| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| R0075 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen |
48,802 |
43,367 |
$4.37M |
| 76819 |
Fetal biophysical profile; without non-stress testing |
28,675 |
24,040 |
$3.30M |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12,247 |
11,802 |
$3.23M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
21,713 |
17,754 |
$2.27M |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13,989 |
13,257 |
$1.45M |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
9,701 |
9,413 |
$1.40M |
| 76820 |
|
11,069 |
8,467 |
$1.08M |
| 76825 |
|
5,245 |
5,047 |
$1.04M |
| 76801 |
|
5,927 |
5,524 |
$844K |
| 76827 |
|
5,237 |
5,040 |
$545K |
| 93975 |
|
850 |
825 |
$169K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,927 |
2,738 |
$166K |
| 99242 |
|
1,408 |
1,382 |
$137K |
| 76830 |
Ultrasound, transvaginal |
1,335 |
1,289 |
$124K |
| 93325 |
|
5,262 |
5,119 |
$111K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,078 |
1,049 |
$94K |
| 99243 |
|
810 |
784 |
$91K |
| 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 |
2,761 |
2,443 |
$63K |
| 76813 |
|
392 |
362 |
$49K |
| Q3014 |
Telehealth originating site facility fee |
1,796 |
1,741 |
$46K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
239 |
226 |
$42K |
| 99245 |
|
123 |
121 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,139 |
1,102 |
$27K |
| 76376 |
|
1,089 |
1,050 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
108 |
98 |
$12K |
| 93976 |
|
37 |
37 |
$5K |
| 99241 |
|
38 |
38 |
$2K |
| 76821 |
|
18 |
12 |
$2K |
| 76828 |
|
14 |
14 |
$1K |
| 76826 |
|
12 |
12 |
$839.97 |
| 99072 |
|
571 |
475 |
$0.24 |