| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
6,586 |
5,938 |
$231K |
| S9083 |
Urgent care center global |
9,068 |
7,524 |
$180K |
| 99213 |
|
5,797 |
5,231 |
$130K |
| 99204 |
|
2,316 |
2,311 |
$123K |
| 87502 |
|
3,399 |
3,352 |
$119K |
| S9088 |
Services provided in urgent |
9,100 |
7,547 |
$117K |
| 93975 |
|
961 |
936 |
$100K |
| 87635 |
|
4,357 |
4,208 |
$88K |
| 87798 |
|
3,864 |
3,768 |
$75K |
| 99203 |
|
1,687 |
1,682 |
$74K |
| 87651 |
|
3,709 |
3,632 |
$61K |
| 99215 |
Prolong outpt/office vis |
934 |
888 |
$52K |
| 87426 |
|
3,421 |
3,300 |
$47K |
| 87428 |
|
1,304 |
1,282 |
$41K |
| 71046 |
|
2,788 |
2,555 |
$40K |
| 70486 |
|
621 |
579 |
$38K |
| 99401 |
|
15,216 |
12,601 |
$36K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,308 |
1,273 |
$33K |
| 99354 |
|
1,770 |
1,634 |
$32K |
| 93880 |
|
327 |
325 |
$30K |
| 76700 |
|
688 |
683 |
$25K |
| 99211 |
|
2,060 |
1,836 |
$24K |
| 76770 |
|
694 |
686 |
$23K |
| 99423 |
|
1,356 |
1,231 |
$19K |
| G2023 |
Specimen collect covid-19 |
1,828 |
1,746 |
$16K |
| U0004 |
Cov-19 test non-cdc hgh thru |
944 |
930 |
$15K |
| 99205 |
Prolong outpt/office vis |
228 |
226 |
$15K |
| 96372 |
|
1,292 |
1,233 |
$14K |
| 76377 |
|
3,804 |
3,308 |
$14K |
| 36410 |
|
2,288 |
2,079 |
$13K |
| 99406 |
|
1,376 |
1,205 |
$12K |
| 99058 |
|
3,955 |
3,321 |
$11K |
| 76856 |
|
321 |
318 |
$11K |
| 87634 |
|
376 |
364 |
$8K |
| 99051 |
|
2,287 |
1,889 |
$8K |
| 51798 |
|
293 |
241 |
$7K |
| 70480 |
|
84 |
83 |
$7K |
| 87086 |
|
1,646 |
1,559 |
$7K |
| 99402 |
|
1,441 |
1,191 |
$6K |
| 87081 |
|
2,009 |
1,974 |
$6K |
| 99050 |
|
2,289 |
1,887 |
$6K |
| 80053 |
|
1,095 |
1,046 |
$6K |
| U0001 |
2019-ncov diagnostic p |
221 |
213 |
$6K |
| 93000 |
|
340 |
332 |
$5K |
| 99443 |
|
449 |
400 |
$5K |
| G0425 |
Inpt/ed teleconsult30 |
826 |
737 |
$4K |
| 76830 |
|
105 |
105 |
$4K |
| 99000 |
|
1,732 |
1,600 |
$4K |
| 87491 |
|
299 |
286 |
$4K |
| 94644 |
|
303 |
294 |
$3K |
| 11042 |
|
62 |
44 |
$3K |
| 87591 |
|
257 |
248 |
$3K |
| 85025 |
|
676 |
644 |
$3K |
| 87070 |
|
630 |
613 |
$2K |
| 1111F |
|
11,476 |
9,444 |
$2K |
| 81003 |
|
2,020 |
1,903 |
$2K |
| 75571 |
|
45 |
44 |
$2K |
| 87338 |
|
371 |
366 |
$2K |
| 1008F |
|
11,329 |
9,330 |
$2K |
| 93970 |
|
25 |
24 |
$2K |
| 99355 |
|
97 |
95 |
$2K |
| J1100 |
Dexamethasone sodium phos |
