| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
21,713 |
19,419 |
$1.87M |
| 99204 |
|
8,059 |
6,983 |
$746K |
| 99213 |
|
3,830 |
3,365 |
$191K |
| 99203 |
|
2,899 |
2,486 |
$170K |
| 99215 |
Prolong outpt/office vis |
775 |
688 |
$94K |
| 87426 |
|
4,605 |
3,830 |
$20K |
| 87880 |
|
13,542 |
12,245 |
$13K |
| 87804 |
|
11,392 |
5,043 |
$12K |
| 87428 |
|
372 |
352 |
$11K |
| 96372 |
|
3,233 |
2,601 |
$6K |
| 99202 |
|
82 |
73 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
538 |
502 |
$4K |
| 81003 |
|
2,698 |
2,320 |
$2K |
| 87430 |
|
244 |
228 |
$1K |
| 94640 |
|
3,039 |
2,586 |
$1K |
| 81025 |
|
278 |
247 |
$1K |
| 36415 |
|
775 |
683 |
$1K |
| 99212 |
|
28 |
28 |
$881.36 |
| 99211 |
|
14 |
12 |
$859.01 |
| J1885 |
Ketorolac tromethamine inj |
859 |
720 |
$560.19 |
| 90471 |
|
55 |
46 |
$445.50 |
| 99072 |
|
4,637 |
3,951 |
$415.08 |
| J0696 |
Ceftriaxone sodium injection |
1,043 |
779 |
$322.24 |
| J7510 |
Prednisolone oral per 5 mg |
3,444 |
3,036 |
$248.21 |
| 99000 |
|
2,732 |
2,379 |
$145.79 |
| 36416 |
|
321 |
272 |
$76.87 |
| J8540 |
Oral dexamethasone |
2,558 |
2,348 |
$52.18 |
| J7620 |
Albuterol ipratrop non-comp |
608 |
543 |
$22.95 |
| J7613 |
Albuterol non-comp unit |
1,059 |
970 |
$2.98 |
| G8752 |
Sys bp less 140 |
461 |
418 |
$0.00 |
| A7003 |
Nebulizer administration set |
2,345 |
2,097 |
$0.00 |
| 86318 |
|
31 |
26 |
$0.00 |
| 99401 |
|
36 |
28 |
$0.00 |
| 71046 |
|
326 |
306 |
$0.00 |
| J7614 |
Levalbuterol non-comp unit |
134 |
110 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
74 |
67 |
$0.00 |
| G8730 |
Pain doc pos and plan |
14 |
14 |
$0.00 |
| 99070 |
|
1,442 |
1,306 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
132 |
120 |
$0.00 |
| 3008F |
|
778 |
704 |
$0.00 |
| G8754 |
Dias bp less 90 |
487 |
435 |
$0.00 |
| S9088 |
Services provided in urgent |
626 |
541 |
$0.00 |
| G8428 |
Cur meds not document |
256 |
225 |
$0.00 |
| A9150 |
Misc/exper non-prescript dru |
312 |
278 |
$0.00 |
| 90686 |
|
36 |
27 |
$0.00 |