| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
58,615 |
46,253 |
$3.92M |
| 99213 |
|
27,240 |
21,452 |
$1.69M |
| 99204 |
|
12,908 |
9,778 |
$675K |
| 99203 |
|
6,529 |
4,997 |
$303K |
| 99051 |
|
20,999 |
17,077 |
$139K |
| 87811 |
|
44,264 |
31,576 |
$43K |
| 87804 |
|
56,878 |
34,664 |
$37K |
| 99215 |
Prolong outpt/office vis |
380 |
285 |
$17K |
| 87880 |
|
43,193 |
30,507 |
$14K |
| 99212 |
|
357 |
266 |
$14K |
| 96372 |
|
9,904 |
6,943 |
$8K |
| 90792 |
|
183 |
138 |
$5K |
| 96127 |
|
18,597 |
13,379 |
$3K |
| 87807 |
|
10,112 |
7,257 |
$3K |
| 90834 |
|
51 |
42 |
$3K |
| 99205 |
Prolong outpt/office vis |
47 |
31 |
$2K |
| 81003 |
|
8,636 |
6,038 |
$712.98 |
| 82962 |
|
569 |
408 |
$650.86 |
| 71046 |
|
1,252 |
816 |
$508.72 |
| 81025 |
|
3,375 |
2,378 |
$503.56 |
| 73610 |
|
183 |
140 |
$415.64 |
| 73130 |
|
212 |
156 |
$271.13 |
| S9083 |
Urgent care center global |
205 |
177 |
$199.81 |
| 36415 |
|
1,026 |
713 |
$132.39 |
| 94640 |
|
764 |
559 |
$95.00 |
| 73562 |
|
162 |
122 |
$64.54 |
| 73140 |
|
14 |
12 |
$59.96 |
| 73630 |
|
293 |
204 |
$54.64 |
| 93000 |
|
363 |
264 |
$47.32 |
| 69209 |
|
133 |
99 |
$41.44 |
| 87426 |
|
6,838 |
4,026 |
$36.64 |
| J0696 |
Ceftriaxone sodium injection |
4,066 |
2,860 |
$36.44 |
| J1100 |
Dexamethasone sodium phos |
5,383 |
3,809 |
$33.24 |
| J1885 |
Ketorolac tromethamine inj |
2,717 |
1,930 |
$28.42 |
| 73030 |
|
38 |
24 |
$27.63 |
| 73110 |
|
88 |
65 |
$25.02 |
| J1030 |
Methylprednisolone 40 mg inj |
709 |
464 |
$22.58 |
| 29540 |
|
18 |
13 |
$19.62 |
| 86308 |
|
265 |
212 |
$17.78 |
| J3301 |
Triamcinolone acet inj nos |
58 |
44 |
$8.96 |
| 85018 |
|
50 |
38 |
$2.13 |
| J1010 |
Inj, methylpred acetate 1 mg |
72 |
65 |
$0.13 |
| 3351F |
|
8,695 |
7,339 |
$0.00 |
| 3354F |
|
239 |
196 |
$0.00 |
| 3352F |
|
1,425 |
1,270 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
260 |
189 |
$0.00 |
| 80053 |
|
54 |
46 |
$0.00 |
| J3490 |
Drugs unclassified injection |
52 |
31 |
$0.00 |
| 3353F |
|
1,278 |
1,099 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
204 |
143 |
$0.00 |
| 96161 |
|
59 |
53 |
$0.00 |
| A6449 |
Lt compres band >=3" <5"/yd |
49 |
33 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
81 |
42 |
$0.00 |
| 85025 |
|
73 |
63 |
$0.00 |
| J7614 |
Levalbuterol non-comp unit |
34 |
25 |
$0.00 |
| 99499 |
|
1,180 |
812 |
$0.00 |
| 3725F |
|
9,790 |
8,265 |
$0.00 |
| 87400 |
|
177 |
78 |
$0.00 |
| J2550 |
Promethazine hcl injection |
73 |
53 |
$0.00 |
| 80061 |
|
15 |
14 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |
| G0444 |
Depression screen annual |
27 |
24 |
$0.00 |