| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,084 |
9,088 |
$1.52M |
| D0999 |
Unspecified diagnostic procedure, by report |
654 |
416 |
$61K |
| H2020 |
Therapeutic behavioral services, per diem |
596 |
123 |
$34K |
| 99051 |
|
23 |
12 |
$250.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,892 |
5,094 |
$83.08 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,990 |
1,981 |
$0.01 |
| 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 |
278 |
187 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
243 |
180 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
242 |
111 |
$0.00 |
| 92551 |
|
410 |
234 |
$0.00 |
| 99386 |
|
152 |
17 |
$0.00 |
| 99384 |
|
169 |
97 |
$0.00 |
| 99385 |
|
258 |
36 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
50 |
31 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
36 |
19 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
201 |
82 |
$0.00 |
| 85018 |
|
20 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
60 |
$0.00 |
| 99173 |
|
467 |
254 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
90 |
40 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
165 |
128 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
716 |
137 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
175 |
25 |
$0.00 |
| 90661 |
|
17 |
14 |
$0.00 |
| 81003 |
|
58 |
37 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
66 |
25 |
$0.00 |
| D1110 |
Prophylaxis - adult |
39 |
39 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
44 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
104 |
24 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$0.00 |
| D0330 |
Panoramic radiographic image |
73 |
43 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |