| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
508,940 |
348,196 |
$103.27M |
| T1016 |
Case management, each 15 minutes |
44,700 |
27,109 |
$2.30M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
39,529 |
21,423 |
$669K |
| H0031 |
Mental health assessment, by non-physician |
19,870 |
14,025 |
$208K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89,088 |
65,288 |
$184K |
| H2014 |
Skills training and development, per 15 minutes |
43,845 |
20,198 |
$119K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109,877 |
82,327 |
$80K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
82 |
79 |
$74K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,652 |
560 |
$41K |
| 99443 |
|
61,582 |
44,803 |
$32K |
| 99442 |
|
26,152 |
18,896 |
$32K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
78,327 |
55,507 |
$21K |
| 90791 |
Psychiatric diagnostic evaluation |
1,444 |
1,258 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
10,007 |
8,224 |
$16K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,575 |
548 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
4,763 |
4,389 |
$13K |
| H2027 |
Psychoeducational service, per 15 minutes |
2,340 |
955 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
7,896 |
6,573 |
$11K |
| S0209 |
Wheelchair van, mileage, per mile |
524 |
113 |
$11K |
| 99441 |
|
15,545 |
11,441 |
$11K |
| 0011A |
|
3,246 |
3,222 |
$8K |
| 0012A |
|
2,993 |
2,960 |
$8K |
| A0130 |
Non-emergency transportation: wheelchair van |
517 |
113 |
$7K |
| 99382 |
|
102 |
92 |
$6K |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
238 |
154 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
65 |
65 |
$4K |
| 99484 |
|
105 |
99 |
$4K |
| 90656 |
|
5,472 |
4,167 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28,140 |
22,659 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,634 |
7,439 |
$2K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
17,337 |
11,590 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,194 |
873 |
$2K |
| 0001A |
|
1,659 |
1,637 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,591 |
4,743 |
$1K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
21,149 |
18,659 |
$1K |
| 99383 |
|
370 |
303 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
111 |
82 |
$1K |
| 0002A |
|
1,552 |
1,529 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
466 |
298 |
$989.27 |
| H0038 |
Self-help/peer services, per 15 minutes |
75 |
35 |
$987.60 |
| 96127 |
|
1,149 |
1,012 |
$955.59 |
| 99384 |
|
98 |
58 |
$720.72 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
680 |
642 |
$564.41 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,826 |
3,139 |
$472.37 |
| 36415 |
Collection of venous blood by venipuncture |
11,408 |
9,112 |
$420.21 |
| 81000 |
|
24,387 |
17,414 |
$414.30 |
| 99401 |
|
431 |
199 |
$402.96 |
| 0071A |
|
1,068 |
1,015 |
$400.00 |
| 99397 |
|
1,072 |
808 |
$355.98 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,749 |
3,952 |
$255.82 |
| 99347 |
|
36 |
30 |
$253.19 |
| 0064A |
|
2,243 |
2,183 |
$203.83 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,325 |
1,080 |
$198.94 |
| 99201 |
|
1,226 |
1,211 |
$176.80 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,390 |
7,100 |
$155.90 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
672 |
575 |
$152.15 |
| 99173 |
|
10,225 |
8,674 |
$146.96 |
| 90715 |
|
2,220 |
1,758 |
$120.34 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
217 |
203 |
$115.70 |
| 96160 |
|
73 |
67 |
$96.03 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
6,447 |
5,281 |
$89.52 |
| 0034A |
|
25 |
23 |
$80.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,320 |
6,233 |
$77.71 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,915 |
