| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,986 |
4,410 |
$597K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,177 |
1,910 |
$330K |
| 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 |
1,659 |
1,515 |
$40K |
| D0220 |
Intraoral - periapical first radiographic image |
148 |
121 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
27 |
$4K |
| D0272 |
Bitewings - two radiographic images |
59 |
56 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$2K |
| D1110 |
Prophylaxis - adult |
25 |
24 |
$2K |
| 0064A |
|
46 |
43 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
139 |
116 |
$1K |
| 11721 |
|
552 |
454 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$688.28 |
| D0230 |
Intraoral - periapical each additional radiographic image |
20 |
16 |
$524.52 |
| 96127 |
|
1,343 |
1,258 |
$490.84 |
| 99442 |
|
58 |
44 |
$230.57 |
| 3074F |
|
279 |
270 |
$200.00 |
| 3078F |
|
267 |
253 |
$200.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
45 |
30 |
$79.54 |
| 3079F |
|
56 |
56 |
$70.00 |
| G0008 |
Administration of influenza virus vaccine |
64 |
52 |
$43.75 |
| 3075F |
|
56 |
53 |
$40.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
103 |
100 |
$7.34 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
105 |
102 |
$7.34 |
| 1000F |
|
185 |
160 |
$0.00 |
| 1126F |
|
284 |
271 |
$0.00 |
| 3017F |
|
173 |
170 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
82 |
82 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
69 |
68 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
68 |
67 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
80 |
79 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
94 |
93 |
$0.00 |
| 1125F |
|
72 |
68 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
56 |
55 |
$0.00 |
| 90686 |
|
27 |
27 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
67 |
66 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
65 |
65 |
$0.00 |
| 1159F |
|
330 |
313 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
106 |
106 |
$0.00 |
| 3288F |
|
284 |
269 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
515 |
489 |
$0.00 |
| 99408 |
|
45 |
39 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
26 |
26 |
$0.00 |