| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,681 |
14,548 |
$3.47M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,127 |
13,882 |
$2.97M |
| D0999 |
Unspecified diagnostic procedure, by report |
2,048 |
1,773 |
$636K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,058 |
2,373 |
$479K |
| 90837 |
Psychotherapy, 53 minutes with patient |
308 |
238 |
$40K |
| 90832 |
Psychotherapy, 30 minutes with patient |
141 |
129 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
116 |
108 |
$27K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
61 |
60 |
$16K |
| 99215 |
Prolong outpt/office vis |
77 |
71 |
$15K |
| 90791 |
Psychiatric diagnostic evaluation |
70 |
67 |
$13K |
| 99401 |
|
348 |
272 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$4K |
| 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 |
170 |
160 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$3K |
| 99402 |
|
48 |
42 |
$2K |
| 90686 |
|
416 |
398 |
$307.75 |
| 90619 |
|
39 |
38 |
$282.25 |
| 90732 |
|
22 |
20 |
$248.09 |
| 91320 |
|
174 |
172 |
$101.48 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
366 |
361 |
$100.00 |
| 90750 |
|
14 |
12 |
$89.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,361 |
5,122 |
$84.19 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
7,838 |
7,337 |
$57.92 |
| 99406 |
|
484 |
424 |
$38.65 |
| 3008F |
|
809 |
668 |
$38.54 |
| 90682 |
|
693 |
676 |
$28.96 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
673 |
634 |
$4.08 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,876 |
1,793 |
$0.00 |
| 90480 |
|
183 |
181 |
$0.00 |
| 0501F |
|
49 |
40 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
143 |
141 |
$0.00 |
| 90688 |
|
527 |
514 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
256 |
246 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
193 |
191 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
30 |
30 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
30 |
12 |
$0.00 |
| 90673 |
|
73 |
73 |
$0.00 |
| 3044F |
|
15 |
15 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
25 |
25 |
$0.00 |
| 90656 |
|
42 |
42 |
$0.00 |
| 87807 |
|
25 |
25 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
654 |
615 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
399 |
386 |
$0.00 |
| D1110 |
Prophylaxis - adult |
50 |
49 |
$0.00 |
| 81003 |
|
187 |
173 |
$0.00 |
| 90715 |
|
143 |
137 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
843 |
788 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
82 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
25 |
$0.00 |
| 90658 |
|
54 |
54 |
$0.00 |
| D0330 |
Panoramic radiographic image |
67 |
67 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
187 |
178 |
$0.00 |
| D4910 |
|
24 |
24 |
$0.00 |
| 90662 |
|
27 |
26 |
$0.00 |
| 99173 |
|
163 |
155 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
30 |
30 |
$0.00 |