| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
39,596 |
29,018 |
$3.54M |
| 99213 |
|
17,996 |
14,436 |
$1.07M |
| 93306 |
|
1,967 |
1,959 |
$283K |
| 99396 |
|
2,493 |
2,465 |
$245K |
| 95165 |
|
411 |
258 |
$198K |
| 99212 |
|
3,551 |
2,498 |
$130K |
| 93880 |
|
1,108 |
1,104 |
$124K |
| 87428 |
|
2,939 |
2,601 |
$120K |
| 99395 |
|
1,128 |
1,118 |
$104K |
| 95004 |
|
439 |
401 |
$87K |
| 96372 |
|
4,065 |
3,554 |
$66K |
| 93000 |
|
5,292 |
5,231 |
$60K |
| 87631 |
|
862 |
832 |
$58K |
| U0002 |
Covid-19 lab test non-cdc |
1,266 |
1,178 |
$47K |
| 99401 |
|
2,447 |
2,258 |
$41K |
| 95117 |
|
3,021 |
1,622 |
$31K |
| 87807 |
|
3,395 |
3,073 |
$30K |
| 87804 |
|
2,501 |
1,567 |
$28K |
| G2023 |
Specimen collect covid-19 |
4,601 |
4,122 |
$27K |
| 99051 |
|
4,905 |
4,250 |
$23K |
| 99204 |
|
131 |
131 |
$16K |
| 99394 |
|
139 |
138 |
$12K |
| 87635 |
|
306 |
294 |
$10K |
| 90686 |
|
538 |
536 |
$9K |
| 90674 |
|
330 |
328 |
$9K |
| 90471 |
|
1,129 |
1,088 |
$9K |
| 99211 |
|
443 |
440 |
$8K |
| 93015 |
|
160 |
160 |
$7K |
| 82947 |
|
2,305 |
1,881 |
$7K |
| 90670 |
|
36 |
36 |
$7K |
| 90688 |
|
432 |
431 |
$7K |
| 94010 |
|
310 |
291 |
$7K |
| 0241U |
|
135 |
128 |
$6K |
| 87426 |
|
164 |
148 |
$6K |
| G0008 |
Admin influenza virus vac |
645 |
645 |
$5K |
| 0064A |
|
131 |
129 |
$4K |
| 90677 |
|
13 |
13 |
$4K |
| J3301 |
Triamcinolone acet inj nos |
834 |
783 |
$3K |
| 36415 |
|
6,672 |
6,416 |
$3K |
| 0011A |
|
98 |
98 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
1,192 |
1,117 |
$3K |
| 0012A |
|
63 |
63 |
$2K |
| 93351 |
|
14 |
14 |
$2K |
| J3420 |
Vitamin b12 injection |
1,183 |
989 |
$2K |
| 0002A |
|
54 |
54 |
$2K |
| 0001A |
|
50 |
50 |
$2K |
| 90460 |
|
195 |
184 |
$2K |
| 94640 |
|
225 |
209 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 87880 |
|
369 |
365 |
$1K |
| 81002 |
|
684 |
656 |
$1K |
| J1100 |
Dexamethasone sodium phos |
1,048 |
985 |
$987.60 |
| 99393 |
|
12 |
12 |
$967.90 |
| 92567 |
|
92 |
92 |
$961.87 |
| 90746 |
|
12 |
12 |
$827.25 |
| 99203 |
|
16 |
16 |
$734.61 |
| J1885 |
Ketorolac tromethamine inj |
279 |
261 |
$637.49 |
| G0009 |
Admin pneumococcal vaccine |
47 |
47 |
$468.83 |
| G9226 |
3 comp foot exam completed |
30 |
25 |
$262.50 |
| 99173 |
|
131 |
130 |
$225.46 |
| 99406 |
|
13 |
12 |
$152.31 |
| 86308 |
|
25 |
25 |
$91.03 |
| 90472 |
|
13 |
12 |
$85.00 |
| 83014 |
|
112 |
111 |
$44.36 |
| 99072 |
|
193 |
162 |
$33.24 |
| J7613 |
Albuterol non-comp unit |
146 |
133 |
$5.59 |
| J7620 |
Albuterol ipratrop non-comp |
20 |
20 |
$1.92 |
| 91306 |
|
111 |
111 |
$0.06 |
| 91300 |
|
95 |
79 |
$0.00 |
| 91301 |
|
206 |
198 |
$0.00 |
| 91307 |
|
15 |
15 |
$0.00 |