| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,625 |
7,334 |
$1.77M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,509 |
6,730 |
$1.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,986 |
2,699 |
$618K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,792 |
842 |
$296K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,123 |
926 |
$231K |
| 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 |
1,002 |
817 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
71 |
$17K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
116 |
101 |
$12K |
| D1999 |
|
1,250 |
1,042 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
1,062 |
1,021 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,017 |
1,013 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
18 |
13 |
$4K |
| D1206 |
Topical application of fluoride varnish |
441 |
401 |
$3K |
| D1120 |
Prophylaxis - child |
166 |
166 |
$3K |
| 90688 |
|
152 |
149 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
843 |
824 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
397 |
387 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
146 |
142 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$845.28 |
| 96127 |
|
21 |
19 |
$652.50 |
| D0120 |
Periodic oral evaluation - established patient |
129 |
126 |
$622.60 |
| D7140 |
Extraction, erupted tooth or exposed root |
184 |
81 |
$618.03 |
| 99384 |
|
16 |
16 |
$563.52 |
| D1110 |
Prophylaxis - adult |
81 |
81 |
$403.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
29 |
$156.60 |
| 90670 |
|
13 |
13 |
$141.96 |
| 3078F |
|
15 |
13 |
$0.05 |
| D0274 |
Bitewings - four radiographic images |
67 |
66 |
$0.00 |
| D0330 |
Panoramic radiographic image |
18 |
18 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
15 |
12 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
205 |
203 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
131 |
75 |
$0.00 |
| D0999 |
Unspecified diagnostic procedure, by report |
115 |
92 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
14 |
12 |
$0.00 |