| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Urgent care center global |
27,608 |
23,584 |
$3.85M |
| S9088 |
Services provided in urgent |
7,798 |
7,031 |
$836K |
| 99213 |
|
14,632 |
13,170 |
$547K |
| 99214 |
|
13,377 |
11,670 |
$395K |
| 99203 |
|
3,754 |
3,461 |
$133K |
| 99204 |
|
2,683 |
2,338 |
$81K |
| 87428 |
|
8,661 |
6,753 |
$68K |
| 87426 |
|
4,097 |
3,864 |
$46K |
| 99212 |
|
2,154 |
1,950 |
$43K |
| 99215 |
Prolong outpt/office vis |
373 |
358 |
$21K |
| 99202 |
|
900 |
817 |
$14K |
| A6449 |
Lt compres band >=3" <5"/yd |
564 |
538 |
$5K |
| 71046 |
|
3,722 |
3,320 |
$3K |
| 99058 |
|
269 |
193 |
$3K |
| 87880 |
|
8,923 |
7,612 |
$2K |
| 90471 |
|
146 |
141 |
$2K |
| 80047 |
|
3,053 |
2,773 |
$1K |
| 85025 |
|
3,740 |
3,372 |
$881.47 |
| E0114 |
Crutch underarm pair no wood |
111 |
108 |
$784.03 |
| 81000 |
|
3,246 |
2,971 |
$730.49 |
| 86580 |
|
76 |
71 |
$707.88 |
| J0696 |
Ceftriaxone sodium injection |
55 |
52 |
$464.73 |
| 87804 |
|
1,291 |
849 |
$458.18 |
| 93000 |
|
1,143 |
1,036 |
$382.61 |
| 90686 |
|
25 |
23 |
$380.32 |
| 36415 |
|
3,877 |
3,488 |
$280.97 |
| 81002 |
|
2,773 |
2,553 |
$248.03 |
| 73630 |
|
221 |
209 |
$246.86 |
| 96372 |
|
696 |
636 |
$218.41 |
| 81025 |
|
1,765 |
1,622 |
$163.58 |
| 87210 |
|
2,093 |
1,941 |
$104.61 |
| 73610 |
|
310 |
297 |
$97.08 |
| 73564 |
|
333 |
299 |
$94.74 |
| 87220 |
|
2,107 |
1,954 |
$87.84 |
| 73030 |
|
66 |
65 |
$71.34 |
| 99201 |
|
126 |
107 |
$46.65 |
| 94640 |
|
70 |
66 |
$17.38 |
| J1885 |
Ketorolac tromethamine inj |
155 |
132 |
$5.00 |
| 99051 |
|
1,047 |
987 |
$0.00 |
| 73130 |
|
25 |
24 |
$0.00 |
| 73110 |
|
66 |
66 |
$0.00 |
| 73140 |
|
125 |
119 |
$0.00 |
| A4565 |
Slings |
63 |
61 |
$0.00 |
| L3260 |
Ambulatory surgical boot eac |
13 |
12 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
15 |
14 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
67 |
57 |
$0.00 |
| 72050 |
|
57 |
57 |
$0.00 |
| L1830 |
Ko immob canvas long pre ots |
13 |
13 |
$0.00 |
| 72110 |
|
12 |
12 |
$0.00 |
| A4570 |
Splint |
82 |
80 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
58 |
52 |
$0.00 |
| 99070 |
|
12 |
12 |
$0.00 |
| 86308 |
|
98 |
93 |
$0.00 |
| L4350 |
Ankle control ortho pre ots |
29 |
28 |
$0.00 |