| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
135,305 |
115,895 |
$9.12M |
| 99213 |
|
89,885 |
79,037 |
$5.77M |
| 99203 |
|
44,488 |
39,494 |
$3.04M |
| 99204 |
|
35,481 |
30,733 |
$2.68M |
| 87426 |
|
109,369 |
85,656 |
$1.96M |
| 99212 |
|
9,980 |
9,156 |
$651K |
| 87804 |
|
117,847 |
48,107 |
$502K |
| 99202 |
|
5,076 |
4,755 |
$354K |
| 87880 |
|
42,088 |
31,617 |
$158K |
| 99051 |
|
5,914 |
4,899 |
$106K |
| 87811 |
|
8,548 |
7,178 |
$106K |
| 96372 |
|
39,409 |
27,543 |
$67K |
| S9088 |
Services provided in urgent |
4,367 |
4,079 |
$29K |
| 81002 |
|
16,536 |
14,053 |
$11K |
| 71046 |
|
1,927 |
1,760 |
$11K |
| 87905 |
|
7,387 |
4,115 |
$9K |
| L4361 |
Pneuma/vac walk boot pre ots |
229 |
198 |
$6K |
| 87807 |
|
1,568 |
1,353 |
$6K |
| 81025 |
|
4,315 |
3,521 |
$4K |
| J1100 |
Dexamethasone sodium phos |
10,956 |
8,644 |
$3K |
| 94640 |
|
1,335 |
1,138 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
3,816 |
2,842 |
$2K |
| 90471 |
|
259 |
215 |
$2K |
| 97597 |
|
106 |
51 |
$1K |
| 99201 |
|
29 |
24 |
$1K |
| 90756 |
|
134 |
98 |
$518.37 |
| 73630 |
|
286 |
261 |
$424.92 |
| 93000 |
|
451 |
430 |
$334.59 |
| 29540 |
|
98 |
89 |
$304.61 |
| 99211 |
|
78 |
56 |
$263.30 |
| 94664 |
|
68 |
48 |
$239.15 |
| G0008 |
Admin influenza virus vac |
21 |
20 |
$180.09 |
| 90688 |
|
16 |
16 |
$178.40 |
| 73120 |
|
30 |
27 |
$178.10 |
| 73610 |
|
176 |
159 |
$177.18 |
| J1885 |
Ketorolac tromethamine inj |
5,595 |
4,188 |
$171.79 |
| 86677 |
|
17 |
14 |
$125.04 |
| 82962 |
|
373 |
334 |
$56.70 |
| 36415 |
|
74 |
72 |
$50.49 |
| L2840 |
Tibial length sock fx or equ |
280 |
232 |
$33.79 |
| 73130 |
|
96 |
95 |
$28.22 |
| S0119 |
Ondansetron 4 mg |
672 |
573 |
$25.00 |
| J2930 |
Methylprednisolone injection |
69 |
40 |
$24.32 |
| J7510 |
Prednisolone oral per 5 mg |
469 |
368 |
$13.48 |
| A9150 |
Misc/exper non-prescript dru |
416 |
323 |
$4.50 |
| J7620 |
Albuterol ipratrop non-comp |
1,000 |
698 |
$0.18 |
| 69209 |
|
272 |
250 |
$0.00 |
| 90715 |
|
86 |
78 |
$0.00 |
| 73110 |
|
14 |
14 |
$0.00 |
| 73140 |
|
53 |
53 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
39 |
38 |
$0.00 |
| 73562 |
|
18 |
14 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
64 |
52 |
$0.00 |
| 97116 |
|
13 |
13 |
$0.00 |
| S9083 |
Urgent care center global |
15 |
14 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
13 |
12 |
$0.00 |
| J3490 |
Drugs unclassified injection |
90 |
69 |
$0.00 |
| 99000 |
|
560 |
468 |
$0.00 |
| L1833 |
Ko adj jnt pos r sup pre ots |
28 |
24 |
$0.00 |
| 29130 |
|
28 |
24 |
$0.00 |
| L3809 |
Whfo w/o joints pre ots |
25 |
25 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
52 |
31 |
$0.00 |
| Q4049 |
Finger splint, static |
17 |
12 |
$0.00 |