| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
25,879 |
23,546 |
$998K |
| S9083 |
Urgent care center global |
13,857 |
12,129 |
$957K |
| 99204 |
|
10,772 |
10,741 |
$743K |
| 99203 |
|
5,400 |
5,382 |
$304K |
| 99213 |
|
10,069 |
9,524 |
$244K |
| 99215 |
Prolong outpt/office vis |
516 |
504 |
$30K |
| 99205 |
Prolong outpt/office vis |
143 |
143 |
$12K |
| 96372 |
|
6,535 |
5,727 |
$5K |
| 94760 |
|
4,231 |
3,904 |
$3K |
| 81002 |
|
4,734 |
4,538 |
$583.50 |
| 94640 |
|
1,874 |
1,814 |
$431.45 |
| J1100 |
Dexamethasone sodium phos |
2,387 |
2,329 |
$410.82 |
| J0696 |
Ceftriaxone sodium injection |
1,539 |
1,497 |
$362.55 |
| J1885 |
Ketorolac tromethamine inj |
2,692 |
2,569 |
$344.21 |
| 99211 |
|
27 |
27 |
$330.54 |
| 71046 |
|
72 |
69 |
$217.95 |
| 87811 |
|
162 |
159 |
$206.49 |
| 87880 |
|
956 |
929 |
$181.03 |
| 99000 |
|
2,149 |
2,036 |
$85.32 |
| J2405 |
Ondansetron hcl injection |
90 |
86 |
$13.78 |
| 82962 |
|
41 |
41 |
$5.28 |
| J2550 |
Promethazine hcl injection |
581 |
348 |
$0.45 |
| J7613 |
Albuterol non-comp unit |
1,173 |
1,141 |
$0.29 |
| A7003 |
Nebulizer administration set |
141 |
140 |
$0.00 |
| 69210 |
|
12 |
12 |
$0.00 |
| 81025 |
|
14 |
14 |
$0.00 |
| J7610 |
Albuterol comp con |
38 |
38 |
$0.00 |
| A4465 |
Non-elastic extremity binder |
148 |
139 |
$0.00 |
| A4550 |
Surgical trays |
16 |
14 |
$0.00 |
| 71045 |
|
12 |
12 |
$0.00 |
| 73600 |
|
37 |
28 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
379 |
358 |
$0.00 |
| 87081 |
|
30 |
26 |
$0.00 |
| A4570 |
Splint |
28 |
26 |
$0.00 |
| 93000 |
|
25 |
25 |
$0.00 |
| 73120 |
|
20 |
15 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
159 |
156 |
$0.00 |