| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
102,272 |
98,861 |
$8.84M |
| 99203 |
|
42,902 |
42,806 |
$3.72M |
| 99214 |
|
13,528 |
13,023 |
$1.17M |
| 99204 |
|
6,379 |
6,367 |
$555K |
| 99212 |
|
6,389 |
6,274 |
$464K |
| 87426 |
|
18,747 |
18,434 |
$28K |
| 96372 |
|
13,268 |
12,767 |
$23K |
| 87428 |
|
8,810 |
8,735 |
$18K |
| 81002 |
|
13,967 |
13,748 |
$11K |
| 99215 |
Prolong outpt/office vis |
77 |
76 |
$11K |
| 99202 |
|
116 |
116 |
$10K |
| 99211 |
|
127 |
127 |
$7K |
| 87880 |
|
2,445 |
2,432 |
$4K |
| 99205 |
Prolong outpt/office vis |
29 |
28 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
3,608 |
3,518 |
$4K |
| J1100 |
Dexamethasone sodium phos |
4,068 |
4,012 |
$4K |
| 71046 |
|
2,093 |
2,067 |
$3K |
| 93000 |
|
441 |
434 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
2,816 |
2,689 |
$2K |
| 81025 |
|
5,853 |
5,784 |
$2K |
| 94640 |
|
903 |
874 |
$1K |
| 99000 |
|
833 |
818 |
$953.27 |
| 98966 |
|
20 |
20 |
$735.00 |
| 72110 |
|
54 |
54 |
$305.23 |
| 73610 |
|
226 |
225 |
$298.11 |
| 73130 |
|
228 |
226 |
$280.14 |
| 99070 |
|
543 |
535 |
$255.00 |
| 87430 |
|
598 |
596 |
$255.00 |
| 10060 |
|
27 |
26 |
$211.09 |
| 73630 |
|
156 |
154 |
$184.17 |
| J7611 |
Albuterol non-comp con |
209 |
204 |
$170.14 |
| 73110 |
|
42 |
41 |
$170.00 |
| 82948 |
|
72 |
70 |
$170.00 |
| 36415 |
|
626 |
615 |
$170.00 |
| A7003 |
Nebulizer administration set |
73 |
71 |
$85.00 |
| 73562 |
|
37 |
36 |
$85.00 |
| 73030 |
|
12 |
12 |
$51.20 |
| 73620 |
|
12 |
12 |
$40.00 |
| 87804 |
|
6,582 |
4,200 |
$37.70 |
| G2023 |
Specimen collect covid-19 |
33 |
33 |
$18.77 |
| J3301 |
Triamcinolone acet inj nos |
97 |
97 |
$17.56 |
| J7620 |
Albuterol ipratrop non-comp |
197 |
185 |
$0.09 |
| S0119 |
Ondansetron 4 mg |
190 |
189 |
$0.00 |
| 90714 |
|
16 |
16 |
$0.00 |
| S0077 |
Injection, clindamycin phosp |
17 |
16 |
$0.00 |
| 99173 |
|
24 |
24 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
13 |
13 |
$0.00 |
| A6451 |
Mod compres band w>=3"<5"/yd |
20 |
20 |
$0.00 |
| 72100 |
|
12 |
12 |
$0.00 |
| 99051 |
|
16 |
15 |
$0.00 |
| J8540 |
Oral dexamethasone |
162 |
159 |
$0.00 |
| Q4051 |
Splint supplies misc |
44 |
44 |
$0.00 |
| Q0162 |
Ondansetron oral |
38 |
38 |
$0.00 |
| A6449 |
Lt compres band >=3" <5"/yd |
30 |
30 |
$0.00 |
| A9150 |
Misc/exper non-prescript dru |
44 |
43 |
$0.00 |
| A6448 |
Lt compres band <3"/yd |
48 |
47 |
$0.00 |