| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
890 |
752 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
270 |
245 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
241 |
207 |
$7K |
| D0330 |
Panoramic radiographic image |
122 |
122 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
172 |
170 |
$3K |
| D7140 |
Extraction, erupted tooth or exposed root |
41 |
18 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
129 |
83 |
$1K |
| 99072 |
|
157 |
136 |
$202.04 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$198.64 |
| 36415 |
Collection of venous blood by venipuncture |
368 |
333 |
$187.26 |
| 99000 |
|
290 |
280 |
$117.45 |
| 90686 |
|
15 |
12 |
$31.54 |