| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,413 |
10,652 |
$597K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,600 |
7,257 |
$488K |
| 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 |
3,929 |
3,507 |
$40K |
| 90832 |
Psychotherapy, 30 minutes with patient |
779 |
759 |
$28K |
| 90863 |
|
657 |
643 |
$27K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
110 |
99 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,995 |
1,938 |
$11K |
| 90674 |
|
575 |
567 |
$11K |
| D0330 |
Panoramic radiographic image |
213 |
213 |
$10K |
| 82947 |
|
3,944 |
3,762 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
7,122 |
6,797 |
$6K |
| 99408 |
|
271 |
246 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
50 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
266 |
264 |
$5K |
| 90756 |
|
399 |
376 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
198 |
169 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
206 |
205 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
773 |
759 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$1K |
| 96127 |
|
747 |
725 |
$1K |
| 90686 |
|
27 |
27 |
$373.45 |
| G0008 |
Administration of influenza virus vaccine |
194 |
177 |
$41.74 |
| 81025 |
|
27 |
25 |
$36.87 |