| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,612 |
5,173 |
$1.86M |
| 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 |
1,007 |
704 |
$51K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
139 |
132 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,234 |
1,865 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,400 |
1,221 |
$3K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
54 |
54 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,823 |
863 |
$2K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
646 |
403 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
82 |
81 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
242 |
237 |
$1K |
| 99406 |
|
39 |
37 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
490 |
449 |
$836.36 |
| 92002 |
|
236 |
230 |
$573.18 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
379 |
152 |
$555.13 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
208 |
203 |
$377.25 |
| 81002 |
|
182 |
165 |
$322.32 |
| 98940 |
|
242 |
148 |
$311.66 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
18 |
18 |
$300.06 |
| 3078F |
|
1,243 |
1,131 |
$286.98 |
| 96127 |
|
865 |
673 |
$286.81 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
649 |
218 |
$231.69 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
144 |
144 |
$203.61 |
| 97164 |
|
100 |
80 |
$177.98 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
115 |
113 |
$131.14 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
38 |
$118.89 |
| 90656 |
|
13 |
12 |
$65.44 |
| 99070 |
|
27 |
25 |
$24.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
130 |
129 |
$10.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
177 |
172 |
$3.65 |
| 3008F |
|
1,749 |
1,536 |
$0.21 |
| 3074F |
|
1,310 |
1,198 |
$0.18 |
| 3079F |
|
268 |
256 |
$0.10 |
| 3077F |
|
70 |
66 |
$0.09 |
| 3075F |
|
136 |
126 |
$0.01 |
| 92551 |
|
314 |
312 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
188 |
176 |
$0.00 |
| 3080F |
|
24 |
24 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
39 |
38 |
$0.00 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
53 |
31 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
25 |
24 |
$0.00 |
| 97162 |
|
12 |
12 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
16 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
56 |
56 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$0.00 |
| V2020 |
Frames, purchases |
27 |
26 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
24 |
24 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
146 |
139 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| D0330 |
Panoramic radiographic image |
78 |
76 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
49 |
$0.00 |
| D1110 |
Prophylaxis - adult |
16 |
15 |
$0.00 |
| 1160F |
|
135 |
120 |
$0.00 |
| 98927 |
|
13 |
12 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$0.00 |