| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
305,081 |
260,804 |
$15.64M |
| 99204 |
|
89,412 |
79,711 |
$6.70M |
| 99213 |
|
131,404 |
113,912 |
$4.91M |
| 87428 |
|
74,731 |
47,585 |
$2.68M |
| 87804 |
|
288,282 |
109,661 |
$2.37M |
| 99203 |
|
39,669 |
35,034 |
$2.04M |
| 87426 |
|
64,685 |
49,149 |
$1.84M |
| 87811 |
|
104,538 |
73,453 |
$1.68M |
| 87880 |
|
99,642 |
73,296 |
$772K |
| 99215 |
Prolong outpt/office vis |
3,106 |
2,778 |
$219K |
| 96372 |
|
52,700 |
39,509 |
$132K |
| 99205 |
Prolong outpt/office vis |
1,250 |
1,134 |
$127K |
| 96127 |
|
88,841 |
55,691 |
$118K |
| L4360 |
Pneumat walking boot pre cst |
491 |
455 |
$71K |
| 87807 |
|
8,074 |
5,804 |
$62K |
| 99202 |
|
1,632 |
1,463 |
$62K |
| J1100 |
Dexamethasone sodium phos |
52,683 |
45,916 |
$46K |
| J0696 |
Ceftriaxone sodium injection |
25,805 |
22,221 |
$40K |
| 87635 |
|
890 |
704 |
$28K |
| 81003 |
|
24,888 |
19,145 |
$26K |
| 81025 |
|
5,456 |
4,407 |
$24K |
| 71046 |
|
1,168 |
1,036 |
$20K |
| 99212 |
|
890 |
748 |
$19K |
| 99395 |
|
355 |
293 |
$16K |
| 73630 |
|
1,001 |
855 |
$15K |
| 73610 |
|
1,011 |
829 |
$14K |
| 99396 |
|
298 |
235 |
$12K |
| 17110 |
|
222 |
185 |
$10K |
| 72100 |
|
487 |
446 |
$9K |
| 73130 |
|
577 |
476 |
$9K |
| 73110 |
|
439 |
355 |
$7K |
| 73030 |
|
319 |
272 |
$5K |
| 97112 |
|
130 |
31 |
$4K |
| 97110 |
|
158 |
54 |
$4K |
| 90471 |
|
267 |
250 |
$3K |
| 94640 |
|
581 |
404 |
$3K |
| 73562 |
|
197 |
163 |
$3K |
| 80053 |
|
380 |
307 |
$3K |
| 73564 |
|
150 |
125 |
$3K |
| 85025 |
|
503 |
394 |
$3K |
| L3908 |
Who cock-up nonmolde pre ots |
88 |
71 |
$2K |
| E0114 |
Crutch underarm pair no wood |
106 |
99 |
$2K |
| 87400 |
|
284 |
121 |
$2K |
| 72040 |
|
91 |
82 |
$2K |
| 73140 |
|
141 |
110 |
$2K |
| 82962 |
|
616 |
565 |
$1K |
| 69209 |
|
181 |
163 |
$1K |
| 90714 |
|
65 |
60 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
74 |
61 |
$1K |
| S0077 |
Injection, clindamycin phosp |
847 |
748 |
$1K |
| 87502 |
|
14 |
14 |
$985.97 |
| 93000 |
|
73 |
72 |
$963.14 |
| 12001 |
|
15 |
12 |
$883.90 |
| 10060 |
|
15 |
12 |
$878.78 |
| 80061 |
|
186 |
129 |
$855.14 |
| S9088 |
Services provided in urgent |
1,472 |
1,035 |
$830.00 |
| 90688 |
|
61 |
61 |
$517.36 |
| 20610 |
|
14 |
12 |
$512.49 |
| 36415 |
|
355 |
288 |
$415.38 |
| 86308 |
|
106 |
97 |
$353.29 |
| 74018 |
|
13 |
13 |
$190.50 |
| 73080 |
|
15 |
12 |
$129.18 |
| S9083 |
Urgent care center global |
193 |
170 |
$125.00 |
| 87420 |
|
13 |
13 |
$115.50 |
| G0444 |
Depression screen annual |
221 |
85 |
$105.58 |
| J2550 |
Promethazine hcl injection |
63 |
52 |
$100.50 |
| 99051 |
|
27 |
24 |
$96.30 |
| J1885 |
Ketorolac tromethamine inj |
9,231 |
6,444 |
$46.20 |
| A4565 |
Slings |
16 |
12 |
$26.49 |
| J2405 |
Ondansetron hcl injection |
45 |
39 |
$16.66 |
| J0736 |
Inj, clindamycin phosp 300mg |
20 |
14 |
$4.82 |
| J7620 |
Albuterol ipratrop non-comp |
364 |
174 |
$0.36 |
| 3351F |
|
2,362 |
1,977 |
$0.00 |
| 3352F |
|
96 |
73 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
53 |
38 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
86 |
43 |
$0.00 |
| 3353F |
|
13 |
12 |
$0.00 |
| 3080F |
|
18 |
14 |
$0.00 |
| 3725F |
|
3,062 |
2,545 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
85 |
73 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
118 |
86 |
$0.00 |
| 3077F |
|
51 |
40 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
20 |
15 |
$0.00 |