| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
53,549 |
37,683 |
$43K |
| 98941 |
|
3,794 |
2,677 |
$23K |
| 90834 |
|
1,954 |
1,588 |
$5K |
| S9455 |
Diabetic management program, group session |
116 |
92 |
$3K |
| 99214 |
|
1,534 |
1,306 |
$3K |
| 99392 |
|
716 |
715 |
$3K |
| 90791 |
|
301 |
297 |
$2K |
| 90688 |
|
1,483 |
1,480 |
$2K |
| 99393 |
|
1,264 |
1,264 |
$2K |
| 90715 |
|
385 |
374 |
$2K |
| 99394 |
|
712 |
712 |
$1K |
| 99391 |
|
170 |
169 |
$897.40 |
| 90686 |
|
2,115 |
2,094 |
$761.49 |
| 87880 |
|
955 |
936 |
$681.78 |
| 94640 |
|
164 |
128 |
$675.42 |
| 90471 |
|
75 |
70 |
$480.82 |
| 90670 |
|
246 |
246 |
$433.00 |
| 85018 |
|
4,073 |
4,048 |
$427.40 |
| 90651 |
|
116 |
116 |
$399.00 |
| 90832 |
|
657 |
615 |
$370.09 |
| 90633 |
|
159 |
159 |
$243.00 |
| 90472 |
|
23 |
16 |
$207.00 |
| 90837 |
|
13 |
12 |
$196.04 |
| 90716 |
|
28 |
28 |
$181.41 |
| 81003 |
|
1,358 |
1,219 |
$156.05 |
| 86580 |
|
174 |
173 |
$154.73 |
| 82962 |
|
259 |
243 |
$143.56 |
| 90734 |
|
196 |
196 |
$136.56 |
| 90710 |
|
53 |
53 |
$126.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
28 |
27 |
$122.69 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
94 |
91 |
$115.15 |
| 90696 |
|
49 |
49 |
$108.00 |
| 90648 |
|
116 |
115 |
$99.00 |
| 81025 |
|
435 |
419 |
$97.56 |
| 90723 |
|
26 |
26 |
$72.00 |
| 90700 |
|
47 |
46 |
$63.00 |
| 99401 |
|
544 |
461 |
$34.50 |
| 99173 |
|
2,194 |
2,193 |
$9.90 |
| 3078F |
|
1,657 |
1,426 |
$0.00 |
| 87811 |
|
2,304 |
2,129 |
$0.00 |
| 3077F |
|
32 |
27 |
$0.00 |
| 99212 |
|
880 |
746 |
$0.00 |
| 1159F |
|
3,191 |
2,382 |
$0.00 |
| 90649 |
|
125 |
125 |
$0.00 |
| 99395 |
|
41 |
41 |
$0.00 |
| 3725F |
|
2,276 |
1,668 |
$0.00 |
| 99203 |
|
781 |
780 |
$0.00 |
| 99396 |
|
51 |
50 |
$0.00 |
| 1160F |
|
3,191 |
2,382 |
$0.00 |
| 0071A |
|
31 |
31 |
$0.00 |
| G9920 |
Screening performed and negative |
271 |
264 |
$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 |
90 |
90 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
29 |
29 |
$0.00 |
| 97803 |
|
38 |
38 |
$0.00 |
| 90630 |
|
22 |
22 |
$0.00 |
| 90658 |
|
22 |
22 |
$0.00 |
| 96156 |
|
775 |
679 |
$0.00 |
| 3074F |
|
1,708 |
1,454 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
40 |
38 |
$0.00 |
| 87426 |
|
263 |
249 |
$0.00 |
| 92551 |
|
2,174 |
2,167 |
$0.00 |
| 90619 |
|
37 |
37 |
$0.00 |
| 1125F |
|
332 |
305 |
$0.00 |
| 3079F |
|
393 |
352 |
$0.00 |
| 87428 |
|
248 |
233 |
$0.00 |
| 3008F |
|
2,236 |
1,890 |
$0.00 |
| 1036F |
|
1,914 |
1,373 |
$0.00 |
| 90647 |
|
92 |
91 |
$0.00 |
| 1126F |
|
1,626 |
1,455 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
126 |
80 |
$0.00 |
| 3075F |
|
292 |
279 |
$0.00 |
| 92227 |
|
12 |
12 |
$0.00 |
| 90792 |
|
14 |
14 |
$0.00 |
| 0064A |
|
46 |
44 |
$0.00 |
| 83036 |
|
29 |
29 |
$0.00 |
| 1034F |
|
53 |
38 |
$0.00 |
| 1035F |
|
277 |
191 |
$0.00 |
| 99202 |
|
45 |
45 |
$0.00 |
| 91307 |
|
69 |
67 |
$0.00 |
| 0072A |
|
36 |
36 |
$0.00 |
| 96372 |
|
50 |
49 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 90657 |
|
13 |
13 |
$0.00 |
| 91306 |
|
46 |
44 |
$0.00 |