| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Urgent care center global |
40,310 |
35,457 |
$5.65M |
| S9088 |
Services provided in urgent |
11,598 |
10,468 |
$1.26M |
| 99213 |
|
18,383 |
16,856 |
$642K |
| 99214 |
|
16,606 |
15,078 |
$514K |
| 99203 |
|
5,834 |
5,479 |
$214K |
| 99204 |
|
3,766 |
3,459 |
$148K |
| 87428 |
|
10,114 |
8,527 |
$77K |
| 87426 |
|
6,167 |
5,836 |
$59K |
| 99212 |
|
2,442 |
2,278 |
$49K |
| 99215 |
Prolong outpt/office vis |
852 |
789 |
$37K |
| 99202 |
|
1,173 |
1,087 |
$12K |
| A6449 |
Lt compres band >=3" <5"/yd |
1,019 |
976 |
$9K |
| 86580 |
|
594 |
544 |
$8K |
| 71046 |
|
3,937 |
3,619 |
$3K |
| 90471 |
|
330 |
315 |
$3K |
| 90686 |
|
199 |
194 |
$3K |
| 99205 |
Prolong outpt/office vis |
44 |
39 |
$2K |
| 87880 |
|
11,065 |
9,940 |
$1K |
| L3260 |
Ambulatory surgical boot eac |
53 |
52 |
$1K |
| L3908 |
Who cock-up nonmolde pre ots |
125 |
118 |
$969.90 |
| J1885 |
Ketorolac tromethamine inj |
132 |
127 |
$900.44 |
| 99058 |
|
86 |
75 |
$860.00 |
| J0696 |
Ceftriaxone sodium injection |
309 |
293 |
$781.23 |
| 81000 |
|
5,548 |
5,140 |
$713.96 |
| 96372 |
|
1,043 |
955 |
$626.02 |
| 90715 |
|
53 |
53 |
$588.23 |
| 81002 |
|
5,169 |
4,821 |
$477.98 |
| 93000 |
|
1,865 |
1,734 |
$469.38 |
| 73564 |
|
792 |
739 |
$442.29 |
| 81025 |
|
2,811 |
2,658 |
$373.22 |
| 73610 |
|
917 |
856 |
$361.72 |
| 73140 |
|
459 |
440 |
$341.05 |
| 36415 |
|
4,968 |
4,549 |
$316.88 |
| 99201 |
|
89 |
85 |
$233.25 |
| 87210 |
|
3,221 |
3,006 |
$227.15 |
| 73130 |
|
140 |
127 |
$220.54 |
| 87220 |
|
3,243 |
3,027 |
$205.59 |
| A4565 |
Slings |
80 |
76 |
$171.44 |
| 87804 |
|
2,282 |
1,130 |
$162.74 |
| 72110 |
|
66 |
65 |
$130.12 |
| 85025 |
|
4,672 |
4,312 |
$125.51 |
| 73630 |
|
449 |
419 |
$118.22 |
| L4350 |
Ankle control ortho pre ots |
127 |
124 |
$117.28 |
| 80047 |
|
4,489 |
4,132 |
$115.52 |
| 73030 |
|
311 |
292 |
$71.34 |
| E0114 |
Crutch underarm pair no wood |
226 |
219 |
$68.41 |
| L4360 |
Pneumat walking boot pre cst |
14 |
14 |
$63.00 |
| 94640 |
|
282 |
268 |
$61.97 |
| 73110 |
|
248 |
231 |
$56.50 |
| 72050 |
|
72 |
68 |
$40.25 |
| A4570 |
Splint |
179 |
171 |
$30.75 |
| 99070 |
|
294 |
267 |
$27.00 |
| J7613 |
Albuterol non-comp unit |
101 |
100 |
$0.27 |
| J7620 |
Albuterol ipratrop non-comp |
90 |
87 |
$0.00 |
| 73660 |
|
39 |
38 |
$0.00 |
| 86308 |
|
47 |
44 |
$0.00 |
| 99051 |
|
430 |
391 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
12 |
12 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
110 |
105 |
$0.00 |