| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
74,045 |
66,500 |
$4.02M |
| 99203 |
|
46,862 |
46,587 |
$3.11M |
| 99214 |
|
33,139 |
31,478 |
$2.39M |
| 99204 |
|
17,641 |
17,489 |
$1.65M |
| 87426 |
|
45,582 |
40,492 |
$1.36M |
| M0243 |
Casirivi and imdevi inj |
342 |
342 |
$126K |
| 87880 |
|
10,419 |
10,259 |
$121K |
| 87635 |
|
2,580 |
2,321 |
$106K |
| 96372 |
|
12,454 |
10,726 |
$91K |
| 87804 |
|
6,907 |
6,772 |
$82K |
| 99000 |
|
28,853 |
26,662 |
$49K |
| 99058 |
|
7,334 |
6,415 |
$43K |
| 12001 |
|
778 |
772 |
$40K |
| 81025 |
|
9,288 |
9,049 |
$39K |
| M0247 |
Sotrovimab infusion |
89 |
88 |
$36K |
| 81002 |
|
13,024 |
12,630 |
$31K |
| M0222 |
Bebtelovimab injection |
97 |
96 |
$30K |
| 73130 |
|
1,573 |
1,509 |
$30K |
| 73620 |
|
1,290 |
1,268 |
$20K |
| 73600 |
|
989 |
969 |
$17K |
| 99215 |
Prolong outpt/office vis |
174 |
170 |
$16K |
| 69210 |
|
483 |
477 |
$13K |
| 71046 |
|
706 |
703 |
$13K |
| 90715 |
|
440 |
438 |
$12K |
| 86328 |
|
333 |
326 |
$12K |
| 73110 |
|
361 |
352 |
$9K |
| 29125 |
|
255 |
245 |
$9K |
| 36415 |
|
4,789 |
4,518 |
$8K |
| 10060 |
|
115 |
114 |
$8K |
| 93000 |
|
867 |
861 |
$7K |
| 73562 |
|
294 |
292 |
$7K |
| 87807 |
|
764 |
760 |
$7K |
| 90471 |
|
537 |
533 |
$7K |
| 0001A |
|
183 |
182 |
$6K |
| 29130 |
|
263 |
249 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
4,605 |
4,411 |
$5K |
| 0002A |
|
124 |
124 |
$5K |
| 94640 |
|
793 |
762 |
$4K |
| J1100 |
Dexamethasone sodium phos |
4,625 |
4,466 |
$4K |
| 99211 |
|
242 |
227 |
$4K |
| M0245 |
Bamlan and etesev infusion |
26 |
25 |
$3K |
| 73030 |
|
140 |
136 |
$3K |
| 99212 |
|
64 |
62 |
$2K |
| 99442 |
|
42 |
42 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
37 |
36 |
$2K |
| 99202 |
|
36 |
36 |
$2K |
| 0011A |
|
52 |
50 |
$2K |
| 82962 |
|
513 |
503 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
1,834 |
1,808 |
$1K |
| 73070 |
|
57 |
57 |
$1K |
| 0012A |
|
24 |
24 |
$920.55 |
| 73630 |
|
83 |
83 |
$876.64 |
| S9083 |
Urgent care center global |
2,731 |
2,490 |
$807.50 |
| E0114 |
Crutch underarm pair no wood |
29 |
29 |
$608.19 |
| 99001 |
|
260 |
256 |
$600.00 |
| L4360 |
Pneumat walking boot pre cst |
12 |
12 |
$592.38 |
| Q4049 |
Finger splint, static |
301 |
285 |
$387.88 |
| 29515 |
|
39 |
39 |
$369.54 |
| A6449 |
Lt compres band >=3" <5"/yd |
507 |
502 |
$275.06 |
| U0005 |
Infec agen detec ampli probe |
15 |
15 |
$269.10 |
| J2405 |
Ondansetron hcl injection |
683 |
663 |
$142.71 |
| J1200 |
Diphenhydramine hcl injectio |
116 |
112 |
$118.93 |
| 99072 |
|
32,540 |
28,827 |
$108.57 |
| 73610 |
|
14 |
14 |
$89.98 |
| J7613 |
Albuterol non-comp unit |
379 |
371 |
$22.09 |
| S9088 |
Services provided in urgent |
2,688 |
2,514 |
$10.50 |
| J7644 |
Ipratropium bromide non-comp |
25 |
25 |
$0.62 |
| 91300 |
|
46 |
45 |
$0.00 |
| S0630 |
Removal of sutures |
285 |
283 |
$0.00 |