| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Urgent care center global |
53,943 |
47,376 |
$7.66M |
| S9088 |
Services provided in urgent |
11,863 |
10,782 |
$1.19M |
| 99214 |
|
24,108 |
21,525 |
$672K |
| 99213 |
|
21,273 |
19,522 |
$668K |
| 99203 |
|
7,473 |
6,989 |
$227K |
| 99204 |
|
6,393 |
5,763 |
$190K |
| 87428 |
|
15,180 |
12,528 |
$110K |
| 87426 |
|
10,048 |
9,456 |
$100K |
| 99215 |
Prolong outpt/office vis |
1,267 |
1,188 |
$41K |
| 99212 |
|
2,277 |
2,110 |
$39K |
| 86580 |
|
968 |
871 |
$13K |
| 99202 |
|
1,445 |
1,320 |
$13K |
| 99205 |
Prolong outpt/office vis |
213 |
194 |
$11K |
| A6449 |
Lt compres band >=3" <5"/yd |
1,035 |
1,000 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
888 |
846 |
$10K |
| 90471 |
|
556 |
509 |
$5K |
| 87880 |
|
20,183 |
17,767 |
$5K |
| L3260 |
Ambulatory surgical boot eac |
416 |
406 |
$4K |
| L3908 |
Who cock-up nonmolde pre ots |
328 |
319 |
$4K |
| A4570 |
Splint |
426 |
411 |
$3K |
| A4565 |
Slings |
231 |
222 |
$3K |
| E0114 |
Crutch underarm pair no wood |
354 |
347 |
$2K |
| 99058 |
|
253 |
229 |
$2K |
| 90686 |
|
179 |
164 |
$2K |
| 81002 |
|
7,574 |
7,065 |
$2K |
| 71046 |
|
3,583 |
3,309 |
$2K |
| 80047 |
|
5,609 |
5,118 |
$1K |
| 87804 |
|
3,459 |
1,763 |
$1K |
| 81000 |
|
8,635 |
7,930 |
$1K |
| 90715 |
|
172 |
156 |
$972.35 |
| 81025 |
|
4,618 |
4,295 |
$960.88 |
| 85025 |
|
6,067 |
5,519 |
$796.98 |
| L4350 |
Ankle control ortho pre ots |
272 |
262 |
$704.69 |
| 29125 |
|
12 |
12 |
$703.44 |
| 96372 |
|
1,863 |
1,716 |
$694.59 |
| 36415 |
|
6,218 |
5,646 |
$615.25 |
| 93000 |
|
1,623 |
1,509 |
$549.17 |
| 73564 |
|
972 |
908 |
$547.22 |
| 73630 |
|
894 |
860 |
$295.56 |
| 72110 |
|
53 |
53 |
$236.60 |
| 73610 |
|
1,039 |
998 |
$189.72 |
| 73110 |
|
419 |
393 |
$138.13 |
| 87210 |
|
4,209 |
3,943 |
$118.37 |
| 87220 |
|
4,221 |
3,953 |
$101.96 |
| 73140 |
|
670 |
630 |
$85.32 |
| 72050 |
|
316 |
308 |
$80.31 |
| 73030 |
|
461 |
439 |
$76.42 |
| 94640 |
|
452 |
425 |
$36.79 |
| 94150 |
|
31 |
30 |
$20.18 |
| 99070 |
|
138 |
129 |
$18.00 |
| J1885 |
Ketorolac tromethamine inj |
365 |
343 |
$10.04 |
| J7620 |
Albuterol ipratrop non-comp |
307 |
282 |
$0.21 |
| 73130 |
|
285 |
275 |
$0.00 |
| 99051 |
|
613 |
583 |
$0.00 |
| 99201 |
|
49 |
48 |
$0.00 |
| 85007 |
|
19 |
18 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
68 |
66 |
$0.00 |
| 73080 |
|
16 |
15 |
$0.00 |
| L4360 |
Pneumat walking boot pre cst |
15 |
15 |
$0.00 |
| 85027 |
|
19 |
18 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
36 |
36 |
$0.00 |
| 73660 |
|
57 |
51 |
$0.00 |