| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
13,624 |
9,564 |
$885K |
| 99214 |
|
7,640 |
5,691 |
$435K |
| 99307 |
|
16,856 |
9,632 |
$379K |
| 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 |
13,882 |
10,125 |
$139K |
| 90832 |
|
1,501 |
626 |
$42K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,716 |
814 |
$28K |
| 99308 |
|
1,095 |
381 |
$24K |
| 99051 |
|
674 |
519 |
$8K |
| 96372 |
|
1,754 |
1,204 |
$2K |
| 36415 |
|
2,696 |
1,969 |
$450.92 |
| 99490 |
Ccm add 20min |
110 |
88 |
$293.39 |
| 87804 |
|
171 |
94 |
$10.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
162 |
127 |
$2.04 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
553 |
378 |
$0.41 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
759 |
535 |
$0.18 |
| 80305 |
|
25 |
24 |
$0.00 |
| 87880 |
|
49 |
46 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 1159F |
|
14 |
13 |
$0.00 |
| 81003 |
|
15 |
15 |
$0.00 |
| 87426 |
|
191 |
119 |
$0.00 |