| Code | Description | Claims | Beneficiaries | Total Paid |
| S9083 |
Urgent care center global |
32,587 |
27,957 |
$4.58M |
| S9088 |
Services provided in urgent |
8,255 |
7,446 |
$843K |
| 99213 |
|
15,836 |
14,216 |
$537K |
| 99214 |
|
13,394 |
11,899 |
$374K |
| 99203 |
|
4,720 |
4,397 |
$155K |
| 99204 |
|
2,897 |
2,578 |
$97K |
| 87428 |
|
8,221 |
6,616 |
$64K |
| 87426 |
|
4,793 |
4,475 |
$48K |
| 99212 |
|
2,078 |
1,889 |
$39K |
| 99215 |
Prolong outpt/office vis |
333 |
315 |
$13K |
| 99202 |
|
1,056 |
967 |
$10K |
| A6449 |
Lt compres band >=3" <5"/yd |
764 |
727 |
$9K |
| 86580 |
|
612 |
548 |
$8K |
| 90471 |
|
399 |
358 |
$5K |
| 90686 |
|
203 |
172 |
$3K |
| 71046 |
|
2,995 |
2,733 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
387 |
373 |
$2K |
| 87880 |
|
8,301 |
7,185 |
$2K |
| 81000 |
|
5,633 |
5,164 |
$1K |
| 81002 |
|
4,779 |
4,415 |
$1K |
| E0114 |
Crutch underarm pair no wood |
293 |
274 |
$973.61 |
| 87804 |
|
2,134 |
1,057 |
$858.84 |
| 99058 |
|
84 |
74 |
$820.00 |
| 81025 |
|
2,914 |
2,711 |
$806.54 |
| 80047 |
|
3,610 |
3,279 |
$728.38 |
| 36415 |
|
4,447 |
4,006 |
$569.45 |
| 85025 |
|
4,131 |
3,748 |
$516.93 |
| 93000 |
|
909 |
851 |
$485.14 |
| 96372 |
|
1,135 |
1,018 |
$448.63 |
| 73564 |
|
365 |
334 |
$294.77 |
| 73610 |
|
619 |
582 |
$262.28 |
| 90656 |
|
20 |
20 |
$224.72 |
| L4350 |
Ankle control ortho pre ots |
94 |
88 |
$208.59 |
| 87210 |
|
3,622 |
3,392 |
$132.36 |
| 87220 |
|
3,644 |
3,412 |
$112.24 |
| 90715 |
|
13 |
13 |
$77.50 |
| 73140 |
|
170 |
160 |
$56.68 |
| 73630 |
|
324 |
296 |
$53.64 |
| 73030 |
|
75 |
72 |
$53.51 |
| 94640 |
|
153 |
141 |
$48.91 |
| 72050 |
|
13 |
13 |
$40.25 |
| 73110 |
|
55 |
52 |
$28.25 |
| L3908 |
Who cock-up nonmolde pre ots |
40 |
36 |
$14.12 |
| J1885 |
Ketorolac tromethamine inj |
144 |
142 |
$2.56 |
| A4570 |
Splint |
31 |
30 |
$0.00 |
| 99051 |
|
588 |
526 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
38 |
37 |
$0.00 |
| 73130 |
|
12 |
12 |
$0.00 |
| L3260 |
Ambulatory surgical boot eac |
15 |
13 |
$0.00 |
| 99201 |
|
53 |
51 |
$0.00 |
| A4565 |
Slings |
13 |
12 |
$0.00 |