| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,657 |
11,625 |
$1.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,345 |
6,032 |
$168K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,386 |
2,539 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,145 |
1,917 |
$89K |
| H0038 |
Self-help/peer services, per 15 minutes |
275 |
85 |
$51K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,153 |
795 |
$35K |
| D0140 |
Limited oral evaluation - problem focused |
309 |
285 |
$17K |
| D7140 |
Extraction, erupted tooth or exposed root |
115 |
38 |
$10K |
| 90832 |
Psychotherapy, 30 minutes with patient |
741 |
515 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
579 |
523 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
647 |
570 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
522 |
437 |
$359.17 |
| D0270 |
|
37 |
37 |
$178.90 |
| 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 |
811 |
684 |
$155.81 |
| D0274 |
Bitewings - four radiographic images |
18 |
14 |
$136.28 |
| 36415 |
Collection of venous blood by venipuncture |
66 |
63 |
$52.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
169 |
149 |
$27.42 |
| D0230 |
Intraoral - periapical each additional radiographic image |
162 |
60 |
$0.00 |
| 90686 |
|
59 |
46 |
$0.00 |
| 91301 |
|
34 |
30 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 99441 |
|
16 |
13 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
26 |
$0.00 |
| 96160 |
|
724 |
643 |
$0.00 |
| 99408 |
|
63 |
56 |
$0.00 |
| 99442 |
|
15 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
12 |
$0.00 |
| 98968 |
|
21 |
18 |
$0.00 |