| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Urgent care center global |
101,581 |
82,926 |
$14.08M |
| S9088 |
Services provided in urgent |
11,514 |
10,311 |
$1.21M |
| 99214 |
|
46,182 |
39,018 |
$1.06M |
| 99213 |
|
38,701 |
34,114 |
$1.00M |
| 87428 |
|
27,042 |
19,561 |
$268K |
| 99203 |
|
10,763 |
9,802 |
$262K |
| 99204 |
|
9,191 |
7,933 |
$219K |
| 87426 |
|
15,053 |
13,787 |
$204K |
| J0696 |
Ceftriaxone sodium injection |
2,556 |
2,243 |
$70K |
| 99212 |
|
5,207 |
4,754 |
$69K |
| A6449 |
Lt compres band >=3" <5"/yd |
1,652 |
1,582 |
$48K |
| 99215 |
Prolong outpt/office vis |
1,345 |
1,246 |
$40K |
| J1885 |
Ketorolac tromethamine inj |
1,387 |
1,253 |
$30K |
| 99202 |
|
2,629 |
2,390 |
$24K |
| 90471 |
|
1,257 |
1,148 |
$21K |
| A4565 |
Slings |
570 |
541 |
$19K |
| L3908 |
Who cock-up nonmolde pre ots |
797 |
760 |
$17K |
| E0114 |
Crutch underarm pair no wood |
1,018 |
968 |
$16K |
| A4570 |
Splint |
639 |
611 |
$13K |
| S0119 |
Ondansetron 4 mg |
1,001 |
845 |
$10K |
| 86580 |
|
1,039 |
941 |
$10K |
| 90686 |
|
577 |
509 |
$7K |
| L4350 |
Ankle control ortho pre ots |
728 |
705 |
$7K |
| L3260 |
Ambulatory surgical boot eac |
454 |
428 |
$6K |
| 99205 |
Prolong outpt/office vis |
158 |
147 |
$6K |
| 87880 |
|
27,035 |
22,367 |
$6K |
| J7030 |
Normal saline solution infus |
790 |
544 |
$6K |
| 10060 |
|
114 |
108 |
$4K |
| 99058 |
|
368 |
258 |
$3K |
| 71046 |
|
5,941 |
5,307 |
$3K |
| 87804 |
|
15,462 |
7,239 |
$3K |
| 81000 |
|
14,080 |
12,676 |
$2K |
| 80047 |
|
9,678 |
8,456 |
$2K |
| 81002 |
|
11,407 |
10,300 |
$2K |
| 96372 |
|
4,321 |
3,617 |
$1K |
| 85025 |
|
10,353 |
9,049 |
$1K |
| L4360 |
Pneumat walking boot pre cst |
242 |
232 |
$1K |
| 90715 |
|
327 |
314 |
$1K |
| 93000 |
|
2,901 |
2,652 |
$960.55 |
| 99211 |
|
237 |
224 |
$874.80 |
| 81025 |
|
9,215 |
8,448 |
$860.57 |
| 73564 |
|
1,543 |
1,398 |
$841.63 |
| 87210 |
|
9,107 |
8,387 |
$785.36 |
| 36415 |
|
10,981 |
9,576 |
$690.31 |
| 73610 |
|
1,536 |
1,468 |
$577.53 |
| 73630 |
|
1,101 |
1,035 |
$531.55 |
| 90656 |
|
45 |
45 |
$495.32 |
| 72050 |
|
714 |
675 |
$422.62 |
| 73130 |
|
601 |
560 |
$395.11 |
| 72110 |
|
595 |
562 |
$395.08 |
| 29125 |
|
60 |
53 |
$345.18 |
| L1830 |
Ko immob canvas long pre ots |
12 |
12 |
$309.18 |
| 94640 |
|
962 |
872 |
$280.10 |
| 73030 |
|
690 |
648 |
$226.55 |
| 94150 |
|
361 |
336 |
$219.77 |
| 87220 |
|
9,131 |
8,412 |
$204.41 |
| 74022 |
|
179 |
168 |
$200.94 |
| 73140 |
|
988 |
935 |
$182.63 |
| 86308 |
|
780 |
664 |
$180.82 |
| 12001 |
|
14 |
14 |
$171.44 |
| 99051 |
|
2,426 |
2,159 |
$142.00 |
| 73660 |
|
191 |
178 |
$140.35 |
| 99201 |
|
98 |
93 |
$139.95 |
| 96360 |
|
536 |
468 |
$119.58 |
| 73110 |
|
645 |
595 |
$113.00 |
| 96365 |
|
359 |
302 |
$77.61 |
| 99070 |
|
1,075 |
964 |
$72.00 |
| 71101 |
|
114 |
109 |
$61.62 |
| 73080 |
|
86 |
82 |
$26.19 |
| 85027 |
|
49 |
41 |
$12.68 |
| 84703 |
|
174 |
164 |
$9.24 |
| 85007 |
|
49 |
41 |
$6.74 |
| J7620 |
Albuterol ipratrop non-comp |
867 |
687 |
$0.21 |
| J7613 |
Albuterol non-comp unit |
45 |
40 |
$0.12 |
| 73502 |
|
14 |
14 |
$0.00 |
| J7120 |
Ringers lactate infusion |
97 |
69 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
121 |
111 |
$0.00 |