| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,988 |
6,720 |
$1.19M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,764 |
3,011 |
$525K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,141 |
2,881 |
$502K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,655 |
962 |
$271K |
| D0120 |
Periodic oral evaluation - established patient |
4,618 |
517 |
$81K |
| 90834 |
Psychotherapy, 45 minutes with patient |
271 |
200 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
309 |
201 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
265 |
190 |
$31K |
| D0140 |
Limited oral evaluation - problem focused |
306 |
128 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
89 |
66 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
70 |
67 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
78 |
71 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
121 |
70 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
100 |
60 |
$11K |
| D0170 |
|
97 |
49 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
396 |
53 |
$8K |
| D9999 |
Unspecified adjunctive procedure, by report |
12 |
12 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
12 |
12 |
$398.62 |