| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
29,251 |
25,601 |
$1.52M |
| 99203 |
|
19,649 |
19,430 |
$1.20M |
| 99214 |
|
10,213 |
9,481 |
$692K |
| 87426 |
|
21,206 |
19,588 |
$576K |
| 99204 |
|
2,607 |
2,600 |
$232K |
| 87804 |
|
9,810 |
4,994 |
$111K |
| 99202 |
|
1,536 |
1,529 |
$70K |
| 87880 |
|
6,060 |
5,805 |
$65K |
| 99000 |
|
14,830 |
13,695 |
$62K |
| 71046 |
|
2,942 |
2,847 |
$46K |
| 99058 |
|
684 |
567 |
$40K |
| 96372 |
|
3,385 |
3,145 |
$27K |
| 81025 |
|
4,638 |
4,360 |
$27K |
| 81002 |
|
6,717 |
6,339 |
$16K |
| 99001 |
|
3,593 |
3,342 |
$10K |
| 73130 |
|
327 |
321 |
$7K |
| 36415 |
|
2,351 |
2,283 |
$6K |
| 99215 |
Prolong outpt/office vis |
60 |
58 |
$6K |
| 99212 |
|
162 |
159 |
$5K |
| 94640 |
|
761 |
704 |
$4K |
| 93000 |
|
501 |
475 |
$4K |
| 73630 |
|
180 |
171 |
$3K |
| 97597 |
|
75 |
69 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,176 |
1,122 |
$2K |
| 73610 |
|
81 |
81 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
630 |
613 |
$1K |
| 86328 |
|
43 |
43 |
$1K |
| 73562 |
|
43 |
40 |
$948.07 |
| 82962 |
|
319 |
314 |
$811.37 |
| 69210 |
|
27 |
27 |
$664.42 |
| 87807 |
|
123 |
121 |
$657.60 |
| 74019 |
|
28 |
26 |
$595.32 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
371 |
365 |
$489.20 |
| 0011A |
|
26 |
26 |
$428.50 |
| 90471 |
|
52 |
51 |
$421.27 |
| 29540 |
|
31 |
31 |
$385.44 |
| 81003 |
|
218 |
201 |
$332.97 |
| 0012A |
|
21 |
21 |
$329.95 |
| 90472 |
|
13 |
13 |
$312.38 |
| 73030 |
|
13 |
13 |
$288.65 |
| 87635 |
|
51 |
51 |
$281.76 |
| 72100 |
|
12 |
12 |
$263.73 |
| 90714 |
|
13 |
13 |
$248.61 |
| 90756 |
|
25 |
25 |
$247.22 |
| 36410 |
|
352 |
331 |
$96.06 |
| 86308 |
|
37 |
37 |
$94.38 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
14 |
13 |
$63.52 |
| 81005 |
|
48 |
48 |
$35.80 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
25 |
25 |
$29.82 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
169 |
157 |
$1.83 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
243 |
233 |
$0.00 |
| 99051 |
|
854 |
836 |
$0.00 |
| S9083 |
Global fee urgent care centers |
12 |
12 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
14 |
12 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
31 |
30 |
$0.00 |