| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
18,245 |
16,949 |
$2.97M |
| T1015 |
Clinic visit/encounter, all-inclusive |
18,785 |
14,675 |
$1.81M |
| 99214 |
|
8,455 |
7,925 |
$1.43M |
| 99394 |
|
2,803 |
2,618 |
$417K |
| 99392 |
|
2,208 |
2,110 |
$347K |
| 99393 |
|
2,225 |
2,110 |
$340K |
| 99391 |
|
1,590 |
1,530 |
$252K |
| 87428 |
|
1,934 |
1,804 |
$116K |
| 90832 |
|
370 |
267 |
$65K |
| 99212 |
|
432 |
400 |
$59K |
| 87426 |
|
969 |
944 |
$44K |
| 99199 |
|
10,369 |
10,046 |
$33K |
| 90834 |
|
167 |
115 |
$26K |
| G9153 |
Mapcp demonstration - physician incentive pool |
443 |
441 |
$17K |
| 92587 |
|
5,583 |
5,267 |
$12K |
| 90471 |
|
4,299 |
4,023 |
$11K |
| 90651 |
|
263 |
247 |
$9K |
| 0012A |
|
221 |
211 |
$9K |
| 80305 |
|
972 |
858 |
$8K |
| 87811 |
|
277 |
262 |
$7K |
| 0011A |
|
182 |
169 |
$6K |
| 90472 |
|
909 |
875 |
$6K |
| 99177 |
|
5,398 |
5,097 |
$6K |
| 90670 |
|
711 |
684 |
$6K |
| 87880 |
|
1,104 |
1,045 |
$5K |
| 90686 |
|
1,597 |
1,501 |
$4K |
| 87804 |
|
730 |
487 |
$4K |
| 99395 |
|
24 |
24 |
$4K |
| D0120 |
|
132 |
100 |
$3K |
| 0071A |
|
59 |
54 |
$2K |
| 96161 |
|
1,333 |
1,285 |
$2K |
| 96127 |
|
1,468 |
1,441 |
$2K |
| D1110 |
|
79 |
52 |
$2K |
| 0072A |
|
49 |
45 |
$2K |
| 0002A |
|
46 |
43 |
$2K |
| 96160 |
|
1,389 |
1,349 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
24 |
24 |
$1K |
| D1206 |
|
90 |
65 |
$1K |
| 0001A |
|
31 |
26 |
$1K |
| 0064A |
|
17 |
16 |
$600.00 |
| Q3014 |
Telehealth originating site facility fee |
37 |
35 |
$539.68 |
| 96110 |
|
1,117 |
1,081 |
$523.74 |
| 97802 |
|
51 |
44 |
$517.66 |
| 0134A |
|
18 |
17 |
$465.00 |
| 90677 |
|
121 |
120 |
$387.95 |
| 85018 |
|
243 |
237 |
$337.09 |
| D0274 |
|
14 |
14 |
$335.50 |
| 90723 |
|
309 |
302 |
$309.08 |
| D1208 |
|
19 |
14 |
$220.08 |
| 92551 |
|
162 |
151 |
$175.56 |
| 96372 |
|
51 |
51 |
$163.15 |
| 83655 |
|
73 |
69 |
$130.32 |
| 99211 |
|
12 |
12 |
$122.80 |
| 84703 |
|
85 |
83 |
$108.00 |
| 87400 |
|
16 |
16 |
$71.10 |
| 99173 |
|
32 |
30 |
$16.54 |
| 90656 |
|
55 |
55 |
$13.77 |
| 3078F |
|
105 |
101 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
78 |
77 |
$0.00 |
| 90681 |
|
122 |
118 |
$0.00 |
| 90633 |
|
163 |
162 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
12 |
12 |
$0.00 |
| 90734 |
|
57 |
56 |
$0.00 |
| 91313 |
|
16 |
15 |
$0.00 |
| 91300 |
|
27 |
23 |
$0.00 |
| 3074F |
|
197 |
192 |
$0.00 |
| 90647 |
|
344 |
332 |
$0.00 |
| 3008F |
|
178 |
169 |
$0.00 |
| 3351F |
|
14 |
14 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |