| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,414 |
15,622 |
$2.79M |
| 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 |
44,701 |
18,761 |
$2.29M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,284 |
12,071 |
$2.10M |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
26,635 |
11,174 |
$1.95M |
| 90832 |
Psychotherapy, 30 minutes with patient |
11,727 |
4,588 |
$1.68M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,919 |
3,205 |
$569K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
7,998 |
1,996 |
$363K |
| D1110 |
Prophylaxis - adult |
4,434 |
1,616 |
$355K |
| D4910 |
|
3,017 |
1,388 |
$335K |
| D0120 |
Periodic oral evaluation - established patient |
2,804 |
1,194 |
$273K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,217 |
988 |
$246K |
| D9997 |
|
2,103 |
747 |
$179K |
| 99401 |
|
5,076 |
4,589 |
$153K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
905 |
428 |
$106K |
| D0330 |
Panoramic radiographic image |
1,300 |
427 |
$96K |
| 96127 |
|
3,774 |
3,392 |
$92K |
| D0274 |
Bitewings - four radiographic images |
1,261 |
364 |
$64K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,303 |
319 |
$55K |
| D0140 |
Limited oral evaluation - problem focused |
545 |
242 |
$47K |
| 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 |
211 |
210 |
$45K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
222 |
209 |
$37K |
| 90834 |
Psychotherapy, 45 minutes with patient |
132 |
89 |
$29K |
| D1999 |
|
231 |
141 |
$22K |
| 90791 |
Psychiatric diagnostic evaluation |
66 |
57 |
$9K |
| 92550 |
|
271 |
189 |
$8K |
| D0210 |
Intraoral - complete series of radiographic images |
76 |
36 |
$8K |
| D1330 |
|
118 |
87 |
$8K |
| D0170 |
|
37 |
27 |
$6K |
| D9110 |
|
54 |
24 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
36 |
28 |
$5K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
216 |
171 |
$5K |
| 99402 |
|
106 |
97 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
14 |
$3K |
| 93000 |
|
405 |
404 |
$3K |
| 80061 |
Lipid panel |
42 |
14 |
$2K |
| 95117 |
|
96 |
82 |
$881.30 |
| 0012A |
|
51 |
50 |
$818.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
296 |
292 |
$721.90 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
120 |
110 |
$685.29 |
| D0220 |
Intraoral - periapical first radiographic image |
51 |
51 |
$529.12 |
| 92587 |
|
84 |
83 |
$425.42 |
| 0011A |
|
20 |
20 |
$244.24 |
| 90688 |
|
93 |
93 |
$231.92 |
| D0230 |
Intraoral - periapical each additional radiographic image |
37 |
37 |
$215.61 |
| 92552 |
|
13 |
13 |
$121.89 |
| 90863 |
|
488 |
454 |
$71.66 |
| 90686 |
|
41 |
41 |
$34.00 |
| 99490 |
Ccm add 20min |
14 |
14 |
$0.00 |