| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Urgent care center global |
12,870 |
11,295 |
$1.09M |
| 99215 |
Prolong outpt/office vis |
6,101 |
5,321 |
$308K |
| 99214 |
|
11,453 |
10,042 |
$272K |
| 99204 |
|
6,756 |
6,705 |
$259K |
| 99205 |
Prolong outpt/office vis |
3,274 |
3,264 |
$241K |
| 99203 |
|
1,104 |
1,096 |
$58K |
| 99213 |
|
2,063 |
1,957 |
$53K |
| 99212 |
|
2,107 |
1,923 |
$44K |
| 99202 |
|
886 |
883 |
$32K |
| U0002 |
Covid-19 lab test non-cdc |
4,900 |
4,250 |
$22K |
| S9088 |
Services provided in urgent |
8,137 |
7,471 |
$6K |
| 99401 |
|
6,763 |
6,258 |
$6K |
| 96372 |
|
3,713 |
2,955 |
$4K |
| 81003 |
|
3,965 |
3,797 |
$2K |
| 94640 |
|
488 |
469 |
$663.20 |
| 81025 |
|
399 |
392 |
$471.47 |
| 99000 |
|
1,945 |
1,822 |
$418.86 |
| J1100 |
Dexamethasone sodium phos |
886 |
865 |
$115.70 |
| A7003 |
Nebulizer administration set |
226 |
216 |
$114.97 |
| J1885 |
Ketorolac tromethamine inj |
603 |
585 |
$105.33 |
| 99070 |
|
383 |
367 |
$75.00 |
| A7015 |
Aerosol mask used w nebulize |
106 |
104 |
$55.70 |
| 69210 |
|
13 |
12 |
$48.72 |
| 93000 |
|
13 |
12 |
$31.34 |
| J7620 |
Albuterol ipratrop non-comp |
40 |
37 |
$13.76 |
| A4616 |
Tubing (oxygen) per foot |
98 |
90 |
$7.50 |
| J0696 |
Ceftriaxone sodium injection |
65 |
64 |
$0.53 |
| J3420 |
Vitamin b12 injection |
302 |
139 |
$0.00 |
| 99402 |
|
112 |
107 |
$0.00 |
| 90471 |
|
222 |
107 |
$0.00 |
| 90656 |
|
189 |
79 |
$0.00 |
| J3490 |
Drugs unclassified injection |
89 |
80 |
$0.00 |
| 99072 |
|
221 |
205 |
$0.00 |
| 99173 |
|
44 |
42 |
$0.00 |
| 99051 |
|
43 |
40 |
$0.00 |
| A6402 |
Sterile gauze <= 16 sq in |
29 |
26 |
$0.00 |
| A6250 |
Skin seal protect moisturizr |
33 |
29 |
$0.00 |