| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0999 |
Unspecified diagnostic procedure, by report |
13,351 |
10,945 |
$2.67M |
| 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 |
4,944 |
4,267 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,212 |
3,643 |
$74K |
| 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 |
940 |
688 |
$21K |
| 90832 |
Psychotherapy, 30 minutes with patient |
666 |
566 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
647 |
629 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
42 |
34 |
$4K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
704 |
691 |
$3K |
| 90863 |
|
67 |
67 |
$319.44 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
298 |
287 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
342 |
307 |
$0.00 |
| D1330 |
|
290 |
285 |
$0.00 |
| 0011A |
|
17 |
14 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
27 |
27 |
$0.00 |
| 91301 |
|
36 |
30 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
34 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
50 |
39 |
$0.00 |
| D1110 |
Prophylaxis - adult |
736 |
735 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
261 |
248 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
105 |
95 |
$0.00 |