| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,134 |
14,281 |
$2.90M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,620 |
6,660 |
$374K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,778 |
9,470 |
$339K |
| D9999 |
Unspecified adjunctive procedure, by report |
863 |
692 |
$108K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,681 |
1,170 |
$41K |
| 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 |
726 |
542 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
26 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,894 |
1,694 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
159 |
152 |
$3K |
| 80305 |
|
316 |
269 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
324 |
306 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
17 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
30 |
29 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
47 |
43 |
$1K |
| D1120 |
Prophylaxis - child |
25 |
25 |
$859.80 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
13 |
$586.48 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$380.20 |
| D0274 |
Bitewings - four radiographic images |
43 |
42 |
$232.89 |
| 99000 |
|
23 |
23 |
$92.69 |
| 90837 |
Psychotherapy, 53 minutes with patient |
50 |
24 |
$15.00 |
| 36416 |
|
45 |
43 |
$6.01 |
| 96127 |
|
271 |
132 |
$0.21 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
129 |
89 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
16 |
$0.00 |
| D0251 |
|
16 |
13 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$0.00 |
| 81002 |
|
30 |
27 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
42 |
25 |
$0.00 |
| 90686 |
|
73 |
72 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
30 |
28 |
$0.00 |
| 1036F |
|
101 |
78 |
$0.00 |
| 90688 |
|
14 |
12 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
21 |
12 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
16 |
12 |
$0.00 |