| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60,421 |
38,599 |
$6.22M |
| 90834 |
Psychotherapy, 45 minutes with patient |
14,693 |
5,045 |
$1.63M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,790 |
7,552 |
$1.20M |
| 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 |
10,696 |
4,975 |
$463K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,604 |
1,748 |
$343K |
| D1110 |
Prophylaxis - adult |
5,092 |
2,737 |
$334K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,223 |
603 |
$130K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
3,297 |
1,346 |
$128K |
| D0120 |
Periodic oral evaluation - established patient |
1,397 |
636 |
$96K |
| 99442 |
|
1,128 |
728 |
$93K |
| 11719 |
|
2,870 |
1,373 |
$66K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,834 |
2,707 |
$57K |
| D0330 |
Panoramic radiographic image |
1,602 |
1,335 |
$53K |
| D1330 |
|
1,209 |
447 |
$44K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
858 |
418 |
$39K |
| 36415 |
Collection of venous blood by venipuncture |
3,551 |
3,012 |
$35K |
| D0140 |
Limited oral evaluation - problem focused |
617 |
198 |
$33K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
251 |
160 |
$33K |
| 11057 |
|
617 |
487 |
$24K |
| 11721 |
|
1,255 |
1,034 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
236 |
121 |
$22K |
| D7140 |
Extraction, erupted tooth or exposed root |
213 |
88 |
$17K |
| 11056 |
|
516 |
332 |
$15K |
| 99441 |
|
166 |
111 |
$15K |
| D0251 |
|
1,429 |
1,429 |
$11K |
| 0001F |
|
192 |
102 |
$10K |
| 90658 |
|
466 |
413 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
771 |
763 |
$8K |
| D5899 |
|
39 |
26 |
$6K |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
133 |
70 |
$5K |
| 99443 |
|
43 |
21 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
28 |
15 |
$4K |
| 2010F |
|
4,020 |
3,668 |
$4K |
| 1125F |
|
150 |
109 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
18 |
13 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
37 |
18 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
12 |
$2K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
26 |
13 |
$2K |
| D0272 |
Bitewings - two radiographic images |
78 |
67 |
$2K |
| 99385 |
|
16 |
13 |
$2K |
| 87102 |
|
46 |
28 |
$1K |
| D0274 |
Bitewings - four radiographic images |
99 |
99 |
$1K |
| 57410 |
|
15 |
14 |
$965.75 |
| 96160 |
|
18 |
18 |
$900.00 |
| 90662 |
|
12 |
12 |
$670.78 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
14 |
12 |
$659.64 |
| 0011A |
|
46 |
46 |
$568.88 |
| 97803 |
|
143 |
135 |
$504.06 |
| 0012A |
|
24 |
24 |
$484.40 |
| 90686 |
|
24 |
24 |
$407.63 |
| D0210 |
Intraoral - complete series of radiographic images |
28 |
27 |
$351.23 |
| 90756 |
|
19 |
19 |
$336.93 |
| 97802 |
|
28 |
28 |
$336.25 |
| D0220 |
Intraoral - periapical first radiographic image |
24 |
24 |
$312.15 |
| 99407 |
|
14 |
14 |
$224.90 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
16 |
$120.63 |
| 99406 |
|
27 |
27 |
$68.87 |
| G0403 |
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report |
26 |
26 |
$25.83 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
16 |
14 |
$0.11 |
| 87905 |
|
16 |
14 |
$0.06 |
| 99401 |
|
12 |
12 |
$0.00 |
| 91301 |
|
88 |
83 |
$0.00 |