| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
6,249 |
5,250 |
$1.81M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,274 |
5,157 |
$716K |
| 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 |
4,181 |
3,339 |
$342K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,277 |
924 |
$258K |
| D9999 |
Unspecified adjunctive procedure, by report |
641 |
538 |
$187K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
651 |
596 |
$88K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
535 |
466 |
$73K |
| Q3014 |
Telehealth originating site facility fee |
581 |
440 |
$9K |
| 90791 |
Psychiatric diagnostic evaluation |
28 |
24 |
$4K |
| 99442 |
|
15 |
14 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
15 |
13 |
$3K |
| 0012A |
|
49 |
49 |
$2K |
| 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 |
39 |
34 |
$2K |
| 0011A |
|
53 |
53 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
463 |
440 |
$696.34 |
| 3008F |
|
4,490 |
3,727 |
$543.12 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$281.56 |
| 1036F |
|
217 |
179 |
$220.16 |
| 1034F |
|
65 |
55 |
$220.16 |
| G0008 |
Administration of influenza virus vaccine |
79 |
75 |
$216.91 |
| 90686 |
|
257 |
243 |
$93.78 |
| 91301 |
|
118 |
116 |
$1.17 |
| 1160F |
|
41 |
38 |
$0.00 |
| 91322 |
|
31 |
31 |
$0.00 |
| 3078F |
|
375 |
337 |
$0.00 |
| 3077F |
|
363 |
323 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
123 |
106 |
$0.00 |
| 92015 |
Determination of refractive state |
187 |
143 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
12 |
12 |
$0.00 |
| V2020 |
Frames, purchases |
31 |
29 |
$0.00 |
| 4004F |
|
20 |
18 |
$0.00 |
| 90480 |
|
31 |
31 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
550 |
499 |
$0.00 |
| 3074F |
|
268 |
242 |
$0.00 |
| 3079F |
|
151 |
142 |
$0.00 |
| 3080F |
|
27 |
25 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
43 |
37 |
$0.00 |
| V2756 |
Eye glass case |
31 |
29 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
18 |
13 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
31 |
28 |
$0.00 |
| 3075F |
|
63 |
58 |
$0.00 |
| 90656 |
|
54 |
54 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| 96127 |
|
25 |
24 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
25 |
21 |
$0.00 |