| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,184 |
7,423 |
$978K |
| D0999 |
Unspecified diagnostic procedure, by report |
4,025 |
3,578 |
$753K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,462 |
1,288 |
$213K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,095 |
1,958 |
$67K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
2,347 |
1,390 |
$54K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,291 |
1,219 |
$49K |
| 90832 |
Psychotherapy, 30 minutes with patient |
275 |
166 |
$42K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
414 |
391 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
340 |
283 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
621 |
593 |
$14K |
| 0011A |
|
67 |
67 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
722 |
680 |
$11K |
| 0012A |
|
55 |
55 |
$10K |
| 90837 |
Psychotherapy, 53 minutes with patient |
44 |
25 |
$6K |
| 87428 |
|
121 |
115 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
167 |
167 |
$2K |
| 0002A |
|
12 |
12 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
13 |
12 |
$2K |
| 0013A |
|
12 |
12 |
$2K |
| 99406 |
|
26 |
25 |
$1K |
| D1120 |
Prophylaxis - child |
152 |
152 |
$987.80 |
| D0120 |
Periodic oral evaluation - established patient |
45 |
45 |
$800.00 |
| D1206 |
Topical application of fluoride varnish |
153 |
153 |
$0.00 |
| 91301 |
|
31 |
31 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
13 |
$0.00 |