| Code | Description | Claims | Beneficiaries | Total Paid |
| S9083 |
Global fee urgent care centers |
31,165 |
26,214 |
$4.27M |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
6,896 |
6,183 |
$768K |
| 99213 |
|
14,667 |
13,062 |
$560K |
| 99214 |
|
15,705 |
13,567 |
$544K |
| 99203 |
|
3,844 |
3,561 |
$143K |
| 99204 |
|
3,091 |
2,689 |
$108K |
| 87428 |
|
11,113 |
8,532 |
$86K |
| 87426 |
|
5,652 |
5,211 |
$60K |
| 99212 |
|
2,132 |
1,938 |
$40K |
| 99215 |
Prolong outpt/office vis |
818 |
739 |
$32K |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
713 |
686 |
$8K |
| 99202 |
|
756 |
715 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
490 |
451 |
$4K |
| A4565 |
Slings |
147 |
144 |
$3K |
| 87880 |
|
11,143 |
9,304 |
$3K |
| 90471 |
|
181 |
167 |
$2K |
| 99058 |
|
243 |
149 |
$2K |
| 71046 |
|
3,516 |
3,077 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
188 |
178 |
$2K |
| A4570 |
Splint |
126 |
123 |
$1K |
| 87804 |
|
6,377 |
3,013 |
$1K |
| 81025 |
|
4,241 |
3,913 |
$1K |
| 81000 |
|
4,753 |
4,323 |
$1K |
| 90686 |
|
92 |
87 |
$1K |
| 80047 |
|
3,831 |
3,411 |
$880.98 |
| 86580 |
|
39 |
39 |
$804.00 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$787.22 |
| 81002 |
|
4,122 |
3,744 |
$702.26 |
| 85025 |
|
3,963 |
3,511 |
$642.90 |
| 73610 |
|
565 |
526 |
$627.30 |
| 93000 |
|
1,073 |
976 |
$306.10 |
| 96372 |
|
1,229 |
1,101 |
$210.67 |
| 36415 |
|
4,140 |
3,665 |
$187.53 |
| 73630 |
|
349 |
332 |
$172.84 |
| 87210 |
|
2,551 |
2,406 |
$106.29 |
| 99201 |
|
46 |
44 |
$93.30 |
| 73140 |
|
167 |
159 |
$88.17 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
13 |
13 |
$84.70 |
| 87220 |
|
2,560 |
2,415 |
$83.15 |
| 94640 |
|
285 |
261 |
$57.19 |
| 73030 |
|
66 |
64 |
$54.14 |
| 90715 |
|
28 |
27 |
$36.16 |
| 73564 |
|
476 |
445 |
$31.59 |
| 99070 |
|
322 |
274 |
$26.00 |
| L3260 |
Surgical boot/shoe, each |
57 |
56 |
$22.02 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
168 |
142 |
$0.38 |
| 73110 |
|
37 |
37 |
$0.00 |
| 99051 |
|
1,763 |
1,533 |
$0.00 |
| 72050 |
|
64 |
61 |
$0.00 |
| 72110 |
|
32 |
30 |
$0.00 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
133 |
119 |
$0.00 |
| A9273 |
Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type |
13 |
12 |
$0.00 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
61 |
57 |
$0.00 |
| 73130 |
|
26 |
26 |
$0.00 |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
63 |
62 |
$0.00 |