| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
710 |
586 |
$16K |
| 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 |
381 |
301 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
88 |
53 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
127 |
115 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
46 |
26 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
26 |
$784.29 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
25 |
$686.38 |
| D0220 |
Intraoral - periapical first radiographic image |
182 |
167 |
$603.72 |
| 36415 |
Collection of venous blood by venipuncture |
50 |
41 |
$68.65 |