| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,433 |
14,916 |
$3.71M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,728 |
10,142 |
$2.57M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,719 |
7,699 |
$1.84M |
| 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 |
25,727 |
10,612 |
$1.75M |
| 90791 |
Psychiatric diagnostic evaluation |
7,384 |
5,830 |
$1.54M |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,960 |
3,812 |
$1.45M |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
9,153 |
4,442 |
$892K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,899 |
1,681 |
$847K |
| D0120 |
Periodic oral evaluation - established patient |
7,258 |
3,380 |
$708K |
| D1110 |
Prophylaxis - adult |
4,413 |
2,121 |
$442K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
920 |
482 |
$144K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
436 |
381 |
$100K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
568 |
346 |
$97K |
| 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 |
1,229 |
591 |
$80K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
318 |
206 |
$51K |
| 99215 |
Prolong outpt/office vis |
140 |
109 |
$28K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
460 |
210 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
160 |
105 |
$27K |
| D0220 |
Intraoral - periapical first radiographic image |
408 |
184 |
$17K |
| D0274 |
Bitewings - four radiographic images |
388 |
214 |
$17K |
| 99385 |
|
56 |
32 |
$10K |
| 99386 |
|
53 |
28 |
$8K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
517 |
495 |
$8K |
| 99205 |
Prolong outpt/office vis |
38 |
29 |
$7K |
| 0012A |
|
214 |
214 |
$5K |
| 99201 |
|
31 |
20 |
$5K |
| 0011A |
|
191 |
191 |
$4K |
| 97542 |
|
16 |
16 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
248 |
243 |
$3K |
| D9110 |
|
27 |
12 |
$3K |
| 93000 |
|
211 |
203 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
107 |
88 |
$2K |
| 99441 |
|
58 |
58 |
$2K |
| 0064A |
|
41 |
41 |
$2K |
| 0013A |
|
34 |
34 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
45 |
45 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
208 |
204 |
$1K |
| 90688 |
|
54 |
54 |
$876.04 |
| 0031A |
|
17 |
17 |
$563.73 |
| D1208 |
Topical application of fluoride, excluding varnish |
51 |
51 |
$520.05 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$460.71 |
| 90656 |
|
16 |
16 |
$19.77 |
| 91313 |
|
33 |
33 |
$0.04 |
| 91301 |
|
300 |
298 |
$0.01 |
| 90785 |
|
30 |
29 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
146 |
146 |
$0.00 |