| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,780 |
6,371 |
$281K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,166 |
1,085 |
$77K |
| 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 |
2,363 |
2,170 |
$30K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
173 |
170 |
$5K |
| D0274 |
Bitewings - four radiographic images |
181 |
179 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
526 |
516 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,216 |
2,108 |
$2K |
| 96127 |
|
408 |
399 |
$2K |
| D0330 |
Panoramic radiographic image |
150 |
147 |
$2K |
| 82947 |
|
840 |
817 |
$1K |
| 90674 |
|
55 |
51 |
$555.12 |
| D0140 |
Limited oral evaluation - problem focused |
27 |
26 |
$223.47 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
25 |
$34.00 |
| 90756 |
|
25 |
24 |
$25.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
24 |
$16.20 |
| 36416 |
|
12 |
12 |
$1.01 |