| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,600 |
8,151 |
$5.27M |
| 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 |
432 |
347 |
$89K |
| 90832 |
Psychotherapy, 30 minutes with patient |
465 |
275 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,625 |
1,312 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,421 |
2,009 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,078 |
1,366 |
$2K |
| 0011A |
|
74 |
72 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
111 |
92 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
422 |
343 |
$1K |
| 0012A |
|
41 |
41 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
119 |
117 |
$1K |
| 0002A |
|
33 |
33 |
$702.55 |
| 80305 |
|
1,000 |
707 |
$642.44 |
| 0064A |
|
16 |
16 |
$559.35 |
| 90686 |
|
94 |
93 |
$402.26 |
| 0001A |
|
39 |
39 |
$285.66 |
| 36415 |
Collection of venous blood by venipuncture |
301 |
245 |
$235.80 |
| D0190 |
|
1,197 |
840 |
$19.71 |
| 36416 |
|
13 |
12 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
1,004 |
787 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
143 |
107 |
$0.00 |
| D1330 |
|
94 |
93 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
89 |
69 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
176 |
125 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
16 |
16 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
17 |
13 |
$0.00 |
| 91306 |
|
16 |
16 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
16 |
13 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$0.00 |
| 90674 |
|
17 |
17 |
$0.00 |
| 83037 |
|
12 |
12 |
$0.00 |
| D1110 |
Prophylaxis - adult |
514 |
369 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
48 |
24 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
353 |
245 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
58 |
53 |
$0.00 |
| D1120 |
Prophylaxis - child |
150 |
128 |
$0.00 |
| 99442 |
|
15 |
14 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
91 |
54 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |