| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
242,283 |
226,570 |
$22.93M |
| 99213 |
|
249,840 |
232,620 |
$19.22M |
| 99203 |
|
74,737 |
72,407 |
$6.81M |
| 99204 |
|
40,356 |
38,858 |
$4.64M |
| 99202 |
|
35,256 |
34,712 |
$2.59M |
| 87428 |
|
93,379 |
88,485 |
$2.46M |
| S9088 |
Services provided in urgent |
247,377 |
224,119 |
$2.45M |
| 99212 |
|
32,362 |
30,416 |
$2.15M |
| 99051 |
|
153,229 |
145,240 |
$1.63M |
| 87426 |
|
55,767 |
53,540 |
$1.17M |
| 87880 |
|
121,221 |
115,513 |
$1.16M |
| 71046 |
|
41,889 |
39,591 |
$731K |
| 99050 |
|
32,555 |
30,262 |
$600K |
| 87804 |
|
65,120 |
31,164 |
$594K |
| 99215 |
Prolong outpt/office vis |
4,195 |
3,953 |
$509K |
| 85025 |
|
81,340 |
76,377 |
$427K |
| 80047 |
|
48,383 |
45,556 |
$288K |
| S9083 |
Urgent care center global |
2,565 |
2,334 |
$275K |
| 86580 |
|
7,404 |
6,842 |
$265K |
| 99201 |
|
3,767 |
3,637 |
$253K |
| 99058 |
|
41,478 |
36,533 |
$229K |
| 36415 |
|
111,889 |
104,525 |
$196K |
| 99205 |
Prolong outpt/office vis |
1,455 |
1,378 |
$189K |
| 99211 |
|
3,656 |
3,496 |
$166K |
| 96372 |
|
17,748 |
16,252 |
$161K |
| 81000 |
|
53,919 |
50,381 |
$143K |
| 73564 |
|
6,242 |
5,648 |
$142K |
| L3908 |
Who cock-up nonmolde pre ots |
3,573 |
3,424 |
$136K |
| E0114 |
Crutch underarm pair no wood |
4,062 |
3,935 |
$124K |
| 73610 |
|
6,307 |
5,962 |
$123K |
| 81025 |
|
21,624 |
20,666 |
$112K |
| 73630 |
|
6,008 |
5,638 |
$108K |
| 10060 |
|
989 |
941 |
$107K |
| 90686 |
|
5,316 |
5,186 |
$107K |
| 93000 |
|
13,311 |
12,717 |
$107K |
| L4350 |
Ankle control ortho pre ots |
2,222 |
2,130 |
$103K |
| 29125 |
|
1,710 |
1,627 |
$101K |
| 90471 |
|
11,431 |
10,947 |
$99K |
| 90715 |
|
3,192 |
3,096 |
$96K |
| 81002 |
|
41,517 |
39,508 |
$87K |
| L4360 |
Pneumat walking boot pre cst |
727 |
702 |
$85K |
| 73110 |
|
3,947 |
3,703 |
$85K |
| 12001 |
|
895 |
863 |
$84K |
| 72110 |
|
3,370 |
3,240 |
$83K |
| 73140 |
|
4,178 |
3,964 |
$83K |
| 87210 |
|
23,872 |
22,515 |
$82K |
| 72050 |
|
2,630 |
2,524 |
$68K |
| 73130 |
|
3,549 |
3,316 |
$67K |
| 73030 |
|
3,569 |
3,343 |
$59K |
| J0561 |
Penicillin g benzathine inj |
288 |
229 |
$54K |
| L3260 |
Ambulatory surgical boot eac |
2,416 |
2,320 |
$53K |
| 87220 |
|
24,643 |
23,254 |
$52K |
| L1830 |
Ko immob canvas long pre ots |
968 |
927 |
$38K |
| 84703 |
|
6,219 |
5,999 |
$36K |
| 94640 |
|
3,863 |
3,630 |
$33K |
| 74022 |
|
1,208 |
1,136 |
$32K |
| 94150 |
|
2,411 |
2,284 |
$31K |
| 73080 |
|
1,770 |
1,677 |
$31K |
| 73660 |
|
1,827 |
1,732 |
$30K |
| 74018 |
|
1,946 |
1,850 |
$30K |
| A4570 |
Splint |
3,158 |
3,053 |
$28K |
| 90714 |
|
1,251 |
1,190 |
$28K |
| 29515 |
|
411 |
395 |
$28K |
| 73502 |
|
1,028 |
969 |
$24K |
| 71101 |
|
1,114 |
1,074 |
$23K |
| A4565 |
Slings |
3,557 |
3,429 |
$22K |
| 96360 |
|
1,096 |
1,022 |
$19K |
| 85027 |
|
3,330 |
3,164 |
$14K |
| J1885 |
Ketorolac tromethamine inj |
8,719 |
8,242 |
$13K |
| 90746 |
|
232 |
226 |
$12K |
| 86308 |
|
3,223 |
3,082 |
$11K |
| 90734 |
|
140 |
139 |
$10K |
| 72070 |
|
468 |
453 |
$9K |
| 73590 |
|
513 |
472 |
$9K |
| J0696 |
Ceftriaxone sodium injection |
5,754 |
5,440 |
$8K |
| 85007 |
|
3,328 |
3,162 |
$8K |
| A6449 |
Lt compres band >=3" <5"/yd |
5,404 |
5,235 |
$8K |
| 90619 |
|
51 |
50 |
$7K |
| 73090 |
|
366 |
342 |
$6K |
| 99395 |
|
59 |
57 |
$5K |
| 0012A |
|
76 |
75 |
$4K |
| 0011A |
|
91 |
86 |
$4K |
| 99070 |
|
4,254 |
4,070 |
$3K |
| 12002 |
|
29 |
27 |
$3K |
| 16020 |
|
25 |
25 |
$3K |
| 90472 |
|
399 |
383 |
$3K |
| 71045 |
|
27 |
24 |
$2K |
| 36416 |
|
4,109 |
3,930 |
$2K |
| J7030 |
Normal saline solution infus |
1,289 |
1,023 |
$2K |
| 12011 |
|
12 |
12 |
$1K |
| 82948 |
|
276 |
261 |
$1K |
| 69200 |
|
13 |
13 |
$1K |
| A9273 |
Hot/cold botle/cap/col/wrap |
517 |
501 |
$1K |
| J7510 |
Prednisolone oral per 5 mg |
1,274 |
1,217 |
$949.08 |
| S0119 |
Ondansetron 4 mg |
3,204 |
3,065 |
$752.31 |
| 90662 |
|
15 |
15 |
$466.26 |
| J2550 |
Promethazine hcl injection |
286 |
261 |
$423.27 |
| 70150 |
|
13 |
13 |
$354.88 |
| J7620 |
Albuterol ipratrop non-comp |
2,590 |
2,227 |
$291.35 |
| 82270 |
|
71 |
69 |
$232.07 |
| A6257 |
Transparent film <= 16 sq in |
163 |
152 |
$220.92 |
| 90656 |
|
18 |
17 |
$150.00 |
| J2405 |
Ondansetron hcl injection |
639 |
593 |
$144.78 |
| A9284 |
Non-electronic spirometer |
36 |
36 |
$126.08 |
| J7613 |
Albuterol non-comp unit |
1,571 |
1,452 |
$109.80 |
| 99000 |
|
1,368 |
1,304 |
$89.14 |
| 85651 |
|
12 |
12 |
$28.93 |