| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
457 |
421 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
270 |
238 |
$23K |
| 99382 |
|
77 |
76 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
169 |
160 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
81 |
77 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$3K |
| 92551 |
|
87 |
86 |
$0.00 |
| 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 |
114 |
102 |
$0.00 |
| 3074F |
|
107 |
105 |
$0.00 |
| 85018 |
|
39 |
37 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
130 |
125 |
$0.00 |
| 99173 |
|
108 |
106 |
$0.00 |
| 3078F |
|
124 |
122 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
41 |
38 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
19 |
$0.00 |
| 83655 |
|
23 |
23 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 3077F |
|
15 |
14 |
$0.00 |