| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
36,939 |
32,246 |
$8.49M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,786 |
10,934 |
$223K |
| 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 |
4,823 |
4,405 |
$157K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,200 |
3,843 |
$92K |
| 90834 |
Psychotherapy, 45 minutes with patient |
211 |
160 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
173 |
172 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,321 |
6,085 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
74 |
74 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
494 |
472 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
199 |
197 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
188 |
183 |
$722.20 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$590.64 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
69 |
$588.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
50 |
$485.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
74 |
74 |
$436.19 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
76 |
76 |
$307.25 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
55 |
55 |
$96.48 |
| D0274 |
Bitewings - four radiographic images |
46 |
46 |
$30.50 |
| D1120 |
Prophylaxis - child |
199 |
199 |
$30.50 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
53 |
53 |
$30.50 |
| 81003 |
|
12 |
12 |
$24.25 |
| D1208 |
Topical application of fluoride, excluding varnish |
443 |
443 |
$15.24 |
| D0330 |
Panoramic radiographic image |
79 |
79 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
175 |
151 |
$0.00 |
| D1110 |
Prophylaxis - adult |
91 |
91 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
108 |
108 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
84 |
84 |
$0.00 |