| J1100 |
Dexamethasone sodium phos |
1,436 |
1,289 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
29 |
29 |
$805.00 |
| J3301 |
Triamcinolone acet inj nos |
130 |
121 |
$754.99 |
| S0119 |
Ondansetron 4 mg |
264 |
257 |
$657.54 |
| 73140 |
|
39 |
35 |
$597.58 |
| 73562 |
|
19 |
15 |
$299.00 |
| A6449 |
Lt compres band >=3" <5"/yd |
343 |
318 |
$257.16 |
| J7620 |
Albuterol ipratrop non-comp |
588 |
520 |
$185.47 |
| 74018 |
|
20 |
17 |
$104.50 |
| J7613 |
Albuterol non-comp unit |
101 |
98 |
$33.35 |
| J7644 |
Ipratropium bromide non-comp |
14 |
13 |
$18.77 |
| Q0144 |
Azithromycin dihydrate, oral |
60 |
47 |
$12.00 |
| J2930 |
Methylprednisolone injection |
16 |
16 |
$1.01 |
| A9150 |
Misc/exper non-prescript dru |
257 |
243 |
$0.07 |
| 99051 |
|
29 |
28 |
$0.00 |
| 99000 |
|
3,181 |
2,745 |
$0.00 |
| S8110 |
Peak expiratory flow rate (p |
16 |
14 |
$0.00 |