8,003 |
$72.97 |
| 92551 |
|
1,592 |
1,347 |
$60.58 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,319 |
7,596 |
$58.10 |
| 90707 |
|
1,575 |
1,330 |
$56.01 |
| 0072A |
|
890 |
865 |
$40.00 |
| 93000 |
|
273 |
262 |
$29.80 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,343 |
1,612 |
$25.65 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
843 |
799 |
$25.03 |
| G0008 |
Administration of influenza virus vaccine |
398 |
333 |
$15.14 |
| 99490 |
Ccm add 20min |
2,361 |
2,210 |
$9.98 |
| 81025 |
|
3,761 |
3,121 |
$8.63 |
| 90686 |
|
6,394 |
4,825 |
$4.05 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
6,259 |
4,507 |
$1.78 |
| 90685 |
|
1,894 |
1,458 |
$0.89 |
| 90670 |
|
4,702 |
4,079 |
$0.51 |
| 90734 |
|
1,987 |
1,591 |
$0.22 |
| 90680 |
|
3,639 |
3,138 |
$0.22 |
| 90649 |
|
2,327 |
1,914 |
$0.07 |
| 90633 |
|
3,621 |
2,987 |
$0.07 |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
15,108 |
4,490 |
$0.06 |
| 86580 |
|
220 |
197 |
$0.03 |
| 59025 |
Fetal non-stress test |
4,026 |
1,267 |
$0.01 |
| 99381 |
|
1,952 |
1,599 |
$0.01 |
| 0502F |
|
8,366 |
4,656 |
$0.00 |
| 90710 |
|
905 |
683 |
$0.00 |
| 3078F |
|
58,314 |
44,488 |
$0.00 |
| 1160F |
|
27,794 |
22,460 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
263 |
201 |
$0.00 |
| 0003A |
|
805 |
578 |
$0.00 |
| 1159F |
|
15,952 |
12,977 |
$0.00 |
| 97803 |
|
438 |
390 |
$0.00 |
| 3077F |
|
8,303 |
6,561 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
485 |
370 |
$0.00 |
| D1120 |
Prophylaxis - child |
6,802 |
5,619 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
263 |
253 |
$0.00 |
| 91300 |
|
3,384 |
2,978 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
369 |
291 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
444 |
321 |
$0.00 |
| D1110 |
Prophylaxis - adult |
537 |
375 |
$0.00 |
| 90648 |
|
2,607 |
2,122 |
$0.00 |
| 90700 |
|
902 |
670 |
$0.00 |
| D0191 |
|
4,440 |
3,558 |
$0.00 |
| 3725F |
|
353 |
342 |
$0.00 |
| 4013F |
|
294 |
238 |
$0.00 |
| 3016F |
|
2,983 |
2,611 |
$0.00 |
| 90671 |
|
1,964 |
1,472 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
199 |
197 |
$0.00 |
| 4004F |
|
232 |
222 |
$0.00 |
| 96130 |
|
94 |
77 |
$0.00 |
| 80074 |
|
52 |
48 |
$0.00 |
| 0124A |
|
533 |
321 |
$0.00 |
| 91320 |
|
242 |
208 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
378 |
279 |
$0.00 |
| 96138 |
|
70 |
45 |
$0.00 |
| 96381 |
|
46 |
45 |
$0.00 |
| 90461 |
|
22 |
12 |
$0.00 |
| 3210F |
|
47 |
47 |
$0.00 |
| 90750 |
|
317 |
229 |
$0.00 |
| 90681 |
|
415 |
277 |
$0.00 |
| 4551F |
|
181 |
173 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
125 |
101 |
$0.00 |
| 0013A |
|
337 |
322 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
256 |
218 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
256 |
173 |
$0.00 |
| 91313 |
|
417 |
293 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
75 |
55 |
$0.00 |
| 2028F |
|
13 |
13 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
49 |
46 |
$0.00 |
| 91312 |
|
214 |
152 |
$0.00 |
| 3280F |
|
27 |
27 |
$0.00 |
| 1033F |
|
52 |
49 |
$0.00 |
| 91311 |
|
191 |
150 |
$0.00 |
| 4145F |
|
83 |
68 |
$0.00 |
| 91308 |
|
74 |
59 |
$0.00 |
| 90662 |
|
115 |
78 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
18 |
17 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
89 |
29 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
13 |
13 |
$0.00 |
| 4274F |
|
14 |
14 |
$0.00 |
| 3015F |
|
31 |
31 |
$0.00 |
| 96136 |
|
56 |
45 |
$0.00 |
| 0121A |
|
16 |
14 |
$0.00 |
| 87799 |
|
51 |
51 |
$0.00 |
| 90380 |
|
19 |
19 |
$0.00 |
| 3050F |
|
61 |
56 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
45 |
44 |
$0.00 |
| 3045F |
|
17 |
17 |
$0.00 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
