| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
12,156 |
11,324 |
$1.64M |
| 99212 |
|
3,854 |
3,553 |
$455K |
| 99202 |
|
1,999 |
1,898 |
$268K |
| 99051 |
|
7,751 |
7,256 |
$100K |
| 87635 |
|
2,426 |
2,199 |
$53K |
| 87426 |
|
745 |
679 |
$12K |
| 99214 |
|
42 |
42 |
$6K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
284 |
258 |
$3K |
| 96372 |
|
2,565 |
2,274 |
$2K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
259 |
232 |
$1K |
| 81003 |
|
871 |
791 |
$2.25 |
| 87880 |
|
3,576 |
3,274 |
$0.00 |
| 81025 |
|
798 |
712 |
$0.00 |
| 87804 |
|
2,868 |
2,579 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
167 |
142 |
$0.00 |
| 99173 |
|
75 |
67 |
$0.00 |
| 1160F |
|
41 |
33 |
$0.00 |
| 1159F |
|
41 |
33 |
$0.00 |
| 3078F |
|
15 |
15 |
$0.00 |
| 3008F |
|
7,932 |
7,065 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
135 |
112 |
$0.00 |
| 3074F |
|
29 |
29 |
$0.00 |
| 36415 |
|
12 |
12 |
$0.00 |