| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,700 |
13,094 |
$3.39M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,409 |
7,298 |
$1.94M |
| 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 |
23,761 |
10,278 |
$1.68M |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
8,439 |
4,003 |
$813K |
| 90791 |
Psychiatric diagnostic evaluation |
3,735 |
3,126 |
$805K |
| D1110 |
Prophylaxis - adult |
6,616 |
2,512 |
$706K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,286 |
2,471 |
$610K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,266 |
1,411 |
$591K |
| D0120 |
Periodic oral evaluation - established patient |
3,285 |
1,264 |
$355K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,376 |
1,243 |
$346K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,532 |
913 |
$251K |
| 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 |
2,257 |
1,098 |
$147K |
| 99215 |
Prolong outpt/office vis |
587 |
393 |
$97K |
| 90834 |
Psychotherapy, 45 minutes with patient |
260 |
88 |
$44K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
529 |
148 |
$40K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
156 |
145 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
168 |
121 |
$29K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
129 |
65 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
74 |
39 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
42 |
36 |
$9K |
| D0140 |
Limited oral evaluation - problem focused |
42 |
27 |
$8K |
| 93000 |
|
425 |
422 |
$7K |
| 99205 |
Prolong outpt/office vis |
32 |
29 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
327 |
326 |
$4K |
| D0330 |
Panoramic radiographic image |
30 |
15 |
$4K |
| D0191 |
|
14 |
14 |
$4K |
| 99397 |
|
33 |
12 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
49 |
25 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
67 |
64 |
$1K |
| 90688 |
|
102 |
101 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
232 |
226 |
$1K |
| 90674 |
|
17 |
17 |
$500.00 |
| 99442 |
|
20 |
20 |
$469.60 |
| G8482 |
Influenza immunization administered or previously received |
233 |
232 |
$0.00 |
| 90653 |
|
20 |
20 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
12 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |