| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,284 |
6,078 |
$868K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,264 |
5,575 |
$433K |
| 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 |
3,110 |
2,942 |
$91K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
654 |
604 |
$32K |
| D0274 |
Bitewings - four radiographic images |
420 |
388 |
$26K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,012 |
866 |
$26K |
| D0220 |
Intraoral - periapical first radiographic image |
984 |
860 |
$25K |
| D0330 |
Panoramic radiographic image |
192 |
171 |
$18K |
| 80053 |
Comprehensive metabolic panel |
306 |
294 |
$14K |
| D1110 |
Prophylaxis - adult |
117 |
115 |
$11K |
| D0140 |
Limited oral evaluation - problem focused |
148 |
128 |
$10K |
| 80061 |
Lipid panel |
201 |
185 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
322 |
315 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
94 |
85 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
99 |
97 |
$6K |
| 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 |
132 |
82 |
$4K |
| 92551 |
|
106 |
105 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
26 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$962.85 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
15 |
$765.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
34 |
12 |
$637.56 |
| D0270 |
|
17 |
15 |
$382.72 |
| 36415 |
Collection of venous blood by venipuncture |
98 |
95 |
$1.80 |
| 90834 |
Psychotherapy, 45 minutes with patient |
76 |
45 |
$0.00 |