| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
|
902 |
887 |
$875K |
| 99213 |
|
4,256 |
3,998 |
$132K |
| 99203 |
|
2,772 |
2,628 |
$129K |
| 87502 |
|
586 |
562 |
$37K |
| 87635 |
|
741 |
651 |
$28K |
| 87651 |
|
1,131 |
1,076 |
$26K |
| 87880 |
|
808 |
753 |
$4K |
| 87070 |
|
589 |
563 |
$2K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
6,242 |
5,739 |
$316.90 |
| 87804 |
|
31 |
30 |
$250.20 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
612 |
598 |
$32.66 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
681 |
672 |
$23.90 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
453 |
450 |
$16.33 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
27 |
27 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
39 |
39 |
$0.00 |
| 82962 |
|
23 |
13 |
$0.00 |