380 |
364 |
$2K |
| 94640 |
|
287 |
279 |
$2K |
| 82306 |
|
118 |
117 |
$2K |
| 86308 |
|
582 |
580 |
$2K |
| 93040 |
|
294 |
286 |
$1K |
| 36415 |
|
1,449 |
1,328 |
$1K |
| 97598 |
|
56 |
40 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
384 |
370 |
$1K |
| 77089 |
|
74 |
74 |
$1K |
| 72100 |
|
83 |
83 |
$1K |
| 97597 |
|
61 |
43 |
$1K |
| 80061 |
|
181 |
175 |
$1K |
| 84443 |
|
152 |
148 |
$1K |
| 11047 |
|
59 |
43 |
$1K |
| G2024 |
Spec coll snf/lab covid-19 |
101 |
94 |
$997.38 |
| 77080 |
|
60 |
60 |
$853.35 |
| J0696 |
Ceftriaxone sodium injection |
179 |
178 |
$831.81 |
| 16020 |
|
42 |
27 |
$692.78 |
| A7016 |
Nebulizer dome & mouthpiece |
246 |
241 |
$637.50 |
| 99001 |
|
548 |
511 |
$573.65 |
| 83690 |
|
193 |
187 |
$549.91 |
| 99417 |
Prolong home eval add 15m |
122 |
102 |
$527.49 |
| 77086 |
|
59 |
58 |
$511.66 |
| 82746 |
|
50 |
50 |
$443.28 |
| 77081 |
|
59 |
59 |
$435.28 |
| 72040 |
|
26 |
26 |
$429.69 |
| 87420 |
|
283 |
274 |
$427.76 |
| 82607 |
|
62 |
62 |
$411.41 |
| 87661 |
|
28 |
28 |
$393.04 |
| 84702 |
|
56 |
53 |
$382.79 |
| 86328 |
|
13 |
13 |
$316.61 |
| A7003 |
Nebulizer administration set |
244 |
239 |
$301.82 |
| 74022 |
|
13 |
13 |
$292.43 |
| 84436 |
|
107 |
104 |
$291.42 |
| 87563 |
|
27 |
26 |
$269.74 |
| 82728 |
|
38 |
38 |
$240.08 |
| 73564 |
|
13 |
13 |
$220.48 |
| 87075 |
|
38 |
38 |
$175.86 |
| 83550 |
|
50 |
50 |
$171.41 |
| 73562 |
|
13 |
13 |
$139.36 |
| 87389 |
|
14 |
14 |
$125.17 |
| 86696 |
|
14 |
14 |
$123.30 |
| 86695 |
|
28 |
26 |
$119.04 |
| 81001 |
|
61 |
57 |
$118.08 |
| J7611 |
Albuterol non-comp con |
283 |
274 |
$109.12 |
| 83540 |
|
37 |
37 |
$102.48 |
| U0005 |
Infec agen detec ampli probe |
13 |
12 |
$100.00 |
| 73630 |
|
12 |
12 |
$95.92 |
| 87205 |
|
50 |
50 |
$92.97 |
| 87164 |
|
14 |
13 |
$76.20 |
| 83036 |
|
12 |
12 |
$74.71 |
| A4550 |
Surgical trays |
184 |
157 |
$73.75 |
| 87905 |
|
12 |
12 |
$64.72 |
| A4554 |
Disposable underpads |
149 |
124 |
$63.42 |
| 84479 |
|
24 |
24 |
$56.50 |
| 85045 |
|
25 |
25 |
$49.34 |
| J3490 |
Drugs unclassified injection |
14 |
14 |
$44.19 |
| 97602 |
|
54 |
39 |
$35.00 |
| 90471 |
|
25 |
24 |
$25.78 |
| 99072 |
|
199 |
180 |
$23.85 |
| 86592 |
|
13 |
13 |
$19.62 |
| 99070 |
|
29 |
27 |
$8.75 |
| 99080 |
|
12 |
12 |
$0.00 |
| 98968 |
|
24 |
23 |
$0.00 |