| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,781 |
10,183 |
$1.93M |
| 90832 |
Psychotherapy, 30 minutes with patient |
16,052 |
4,226 |
$1.80M |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
16,887 |
6,334 |
$1.15M |
| 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 |
32,957 |
13,544 |
$1.09M |
| D9997 |
|
3,292 |
3,082 |
$739K |
| 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 |
16,916 |
3,103 |
$660K |
| D9920 |
|
3,841 |
1,821 |
$418K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,798 |
1,758 |
$368K |
| D0274 |
Bitewings - four radiographic images |
4,191 |
1,250 |
$288K |
| D0999 |
Unspecified diagnostic procedure, by report |
1,185 |
977 |
$230K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,757 |
1,170 |
$214K |
| D0140 |
Limited oral evaluation - problem focused |
1,235 |
786 |
$182K |
| D1110 |
Prophylaxis - adult |
2,099 |
648 |
$148K |
| D5899 |
|
684 |
523 |
$146K |
| 96130 |
|
897 |
598 |
$144K |
| D9991 |
|
554 |
492 |
$114K |
| 11719 |
|
305 |
240 |
$54K |
| D0120 |
Periodic oral evaluation - established patient |
256 |
193 |
$41K |
| 11720 |
|
380 |
179 |
$40K |
| D0210 |
Intraoral - complete series of radiographic images |
233 |
87 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
189 |
78 |
$18K |
| D4910 |
|
300 |
76 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
149 |
71 |
$17K |
| D9995 |
|
362 |
207 |
$16K |
| 90863 |
|
56 |
54 |
$13K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
186 |
72 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
471 |
209 |
$8K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
449 |
112 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
26 |
23 |
$5K |
| 99442 |
|
63 |
52 |
$5K |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
43 |
22 |
$4K |
| 11721 |
|
15 |
13 |
$3K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
12 |
12 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
60 |
29 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
14 |
$2K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
62 |
30 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
99 |
98 |
$67.68 |
| 90674 |
|
32 |
32 |
$44.00 |
| 90686 |
|
12 |
12 |
$16.00 |