| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,151 |
4,471 |
$147K |
| T1015 |
Clinic visit/encounter, all-inclusive |
737 |
651 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,941 |
1,698 |
$42K |
| 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 |
796 |
738 |
$19K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,449 |
1,278 |
$8K |
| 99000 |
|
3,055 |
2,739 |
$8K |
| 90756 |
|
348 |
319 |
$4K |
| D1120 |
Prophylaxis - child |
105 |
98 |
$4K |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
274 |
237 |
$3K |
| D1206 |
Topical application of fluoride varnish |
142 |
132 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
43 |
42 |
$1K |
| 90688 |
|
75 |
70 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
30 |
27 |
$747.33 |
| 99215 |
Prolong outpt/office vis |
25 |
23 |
$706.05 |
| 90661 |
|
24 |
24 |
$588.80 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
12 |
$349.36 |
| D0191 |
|
29 |
26 |
$337.87 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
14 |
$80.05 |
| 36415 |
Collection of venous blood by venipuncture |
623 |
557 |
$37.10 |
| 36416 |
|
60 |
58 |
$18.51 |
| 3074F |
|
1,318 |
1,183 |
$0.00 |
| 1125F |
|
345 |
301 |
$0.00 |
| 3079F |
|
432 |
365 |
$0.00 |
| 1126F |
|
502 |
423 |
$0.00 |
| 3075F |
|
62 |
57 |
$0.00 |
| 3008F |
|
37 |
32 |
$0.00 |
| 3080F |
|
42 |
39 |
$0.00 |
| 1159F |
|
1,212 |
1,016 |
$0.00 |
| 3078F |
|
1,074 |
974 |
$0.00 |
| 1160F |
|
1,185 |
997 |
$0.00 |
| 3077F |
|
31 |
27 |
$0.00 |