| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Urgent care center global |
44,511 |
37,245 |
$6.15M |
| S9088 |
Services provided in urgent |
13,337 |
11,932 |
$1.56M |
| 99213 |
|
22,700 |
20,523 |
$730K |
| 99214 |
|
23,023 |
19,890 |
$616K |
| 99203 |
|
5,843 |
5,454 |
$191K |
| 99204 |
|
4,237 |
3,738 |
$132K |
| 87428 |
|
15,350 |
12,063 |
$121K |
| 87426 |
|
8,194 |
7,544 |
$83K |
| 99212 |
|
2,411 |
2,225 |
$41K |
| 99215 |
Prolong outpt/office vis |
695 |
656 |
$27K |
| A6449 |
Lt compres band >=3" <5"/yd |
1,178 |
1,131 |
$16K |
| 99202 |
|
962 |
899 |
$9K |
| J0696 |
Ceftriaxone sodium injection |
417 |
398 |
$6K |
| 90471 |
|
419 |
386 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
640 |
593 |
$5K |
| S0119 |
Ondansetron 4 mg |
656 |
572 |
$5K |
| E0114 |
Crutch underarm pair no wood |
474 |
458 |
$4K |
| 87880 |
|
15,119 |
12,911 |
$4K |
| 29125 |
|
85 |
82 |
$4K |
| A4565 |
Slings |
266 |
254 |
$4K |
| 99058 |
|
259 |
146 |
$3K |
| 90686 |
|
185 |
167 |
$3K |
| 87804 |
|
7,225 |
3,446 |
$2K |
| 71046 |
|
4,271 |
3,865 |
$2K |
| 86580 |
|
179 |
153 |
$2K |
| L3260 |
Ambulatory surgical boot eac |
85 |
81 |
$2K |
| 85025 |
|
5,284 |
4,738 |
$1K |
| 80047 |
|
4,589 |
4,146 |
$975.33 |
| L3908 |
Who cock-up nonmolde pre ots |
169 |
166 |
$927.80 |
| 93000 |
|
1,592 |
1,487 |
$800.14 |
| 90715 |
|
80 |
77 |
$743.92 |
| 81000 |
|
5,969 |
5,440 |
$728.40 |
| 81025 |
|
3,061 |
2,845 |
$713.46 |
| 36415 |
|
5,751 |
5,155 |
$649.52 |
| 81002 |
|
5,458 |
4,994 |
$601.25 |
| 96372 |
|
1,720 |
1,563 |
$585.97 |
| 29515 |
|
12 |
12 |
$480.48 |
| 73140 |
|
385 |
370 |
$431.47 |
| 73564 |
|
712 |
677 |
$420.99 |
| 73610 |
|
899 |
859 |
$365.56 |
| 90656 |
|
13 |
13 |
$187.58 |
| 94640 |
|
351 |
323 |
$169.85 |
| 99201 |
|
45 |
45 |
$139.95 |
| 87210 |
|
2,738 |
2,570 |
$136.35 |
| 73630 |
|
585 |
546 |
$128.43 |
| 87220 |
|
2,759 |
2,590 |
$107.84 |
| 73110 |
|
246 |
236 |
$86.62 |
| 73130 |
|
138 |
128 |
$79.81 |
| 73030 |
|
125 |
110 |
$75.83 |
| 94150 |
|
34 |
31 |
$60.54 |
| A4570 |
Splint |
207 |
199 |
$52.00 |
| 99070 |
|
258 |
238 |
$27.01 |
| 84703 |
|
87 |
83 |
$9.24 |
| J7620 |
Albuterol ipratrop non-comp |
236 |
216 |
$0.03 |
| 73660 |
|
39 |
39 |
$0.00 |
| 99051 |
|
1,004 |
926 |
$0.00 |
| 73080 |
|
15 |
15 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
14 |
14 |
$0.00 |