| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99050 |
|
19,843 |
15,624 |
$581K |
| 0002A |
|
1,516 |
1,333 |
$59K |
| 0001A |
|
1,592 |
1,433 |
$49K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,244 |
2,883 |
$33K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
951 |
857 |
$23K |
| 0003A |
|
299 |
298 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
790 |
550 |
$8K |
| 0071A |
|
164 |
163 |
$6K |
| 0072A |
|
162 |
160 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
249 |
163 |
$6K |
| S9083 |
Global fee urgent care centers |
139 |
105 |
$5K |
| 93000 |
|
552 |
520 |
$5K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
325 |
291 |
$3K |
| 94644 |
|
149 |
142 |
$3K |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
214 |
200 |
$702.72 |
| 0004A |
|
13 |
13 |
$520.00 |
| 90700 |
|
94 |
48 |
$300.00 |
| 90651 |
|
72 |
28 |
$280.00 |
| 90713 |
|
45 |
18 |
$176.00 |
| 90688 |
|
78 |
54 |
$160.00 |
| 90716 |
|
33 |
13 |
$132.00 |
| 90734 |
|
34 |
13 |
$132.00 |
| 90670 |
|
30 |
12 |
$120.00 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
97 |
82 |
$85.41 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,055 |
968 |
$55.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
890 |
840 |
$7.96 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
51 |
51 |
$0.98 |
| 91307 |
|
352 |
334 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
146 |
137 |
$0.00 |
| 99442 |
|
32 |
27 |
$0.00 |
| 91300 |
|
3,471 |
2,830 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
87 |
83 |
$0.00 |
| 91312 |
|
40 |
37 |
$0.00 |
| 0124A |
|
40 |
37 |
$0.00 |
| 0073A |
|
19 |
19 |
$0.00 |