| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,039 |
9,269 |
$1.55M |
| D0999 |
Unspecified diagnostic procedure, by report |
3,009 |
2,023 |
$243K |
| H2020 |
Therapeutic behavioral services, per diem |
2,194 |
1,206 |
$174K |
| D0210 |
Intraoral - complete series of radiographic images |
382 |
294 |
$678.72 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,150 |
7,066 |
$600.68 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
693 |
495 |
$392.21 |
| D1110 |
Prophylaxis - adult |
150 |
110 |
$244.86 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,189 |
775 |
$62.65 |
| 36415 |
Collection of venous blood by venipuncture |
2,277 |
1,480 |
$6.45 |
| 81002 |
|
672 |
468 |
$4.06 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
882 |
602 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
220 |
130 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
795 |
492 |
$0.00 |
| 36416 |
|
609 |
483 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
246 |
221 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
113 |
87 |
$0.00 |
| 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 |
41 |
38 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
40 |
28 |
$0.00 |
| 81001 |
|
46 |
28 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
16 |
14 |
$0.00 |
| 82948 |
|
1,343 |
837 |
$0.00 |
| 81025 |
|
802 |
531 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
739 |
443 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
529 |
330 |
$0.00 |
| D0330 |
Panoramic radiographic image |
405 |
256 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
792 |
569 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
24 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
14 |
13 |
$0.00 |
| 80061 |
Lipid panel |
38 |
30 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$0.00 |
| 96160 |
|
26 |
23 |
$0.00 |