| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
119,151 |
112,932 |
$5.79M |
| 99214 |
|
64,605 |
62,020 |
$4.01M |
| 99203 |
|
39,908 |
39,703 |
$2.40M |
| 99204 |
|
4,595 |
4,588 |
$417K |
| 87880 |
|
30,472 |
29,972 |
$397K |
| 87428 |
|
6,330 |
6,283 |
$228K |
| 87426 |
|
7,981 |
7,911 |
$228K |
| 99202 |
|
4,401 |
4,352 |
$176K |
| 12001 |
|
1,775 |
1,755 |
$91K |
| 96372 |
|
9,893 |
8,716 |
$83K |
| 87804 |
|
4,745 |
2,995 |
$77K |
| 81025 |
|
11,089 |
10,875 |
$74K |
| 99212 |
|
1,984 |
1,956 |
$57K |
| 10060 |
|
726 |
720 |
$48K |
| 81003 |
|
26,325 |
25,605 |
$46K |
| 94640 |
|
5,431 |
5,110 |
$39K |
| 99215 |
Prolong outpt/office vis |
435 |
434 |
$39K |
| 71046 |
|
3,178 |
3,118 |
$35K |
| 90471 |
|
2,705 |
2,564 |
$28K |
| 12011 |
|
335 |
334 |
$21K |
| 93005 |
|
5,398 |
5,329 |
$20K |
| 90715 |
|
684 |
675 |
$20K |
| 73630 |
|
1,257 |
1,227 |
$17K |
| 73610 |
|
1,142 |
1,116 |
$16K |
| 69209 |
|
1,440 |
1,413 |
$14K |
| 73130 |
|
770 |
753 |
$11K |
| 90686 |
|
454 |
452 |
$8K |
| 82947 |
|
3,121 |
3,080 |
$8K |
| 73140 |
|
453 |
444 |
$8K |
| 36415 |
|
1,619 |
1,607 |
$7K |
| 73110 |
|
442 |
436 |
$7K |
| 90714 |
|
314 |
314 |
$7K |
| 12002 |
|
97 |
97 |
$6K |
| 86308 |
|
1,226 |
1,214 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
4,821 |
4,548 |
$5K |
| 0064A |
|
124 |
124 |
$4K |
| 0001A |
|
106 |
105 |
$4K |
| 0002A |
|
104 |
103 |
$4K |
| J2360 |
Orphenadrine injection |
591 |
576 |
$3K |
| J2930 |
Methylprednisolone injection |
566 |
539 |
$3K |
| 0031A |
|
63 |
63 |
$2K |
| 91322 |
|
20 |
20 |
$2K |
| 29125 |
|
68 |
68 |
$2K |
| 90739 |
|
13 |
13 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,826 |
1,793 |
$2K |
| 73562 |
|
103 |
100 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
1,750 |
1,691 |
$2K |
| 90480 |
|
34 |
34 |
$1K |
| 99211 |
|
101 |
101 |
$1K |
| 90656 |
|
53 |
53 |
$1K |
| 73030 |
|
84 |
80 |
$1K |
| 0004A |
|
20 |
20 |
$759.15 |
| 84703 |
|
110 |
105 |
$635.60 |
| 0054A |
|
17 |
17 |
$562.95 |
| 0124A |
|
14 |
14 |
$488.74 |
| 0052A |
|
14 |
14 |
$451.75 |
| 0011A |
|
13 |
13 |
$381.08 |
| 90688 |
|
17 |
17 |
$285.62 |
| 73080 |
|
12 |
12 |
$175.84 |
| 86580 |
|
25 |
25 |
$150.78 |
| J7620 |
Albuterol ipratrop non-comp |
3,122 |
2,959 |
$133.49 |
| 15853 |
|
14 |
14 |
$94.76 |
| 36416 |
|
1,534 |
1,527 |
$90.36 |
| J7613 |
Albuterol non-comp unit |
1,072 |
1,021 |
$68.58 |
| 82962 |
|
24 |
24 |
$65.12 |
| 81002 |
|
15 |
15 |
$15.80 |
| J7050 |
Normal saline solution infus |
13 |
12 |
$15.65 |
| J2919 |
Inj, methylpred sod succ 5mg |
16 |
16 |
$4.58 |
| S9088 |
Services provided in urgent |
1,933 |
1,696 |
$0.00 |
| 91301 |
|
43 |
43 |
$0.00 |
| 1036F |
|
22 |
22 |
$0.00 |
| 3017F |
|
18 |
18 |
$0.00 |
| 91303 |
|
61 |
61 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
68 |
68 |
$0.00 |
| G8484 |
Flu immunize no admin |
43 |
43 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
47 |
47 |
$0.00 |
| 91300 |
|
256 |
240 |
$0.00 |