| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,115 |
12,094 |
$4.66M |
| 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 |
2,225 |
1,675 |
$160K |
| 98940 |
|
1,961 |
1,235 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,150 |
1,837 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,033 |
1,368 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,385 |
1,185 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,456 |
1,381 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
648 |
290 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,186 |
1,237 |
$4K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
346 |
230 |
$4K |
| 97032 |
|
535 |
335 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
1,389 |
1,298 |
$603.08 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
179 |
155 |
$469.78 |
| 97035 |
|
72 |
46 |
$399.29 |
| D0120 |
Periodic oral evaluation - established patient |
1,314 |
1,287 |
$385.49 |
| 92015 |
Determination of refractive state |
1,839 |
1,740 |
$370.90 |
| D1120 |
Prophylaxis - child |
581 |
572 |
$276.14 |
| D1208 |
Topical application of fluoride, excluding varnish |
554 |
548 |
$230.51 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
75 |
55 |
$144.58 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
40 |
$34.30 |
| D0330 |
Panoramic radiographic image |
258 |
247 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
81 |
78 |
$0.00 |
| D1110 |
Prophylaxis - adult |
653 |
637 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
101 |
95 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
12 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
28 |
28 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$0.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
15 |
12 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
58 |
56 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
59 |
55 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
121 |
118 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
33 |
30 |
$0.00 |
| D1330 |
|
16 |
16 |
$0.00 |