| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,211 |
9,662 |
$616K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,509 |
6,391 |
$368K |
| 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 |
6,537 |
4,315 |
$66K |
| 99215 |
Prolong outpt/office vis |
696 |
590 |
$57K |
| D1110 |
Prophylaxis - adult |
545 |
544 |
$13K |
| 90834 |
Psychotherapy, 45 minutes with patient |
180 |
129 |
$6K |
| 90674 |
|
273 |
251 |
$6K |
| 3008F |
|
2,516 |
2,124 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
312 |
311 |
$5K |
| 2000F |
|
2,266 |
1,895 |
$5K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
74 |
50 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
113 |
89 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,590 |
923 |
$4K |
| 99000 |
|
2,011 |
1,798 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
131 |
128 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
194 |
193 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
182 |
174 |
$2K |
| D0274 |
Bitewings - four radiographic images |
78 |
78 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
91 |
89 |
$1K |
| 99441 |
|
62 |
53 |
$1K |
| D7140 |
Extraction, erupted tooth or exposed root |
16 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,127 |
968 |
$886.81 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
417 |
181 |
$839.36 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
131 |
118 |
$526.79 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
12 |
12 |
$517.29 |
| 71046 |
Radiologic examination, chest; 2 views |
40 |
38 |
$515.53 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
26 |
24 |
$462.43 |
| 99442 |
|
22 |
20 |
$454.41 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
60 |
32 |
$386.21 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
19 |
18 |
$316.14 |
| D0272 |
Bitewings - two radiographic images |
40 |
40 |
$288.20 |
| 90756 |
|
14 |
14 |
$210.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
18 |
$195.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$90.34 |
| 81003 |
|
32 |
29 |
$45.77 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
702 |
512 |
$20.69 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
495 |
369 |
$16.45 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
410 |
295 |
$13.37 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$2.25 |
| D1206 |
Topical application of fluoride varnish |
85 |
85 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
12 |
12 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
43 |
43 |
$0.00 |
| D1120 |
Prophylaxis - child |
28 |
28 |
$0.00 |
| D0330 |
Panoramic radiographic image |
100 |
99 |
$0.00 |