| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0999 |
Unspecified diagnostic procedure, by report |
3,413 |
2,759 |
$603K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,267 |
4,310 |
$538K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,843 |
1,664 |
$241K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,406 |
2,101 |
$211K |
| 90832 |
Psychotherapy, 30 minutes with patient |
454 |
296 |
$79K |
| 90834 |
Psychotherapy, 45 minutes with patient |
441 |
280 |
$69K |
| 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 |
3,419 |
2,393 |
$48K |
| 90837 |
Psychotherapy, 53 minutes with patient |
273 |
146 |
$30K |
| 99442 |
|
79 |
73 |
$7K |
| 99201 |
|
20 |
20 |
$3K |
| 99441 |
|
16 |
16 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
156 |
127 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
13 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
702 |
631 |
$788.87 |
| 36415 |
Collection of venous blood by venipuncture |
964 |
882 |
$482.75 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
279 |
268 |
$217.28 |
| 0012A |
|
177 |
165 |
$92.67 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
215 |
200 |
$68.87 |
| G0008 |
Administration of influenza virus vaccine |
212 |
178 |
$68.00 |
| 0011A |
|
102 |
94 |
$63.27 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
118 |
101 |
$39.34 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
220 |
200 |
$31.21 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
40 |
$4.15 |
| 90686 |
|
183 |
181 |
$0.00 |
| 91306 |
|
52 |
52 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$0.00 |
| 91301 |
|
172 |
162 |
$0.00 |
| 0064A |
|
59 |
59 |
$0.00 |
| 80305 |
|
15 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
12 |
$0.00 |
| 0013A |
|
34 |
31 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$0.00 |