| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
86,725 |
78,465 |
$6.92M |
| 87502 |
|
36,512 |
33,680 |
$2.75M |
| 99213 |
|
35,131 |
32,421 |
$1.97M |
| 99204 |
|
14,996 |
14,146 |
$1.60M |
| 87426 |
|
42,664 |
39,271 |
$1.17M |
| 87651 |
|
25,039 |
24,216 |
$843K |
| 99203 |
|
6,386 |
6,024 |
$461K |
| U0002 |
Covid-19 lab test non-cdc |
8,817 |
8,488 |
$433K |
| 87430 |
|
29,655 |
25,877 |
$348K |
| 87634 |
|
4,381 |
4,096 |
$273K |
| 87635 |
|
4,238 |
4,086 |
$183K |
| 71046 |
|
5,024 |
4,695 |
$127K |
| 87880 |
|
8,557 |
7,772 |
$106K |
| 87804 |
|
6,662 |
2,790 |
$78K |
| 87801 |
|
1,367 |
1,252 |
$48K |
| 94640 |
|
1,763 |
1,549 |
$19K |
| 99051 |
|
2,288 |
2,140 |
$16K |
| 87807 |
|
1,292 |
1,133 |
$15K |
| 99202 |
|
219 |
201 |
$10K |
| 74021 |
|
216 |
210 |
$8K |
| 81003 |
|
3,516 |
3,302 |
$6K |
| 99215 |
Prolong outpt/office vis |
56 |
53 |
$6K |
| 69210 |
|
92 |
89 |
$3K |
| 74018 |
|
108 |
101 |
$2K |
| 99211 |
|
129 |
113 |
$2K |
| L4361 |
Pneuma/vac walk boot pre ots |
12 |
12 |
$2K |
| 87428 |
|
38 |
38 |
$1K |
| A7003 |
Nebulizer administration set |
1,453 |
1,331 |
$1K |
| 96372 |
|
104 |
78 |
$1K |
| 73140 |
|
40 |
40 |
$1K |
| 94664 |
|
68 |
66 |
$688.03 |
| S9083 |
Urgent care center global |
18 |
18 |
$574.00 |
| 73610 |
|
14 |
14 |
$444.74 |
| 29515 |
|
13 |
12 |
$362.52 |
| 73630 |
|
12 |
12 |
$354.40 |
| 85025 |
|
30 |
29 |
$217.69 |
| J0696 |
Ceftriaxone sodium injection |
109 |
67 |
$161.10 |
| 94761 |
|
141 |
137 |
$153.38 |
| 80053 |
|
14 |
13 |
$139.93 |
| 36415 |
|
50 |
47 |
$137.45 |
| J7620 |
Albuterol ipratrop non-comp |
850 |
784 |
$115.18 |
| S9088 |
Services provided in urgent |
328 |
308 |
$74.01 |
| J7613 |
Albuterol non-comp unit |
328 |
314 |
$28.77 |
| A6449 |
Lt compres band >=3" <5"/yd |
14 |
14 |
$26.16 |
| 99000 |
|
235 |
222 |
$19.30 |
| J1100 |
Dexamethasone sodium phos |
14 |
14 |
$0.66 |
| X0002 |
|
97 |
89 |
$0.00 |
| NCADV |
|
16 |
16 |
$0.00 |