| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
15,547 |
13,457 |
$1.61M |
| 99214 |
|
17,040 |
14,408 |
$1.57M |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
1,303 |
1,233 |
$19K |
| 99215 |
Prolong outpt/office vis |
325 |
290 |
$14K |
| 99307 |
|
600 |
594 |
$12K |
| 99051 |
|
705 |
653 |
$11K |
| G2025 |
Dis site tele svcs rhc/fqhc |
148 |
132 |
$6K |
| 96372 |
|
1,853 |
1,582 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
2,233 |
1,964 |
$1K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
82 |
48 |
$557.96 |
| 87880 |
|
4,049 |
3,651 |
$166.64 |
| 81002 |
|
1,590 |
1,374 |
$53.21 |
| 87804 |
|
2,409 |
2,137 |
$22.30 |
| 81025 |
|
277 |
224 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
33 |
25 |
$0.00 |
| 80305 |
|
17 |
12 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
13 |
13 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
315 |
280 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
237 |
201 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
15 |
14 |
$0.00 |
| 83036 |
|
78 |
75 |
$0.00 |
| 87807 |
|
169 |
149 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
18 |
12 |
$0.00 |