| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
22,055 |
19,339 |
$1.51M |
| 99213 |
|
14,234 |
12,136 |
$718K |
| 99308 |
|
7,276 |
3,829 |
$153K |
| 99309 |
|
3,932 |
2,765 |
$120K |
| 87428 |
|
1,529 |
1,448 |
$62K |
| 99396 |
|
460 |
450 |
$40K |
| 96372 |
|
2,933 |
2,594 |
$30K |
| 87880 |
|
2,132 |
2,003 |
$30K |
| 87804 |
|
1,572 |
744 |
$22K |
| 99307 |
|
1,820 |
886 |
$21K |
| 99394 |
|
253 |
251 |
$21K |
| 99393 |
|
246 |
244 |
$19K |
| 99310 |
Prolong nursin fac eval 15m |
491 |
405 |
$18K |
| 87426 |
|
534 |
505 |
$16K |
| 90686 |
|
1,010 |
993 |
$15K |
| 99392 |
|
177 |
173 |
$13K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
1,159 |
991 |
$13K |
| 99203 |
|
178 |
174 |
$12K |
| 90471 |
|
1,355 |
1,318 |
$6K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
65 |
64 |
$5K |
| 90651 |
|
76 |
76 |
$4K |
| 90677 |
|
25 |
25 |
$4K |
| 99395 |
|
50 |
49 |
$4K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
631 |
548 |
$4K |
| 90734 |
|
72 |
71 |
$3K |
| 90649 |
|
13 |
13 |
$2K |
| 90460 |
|
160 |
154 |
$2K |
| 99391 |
|
26 |
24 |
$2K |
| 81000 |
|
447 |
425 |
$1K |
| 99204 |
|
13 |
13 |
$1K |
| 99212 |
|
29 |
28 |
$1K |
| 87807 |
|
88 |
75 |
$986.61 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
20 |
16 |
$950.00 |
| 90620 |
|
25 |
25 |
$722.00 |
| 81001 |
|
199 |
184 |
$589.28 |
| 90656 |
|
28 |
28 |
$506.00 |
| 87430 |
|
38 |
36 |
$476.01 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
15 |
13 |
$377.96 |
| 90461 |
|
60 |
56 |
$271.49 |
| 0011A |
|
17 |
17 |
$261.75 |
| 81002 |
|
91 |
85 |
$236.80 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
212 |
204 |
$228.94 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
30 |
29 |
$211.12 |
| 83036 |
|
27 |
25 |
$209.47 |
| 90633 |
|
13 |
13 |
$166.59 |
| 90472 |
|
148 |
144 |
$114.87 |
| 81003 |
|
36 |
35 |
$82.24 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
71 |
63 |
$30.30 |