| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,647 |
12,128 |
$4.08M |
| 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 |
4,586 |
2,954 |
$249K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,012 |
4,985 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,305 |
4,410 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,787 |
1,941 |
$16K |
| 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 |
74 |
66 |
$8K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,924 |
831 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
212 |
202 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,570 |
2,298 |
$971.49 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
20 |
19 |
$957.96 |
| 98940 |
|
924 |
422 |
$776.90 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
40 |
$702.27 |
| 90832 |
Psychotherapy, 30 minutes with patient |
134 |
61 |
$552.24 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
379 |
135 |
$444.51 |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$273.16 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
40 |
38 |
$261.59 |
| D0330 |
Panoramic radiographic image |
109 |
100 |
$252.01 |
| D1206 |
Topical application of fluoride varnish |
145 |
136 |
$241.47 |
| 92551 |
|
1,079 |
1,066 |
$221.85 |
| 90688 |
|
43 |
40 |
$155.68 |
| 99173 |
|
857 |
845 |
$119.92 |
| 98927 |
|
37 |
27 |
$90.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
127 |
120 |
$75.58 |
| 11721 |
|
81 |
73 |
$36.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
171 |
157 |
$31.87 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
340 |
195 |
$29.69 |
| 90686 |
|
19 |
12 |
$18.97 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
82 |
79 |
$17.85 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$16.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
158 |
153 |
$14.96 |
| 3078F |
|
1,691 |
1,448 |
$1.38 |
| 81002 |
|
28 |
25 |
$0.96 |
| 3725F |
|
264 |
236 |
$0.31 |
| 96127 |
|
1,215 |
847 |
$0.29 |
| 3079F |
|
390 |
344 |
$0.24 |
| 3074F |
|
1,793 |
1,528 |
$0.14 |
| 1160F |
|
1,474 |
1,291 |
$0.10 |
| 3008F |
|
2,055 |
1,757 |
$0.10 |
| 2028F |
|
13 |
13 |
$0.03 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
127 |
121 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
69 |
66 |
$0.00 |
| 11720 |
|
29 |
25 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
170 |
95 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
15 |
15 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
136 |
131 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
36 |
36 |
$0.00 |
| D0460 |
|
18 |
18 |
$0.00 |
| D1110 |
Prophylaxis - adult |
30 |
27 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
41 |
41 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
36 |
33 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
33 |
14 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
107 |
91 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
89 |
45 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
199 |
189 |
$0.00 |
| 3075F |
|
173 |
162 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
35 |
31 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
35 |
34 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
30 |
27 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
44 |
44 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
17 |
$0.00 |
| 93000 |
|
12 |
12 |
$0.00 |