| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
40,100 |
25,405 |
$2.64M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,915 |
19,928 |
$755K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,635 |
1,747 |
$175K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,981 |
1,460 |
$96K |
| D1110 |
Prophylaxis - adult |
5,222 |
3,346 |
$62K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,923 |
850 |
$44K |
| 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 |
1,427 |
1,157 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,262 |
818 |
$31K |
| D0330 |
Panoramic radiographic image |
2,154 |
1,469 |
$26K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,939 |
1,868 |
$26K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,388 |
699 |
$24K |
| D0120 |
Periodic oral evaluation - established patient |
3,180 |
2,024 |
$20K |
| D0274 |
Bitewings - four radiographic images |
4,094 |
2,681 |
$20K |
| 90832 |
Psychotherapy, 30 minutes with patient |
894 |
327 |
$16K |
| D1206 |
Topical application of fluoride varnish |
1,069 |
670 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
328 |
151 |
$5K |
| D7140 |
Extraction, erupted tooth or exposed root |
194 |
78 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
182 |
107 |
$3K |
| D1120 |
Prophylaxis - child |
492 |
313 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
326 |
185 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
49 |
46 |
$2K |
| 99201 |
|
146 |
49 |
$1K |
| 99406 |
|
638 |
358 |
$1K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
21 |
21 |
$840.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
63 |
$632.54 |
| 80305 |
|
412 |
219 |
$615.08 |
| 36415 |
Collection of venous blood by venipuncture |
668 |
388 |
$557.38 |
| 90686 |
|
82 |
53 |
$532.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
22 |
$406.35 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
64 |
39 |
$375.78 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
48 |
27 |
$343.40 |
| D0272 |
Bitewings - two radiographic images |
64 |
38 |
$231.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
103 |
53 |
$138.32 |
| 87400 |
|
34 |
12 |
$63.60 |
| 96127 |
|
41 |
40 |
$41.80 |
| D0220 |
Intraoral - periapical first radiographic image |
24 |
12 |
$31.50 |
| 3074F |
|
9,450 |
4,941 |
$0.00 |
| 3079F |
|
5,109 |
2,698 |
$0.00 |
| 3075F |
|
1,862 |
990 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
643 |
329 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
708 |
512 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
758 |
577 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
291 |
246 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
468 |
363 |
$0.00 |
| 3080F |
|
430 |
229 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
170 |
72 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
62 |
29 |
$0.00 |
| 3008F |
|
14 |
14 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
37 |
14 |
$0.00 |
| 3044F |
|
18 |
18 |
$0.00 |
| 96160 |
|
2,245 |
1,198 |
$0.00 |
| 3078F |
|
6,611 |
3,585 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
2,023 |
1,254 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
812 |
608 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
557 |
277 |
$0.00 |
| 99408 |
|
670 |
427 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
177 |
92 |
$0.00 |
| 3077F |
|
358 |
193 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
609 |
289 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
15 |
15 |
$0.00 |