| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
23,021 |
20,982 |
$1.29M |
| 99213 |
|
9,575 |
9,145 |
$415K |
| 99203 |
|
4,088 |
4,071 |
$263K |
| 99204 |
|
2,424 |
2,400 |
$248K |
| 71046 |
|
4,255 |
3,244 |
$60K |
| 87811 |
|
1,664 |
1,610 |
$55K |
| 87880 |
|
3,771 |
3,694 |
$47K |
| 96372 |
|
3,159 |
2,410 |
$31K |
| 87804 |
|
2,495 |
1,372 |
$30K |
| 99215 |
Prolong outpt/office vis |
430 |
392 |
$28K |
| 74019 |
|
1,011 |
822 |
$20K |
| 81025 |
|
3,018 |
2,859 |
$18K |
| 85025 |
|
2,964 |
1,675 |
$11K |
| 99202 |
|
256 |
256 |
$10K |
| 81000 |
|
3,178 |
3,059 |
$9K |
| 73130 |
|
473 |
375 |
$9K |
| 94640 |
|
850 |
785 |
$8K |
| 73630 |
|
468 |
369 |
$8K |
| 80053 |
|
1,849 |
1,730 |
$7K |
| 96360 |
|
303 |
272 |
$7K |
| ATP14 |
|
882 |
848 |
$5K |
| 73610 |
|
236 |
190 |
$4K |
| 86328 |
|
107 |
106 |
$3K |
| 73562 |
|
159 |
118 |
$3K |
| 81002 |
|
1,791 |
1,676 |
$3K |
| 72100 |
|
146 |
120 |
$2K |
| 93000 |
|
160 |
154 |
$2K |
| 99212 |
|
77 |
76 |
$2K |
| 99205 |
Prolong outpt/office vis |
14 |
12 |
$1K |
| 96374 |
|
54 |
45 |
$1K |
| J7040 |
Normal saline solution infus |
329 |
285 |
$1K |
| 99211 |
|
112 |
108 |
$795.20 |
| 73110 |
|
39 |
25 |
$763.44 |
| 29126 |
|
15 |
14 |
$558.00 |
| 83690 |
|
113 |
107 |
$531.71 |
| 82150 |
|
111 |
106 |
$465.55 |
| J0696 |
Ceftriaxone sodium injection |
499 |
449 |
$252.23 |
| 72040 |
|
13 |
12 |
$243.04 |
| J1885 |
Ketorolac tromethamine inj |
976 |
918 |
$156.87 |
| 85027 |
|
31 |
30 |
$153.40 |
| 36415 |
|
777 |
713 |
$103.90 |
| A7003 |
Nebulizer administration set |
374 |
356 |
$101.76 |
| 85007 |
|
31 |
30 |
$81.38 |
| J7620 |
Albuterol ipratrop non-comp |
617 |
580 |
$37.17 |
| J1100 |
Dexamethasone sodium phos |
907 |
859 |
$33.44 |
| Q4049 |
Finger splint, static |
12 |
12 |
$18.48 |
| J7644 |
Ipratropium bromide non-comp |
163 |
157 |
$11.24 |
| A6455 |
Self-adher band >=5"/yd |
649 |
602 |
$9.99 |
| 80047 |
|
12 |
12 |
$2.70 |
| J8499 |
Oral prescrip drug non chemo |
96 |
90 |
$0.00 |
| E0114 |
Crutch underarm pair no wood |
12 |
12 |
$0.00 |
| A6442 |
Conform band n/s w<3"/yd |
61 |
53 |
$0.00 |
| Q4022 |
Cast sup sht arm splint fbrg |
13 |
12 |
$0.00 |