| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,698 |
5,053 |
$327K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,888 |
1,691 |
$173K |
| 90834 |
Psychotherapy, 45 minutes with patient |
944 |
573 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
212 |
204 |
$9K |
| 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 |
171 |
135 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
42 |
42 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
98 |
95 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
45 |
41 |
$840.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
40 |
$602.84 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$400.20 |