| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
8,437 |
6,850 |
$352K |
| 99213 |
|
7,377 |
6,166 |
$217K |
| 99442 |
|
998 |
845 |
$39K |
| 96372 |
|
2,634 |
1,852 |
$37K |
| 99443 |
|
207 |
190 |
$13K |
| 99212 |
|
240 |
218 |
$5K |
| 99203 |
|
81 |
73 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
224 |
190 |
$3K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
434 |
390 |
$3K |
| 90460 |
|
117 |
112 |
$2K |
| 99391 |
|
49 |
43 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
462 |
385 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
510 |
439 |
$984.28 |
| 99204 |
|
15 |
15 |
$675.47 |
| 99392 |
|
13 |
12 |
$638.49 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
154 |
140 |
$636.77 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
966 |
854 |
$604.58 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
31 |
24 |
$558.18 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
106 |
88 |
$401.15 |
| 99202 |
|
15 |
12 |
$344.50 |
| 90461 |
|
13 |
12 |
$136.26 |
| 90670 |
|
13 |
13 |
$18.40 |
| 1126F |
|
92 |
81 |
$0.24 |