| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
38,748 |
35,845 |
$2.25M |
| 99213 |
|
29,358 |
25,814 |
$1.37M |
| K1034 |
Covid test self-admn/collect |
18,016 |
13,478 |
$945K |
| 99215 |
Prolong outpt/office vis |
9,373 |
8,746 |
$699K |
| 99204 |
|
9,683 |
9,186 |
$666K |
| 87635 |
|
11,819 |
10,914 |
$403K |
| 99203 |
|
7,154 |
6,690 |
$366K |
| 99205 |
Prolong outpt/office vis |
4,283 |
4,130 |
$318K |
| G2023 |
Specimen collect covid-19 |
10,417 |
9,642 |
$168K |
| 86328 |
|
5,313 |
4,806 |
$161K |
| 87880 |
|
11,526 |
10,868 |
$117K |
| 87804 |
|
11,398 |
8,034 |
$116K |
| 99051 |
|
5,740 |
5,422 |
$68K |
| A4927 |
Non-sterile gloves |
10,419 |
9,419 |
$55K |
| 87400 |
|
6,134 |
5,769 |
$40K |
| 96372 |
|
3,537 |
3,185 |
$39K |
| 99212 |
|
685 |
610 |
$19K |
| 99202 |
|
527 |
486 |
$15K |
| 0241U |
|
176 |
169 |
$13K |
| 99201 |
|
529 |
473 |
$8K |
| 87807 |
|
578 |
553 |
$7K |
| 81025 |
|
1,061 |
1,028 |
$5K |
| 81000 |
|
683 |
654 |
$4K |
| 94640 |
|
315 |
304 |
$3K |
| 86769 |
|
129 |
123 |
$3K |
| A4930 |
Sterile, gloves per pair |
12,317 |
11,224 |
$3K |
| 87502 |
|
85 |
76 |
$3K |
| 81002 |
|
1,314 |
1,258 |
$3K |
| A4250 |
Urine reagent strips/tablets |
3,038 |
2,909 |
$3K |
| 86308 |
|
856 |
825 |
$2K |
| S9083 |
Urgent care center global |
12,580 |
11,503 |
$2K |
| 87636 |
|
61 |
60 |
$2K |
| P9615 |
Urine specimen collect mult |
354 |
344 |
$2K |
| 81005 |
|
1,135 |
1,087 |
$1K |
| 3210F |
|
120 |
116 |
$1K |
| A4620 |
Variable concentration mask |
2,197 |
1,861 |
$906.18 |
| J1100 |
Dexamethasone sodium phos |
847 |
771 |
$892.43 |
| 87634 |
|
25 |
25 |
$857.95 |
| 87651 |
|
65 |
56 |
$843.00 |
| 87811 |
|
49 |
49 |
$782.62 |
| 86664 |
|
80 |
75 |
$773.44 |
| J1885 |
Ketorolac tromethamine inj |
533 |
460 |
$661.10 |
| 86403 |
|
95 |
88 |
$589.58 |
| J0696 |
Ceftriaxone sodium injection |
162 |
120 |
$468.84 |
| 94761 |
|
127 |
122 |
$415.79 |
| 87535 |
|
84 |
78 |
$387.74 |
| 94664 |
|
46 |
44 |
$384.58 |
| 36415 |
|
105 |
90 |
$291.20 |
| A4232 |
Syringe w/needle insulin 3cc |
95 |
84 |
$224.71 |
| 90471 |
|
12 |
12 |
$174.15 |
| 81099 |
|
56 |
56 |
$154.31 |
| A4928 |
Surgical mask |
15,174 |
13,917 |
$151.09 |
| 99072 |
|
4,844 |
4,441 |
$148.56 |
| 99070 |
|
20,892 |
19,277 |
$147.50 |
| 99211 |
|
20 |
20 |
$101.50 |
| A4208 |
3 cc sterile syringe&needle |
569 |
521 |
$94.31 |
| 86663 |
|
12 |
12 |
$78.99 |
| S9088 |
Services provided in urgent |
5,408 |
4,979 |
$58.80 |
| A4215 |
Sterile needle |
1,268 |
1,154 |
$31.14 |
| A4320 |
Irrigation tray |
176 |
167 |
$22.50 |
| 94760 |
|
21,349 |
19,461 |
$22.03 |
| 99000 |
|
14,246 |
13,331 |
$21.55 |
| J7620 |
Albuterol ipratrop non-comp |
12 |
12 |
$0.52 |
| J2001 |
Lidocaine injection |
104 |
73 |
$0.33 |
| A4258 |
Lancet device each |
122 |
114 |
$0.00 |
| 99058 |
|
13 |
12 |
$0.00 |
| Q3014 |
Telehealth facility fee |
56 |
45 |
$0.00 |
| 94762 |
|
24 |
21 |
$0.00 |
| 99071 |
|
21 |
19 |
$0.00 |
| A4606 |
Oxygen probe used w oximeter |
25 |
25 |
$0.00 |
| 99001 |
|
13 |
13 |
$0.00 |
| A4206 |
1 cc sterile syringe&needle |
16 |
16 |
$0.00 |