| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,721 |
7,519 |
$2.25M |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
542 |
463 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,932 |
3,487 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,701 |
1,144 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,283 |
2,819 |
$2K |
| D1206 |
Topical application of fluoride varnish |
218 |
201 |
$0.00 |
| D1351 |
Sealant - per tooth |
12 |
12 |
$0.00 |
| D1120 |
Prophylaxis - child |
174 |
154 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
95 |
89 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
15 |
15 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$0.00 |