| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
16,118 |
12,013 |
$612K |
| 99213 |
|
15,223 |
12,165 |
$400K |
| 99443 |
|
774 |
610 |
$50K |
| 99442 |
|
1,279 |
1,005 |
$48K |
| 96372 |
|
3,762 |
2,748 |
$46K |
| 77067 |
|
680 |
602 |
$36K |
| 87804 |
|
1,682 |
1,169 |
$34K |
| 99395 |
|
173 |
156 |
$10K |
| 77063 |
|
684 |
602 |
$10K |
| 71046 |
|
982 |
798 |
$10K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
448 |
366 |
$7K |
| 87880 |
|
509 |
447 |
$6K |
| 72100 |
|
300 |
266 |
$4K |
| 99203 |
|
77 |
74 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
614 |
477 |
$3K |
| 90674 |
|
174 |
129 |
$2K |
| 90471 |
|
243 |
183 |
$2K |
| 87210 |
|
352 |
299 |
$1K |
| 97110 |
|
50 |
26 |
$1K |
| 99212 |
|
58 |
54 |
$1K |
| 76705 |
|
38 |
29 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
41 |
24 |
$956.91 |
| 73630 |
|
79 |
71 |
$951.69 |
| 99441 |
|
33 |
27 |
$766.77 |
| 81025 |
|
111 |
96 |
$691.19 |
| 77080 |
|
14 |
13 |
$665.50 |
| 73030 |
|
29 |
27 |
$324.62 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
42 |
31 |
$259.54 |
| 97014 |
|
32 |
12 |
$209.28 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
14 |
13 |
$201.18 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
95 |
79 |
$192.64 |
| 93010 |
|
19 |
16 |
$163.30 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
91 |
70 |
$159.93 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
20 |
13 |
$133.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
12 |
$6.70 |