| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
58,382 |
54,486 |
$5.14M |
| 99213 |
|
55,927 |
51,673 |
$4.58M |
| 99203 |
|
20,665 |
19,466 |
$1.80M |
| 99204 |
|
9,892 |
9,309 |
$936K |
| 87811 |
|
25,531 |
21,189 |
$338K |
| S9088 |
Services provided in urgent |
21,514 |
19,818 |
$189K |
| 87804 |
|
50,395 |
22,048 |
$146K |
| 87426 |
|
6,280 |
5,071 |
$80K |
| 87635 |
|
4,052 |
3,137 |
$71K |
| 99202 |
|
564 |
545 |
$54K |
| 87502 |
|
1,171 |
1,061 |
$49K |
| 99051 |
|
22,736 |
20,104 |
$47K |
| 99215 |
Prolong outpt/office vis |
424 |
405 |
$40K |
| 87880 |
|
14,945 |
12,894 |
$39K |
| 96372 |
|
14,751 |
11,626 |
$30K |
| 71046 |
|
2,776 |
2,457 |
$11K |
| 81025 |
|
6,319 |
5,661 |
$8K |
| 99211 |
|
67 |
57 |
$6K |
| 81003 |
|
11,696 |
9,984 |
$5K |
| 87807 |
|
1,479 |
1,334 |
$5K |
| 99212 |
|
46 |
46 |
$4K |
| 87651 |
|
134 |
125 |
$3K |
| J1100 |
Dexamethasone sodium phos |
7,057 |
6,055 |
$2K |
| 73610 |
|
294 |
266 |
$705.60 |
| 73630 |
|
251 |
247 |
$568.40 |
| J0696 |
Ceftriaxone sodium injection |
2,191 |
1,612 |
$566.93 |
| 94640 |
|
370 |
330 |
$513.97 |
| E0114 |
Crutch underarm pair no wood |
86 |
76 |
$445.72 |
| A7003 |
Nebulizer administration set |
436 |
376 |
$81.60 |
| A6449 |
Lt compres band >=3" <5"/yd |
803 |
730 |
$6.07 |
| J7613 |
Albuterol non-comp unit |
298 |
159 |
$1.62 |
| A9150 |
Misc/exper non-prescript dru |
2,601 |
2,214 |
$0.92 |
| 73130 |
|
41 |
37 |
$0.00 |
| L3670 |
So acro/clav can web pre ots |
13 |
12 |
$0.00 |
| 74018 |
|
13 |
12 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
12 |
12 |
$0.00 |
| 72100 |
|
14 |
14 |
$0.00 |
| 99000 |
|
738 |
674 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
258 |
129 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
94 |
28 |
$0.00 |
| 73560 |
|
30 |
30 |
$0.00 |