| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Urgent care center global |
39,981 |
34,887 |
$3.09M |
| 99214 |
|
39,427 |
33,990 |
$1.75M |
| 99213 |
|
21,124 |
18,465 |
$1.29M |
| 99203 |
|
21,522 |
18,755 |
$948K |
| 87426 |
|
10,289 |
9,083 |
$360K |
| 99204 |
|
2,826 |
2,672 |
$263K |
| 99202 |
|
1,450 |
1,302 |
$81K |
| 87804 |
|
14,849 |
6,470 |
$31K |
| 99394 |
|
352 |
302 |
$21K |
| 87811 |
|
1,785 |
1,636 |
$16K |
| 99384 |
|
155 |
133 |
$11K |
| 87880 |
|
11,612 |
10,265 |
$6K |
| 99212 |
|
205 |
165 |
$6K |
| 99393 |
|
116 |
106 |
$3K |
| 71046 |
|
1,225 |
976 |
$3K |
| 93000 |
|
904 |
773 |
$1K |
| 94640 |
|
1,498 |
1,069 |
$1K |
| 81025 |
|
3,693 |
3,240 |
$1K |
| 97802 |
|
235 |
215 |
$1K |
| 96372 |
|
1,573 |
1,301 |
$1K |
| 99215 |
Prolong outpt/office vis |
16 |
12 |
$926.61 |
| 81003 |
|
2,295 |
2,059 |
$865.08 |
| 90714 |
|
55 |
48 |
$653.78 |
| 73610 |
|
580 |
506 |
$522.07 |
| 90471 |
|
72 |
65 |
$504.40 |
| 73630 |
|
507 |
458 |
$481.33 |
| 73130 |
|
211 |
175 |
$236.00 |
| 73110 |
|
58 |
52 |
$133.41 |
| 73562 |
|
249 |
216 |
$117.58 |
| E0114 |
Crutch underarm pair no wood |
327 |
301 |
$98.98 |
| 82947 |
|
464 |
385 |
$88.75 |
| L4350 |
Ankle control ortho pre ots |
192 |
164 |
$87.47 |
| 73140 |
|
153 |
129 |
$82.08 |
| 10060 |
|
13 |
13 |
$24.29 |
| J1885 |
Ketorolac tromethamine inj |
284 |
223 |
$14.94 |
| J0696 |
Ceftriaxone sodium injection |
398 |
333 |
$8.44 |
| J2930 |
Methylprednisolone injection |
34 |
26 |
$6.12 |
| Q4049 |
Finger splint, static |
90 |
74 |
$4.72 |
| A4565 |
Slings |
31 |
26 |
$1.77 |
| A6449 |
Lt compres band >=3" <5"/yd |
1,164 |
1,047 |
$1.75 |
| J7613 |
Albuterol non-comp unit |
1,114 |
920 |
$0.06 |
| J7644 |
Ipratropium bromide non-comp |
710 |
585 |
$0.02 |
| 99395 |
|
13 |
13 |
$0.00 |
| L3260 |
Ambulatory surgical boot eac |
26 |
24 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
31 |
28 |
$0.00 |
| 87070 |
|
57 |
52 |
$0.00 |