| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
25,336 |
22,570 |
$3.13M |
| 99214 |
|
7,752 |
7,243 |
$935K |
| 99212 |
|
2,097 |
1,989 |
$252K |
| 96372 |
|
3,667 |
3,357 |
$206K |
| Q3014 |
Telehealth facility fee |
487 |
466 |
$27K |
| 36415 |
|
3,584 |
3,459 |
$21K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
933 |
899 |
$17K |
| 99395 |
|
99 |
99 |
$14K |
| 87428 |
|
239 |
235 |
$11K |
| 81002 |
|
891 |
864 |
$7K |
| 90792 |
|
41 |
40 |
$6K |
| J1040 |
Methylprednisolone 80 mg inj |
487 |
477 |
$6K |
| 99202 |
|
44 |
43 |
$6K |
| 99396 |
|
37 |
37 |
$6K |
| 99203 |
|
42 |
41 |
$5K |
| 90834 |
|
42 |
42 |
$5K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
66 |
65 |
$4K |
| 99394 |
|
21 |
21 |
$3K |
| 87430 |
|
161 |
161 |
$3K |
| G2025 |
Dis site tele svcs rhc/fqhc |
24 |
23 |
$3K |
| 90471 |
|
191 |
188 |
$2K |
| 0002A |
|
14 |
14 |
$2K |
| 99201 |
|
13 |
13 |
$2K |
| 90649 |
|
16 |
16 |
$2K |
| 87400 |
|
45 |
45 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
518 |
491 |
$1K |
| J3301 |
Triamcinolone acet inj nos |
151 |
150 |
$759.70 |
| 86403 |
|
67 |
66 |
$633.14 |
| 90472 |
|
43 |
41 |
$541.97 |
| J0696 |
Ceftriaxone sodium injection |
161 |
157 |
$318.47 |
| J3420 |
Vitamin b12 injection |
17 |
12 |
$42.88 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$10.87 |
| J1100 |
Dexamethasone sodium phos |
12 |
12 |
$5.03 |
| 90756 |
|
13 |
13 |
$0.00 |
| 91300 |
|
14 |
14 |
$0.00 |
| 90674 |
|
80 |
80 |
$0.00 |
| J3490 |
Drugs unclassified injection |
20 |
14 |
$0.00 |