| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Urgent care center global |
60,370 |
54,108 |
$7.42M |
| 87635 |
|
46,242 |
40,086 |
$1.75M |
| 99214 |
|
35,352 |
29,559 |
$907K |
| 99204 |
|
10,832 |
9,282 |
$656K |
| 99213 |
|
30,722 |
25,554 |
$588K |
| 99203 |
|
18,134 |
15,400 |
$559K |
| G2023 |
Specimen collect covid-19 |
21,263 |
18,342 |
$377K |
| 87804 |
|
33,864 |
22,399 |
$225K |
| 87880 |
|
25,247 |
22,440 |
$121K |
| 87811 |
|
4,328 |
3,796 |
$63K |
| 96372 |
|
13,139 |
9,499 |
$34K |
| 99212 |
|
1,780 |
1,611 |
$25K |
| 99202 |
|
1,410 |
1,237 |
$20K |
| 87502 |
|
713 |
495 |
$20K |
| 87651 |
|
496 |
299 |
$7K |
| 90471 |
|
314 |
257 |
$5K |
| 85025 |
|
5,432 |
4,943 |
$4K |
| 90734 |
|
29 |
25 |
$3K |
| 90715 |
|
88 |
84 |
$2K |
| 86738 |
|
1,019 |
967 |
$2K |
| 90674 |
|
66 |
65 |
$1K |
| 81002 |
|
3,100 |
2,757 |
$802.22 |
| J0696 |
Ceftriaxone sodium injection |
2,833 |
2,503 |
$758.17 |
| 90756 |
|
33 |
32 |
$660.91 |
| J1100 |
Dexamethasone sodium phos |
4,576 |
3,984 |
$542.06 |
| 87081 |
|
6,193 |
5,809 |
$519.60 |
| J0702 |
Betamethasone acet&sod phosp |
1,021 |
958 |
$318.73 |
| 80053 |
|
405 |
375 |
$211.44 |
| 71046 |
|
1,261 |
1,143 |
$145.35 |
| 81000 |
|
222 |
209 |
$136.00 |
| 36415 |
|
5,481 |
4,931 |
$126.21 |
| 73610 |
|
309 |
295 |
$69.56 |
| 94640 |
|
577 |
458 |
$22.10 |
| 86308 |
|
543 |
511 |
$4.29 |
| J1885 |
Ketorolac tromethamine inj |
872 |
743 |
$3.96 |
| J3490 |
Drugs unclassified injection |
75 |
71 |
$0.00 |
| A6449 |
Lt compres band >=3" <5"/yd |
12 |
12 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
43 |
40 |
$0.00 |
| 83036 |
|
12 |
12 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
24 |
24 |
$0.00 |
| A6448 |
Lt compres band <3"/yd |
12 |
12 |
$0.00 |
| S0077 |
Injection, clindamycin phosp |
48 |
45 |
$0.00 |
| 86677 |
|
27 |
24 |
$0.00 |
| 82947 |
|
238 |
229 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
74 |
70 |
$0.00 |
| 73130 |
|
56 |
51 |
$0.00 |
| 73630 |
|
137 |
127 |
$0.00 |
| 81025 |
|
164 |
157 |
$0.00 |
| 73140 |
|
25 |
25 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
18 |
16 |
$0.00 |
| G8484 |
Flu immunize no admin |
19 |
17 |
$0.00 |
| 73110 |
|
19 |
15 |
$0.00 |
| 74018 |
|
14 |
14 |
$0.00 |
| 99072 |
|
21 |
15 |
$0.00 |