| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
45,957 |
38,365 |
$1.30M |
| 87502 |
|
3,065 |
2,651 |
$222K |
| 99214 |
|
3,962 |
3,269 |
$157K |
| 87635 |
|
3,605 |
3,136 |
$132K |
| 87651 |
|
3,931 |
3,453 |
$112K |
| 99212 |
|
4,169 |
3,685 |
$93K |
| 99308 |
|
2,675 |
2,107 |
$86K |
| 96372 |
|
5,822 |
4,471 |
$72K |
| 99441 |
|
3,085 |
2,614 |
$72K |
| 99396 |
|
502 |
474 |
$41K |
| 99215 |
Prolong outpt/office vis |
202 |
177 |
$13K |
| 99395 |
|
185 |
160 |
$10K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
286 |
233 |
$7K |
| 99392 |
|
58 |
58 |
$4K |
| 99391 |
|
69 |
65 |
$4K |
| 90460 |
|
129 |
129 |
$4K |
| 99393 |
|
42 |
42 |
$3K |
| 90461 |
|
97 |
97 |
$3K |
| 99442 |
|
35 |
34 |
$2K |
| 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 |
209 |
173 |
$2K |
| 99406 |
|
149 |
130 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
114 |
102 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
63 |
46 |
$1K |
| 99203 |
|
14 |
12 |
$945.48 |
| 90471 |
|
74 |
69 |
$933.33 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,955 |
1,787 |
$817.39 |
| 99490 |
Ccm add 20min |
109 |
92 |
$600.95 |
| 81003 |
|
762 |
665 |
$415.28 |
| 99394 |
|
12 |
12 |
$385.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
12 |
$360.82 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
232 |
165 |
$356.62 |
| 99384 |
|
15 |
15 |
$280.00 |
| 90686 |
|
17 |
15 |
$258.36 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
171 |
103 |
$253.46 |
| 87880 |
|
16 |
16 |
$247.04 |
| 92551 |
|
20 |
20 |
$241.18 |
| 92228 |
|
18 |
13 |
$134.51 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
18 |
14 |
$111.05 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
33 |
29 |
$81.20 |
| 3074F |
|
7,332 |
6,511 |
$56.69 |
| 83036 |
|
12 |
12 |
$53.69 |
| 3078F |
|
6,129 |
5,390 |
$18.70 |
| 3079F |
|
5,631 |
4,992 |
$18.19 |
| 3077F |
|
4,195 |
3,660 |
$12.43 |
| 3075F |
|
1,935 |
1,717 |
$6.99 |
| 1126F |
|
1,575 |
1,404 |
$5.79 |
| 3080F |
|
1,707 |
1,509 |
$5.49 |
| 3008F |
|
2,850 |
2,586 |
$4.85 |
| 1125F |
|
507 |
446 |
$1.72 |
| 1158F |
|
1,530 |
1,380 |
$0.52 |
| 3044F |
|
209 |
185 |
$0.49 |
| 1036F |
|
610 |
545 |
$0.03 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,035 |
932 |
$0.00 |
| 1034F |
|
161 |
151 |
$0.00 |
| 3014F |
|
22 |
16 |
$0.00 |
| 3048F |
|
15 |
13 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
75 |
71 |
$0.00 |
| 2028F |
|
14 |
13 |
$0.00 |