| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
69,791 |
52,882 |
$9.42M |
| D0999 |
Unspecified diagnostic procedure, by report |
6,161 |
5,615 |
$1.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,182 |
25,521 |
$748K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,836 |
11,070 |
$388K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,220 |
4,190 |
$217K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,286 |
3,254 |
$187K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,288 |
3,269 |
$179K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,154 |
3,074 |
$177K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17,652 |
8,477 |
$121K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
9,161 |
8,643 |
$78K |
| 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 |
2,275 |
2,125 |
$77K |
| 90837 |
Psychotherapy, 53 minutes with patient |
941 |
735 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,676 |
3,593 |
$67K |
| 99381 |
|
761 |
749 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,609 |
1,573 |
$57K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,149 |
7,765 |
$50K |
| 99383 |
|
864 |
851 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
912 |
883 |
$48K |
| 90834 |
Psychotherapy, 45 minutes with patient |
807 |
645 |
$42K |
| 99384 |
|
558 |
554 |
$36K |
| 90791 |
Psychiatric diagnostic evaluation |
477 |
467 |
$33K |
| 99382 |
|
436 |
433 |
$29K |
| 90832 |
Psychotherapy, 30 minutes with patient |
659 |
543 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
470 |
458 |
$24K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,537 |
4,445 |
$17K |
| 87807 |
|
2,746 |
2,555 |
$15K |
| 87428 |
|
1,250 |
1,205 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
411 |
397 |
$12K |
| 85027 |
|
3,526 |
3,436 |
$8K |
| 81003 |
|
7,425 |
5,601 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,377 |
1,331 |
$7K |
| 81025 |
|
2,077 |
1,985 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,228 |
2,163 |
$6K |
| D0274 |
Bitewings - four radiographic images |
1,297 |
1,280 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
60 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,217 |
2,132 |
$3K |
| 99385 |
|
60 |
57 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
2,364 |
2,328 |
$3K |
| D1110 |
Prophylaxis - adult |
563 |
562 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
492 |
483 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
2,250 |
2,230 |
$2K |
| D0330 |
Panoramic radiographic image |
191 |
184 |
$1K |
| 3044F |
|
1,905 |
1,865 |
$1K |
| CP004 |
|
52 |
48 |
$976.74 |
| 59430 |
|
14 |
13 |
$656.53 |
| 90620 |
|
613 |
605 |
$640.50 |
| 90715 |
|
818 |
807 |
$424.03 |
| 82947 |
|
226 |
222 |
$422.40 |
| 82948 |
|
205 |
197 |
$414.54 |
| 90677 |
|
736 |
732 |
$396.40 |
| 92551 |
|
5,885 |
5,814 |
$323.98 |
| 90619 |
|
489 |
467 |
$263.09 |
| 90688 |
|
477 |
469 |
$195.24 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
55 |
55 |
$179.28 |
| 85651 |
|
94 |
91 |
$140.01 |
| 90651 |
|
1,612 |
1,586 |
$137.86 |
| 3046F |
|
28 |
26 |
$120.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$85.86 |
| 3051F |
|
31 |
31 |
$80.00 |
| 87210 |
|
29 |
28 |
$78.24 |
| 82044 |
|
27 |
25 |
$75.70 |
| 90686 |
|
1,736 |
1,715 |
$57.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,607 |
8,528 |
$51.02 |
| 90658 |
|
274 |
274 |
$48.37 |
| 85014 |
|
661 |
658 |
$43.78 |
| 96380 |
|
13 |
12 |
$38.18 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14,100 |
6,028 |
$15.68 |
| 85018 |
|
663 |
660 |
$13.93 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
670 |
657 |
$12.28 |
| 36415 |
Collection of venous blood by venipuncture |
2,637 |
2,581 |
$5.36 |
| D0603 |
|
959 |
954 |
$0.00 |
| 3048F |
|
745 |
731 |
$0.00 |
| 2001F |
|
23,838 |
20,790 |
$0.00 |
| 90723 |
|
1,216 |
1,209 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
573 |
573 |
$0.00 |
| D0602 |
|
440 |
437 |
$0.00 |
| 1034F |
|
1,823 |
1,663 |
$0.00 |
| 1035F |
|
244 |
210 |
$0.00 |
| 3074F |
|
16,119 |
14,132 |
$0.00 |
| 1036F |
|
12,672 |
10,790 |
$0.00 |
| 3049F |
|
232 |
224 |
$0.00 |
| 3008F |
|
24,073 |
21,014 |
$0.00 |
| 90680 |
|
1,929 |
1,920 |
$0.00 |
| 1125F |
|
1,931 |
1,831 |
$0.00 |
| 90698 |
|
968 |
966 |
$0.00 |
| 3075F |
|
1,951 |
1,863 |
$0.00 |
| 3080F |
|
1,252 |
1,204 |
$0.00 |
| 1126F |
|
13,594 |
11,997 |
$0.00 |
| 90716 |
|
1,471 |
1,453 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
150 |
150 |
$0.00 |
| 3079F |
|
3,765 |
3,503 |
$0.00 |
| 90696 |
|
485 |
481 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
393 |
385 |
$0.00 |
| D0601 |
|
290 |
283 |
$0.00 |
| 90744 |
|
64 |
64 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
75 |
72 |
$0.00 |
| 90474 |
|
73 |
73 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
65 |
65 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
21 |
12 |
$0.00 |
| 90700 |
|
632 |
626 |
$0.00 |
| 1160F |
|
19,234 |
16,771 |
$0.00 |
| 90734 |
|
843 |
833 |
$0.00 |
| 90707 |
|
1,488 |
1,471 |
$0.00 |
| 90633 |
|
1,675 |
1,654 |
$0.00 |
| 1159F |
|
19,209 |
16,743 |
$0.00 |
| 3077F |
|
1,580 |
1,510 |
$0.00 |
| 3078F |
|
14,682 |
12,958 |
$0.00 |
| 99173 |
|
3,488 |
3,444 |
$0.00 |
| 90648 |
|
1,971 |
1,955 |
$0.00 |
| 3725F |
|
762 |
734 |
$0.00 |
| 90670 |
|
2,180 |
2,161 |
$0.00 |
| 90380 |
|
14 |
13 |
$0.00 |
| 3050F |
|
28 |
26 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
204 |
204 |
$0.00 |
| 4013F |
|
461 |
429 |
$0.00 |
| 90687 |
|
71 |
71 |
$0.00 |
| 4551F |
|
31 |
30 |
$0.00 |
| D1120 |
Prophylaxis - child |
78 |
78 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |
| 1091F |
|
12 |
12 |
$0.00 |