| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Urgent care center global |
152,530 |
119,475 |
$13.29M |
| 99214 |
|
93,679 |
72,829 |
$2.58M |
| 99213 |
|
67,390 |
54,937 |
$1.75M |
| S9088 |
Services provided in urgent |
21,249 |
17,679 |
$661K |
| 99203 |
|
22,640 |
17,914 |
$183K |
| 99212 |
|
13,981 |
11,002 |
$144K |
| 99202 |
|
17,248 |
13,928 |
$113K |
| 99204 |
|
3,016 |
2,852 |
$113K |
| 87428 |
|
7,809 |
7,295 |
$100K |
| 87880 |
|
36,178 |
26,456 |
$70K |
| 85025 |
|
23,563 |
18,986 |
$60K |
| 71046 |
|
17,218 |
12,275 |
$58K |
| 81000 |
|
22,038 |
17,795 |
$53K |
| 81002 |
|
17,982 |
14,942 |
$53K |
| 93000 |
|
7,171 |
6,032 |
$40K |
| 87426 |
|
11,512 |
10,141 |
$26K |
| 73564 |
|
3,224 |
2,373 |
$24K |
| 36415 |
|
27,354 |
22,413 |
$24K |
| 90471 |
|
2,382 |
2,099 |
$23K |
| 73630 |
|
2,662 |
2,053 |
$14K |
| 80047 |
|
21,854 |
17,650 |
$11K |
| 87804 |
|
52,210 |
18,896 |
$10K |
| 96372 |
|
5,881 |
4,611 |
$9K |
| 73610 |
|
2,529 |
1,992 |
$9K |
| 73030 |
|
1,745 |
1,345 |
$7K |
| A6449 |
Lt compres band >=3" <5"/yd |
2,681 |
2,336 |
$6K |
| 99215 |
Prolong outpt/office vis |
831 |
790 |
$5K |
| 73110 |
|
1,401 |
1,125 |
$4K |
| 99058 |
|
26,636 |
20,633 |
$4K |
| 99201 |
|
2,456 |
1,904 |
$3K |
| 71101 |
|
565 |
400 |
$2K |
| 87220 |
|
11,285 |
9,133 |
$2K |
| 99070 |
|
1,582 |
1,351 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
2,073 |
1,693 |
$2K |
| 73130 |
|
1,206 |
961 |
$2K |
| 81025 |
|
10,899 |
8,715 |
$2K |
| A4565 |
Slings |
1,426 |
1,227 |
$2K |
| 94640 |
|
1,114 |
834 |
$2K |
| 99051 |
|
6,703 |
6,432 |
$2K |
| 72050 |
|
1,219 |
943 |
$2K |
| 72110 |
|
1,199 |
933 |
$1K |
| 85027 |
|
1,715 |
1,356 |
$1K |
| 90714 |
|
167 |
146 |
$1K |
| 73660 |
|
610 |
462 |
$1K |
| 73502 |
|
249 |
185 |
$1K |
| 94150 |
|
684 |
566 |
$1K |
| 73140 |
|
1,447 |
1,111 |
$1K |
| 87210 |
|
11,202 |
9,053 |
$1K |
| 29125 |
|
652 |
548 |
$949.50 |
| G0008 |
Admin influenza virus vac |
206 |
176 |
$949.49 |
| 90686 |
|
1,280 |
1,055 |
$932.39 |
| 99205 |
Prolong outpt/office vis |
96 |
94 |
$775.00 |
| J0696 |
Ceftriaxone sodium injection |
2,410 |
1,874 |
$696.40 |
| 90715 |
|
866 |
699 |
$674.88 |
| 73080 |
|
430 |
341 |
$549.46 |
| 99211 |
|
1,172 |
978 |
$519.62 |
| 85007 |
|
1,696 |
1,358 |
$495.47 |
| 10060 |
|
315 |
251 |
$384.94 |
| J7620 |
Albuterol ipratrop non-comp |
700 |
563 |
$369.66 |
| 82948 |
|
97 |
82 |
$289.48 |
| 73590 |
|
143 |
99 |
$212.88 |
| J7030 |
Normal saline solution infus |
444 |
304 |
$176.78 |
| A6257 |
Transparent film <= 16 sq in |
83 |
61 |
$154.43 |
| A9273 |
Hot/cold botle/cap/col/wrap |
241 |
201 |
$137.25 |
| 74022 |
|
421 |
320 |
$101.65 |
| 36416 |
|
170 |
139 |
$100.32 |
| 96360 |
|
368 |
293 |
$97.01 |
| 84703 |
|
887 |
713 |
$54.67 |
| 74018 |
|
374 |
264 |
$42.42 |
| 29515 |
|
199 |
149 |
$40.97 |
| 73090 |
|
56 |
43 |
$36.30 |
| 72070 |
|
88 |
63 |
$33.55 |
| 12001 |
|
193 |
143 |
$29.70 |
| 86580 |
|
1,183 |
894 |
$26.19 |
| A4570 |
Splint |
1,007 |
800 |
$12.00 |
| L3908 |
Who cock-up nonmolde pre ots |
1,010 |
860 |
$0.08 |
| E0114 |
Crutch underarm pair no wood |
1,651 |
1,398 |
$0.07 |
| L3260 |
Ambulatory surgical boot eac |
952 |
803 |
$0.07 |
| S0119 |
Ondansetron 4 mg |
1,049 |
831 |
$0.04 |
| L4350 |
Ankle control ortho pre ots |
711 |
606 |
$0.03 |
| L4360 |
Pneumat walking boot pre cst |
136 |
119 |
$0.02 |
| L0120 |
Cerv flex n/adj foam pre ots |
29 |
27 |
$0.02 |
| J2405 |
Ondansetron hcl injection |
146 |
112 |
$0.01 |
| 86308 |
|
635 |
488 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
245 |
191 |
$0.00 |
| 96365 |
|
43 |
28 |
$0.00 |
| 99050 |
|
34 |
29 |
$0.00 |
| 12002 |
|
37 |
29 |
$0.00 |
| L1830 |
Ko immob canvas long pre ots |
400 |
317 |
$0.00 |
| 12011 |
|
33 |
24 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
77 |
56 |
$0.00 |