| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Urgent care center global |
18,221 |
17,127 |
$1.11M |
| 99204 |
|
18,574 |
18,379 |
$949K |
| 99214 |
|
15,956 |
15,273 |
$642K |
| 99213 |
|
15,786 |
15,076 |
$622K |
| 99203 |
|
10,514 |
10,424 |
$515K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,463 |
2,394 |
$57K |
| 96372 |
|
4,838 |
4,621 |
$27K |
| 87804 |
|
5,274 |
2,739 |
$15K |
| 81003 |
|
4,280 |
4,117 |
$13K |
| 81025 |
|
2,767 |
2,725 |
$12K |
| 87880 |
|
3,530 |
3,489 |
$11K |
| J1885 |
Ketorolac tromethamine inj |
1,576 |
1,540 |
$7K |
| J2930 |
Methylprednisolone injection |
806 |
792 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
1,161 |
1,133 |
$5K |
| 81002 |
|
946 |
935 |
$4K |
| A4320 |
Irrigation tray |
1,020 |
954 |
$3K |
| A9150 |
Misc/exper non-prescript dru |
839 |
813 |
$3K |
| 93000 |
|
281 |
280 |
$2K |
| J8499 |
Oral prescrip drug non chemo |
264 |
240 |
$2K |
| 94640 |
|
387 |
364 |
$1K |
| 71046 |
|
154 |
153 |
$1K |
| J7613 |
Albuterol non-comp unit |
297 |
289 |
$1K |
| 73610 |
|
188 |
183 |
$1K |
| T1013 |
Sign lang/oral interpreter |
292 |
290 |
$1K |
| 87426 |
|
67 |
66 |
$1K |
| 36415 |
|
606 |
598 |
$992.83 |
| 87591 |
|
262 |
262 |
$969.23 |
| 90714 |
|
198 |
198 |
$937.21 |
| 99202 |
|
16 |
16 |
$892.79 |
| 90471 |
|
160 |
159 |
$878.82 |
| 87491 |
|
264 |
263 |
$851.23 |
| A6448 |
Lt compres band <3"/yd |
187 |
187 |
$586.50 |
| 73630 |
|
94 |
93 |
$444.18 |
| A7003 |
Nebulizer administration set |
241 |
235 |
$399.65 |
| 73600 |
|
45 |
43 |
$376.08 |
| 73564 |
|
41 |
40 |
$344.28 |
| 82962 |
|
84 |
83 |
$339.14 |
| 69209 |
|
115 |
114 |
$305.33 |
| J7644 |
Ipratropium bromide non-comp |
145 |
140 |
$300.22 |
| 87389 |
|
100 |
100 |
$281.16 |
| 87661 |
|
108 |
108 |
$213.78 |
| A9273 |
Hot/cold botle/cap/col/wrap |
49 |
49 |
$173.00 |
| 86803 |
|
82 |
82 |
$156.49 |
| 73130 |
|
38 |
38 |
$150.28 |
| 87273 |
|
103 |
103 |
$130.40 |
| 73120 |
|
26 |
26 |
$112.30 |
| 73620 |
|
12 |
12 |
$112.30 |
| 86592 |
|
101 |
101 |
$92.72 |
| 86308 |
|
12 |
12 |
$70.00 |
| A4550 |
Surgical trays |
24 |
24 |
$70.00 |
| 87635 |
|
12 |
12 |
$51.31 |
| 87340 |
|
62 |
62 |
$45.42 |
| 97110 |
|
14 |
14 |
$32.88 |
| A6220 |
Gauze >16 <=48 sq in w/bordr |
12 |
12 |
$8.28 |
| J7040 |
Normal saline solution infus |
12 |
12 |
$5.83 |
| 85048 |
|
38 |
38 |
$2.28 |
| 73140 |
|
25 |
25 |
$0.00 |