| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
120,717 |
110,472 |
$7.55M |
| 99214 |
|
68,284 |
59,610 |
$5.11M |
| 99203 |
|
9,558 |
8,949 |
$829K |
| 99392 |
|
2,220 |
2,194 |
$231K |
| 99391 |
|
2,036 |
1,931 |
$200K |
| 99212 |
|
3,130 |
2,567 |
$147K |
| 90832 |
|
1,837 |
1,536 |
$115K |
| 99393 |
|
1,072 |
1,059 |
$110K |
| 90837 |
|
696 |
601 |
$106K |
| 99215 |
Prolong outpt/office vis |
787 |
690 |
$84K |
| 96372 |
|
4,708 |
4,298 |
$59K |
| 90834 |
|
598 |
537 |
$56K |
| 87880 |
|
5,736 |
5,567 |
$54K |
| 99204 |
|
421 |
373 |
$51K |
| 99205 |
Prolong outpt/office vis |
340 |
314 |
$48K |
| 87804 |
|
4,759 |
2,529 |
$45K |
| 96110 |
|
4,357 |
4,307 |
$41K |
| 81025 |
|
7,709 |
7,299 |
$37K |
| 59400 |
|
14 |
14 |
$33K |
| 90791 |
|
275 |
270 |
$31K |
| 81003 |
|
24,092 |
21,553 |
$31K |
| 76805 |
|
249 |
237 |
$30K |
| 76815 |
|
378 |
358 |
$26K |
| 99394 |
|
244 |
241 |
$24K |
| 0241U |
|
195 |
185 |
$17K |
| 90686 |
|
1,940 |
1,902 |
$16K |
| 76801 |
|
137 |
128 |
$15K |
| 99396 |
|
116 |
116 |
$13K |
| 96127 |
|
3,060 |
2,785 |
$9K |
| 99490 |
Ccm add 20min |
213 |
209 |
$9K |
| 99395 |
|
101 |
97 |
$9K |
| 36415 |
|
4,273 |
3,861 |
$9K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
102 |
102 |
$7K |
| 90670 |
|
1,212 |
1,206 |
$6K |
| 99401 |
|
181 |
166 |
$5K |
| 93000 |
|
422 |
392 |
$4K |
| 99404 |
|
48 |
45 |
$4K |
| 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 |
414 |
309 |
$4K |
| 90633 |
|
369 |
365 |
$3K |
| 90471 |
|
268 |
262 |
$3K |
| 76830 |
|
28 |
26 |
$3K |
| 76856 |
|
29 |
27 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,992 |
1,838 |
$2K |
| 98960 |
|
73 |
72 |
$2K |
| 99202 |
|
25 |
24 |
$2K |
| 0002A |
|
41 |
41 |
$2K |
| 90710 |
|
218 |
216 |
$2K |
| 99406 |
|
177 |
157 |
$2K |
| 94640 |
|
91 |
85 |
$1K |
| 90723 |
|
905 |
898 |
$1K |
| 90647 |
|
710 |
704 |
$1K |
| 90698 |
|
51 |
51 |
$1K |
| 0011A |
|
31 |
30 |
$924.83 |
| 99177 |
|
294 |
286 |
$907.93 |
| 96365 |
|
29 |
24 |
$790.99 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
353 |
299 |
$716.29 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
140 |
135 |
$601.74 |
| 83036 |
|
115 |
110 |
$598.40 |
| 96160 |
|
1,261 |
1,224 |
$548.07 |
| 0001A |
|
15 |
14 |
$520.00 |
| 90680 |
|
16 |
16 |
$329.40 |
| 90744 |
|
14 |
14 |
$307.44 |
| 90681 |
|
220 |
219 |
$263.52 |
| 90685 |
|
12 |
12 |
$263.52 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
106 |
60 |
$253.14 |
| 90715 |
|
13 |
12 |
$242.10 |
| 90700 |
|
12 |
12 |
$241.56 |
| 90696 |
|
25 |
25 |
$241.56 |
| 96360 |
|
13 |
12 |
$224.55 |
| 82962 |
|
99 |
92 |
$188.60 |
| 88738 |
|
25 |
25 |
$101.04 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
56 |
45 |
$90.85 |
| 80305 |
|
12 |
12 |
$88.20 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
12 |
$41.80 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
14 |
12 |
$20.13 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
121 |
121 |
$13.43 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
896 |
879 |
$1.91 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
14 |
14 |
$1.56 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
15 |
14 |
$0.48 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
1,234 |
1,207 |
$0.29 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
4,340 |
3,932 |
$0.00 |
| 91300 |
|
133 |
128 |
$0.00 |
| 87635 |
|
9,764 |
9,274 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
12 |
$0.00 |
| 91301 |
|
89 |
88 |
$0.00 |
| 90677 |
|
208 |
207 |
$0.00 |
| 0503F |
|
15 |
14 |
$0.00 |
| 0500F |
|
29 |
29 |
$0.00 |