| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,332 |
5,443 |
$1.33M |
| 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 |
10,527 |
4,567 |
$613K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,192 |
1,559 |
$439K |
| D1110 |
Prophylaxis - adult |
4,265 |
1,426 |
$389K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
3,214 |
1,544 |
$307K |
| 90791 |
Psychiatric diagnostic evaluation |
1,174 |
1,061 |
$298K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,326 |
722 |
$177K |
| 90832 |
Psychotherapy, 30 minutes with patient |
380 |
330 |
$77K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
250 |
201 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
162 |
122 |
$33K |
| D4355 |
|
406 |
105 |
$30K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
128 |
115 |
$29K |
| D0120 |
Periodic oral evaluation - established patient |
236 |
83 |
$23K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
208 |
88 |
$21K |
| 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 |
262 |
126 |
$17K |
| 99215 |
Prolong outpt/office vis |
82 |
74 |
$16K |
| 99385 |
|
89 |
63 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
84 |
60 |
$16K |
| 99386 |
|
85 |
63 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
74 |
62 |
$14K |
| D1206 |
Topical application of fluoride varnish |
138 |
37 |
$11K |
| D0274 |
Bitewings - four radiographic images |
143 |
31 |
$7K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
30 |
15 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
43 |
28 |
$4K |
| D4910 |
|
59 |
13 |
$4K |
| 0012A |
|
19 |
19 |
$118.20 |
| 0011A |
|
17 |
17 |
$78.80 |