| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,410 |
10,346 |
$5.10M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,297 |
998 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,284 |
1,006 |
$36K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
423 |
380 |
$30K |
| 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 |
436 |
335 |
$20K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
151 |
140 |
$6K |
| 92015 |
Determination of refractive state |
318 |
286 |
$3K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
111 |
100 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
334 |
324 |
$3K |
| D1110 |
Prophylaxis - adult |
37 |
37 |
$2K |
| D1206 |
Topical application of fluoride varnish |
84 |
84 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
52 |
25 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
53 |
49 |
$911.33 |
| 90834 |
Psychotherapy, 45 minutes with patient |
64 |
39 |
$835.70 |
| D0274 |
Bitewings - four radiographic images |
52 |
52 |
$672.26 |
| 36415 |
Collection of venous blood by venipuncture |
321 |
256 |
$626.26 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
51 |
32 |
$429.84 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$390.31 |
| D0230 |
Intraoral - periapical each additional radiographic image |
189 |
82 |
$384.21 |
| D0120 |
Periodic oral evaluation - established patient |
21 |
20 |
$358.98 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
13 |
$358.12 |
| 87400 |
|
30 |
27 |
$295.62 |
| 80053 |
Comprehensive metabolic panel |
27 |
24 |
$215.70 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
25 |
$139.24 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17 |
14 |
$100.49 |
| 98943 |
|
17 |
13 |
$0.00 |