| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,939 |
20,981 |
$3.73M |
| 99199 |
Unlisted special service, procedure or report |
47,853 |
19,082 |
$279K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,979 |
1,500 |
$61K |
| 80305 |
|
4,172 |
2,947 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,208 |
873 |
$23K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
280 |
235 |
$10K |
| D0210 |
Intraoral - complete series of radiographic images |
68 |
67 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
95 |
70 |
$2K |
| D0330 |
Panoramic radiographic image |
39 |
38 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
142 |
103 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
151 |
116 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$774.06 |
| 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 |
39 |
25 |
$631.56 |
| 88141 |
|
28 |
26 |
$365.37 |
| 36415 |
Collection of venous blood by venipuncture |
144 |
130 |
$325.18 |
| 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 |
37 |
15 |
$219.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
63 |
51 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
14 |
13 |
$0.00 |
| 3078F |
|
74 |
67 |
$0.00 |
| 99000 |
|
85 |
77 |
$0.00 |
| 99459 |
|
16 |
16 |
$0.00 |
| 3074F |
|
133 |
127 |
$0.00 |
| 3079F |
|
33 |
29 |
$0.00 |