| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
13,971 |
10,714 |
$737K |
| 99213 |
|
13,393 |
9,543 |
$474K |
| T1015 |
Clinic visit/encounter, all-inclusive |
20,924 |
14,975 |
$312K |
| 87502 |
|
2,275 |
1,689 |
$136K |
| 87635 |
|
3,547 |
2,583 |
$119K |
| 99215 |
Prolong outpt/office vis |
434 |
348 |
$32K |
| 87651 |
|
1,269 |
1,093 |
$32K |
| 90792 |
|
259 |
232 |
$25K |
| 99395 |
|
132 |
107 |
$13K |
| 99406 |
|
1,087 |
848 |
$12K |
| 99396 |
|
100 |
86 |
$9K |
| 87804 |
|
931 |
376 |
$7K |
| 99391 |
|
80 |
66 |
$6K |
| 87880 |
|
670 |
425 |
$5K |
| 87634 |
|
77 |
66 |
$4K |
| 36415 |
|
2,305 |
1,749 |
$4K |
| 99308 |
|
351 |
243 |
$4K |
| 96127 |
|
626 |
524 |
$3K |
| 96372 |
|
360 |
306 |
$2K |
| 96116 |
|
65 |
50 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
194 |
80 |
$1K |
| 81003 |
|
898 |
494 |
$641.21 |
| 71046 |
|
24 |
20 |
$369.10 |
| 90471 |
|
74 |
51 |
$329.22 |
| 90686 |
|
80 |
63 |
$279.71 |
| 99203 |
|
16 |
14 |
$158.02 |
| 83036 |
|
12 |
12 |
$89.54 |
| 99000 |
|
46 |
34 |
$81.74 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
15 |
14 |
$70.36 |
| 99442 |
|
19 |
14 |
$66.71 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
18 |
14 |
$40.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
16 |
$15.76 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
45 |
38 |
$4.01 |
| 1160F |
|
1,126 |
852 |
$0.00 |
| 3078F |
|
615 |
489 |
$0.00 |
| 1159F |
|
1,168 |
876 |
$0.00 |
| 3077F |
|
115 |
97 |
$0.00 |
| 3074F |
|
927 |
728 |
$0.00 |
| 3079F |
|
403 |
317 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
32 |
29 |
$0.00 |
| 3075F |
|
99 |
82 |
$0.00 |
| 3080F |
|
100 |
85 |
$0.00 |