| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,484 |
12,281 |
$1.70M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,545 |
8,917 |
$140K |
| D0999 |
Unspecified diagnostic procedure, by report |
635 |
551 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
872 |
800 |
$17K |
| 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 |
430 |
360 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
54 |
$1K |
| D1120 |
Prophylaxis - child |
236 |
220 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,051 |
1,932 |
$1K |
| D1206 |
Topical application of fluoride varnish |
551 |
521 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
647 |
634 |
$984.55 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$856.13 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,651 |
1,567 |
$806.11 |
| 90834 |
Psychotherapy, 45 minutes with patient |
106 |
65 |
$732.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,418 |
3,210 |
$601.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
134 |
132 |
$404.48 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$388.52 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
234 |
221 |
$306.13 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
437 |
410 |
$285.19 |
| D0120 |
Periodic oral evaluation - established patient |
102 |
97 |
$230.80 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
27 |
$229.68 |
| 87807 |
|
112 |
108 |
$217.56 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$187.04 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$62.00 |
| 97169 |
|
17 |
17 |
$0.11 |
| 90686 |
|
289 |
287 |
$0.01 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
15 |
14 |
$0.00 |
| 90461 |
|
151 |
150 |
$0.00 |
| D0190 |
|
146 |
143 |
$0.00 |
| 90715 |
|
23 |
23 |
$0.00 |
| 4004F |
|
12 |
12 |
$0.00 |
| 1034F |
|
12 |
12 |
$0.00 |
| D0603 |
|
258 |
241 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
457 |
424 |
$0.00 |
| D0601 |
|
139 |
137 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
47 |
40 |
$0.00 |
| 90619 |
|
19 |
19 |
$0.00 |
| D1330 |
|
14 |
13 |
$0.00 |