| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
20,538 |
18,924 |
$609K |
| 99203 |
|
4,005 |
3,643 |
$200K |
| 87811 |
|
5,791 |
5,492 |
$148K |
| 99214 |
|
2,845 |
2,656 |
$128K |
| 87880 |
|
12,810 |
12,130 |
$119K |
| 96372 |
|
6,946 |
6,319 |
$98K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,786 |
3,493 |
$73K |
| 99212 |
|
2,159 |
2,010 |
$47K |
| 87804 |
|
4,979 |
2,318 |
$44K |
| 99202 |
|
887 |
821 |
$30K |
| 99204 |
|
382 |
314 |
$23K |
| 87635 |
|
418 |
354 |
$10K |
| 87651 |
|
113 |
111 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,512 |
1,409 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,059 |
963 |
$1K |
| 71046 |
|
84 |
82 |
$1K |
| 87807 |
|
142 |
129 |
$961.70 |
| 87634 |
|
20 |
19 |
$716.04 |
| 69210 |
|
29 |
25 |
$345.01 |
| 81002 |
|
863 |
826 |
$170.84 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
162 |
112 |
$53.12 |
| 81000 |
|
67 |
59 |
$24.87 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
40 |
38 |
$13.40 |