| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
154,534 |
121,945 |
$7.33M |
| 99213 |
|
113,500 |
93,140 |
$4.34M |
| 99204 |
|
45,428 |
36,034 |
$3.04M |
| 99203 |
|
47,463 |
38,814 |
$2.54M |
| 87811 |
|
74,235 |
59,891 |
$2.02M |
| 87804 |
|
132,532 |
53,739 |
$1.11M |
| 87880 |
|
64,711 |
52,041 |
$437K |
| 99051 |
|
117,369 |
90,629 |
$394K |
| 87426 |
|
6,394 |
4,843 |
$205K |
| 96372 |
|
16,825 |
13,228 |
$164K |
| 99202 |
|
1,432 |
1,258 |
$69K |
| 99211 |
|
545 |
456 |
$30K |
| 99215 |
Prolong outpt/office vis |
309 |
257 |
$21K |
| 99212 |
|
334 |
281 |
$15K |
| 81003 |
|
13,033 |
10,261 |
$14K |
| 99205 |
Prolong outpt/office vis |
93 |
70 |
$7K |
| 36415 |
|
4,308 |
3,520 |
$5K |
| J1030 |
Methylprednisolone 40 mg inj |
913 |
665 |
$5K |
| 71046 |
|
463 |
420 |
$5K |
| J1100 |
Dexamethasone sodium phos |
7,027 |
5,704 |
$4K |
| 86756 |
|
1,241 |
1,059 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
784 |
630 |
$4K |
| 87807 |
|
757 |
689 |
$3K |
| J3301 |
Triamcinolone acet inj nos |
783 |
642 |
$3K |
| 81025 |
|
1,307 |
1,068 |
$2K |
| J1040 |
Methylprednisolone 80 mg inj |
224 |
175 |
$2K |
| 99201 |
|
37 |
29 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
698 |
562 |
$859.55 |
| 94640 |
|
203 |
184 |
$822.30 |
| 90471 |
|
30 |
28 |
$471.36 |
| 87400 |
|
212 |
101 |
$451.36 |
| 69209 |
|
41 |
37 |
$190.99 |
| 93000 |
|
33 |
25 |
$139.92 |
| 94760 |
|
123 |
101 |
$132.48 |
| 73610 |
|
16 |
15 |
$88.50 |
| J0702 |
Betamethasone acet&sod phosp |
19 |
12 |
$80.75 |
| J2920 |
Methylprednisolone injection |
20 |
12 |
$66.66 |
| J1010 |
Inj, methylpred acetate 1 mg |
100 |
94 |
$63.57 |
| 86308 |
|
25 |
24 |
$18.81 |
| 3074F |
|
1,530 |
1,160 |
$0.00 |
| 3075F |
|
73 |
58 |
$0.00 |
| 3080F |
|
153 |
128 |
$0.00 |
| 3079F |
|
284 |
220 |
$0.00 |
| 99000 |
|
121 |
111 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
50 |
50 |
$0.00 |
| 99070 |
|
67 |
60 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
11,554 |
8,151 |
$0.00 |
| 3078F |
|
1,211 |
936 |
$0.00 |
| 4004F |
|
2,134 |
1,616 |
$0.00 |
| 3077F |
|
171 |
130 |
$0.00 |
| S9083 |
Urgent care center global |
44 |
42 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
12 |
12 |
$0.00 |