| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
39,747 |
25,732 |
$6.22M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,711 |
2,471 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
586 |
547 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
149 |
146 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
141 |
140 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
31 |
26 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
75 |
71 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
113 |
107 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
29 |
29 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
21 |
19 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
27 |
26 |
$0.00 |
| D1110 |
Prophylaxis - adult |
154 |
152 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
50 |
50 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
13 |
$0.00 |
| D1120 |
Prophylaxis - child |
42 |
39 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$0.00 |