| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0999 |
Unspecified diagnostic procedure, by report |
24,883 |
21,676 |
$5.03M |
| 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 |
4,006 |
3,279 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,033 |
2,625 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
609 |
549 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$6.50 |
| D0140 |
Limited oral evaluation - problem focused |
1,849 |
1,808 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
327 |
327 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
394 |
393 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
460 |
297 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
51 |
12 |
$0.00 |
| D1120 |
Prophylaxis - child |
239 |
238 |
$0.00 |
| D1110 |
Prophylaxis - adult |
363 |
363 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
988 |
970 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
64 |
43 |
$0.00 |