| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Urgent care center global |
26,833 |
23,278 |
$3.52M |
| S9088 |
Services provided in urgent |
15,915 |
14,263 |
$1.80M |
| 99213 |
|
18,210 |
16,476 |
$927K |
| 99214 |
|
16,178 |
14,665 |
$718K |
| 99203 |
|
5,065 |
4,773 |
$235K |
| 99204 |
|
3,656 |
3,301 |
$152K |
| 87428 |
|
10,881 |
9,447 |
$76K |
| 87426 |
|
4,799 |
4,448 |
$59K |
| 99212 |
|
2,085 |
1,918 |
$44K |
| 99215 |
Prolong outpt/office vis |
287 |
283 |
$18K |
| 99202 |
|
1,163 |
1,073 |
$15K |
| 86580 |
|
219 |
199 |
$5K |
| 87880 |
|
9,080 |
8,223 |
$3K |
| 71046 |
|
3,108 |
2,892 |
$2K |
| 99058 |
|
227 |
202 |
$2K |
| 80047 |
|
3,537 |
3,286 |
$1K |
| 87804 |
|
3,711 |
1,778 |
$1K |
| 90471 |
|
134 |
127 |
$968.14 |
| 29125 |
|
12 |
12 |
$877.18 |
| 90686 |
|
73 |
72 |
$779.05 |
| 85025 |
|
3,822 |
3,554 |
$729.67 |
| 81002 |
|
3,191 |
2,980 |
$661.30 |
| J0696 |
Ceftriaxone sodium injection |
249 |
227 |
$467.19 |
| 93000 |
|
890 |
842 |
$385.16 |
| 73564 |
|
521 |
489 |
$368.79 |
| 36415 |
|
4,442 |
4,085 |
$356.51 |
| 87210 |
|
2,716 |
2,551 |
$347.23 |
| 81000 |
|
4,085 |
3,815 |
$332.54 |
| 73630 |
|
240 |
221 |
$329.37 |
| 96372 |
|
1,059 |
953 |
$284.68 |
| 73610 |
|
509 |
477 |
$236.96 |
| A4570 |
Splint |
125 |
122 |
$226.19 |
| 72110 |
|
118 |
109 |
$224.02 |
| 87220 |
|
2,726 |
2,558 |
$187.96 |
| 81025 |
|
1,352 |
1,283 |
$169.59 |
| 73140 |
|
268 |
255 |
$147.99 |
| E0114 |
Crutch underarm pair no wood |
163 |
158 |
$136.82 |
| 72050 |
|
40 |
38 |
$84.07 |
| 73030 |
|
87 |
83 |
$78.42 |
| 84703 |
|
26 |
25 |
$76.00 |
| 94640 |
|
152 |
145 |
$66.84 |
| 99201 |
|
30 |
30 |
$46.66 |
| 74018 |
|
13 |
13 |
$40.70 |
| 94150 |
|
27 |
25 |
$40.36 |
| 73080 |
|
13 |
12 |
$26.19 |
| 73130 |
|
60 |
57 |
$24.55 |
| A4565 |
Slings |
108 |
106 |
$11.16 |
| J1885 |
Ketorolac tromethamine inj |
239 |
214 |
$7.84 |
| A6449 |
Lt compres band >=3" <5"/yd |
160 |
155 |
$0.00 |
| L4360 |
Pneumat walking boot pre cst |
74 |
72 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
45 |
44 |
$0.00 |
| 99051 |
|
1,295 |
1,216 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
32 |
27 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
43 |
41 |
$0.00 |
| 73110 |
|
71 |
69 |
$0.00 |