| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
210,654 |
162,908 |
$10.82M |
| 99204 |
|
95,789 |
68,314 |
$5.73M |
| 99213 |
|
85,353 |
68,347 |
$3.14M |
| 87428 |
|
70,576 |
57,064 |
$2.83M |
| 87804 |
|
217,200 |
100,735 |
$1.92M |
| 99203 |
|
41,412 |
30,880 |
$1.69M |
| 87426 |
|
78,122 |
59,371 |
$1.61M |
| 87880 |
|
111,828 |
84,414 |
$815K |
| 87811 |
|
42,302 |
33,766 |
$796K |
| 96372 |
|
37,530 |
27,442 |
$232K |
| 99215 |
Prolong outpt/office vis |
3,157 |
2,600 |
$231K |
| 99205 |
Prolong outpt/office vis |
1,744 |
1,454 |
$180K |
| 99202 |
|
3,941 |
3,112 |
$140K |
| 87807 |
|
17,483 |
12,753 |
$98K |
| 71046 |
|
3,806 |
2,761 |
$44K |
| 96127 |
|
18,326 |
14,776 |
$40K |
| 99212 |
|
1,880 |
1,421 |
$34K |
| 81003 |
|
20,629 |
15,418 |
$18K |
| 87635 |
|
535 |
466 |
$16K |
| 81025 |
|
5,435 |
3,876 |
$15K |
| 99051 |
|
3,054 |
2,450 |
$10K |
| 73610 |
|
657 |
475 |
$8K |
| 74018 |
|
403 |
373 |
$7K |
| 94640 |
|
1,340 |
962 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
12,835 |
9,044 |
$7K |
| J1030 |
Methylprednisolone 40 mg inj |
2,963 |
2,199 |
$6K |
| 73130 |
|
476 |
305 |
$5K |
| 73630 |
|
451 |
289 |
$4K |
| 36415 |
|
2,119 |
1,569 |
$3K |
| J1100 |
Dexamethasone sodium phos |
15,662 |
11,289 |
$3K |
| 73562 |
|
312 |
197 |
$3K |
| 73110 |
|
213 |
142 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
4,928 |
3,537 |
$2K |
| S9083 |
Urgent care center global |
1,110 |
920 |
$2K |
| 90792 |
|
33 |
28 |
$1K |
| 73140 |
|
147 |
82 |
$1K |
| 93000 |
|
395 |
266 |
$931.17 |
| 99211 |
|
64 |
61 |
$929.59 |
| 82962 |
|
800 |
560 |
$751.71 |
| 86308 |
|
230 |
192 |
$548.86 |
| 69209 |
|
200 |
112 |
$509.60 |
| 29540 |
|
88 |
44 |
$489.06 |
| J3301 |
Triamcinolone acet inj nos |
142 |
123 |
$414.13 |
| G2025 |
Dis site tele svcs rhc/fqhc |
214 |
153 |
$272.00 |
| 87400 |
|
91 |
43 |
$267.30 |
| 90471 |
|
30 |
29 |
$220.01 |
| 99401 |
|
38 |
26 |
$198.15 |
| 73090 |
|
35 |
15 |
$160.62 |
| 73030 |
|
19 |
14 |
$147.73 |
| 87389 |
|
28 |
26 |
$117.00 |
| 90688 |
|
15 |
15 |
$96.60 |
| J1010 |
Inj, methylpred acetate 1 mg |
17 |
15 |
$28.60 |
| J2550 |
Promethazine hcl injection |
63 |
25 |
$13.53 |
| J7613 |
Albuterol non-comp unit |
522 |
367 |
$11.45 |
| A6449 |
Lt compres band >=3" <5"/yd |
1,000 |
708 |
$8.85 |
| 96161 |
|
15 |
14 |
$3.22 |
| J7620 |
Albuterol ipratrop non-comp |
258 |
184 |
$0.39 |
| 99499 |
|
835 |
567 |
$0.00 |
| J7614 |
Levalbuterol non-comp unit |
150 |
65 |
$0.00 |
| 3725F |
|
8,401 |
6,926 |
$0.00 |
| S0077 |
Injection, clindamycin phosp |
29 |
25 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
61 |
28 |
$0.00 |
| 80061 |
|
48 |
42 |
$0.00 |
| 3351F |
|
5,432 |
4,526 |
$0.00 |
| 3353F |
|
950 |
775 |
$0.00 |
| 3354F |
|
75 |
64 |
$0.00 |
| 3008F |
|
2,775 |
1,358 |
$0.00 |
| 3352F |
|
965 |
799 |
$0.00 |
| 80053 |
|
101 |
88 |
$0.00 |
| 85025 |
|
56 |
43 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| J3490 |
Drugs unclassified injection |
22 |
14 |
$0.00 |