| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
44,866 |
41,103 |
$2.29M |
| 99203 |
|
18,477 |
18,445 |
$1.18M |
| 87880 |
|
7,057 |
6,949 |
$78K |
| 99214 |
|
822 |
812 |
$59K |
| 96372 |
|
6,166 |
5,976 |
$46K |
| 81025 |
|
7,807 |
7,526 |
$45K |
| 81002 |
|
11,097 |
10,742 |
$25K |
| 87804 |
|
1,767 |
1,751 |
$19K |
| 73130 |
|
772 |
759 |
$13K |
| 73630 |
|
763 |
753 |
$12K |
| 71046 |
|
739 |
732 |
$12K |
| 73610 |
|
338 |
337 |
$6K |
| 94640 |
|
1,069 |
1,045 |
$6K |
| J2930 |
Methylprednisolone injection |
996 |
983 |
$4K |
| 99202 |
|
95 |
95 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
1,996 |
1,933 |
$3K |
| J1040 |
Methylprednisolone 80 mg inj |
267 |
265 |
$2K |
| 73562 |
|
111 |
108 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
1,508 |
1,471 |
$1K |
| J1010 |
Inj, methylpred acetate 1 mg |
216 |
213 |
$1K |
| 99204 |
|
12 |
12 |
$1K |
| A7003 |
Nebulizer administration set |
596 |
583 |
$754.19 |
| 36415 |
|
158 |
158 |
$675.17 |
| 90714 |
|
25 |
25 |
$505.32 |
| J1030 |
Methylprednisolone 40 mg inj |
106 |
105 |
$443.82 |
| J2919 |
Inj, methylpred sod succ 5mg |
79 |
78 |
$379.06 |
| 90471 |
|
39 |
39 |
$324.43 |
| 82962 |
|
41 |
41 |
$84.48 |
| J7620 |
Albuterol ipratrop non-comp |
208 |
203 |
$0.00 |
| S9088 |
Services provided in urgent |
54 |
54 |
$0.00 |