| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,908 |
15,957 |
$1.87M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,841 |
5,711 |
$504K |
| 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 |
4,390 |
4,045 |
$114K |
| D0220 |
Intraoral - periapical first radiographic image |
789 |
726 |
$24K |
| D0230 |
Intraoral - periapical each additional radiographic image |
671 |
264 |
$18K |
| 90834 |
Psychotherapy, 45 minutes with patient |
206 |
138 |
$17K |
| D1110 |
Prophylaxis - adult |
144 |
139 |
$15K |
| D0140 |
Limited oral evaluation - problem focused |
127 |
120 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
207 |
148 |
$5K |
| D0274 |
Bitewings - four radiographic images |
43 |
37 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
43 |
42 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
87 |
75 |
$2K |
| D1999 |
|
31 |
29 |
$0.00 |