| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87426 |
|
15,313 |
13,900 |
$516K |
| 99214 |
|
9,920 |
9,221 |
$460K |
| 99204 |
|
4,529 |
4,363 |
$343K |
| 87804 |
|
13,421 |
7,900 |
$190K |
| 99203 |
|
3,749 |
3,390 |
$171K |
| 99213 |
|
4,140 |
3,621 |
$124K |
| 87880 |
|
7,388 |
6,952 |
$89K |
| 96372 |
|
2,337 |
2,144 |
$22K |
| 99215 |
Prolong outpt/office vis |
120 |
108 |
$8K |
| 87807 |
|
648 |
614 |
$6K |
| 99205 |
Prolong outpt/office vis |
79 |
72 |
$6K |
| 87635 |
|
129 |
122 |
$5K |
| 71046 |
|
167 |
163 |
$4K |
| 99001 |
|
1,474 |
1,385 |
$2K |
| 87913 |
|
79 |
69 |
$1K |
| 87633 |
|
15 |
13 |
$900.00 |
| 81003 |
|
319 |
294 |
$490.21 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,673 |
1,548 |
$484.83 |
| 81025 |
|
25 |
25 |
$159.06 |
| 87086 |
|
47 |
39 |
$20.34 |
| J7510 |
Prednisolone oral, per 5 mg |
787 |
701 |
$9.33 |
| A9150 |
Non-prescription drugs |
1,427 |
1,325 |
$4.56 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
74 |
74 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
32 |
28 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
57 |
56 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
86 |
82 |
$0.00 |
| 82962 |
|
109 |
100 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
115 |
105 |
$0.00 |
| 99000 |
|
13 |
12 |
$0.00 |