| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
42,424 |
25,554 |
$9.29M |
| 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 |
5,179 |
3,589 |
$358K |
| 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 |
1,258 |
1,091 |
$155K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,057 |
404 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,527 |
7,647 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,077 |
4,736 |
$27K |
| 98940 |
|
3,293 |
1,668 |
$13K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,705 |
1,226 |
$9K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,566 |
1,546 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,493 |
2,971 |
$9K |
| D0140 |
Limited oral evaluation - problem focused |
1,861 |
1,732 |
$6K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
65 |
30 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,527 |
1,432 |
$4K |
| D7140 |
Extraction, erupted tooth or exposed root |
515 |
464 |
$3K |
| 3079F |
|
1,047 |
911 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,501 |
761 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
986 |
903 |
$3K |
| 3078F |
|
1,528 |
1,346 |
$2K |
| D1206 |
Topical application of fluoride varnish |
2,161 |
2,090 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
1,710 |
1,661 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
381 |
192 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,516 |
2,299 |
$936.39 |
| 3008F |
|
2,365 |
2,059 |
$859.92 |
| G0008 |
Administration of influenza virus vaccine |
263 |
256 |
$851.67 |
| 96127 |
|
1,110 |
936 |
$835.99 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
62 |
59 |
$833.49 |
| D1110 |
Prophylaxis - adult |
1,042 |
1,014 |
$814.65 |
| 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 |
12 |
12 |
$735.40 |
| D0220 |
Intraoral - periapical first radiographic image |
1,106 |
1,057 |
$718.08 |
| 3074F |
|
2,015 |
1,750 |
$644.93 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,143 |
645 |
$642.39 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
652 |
325 |
$452.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
767 |
730 |
$401.26 |
| 91322 |
|
34 |
33 |
$287.20 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
516 |
229 |
$259.38 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$235.68 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
33 |
$199.67 |
| 92551 |
|
854 |
824 |
$185.38 |
| 90688 |
|
41 |
39 |
$179.64 |
| 90791 |
Psychiatric diagnostic evaluation |
176 |
154 |
$169.49 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
149 |
140 |
$106.57 |
| 3075F |
|
433 |
391 |
$95.59 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
43 |
43 |
$79.12 |
| 90656 |
|
21 |
21 |
$77.82 |
| 90480 |
|
34 |
33 |
$73.23 |
| 1160F |
|
1,775 |
1,532 |
$72.06 |
| 36416 |
|
174 |
165 |
$64.17 |
| 90686 |
|
30 |
27 |
$21.48 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
167 |
157 |
$15.53 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
278 |
265 |
$15.00 |
| 99173 |
|
292 |
291 |
$9.16 |
| 92015 |
Determination of refractive state |
57 |
57 |
$0.70 |
| 3725F |
|
431 |
373 |
$0.45 |
| 2028F |
|
59 |
58 |
$0.18 |
| 3077F |
|
158 |
140 |
$0.02 |
| D0274 |
Bitewings - four radiographic images |
60 |
57 |
$0.00 |
| D0330 |
Panoramic radiographic image |
300 |
281 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
84 |
77 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
52 |
$0.00 |
| D1120 |
Prophylaxis - child |
1,153 |
1,126 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
189 |
168 |
$0.00 |
| 92134 |
|
12 |
12 |
$0.00 |
| 11721 |
|
28 |
26 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
37 |
37 |
$0.00 |
| 90863 |
|
49 |
45 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
85 |
83 |
$0.00 |
| 97164 |
|
15 |
13 |
$0.00 |
| 92133 |
|
13 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$0.00 |
| 80305 |
|
12 |
12 |
$0.00 |
| 97010 |
|
228 |
104 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
1,020 |
988 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
258 |
223 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 92002 |
|
52 |
51 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
93 |
87 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
39 |
34 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$0.00 |
| 1036F |
|
43 |
32 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
50 |
26 |
$0.00 |
| D1351 |
Sealant - per tooth |
84 |
57 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |