| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
517,359 |
470,375 |
$56.77M |
| 99213 |
|
161,951 |
147,242 |
$14.87M |
| 99204 |
|
88,457 |
82,155 |
$10.40M |
| 87811 |
|
193,769 |
179,243 |
$5.69M |
| 99203 |
|
51,003 |
47,776 |
$4.88M |
| 87426 |
|
132,450 |
121,959 |
$4.11M |
| S9083 |
Urgent care center global |
24,249 |
20,797 |
$2.63M |
| 99215 |
Prolong outpt/office vis |
14,560 |
13,475 |
$1.76M |
| 87804 |
|
189,751 |
86,559 |
$986K |
| 87400 |
|
76,912 |
44,974 |
$809K |
| S9088 |
Services provided in urgent |
22,601 |
19,267 |
$789K |
| 86328 |
|
17,766 |
16,763 |
$610K |
| 87428 |
|
19,210 |
17,885 |
$540K |
| 87880 |
|
77,948 |
71,128 |
$527K |
| 99205 |
Prolong outpt/office vis |
3,288 |
3,039 |
$403K |
| 99212 |
|
2,453 |
2,279 |
$254K |
| 94010 |
|
20,133 |
16,562 |
$253K |
| 81025 |
|
71,614 |
65,694 |
$239K |
| 71046 |
|
14,316 |
13,142 |
$153K |
| 81003 |
|
90,083 |
82,057 |
$142K |
| 99211 |
|
2,465 |
2,308 |
$133K |
| 82570 |
|
44,995 |
41,262 |
$103K |
| 99202 |
|
634 |
625 |
$77K |
| L4361 |
Pneuma/vac walk boot pre ots |
628 |
602 |
$41K |
| 96372 |
|
5,820 |
5,061 |
$33K |
| 87651 |
|
2,262 |
2,211 |
$30K |
| 93000 |
|
3,572 |
3,311 |
$28K |
| 73630 |
|
2,486 |
2,281 |
$23K |
| 87807 |
|
3,306 |
3,043 |
$23K |
| 36415 |
|
11,543 |
11,180 |
$22K |
| 73562 |
|
2,183 |
1,973 |
$21K |
| 29125 |
|
656 |
625 |
$19K |
| 87502 |
|
830 |
815 |
$15K |
| 73610 |
|
2,279 |
2,146 |
$15K |
| U0003 |
Cov-19 amp prb hgh thruput |
206 |
188 |
$12K |
| 73130 |
|
1,284 |
1,200 |
$11K |
| 99173 |
|
2,444 |
2,306 |
$9K |
| 94640 |
|
1,578 |
1,390 |
$8K |
| 87634 |
|
514 |
497 |
$8K |
| 73030 |
|
924 |
881 |
$8K |
| A4620 |
Variable concentration mask |
1,259 |
1,166 |
$7K |
| A4565 |
Slings |
835 |
798 |
$6K |
| 99459 |
|
280 |
264 |
$6K |
| 73110 |
|
939 |
867 |
$5K |
| 73140 |
|
784 |
740 |
$5K |
| L1820 |
Ko elas w/ condyle pads & jo |
228 |
212 |
$5K |
| A6448 |
Lt compres band <3"/yd |
1,696 |
1,565 |
$5K |
| 82962 |
|
679 |
632 |
$5K |
| 69209 |
|
263 |
247 |
$4K |
| 10060 |
|
42 |
40 |
$4K |
| L3807 |
Whfo w/o joints pre cst |
140 |
138 |
$3K |
| 29130 |
|
111 |
108 |
$2K |
| 90471 |
|
148 |
136 |
$2K |
| 94060 |
|
215 |
202 |
$2K |
| E0114 |
Crutch underarm pair no wood |
97 |
94 |
$2K |
| A4550 |
Surgical trays |
585 |
551 |
$2K |
| L3923 |
Hfo without joints pre cst |
168 |
166 |
$1K |
| 73080 |
|
237 |
221 |
$1K |
| L3908 |
Who cock-up nonmolde pre ots |
134 |
122 |
$1K |
| L4360 |
Pneumat walking boot pre cst |
37 |
32 |
$971.36 |
| J0696 |
Ceftriaxone sodium injection |
1,622 |
1,398 |
$731.49 |
| 99001 |
|
76 |
73 |
$695.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
63 |
55 |
$485.75 |
| L3260 |
Ambulatory surgical boot eac |
98 |
95 |
$443.89 |
| 72100 |
|
111 |
106 |
$406.53 |
| J7644 |
Ipratropium bromide non-comp |
641 |
602 |
$324.77 |
| 73660 |
|
50 |
49 |
$295.22 |
| J7613 |
Albuterol non-comp unit |
1,556 |
1,333 |
$293.79 |
| 71101 |
|
71 |
66 |
$289.25 |
| 73590 |
|
27 |
25 |
$210.79 |
| 86308 |
|
64 |
63 |
$109.97 |
| J2930 |
Methylprednisolone injection |
32 |
30 |
$88.79 |
| J0690 |
Cefazolin sodium injection |
408 |
393 |
$71.41 |
| A4615 |
Cannula nasal |
1,248 |
1,154 |
$71.31 |
| 72040 |
|
13 |
13 |
$56.15 |
| Q4049 |
Finger splint, static |
27 |
27 |
$37.64 |
| 73090 |
|
17 |
15 |
$37.05 |
| 90715 |
|
28 |
28 |
$34.06 |
| J1885 |
Ketorolac tromethamine inj |
361 |
342 |
$33.91 |
| S0119 |
Ondansetron 4 mg |
49 |
43 |
$31.74 |
| 99000 |
|
68 |
65 |
$30.00 |
| J7510 |
Prednisolone oral per 5 mg |
15 |
15 |
$1.50 |
| A4566 |
Should sling/vest/abrestrain |
43 |
43 |
$0.00 |