| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
95 |
88 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
717 |
444 |
$0.00 |
| D1110 |
Prophylaxis - adult |
105 |
89 |
$0.00 |
| 99442 |
|
608 |
529 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
56 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
29 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
907 |
522 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
51 |
43 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
31 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,361 |
5,467 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,243 |
3,411 |
$0.00 |
| 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 |
1,563 |
1,054 |
$0.00 |
| 87428 |
|
13 |
13 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
286 |
196 |
$0.00 |
| 99443 |
|
131 |
120 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
138 |
134 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
137 |
117 |
$0.00 |
| 99441 |
|
161 |
137 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
38 |
25 |
$0.00 |