| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
239,304 |
228,691 |
$8.11M |
| 99214 |
|
44,308 |
42,574 |
$2.35M |
| S9088 |
Services provided in urgent |
59,217 |
57,106 |
$1.15M |
| 99203 |
|
13,026 |
12,674 |
$700K |
| 99211 |
|
15,605 |
15,213 |
$314K |
| 99212 |
|
10,271 |
10,027 |
$260K |
| 87880 |
|
30,381 |
29,406 |
$204K |
| 0241U |
|
1,009 |
1,001 |
$82K |
| 99202 |
|
1,988 |
1,963 |
$68K |
| 99215 |
Prolong outpt/office vis |
852 |
835 |
$61K |
| 87502 |
|
361 |
348 |
$35K |
| 81003 |
|
6,899 |
6,755 |
$21K |
| 99204 |
|
183 |
183 |
$17K |
| 90715 |
|
1,104 |
1,093 |
$9K |
| 99051 |
|
692 |
682 |
$7K |
| 93005 |
|
211 |
202 |
$2K |
| 96374 |
|
67 |
65 |
$2K |
| 96372 |
|
132 |
128 |
$2K |
| 81025 |
|
402 |
393 |
$2K |
| 90686 |
|
184 |
179 |
$2K |
| 86580 |
|
1,846 |
1,531 |
$1K |
| 36415 |
|
289 |
277 |
$1K |
| 81002 |
|
167 |
166 |
$608.81 |
| J1885 |
Ketorolac tromethamine inj |
2,495 |
2,410 |
$400.44 |
| 87804 |
|
26 |
13 |
$364.81 |
| 99442 |
|
16 |
16 |
$251.36 |
| 94640 |
|
41 |
41 |
$182.85 |
| J1100 |
Dexamethasone sodium phos |
1,092 |
1,068 |
$150.11 |
| J0696 |
Ceftriaxone sodium injection |
418 |
372 |
$63.98 |
| J2405 |
Ondansetron hcl injection |
666 |
638 |
$25.09 |
| 85025 |
|
14 |
12 |
$9.23 |
| 90675 |
|
124 |
72 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
65 |
65 |
$0.00 |
| J7030 |
Normal saline solution infus |
391 |
365 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
26 |
26 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
63 |
62 |
$0.00 |
| 90656 |
|
27 |
27 |
$0.00 |