| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90832 |
Psychotherapy, 30 minutes with patient |
16,420 |
8,908 |
$15K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
586 |
252 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,756 |
18,474 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,705 |
34,454 |
$5K |
| 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 |
12,838 |
8,941 |
$448.80 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,240 |
958 |
$82.99 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
333 |
304 |
$0.00 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
118 |
105 |
$0.00 |
| D1110 |
Prophylaxis - adult |
2,104 |
2,060 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
1,755 |
1,663 |
$0.00 |
| 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 |
612 |
290 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,796 |
2,559 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
56 |
50 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
852 |
816 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
648 |
618 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,528 |
1,320 |
$0.00 |
| 90715 |
|
44 |
42 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
157 |
134 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
556 |
531 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
493 |
464 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
1,924 |
1,675 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,425 |
971 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
29 |
27 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
577 |
565 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
102 |
95 |
$0.00 |
| D4341 |
|
99 |
75 |
$0.00 |
| 99072 |
|
50 |
49 |
$0.00 |
| 98968 |
|
1,061 |
710 |
$0.00 |
| 96160 |
|
173 |
162 |
$0.00 |
| 81002 |
|
277 |
254 |
$0.00 |
| 99442 |
|
2,538 |
2,311 |
$0.00 |
| 86703 |
|
81 |
78 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
345 |
327 |
$0.00 |
| 81025 |
|
113 |
111 |
$0.00 |
| 90682 |
|
33 |
32 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
206 |
184 |
$0.00 |
| 98966 |
|
36 |
27 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
27 |
24 |
$0.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
13 |
12 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
40 |
38 |
$0.00 |
| 90461 |
|
22 |
17 |
$0.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$0.00 |
| 91322 |
|
68 |
67 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
19 |
18 |
$0.00 |
| 99306 |
Prolong nursin fac eval 15m |
18 |
12 |
$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 |
14 |
14 |
$0.00 |
| 99336 |
|
16 |
15 |
$0.00 |
| 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 |
19 |
12 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,149 |
770 |
$0.00 |
| 98967 |
|
189 |
152 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
2,353 |
2,199 |
$0.00 |
| 87428 |
|
494 |
473 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,037 |
2,246 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
295 |
290 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
684 |
654 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
360 |
314 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,178 |
2,108 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
1,778 |
1,638 |
$0.00 |
| 99441 |
|
239 |
199 |
$0.00 |
| 90656 |
|
55 |
55 |
$0.00 |
| 94760 |
|
368 |
354 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
320 |
297 |
$0.00 |
| 99443 |
|
756 |
669 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
161 |
142 |
$0.00 |
| D4342 |
|
17 |
13 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
202 |
189 |
$0.00 |
| 90686 |
|
140 |
126 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
82 |
74 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
470 |
461 |
$0.00 |
| 90677 |
|
15 |
15 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
32 |
28 |
$0.00 |
| 99606 |
|
69 |
37 |
$0.00 |
| 96127 |
|
92 |
87 |
$0.00 |
| 99496 |
|
16 |
13 |
$0.00 |
| 90480 |
|
86 |
82 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
20 |
19 |
$0.00 |
| 99349 |
|
23 |
21 |
$0.00 |
| D4355 |
|
15 |
12 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
12 |
$0.00 |
| 90673 |
|
28 |
28 |
$0.00 |
| 90636 |
|
17 |
17 |
$0.00 |