| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
92,870 |
86,094 |
$7.91M |
| 99213 |
|
72,700 |
66,935 |
$5.56M |
| 99203 |
|
32,049 |
30,095 |
$2.70M |
| 99204 |
|
23,098 |
21,700 |
$2.15M |
| 87811 |
|
45,876 |
38,800 |
$708K |
| 87804 |
|
82,163 |
35,787 |
$389K |
| 87880 |
|
37,196 |
32,028 |
$181K |
| S9088 |
Services provided in urgent |
29,539 |
27,146 |
$142K |
| 99215 |
Prolong outpt/office vis |
1,012 |
980 |
$98K |
| 87635 |
|
5,321 |
4,178 |
$97K |
| 99051 |
|
24,849 |
21,670 |
$66K |
| 87426 |
|
3,184 |
2,686 |
$51K |
| 99212 |
|
466 |
437 |
$31K |
| 96372 |
|
12,476 |
10,974 |
$30K |
| 87502 |
|
240 |
218 |
$14K |
| 99202 |
|
124 |
120 |
$11K |
| 81003 |
|
10,945 |
9,367 |
$5K |
| 99211 |
|
36 |
35 |
$3K |
| J1100 |
Dexamethasone sodium phos |
7,323 |
6,557 |
$3K |
| 87807 |
|
1,062 |
994 |
$1K |
| 71046 |
|
985 |
886 |
$1K |
| 81025 |
|
2,804 |
2,567 |
$1K |
| 87651 |
|
53 |
48 |
$480.10 |
| J1885 |
Ketorolac tromethamine inj |
334 |
277 |
$110.70 |
| 99000 |
|
1,427 |
1,274 |
$24.88 |
| 82962 |
|
219 |
200 |
$5.40 |
| A9150 |
Misc/exper non-prescript dru |
1,716 |
1,457 |
$0.50 |
| J0696 |
Ceftriaxone sodium injection |
321 |
278 |
$0.48 |
| 94640 |
|
114 |
114 |
$0.00 |
| A6449 |
Lt compres band >=3" <5"/yd |
165 |
156 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
22 |
12 |
$0.00 |
| 86308 |
|
18 |
16 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
13 |
13 |
$0.00 |
| 73130 |
|
12 |
12 |
$0.00 |
| 73610 |
|
178 |
172 |
$0.00 |
| 73630 |
|
105 |
103 |
$0.00 |
| A7003 |
Nebulizer administration set |
126 |
126 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
13 |
13 |
$0.00 |