| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,343 |
11,450 |
$1.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,045 |
3,961 |
$281K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,709 |
6,297 |
$252K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,029 |
1,074 |
$82K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
379 |
205 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
150 |
77 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
72 |
38 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,683 |
976 |
$2K |
| 80305 |
|
459 |
156 |
$2K |
| 0012A |
|
43 |
43 |
$2K |
| 92551 |
|
366 |
200 |
$1K |
| 0011A |
|
33 |
33 |
$1K |
| 81003 |
|
1,626 |
831 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
26 |
17 |
$952.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
101 |
64 |
$951.70 |
| 90756 |
|
51 |
29 |
$646.19 |
| 0064A |
|
14 |
13 |
$583.32 |
| 90686 |
|
50 |
37 |
$582.00 |
| D1110 |
Prophylaxis - adult |
405 |
283 |
$541.32 |
| 99173 |
|
363 |
199 |
$454.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
42 |
24 |
$431.26 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29 |
16 |
$231.75 |
| 85018 |
|
182 |
103 |
$154.57 |
| 81025 |
|
42 |
25 |
$119.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
14 |
$82.96 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
57 |
28 |
$32.02 |
| 3008F |
|
7,172 |
6,197 |
$0.00 |
| 2001F |
|
7,129 |
6,149 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
5,800 |
5,037 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,607 |
1,506 |
$0.00 |
| 3074F |
|
3,744 |
3,217 |
$0.00 |
| 1111F |
|
1,210 |
1,034 |
$0.00 |
| 3079F |
|
1,206 |
1,056 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
254 |
232 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
173 |
131 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
12 |
$0.00 |
| 3075F |
|
163 |
140 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
29 |
24 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
15 |
13 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
26 |
13 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
134 |
84 |
$0.00 |
| 3078F |
|
2,746 |
2,401 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
5,565 |
4,842 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
791 |
741 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
365 |
326 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
76 |
76 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
30 |
24 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
17 |
13 |
$0.00 |
| 3077F |
|
17 |
13 |
$0.00 |