| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
64,872 |
48,627 |
$12.97M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,456 |
44,393 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,836 |
8,418 |
$618.57 |
| 36415 |
Collection of venous blood by venipuncture |
22,096 |
19,533 |
$339.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,813 |
7,261 |
$247.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,656 |
1,557 |
$236.82 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,881 |
9,140 |
$225.21 |
| 0012A |
|
1,983 |
1,940 |
$120.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,768 |
3,329 |
$90.08 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,817 |
5,872 |
$88.15 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,908 |
1,604 |
$69.00 |
| 90686 |
|
7,229 |
6,548 |
$40.92 |
| 0011A |
|
1,930 |
1,901 |
$40.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,768 |
3,230 |
$32.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,416 |
12,131 |
$28.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,868 |
2,481 |
$16.00 |
| 83655 |
|
2,150 |
1,869 |
$13.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,575 |
4,874 |
$4.50 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,569 |
1,441 |
$1.38 |
| 96152 |
|
2,141 |
1,343 |
$0.95 |
| 1220F |
|
1,455 |
1,332 |
$0.00 |
| 90680 |
|
1,685 |
1,491 |
$0.00 |
| 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 |
1,014 |
716 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,810 |
2,483 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
270 |
242 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
597 |
546 |
$0.00 |
| 90723 |
|
956 |
814 |
$0.00 |
| 90716 |
|
697 |
610 |
$0.00 |
| 90636 |
|
450 |
407 |
$0.00 |
| 0081A |
|
40 |
40 |
$0.00 |
| 1036F |
|
1,167 |
1,068 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,321 |
2,012 |
$0.00 |
| 93000 |
|
47 |
47 |
$0.00 |
| 90651 |
|
2,302 |
2,063 |
$0.00 |
| 1101F |
|
73 |
68 |
$0.00 |
| 90647 |
|
305 |
242 |
$0.00 |
| 90698 |
|
775 |
673 |
$0.00 |
| 91307 |
|
426 |
397 |
$0.00 |
| 36416 |
|
9,602 |
8,232 |
$0.00 |
| 0064A |
|
807 |
783 |
$0.00 |
| 90696 |
|
362 |
329 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
614 |
564 |
$0.00 |
| 91303 |
|
85 |
85 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
145 |
90 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
768 |
650 |
$0.00 |
| 91305 |
|
47 |
47 |
$0.00 |
| 58300 |
|
40 |
40 |
$0.00 |
| 87807 |
|
475 |
430 |
$0.00 |
| 91301 |
|
2,585 |
2,487 |
$0.00 |
| 96127 |
|
57 |
52 |
$0.00 |
| 91306 |
|
504 |
497 |
$0.00 |
| 90697 |
|
378 |
339 |
$0.00 |
| 0001A |
|
1,224 |
1,200 |
$0.00 |
| 88720 |
|
199 |
130 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
212 |
193 |
$0.00 |
| 86580 |
|
140 |
133 |
$0.00 |
| 1126F |
|
813 |
728 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
659 |
604 |
$0.00 |
| 0134A |
|
227 |
195 |
$0.00 |
| 90688 |
|
404 |
361 |
$0.00 |
| 58301 |
|
12 |
12 |
$0.00 |
| 99441 |
|
60 |
51 |
$0.00 |
| 0072A |
|
259 |
256 |
$0.00 |
| 87808 |
|
297 |
286 |
$0.00 |
| 90619 |
|
226 |
201 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
44 |
44 |
$0.00 |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
13 |
13 |
$0.00 |
| 1125F |
|
86 |
82 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
27 |
27 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
35 |
32 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
60 |
48 |
$0.00 |
| 0082A |
|
32 |
32 |
$0.00 |
| 0074A |
|
33 |
32 |
$0.00 |
| 0031A |
|
116 |
115 |
$0.00 |
| D1351 |
Sealant - per tooth |
31 |
13 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$0.00 |
| 72072 |
|
13 |
12 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
18 |
12 |
$0.00 |
| 81002 |
|
4,551 |
3,864 |
$0.00 |
| 99173 |
|
7,020 |
6,409 |
$0.00 |
| 90662 |
|
870 |
750 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,718 |
3,356 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,806 |
3,175 |
$0.00 |
| 90670 |
|
3,070 |
2,648 |
$0.00 |
| 90621 |
|
628 |
592 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,316 |
1,195 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
943 |
854 |
$0.00 |
| 90715 |
|
1,438 |
1,285 |
$0.00 |
| 90633 |
|
1,725 |
1,520 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
320 |
289 |
$0.00 |
| 90734 |
|
938 |
839 |
$0.00 |
| 99177 |
|
1,871 |
1,666 |
$0.00 |
| 90685 |
|
447 |
334 |
$0.00 |
| 96167 |
|
231 |
199 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,062 |
1,057 |
$0.00 |
| 81025 |
|
3,023 |
2,675 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,306 |
2,969 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
436 |
399 |
$0.00 |
| 90648 |
|
932 |
799 |
$0.00 |
| 90710 |
|
542 |
490 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
361 |
335 |
$0.00 |
| 73630 |
|
14 |
14 |
$0.00 |
| 96158 |
|
2,431 |
1,759 |
$0.00 |
| 91300 |
|
1,765 |
1,659 |
$0.00 |
| 87210 |
|
366 |
352 |
$0.00 |
| 90707 |
|
430 |
389 |
$0.00 |
| 1159F |
|
55 |
53 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
197 |
120 |
$0.00 |
| 0004A |
|
103 |
103 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
720 |
683 |
$0.00 |
| 87905 |
|
153 |
150 |
$0.00 |
| D1120 |
Prophylaxis - child |
249 |
239 |
$0.00 |
| D0330 |
Panoramic radiographic image |
185 |
167 |
$0.00 |
| 96159 |
|
114 |
104 |
$0.00 |
| D1999 |
|
246 |
203 |
$0.00 |
| 82947 |
|
202 |
173 |
$0.00 |
| 0054A |
|
111 |
110 |
$0.00 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
12 |
12 |
$0.00 |
| 72100 |
|
136 |
133 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
36 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
73 |
67 |
$0.00 |
| 82274 |
|
16 |
16 |
$0.00 |
| 90700 |
|
21 |
12 |
$0.00 |
| 0002A |
|
1,143 |
1,120 |
$0.00 |
| 0071A |
|
320 |
310 |
$0.00 |
| 73030 |
|
37 |
37 |
$0.00 |
| D1110 |
Prophylaxis - adult |
90 |
88 |
$0.00 |
| 0124A |
|
84 |
73 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
80 |
59 |
$0.00 |
| 73610 |
|
12 |
12 |
$0.00 |