19 |
12 |
$0.00 |
| 90713 |
|
13 |
12 |
$0.00 |
| 69209 |
|
14 |
13 |
$0.00 |
| 96137 |
|
44 |
33 |
$0.00 |
| 0073A |
|
14 |
14 |
$0.00 |
| 92552 |
|
30 |
20 |
$0.00 |
| 91322 |
|
12 |
12 |
$0.00 |
| 3074F |
|
66,748 |
49,675 |
$0.00 |
| 3079F |
|
25,160 |
20,350 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
7,532 |
6,225 |
$0.00 |
| 3008F |
|
88,025 |
66,320 |
$0.00 |
| 91318 |
|
63 |
59 |
$0.00 |
| 90647 |
|
904 |
744 |
$0.00 |
| 92523 |
|
220 |
201 |
$0.00 |
| 3075F |
|
11,195 |
9,464 |
$0.00 |
| 90620 |
|
457 |
276 |
$0.00 |
| 1220F |
|
9,810 |
8,409 |
$0.00 |
| 3279F |
|
269 |
236 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,049 |
2,493 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
1,523 |
1,164 |
$0.00 |
| 3044F |
|
1,040 |
932 |
$0.00 |
| 1126F |
|
10,782 |
8,506 |
$0.00 |
| 0500F |
|
96 |
80 |
$0.00 |
| 1000F |
|
945 |
851 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,050 |
1,935 |
$0.00 |
| 90698 |
|
1,419 |
1,321 |
$0.00 |
| 90716 |
|
1,705 |
1,438 |
$0.00 |
| 90723 |
|
3,469 |
2,778 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
3,692 |
2,933 |
$0.00 |
| D0240 |
|
2,048 |
928 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
597 |
577 |
$0.00 |
| 0154A |
|
142 |
87 |
$0.00 |
| 90480 |
|
683 |
604 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,703 |
1,546 |
$0.00 |
| 1036F |
|
1,111 |
1,024 |
$0.00 |
| 91301 |
|
4,994 |
4,818 |
$0.00 |
| 97802 |
|
505 |
459 |
$0.00 |
| 2001F |
|
685 |
521 |
$0.00 |
| 3048F |
|
347 |
280 |
$0.00 |
| 3080F |
|
4,054 |
3,395 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
107 |
101 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
830 |
615 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,572 |
1,348 |
$0.00 |
| 3037F |
|
1,365 |
1,125 |
$0.00 |
| 85018 |
|
29 |
29 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
275 |
224 |
$0.00 |
| 90696 |
|
748 |
584 |
$0.00 |
| 91303 |
|
52 |
50 |
$0.00 |
| 0503F |
|
233 |
187 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
1,965 |
1,454 |
$0.00 |
| 3049F |
|
124 |
109 |
$0.00 |
| 1170F |
|
1,020 |
863 |
$0.00 |
| 91306 |
|
639 |
624 |
$0.00 |
| 99493 |
|
55 |
55 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
366 |
288 |
$0.00 |
| 90744 |
|
622 |
574 |
$0.00 |
| 0111A |
|
285 |
221 |
$0.00 |
| 90651 |
|
280 |
208 |
$0.00 |
| 4010F |
|
130 |
113 |
$0.00 |
| 82962 |
|
232 |
212 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
583 |
510 |
$0.00 |
| 1125F |
|
1,304 |
1,192 |
$0.00 |
| 96132 |
|
57 |
51 |
$0.00 |
| 0074A |
|
96 |
83 |
$0.00 |
| 2000F |
|
768 |
598 |
$0.00 |
| 0134A |
|
751 |
403 |
$0.00 |
| 87807 |
|
132 |
103 |
$0.00 |
| 99385 |
|
79 |
66 |
$0.00 |
| 97804 |
|
414 |
335 |
$0.00 |
| 90673 |
|
75 |
74 |
$0.00 |
| 1111F |
|
3,323 |
2,867 |
$0.00 |
| 91307 |
|
804 |
727 |
$0.00 |
| 91316 |
|
36 |
28 |
$0.00 |
| D1351 |
Sealant - per tooth |
611 |
122 |
$0.00 |
| 87625 |
|
31 |
31 |
$0.00 |
| J3410 |
Injection, hydroxyzine hcl, up to 25 mg |
15 |
15 |
$0.00 |
| 80081 |
|
56 |
55 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
184 |
184 |
$0.00 |
| 0164A |
|
106 |
66 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
34 |
13 |
$0.00 |
| 0501F |
|
63 |
49 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
39 |
38 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
45 |
29 |
$0.00 |
| 0031A |
|
63 |
61 |
$0.00 |
| 86701 |
|
21 |
21 |
$0.00 |
| 90381 |
|
15 |
15 |
$0.00 |
| 3014F |
|
27 |
27 |
$0.00 |
| 58300 |
|
13 |
12 |
$0.00 |
| 91319 |
|
49 |
46 |
$0.00 |
| 0112A |
|
112 |
82 |
$0.00 |
| 1101F |
|
13 |
12 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
41 |
40 |
$0.00 |
| J1726 |
Injection, hydroxyprogesterone caproate, (makena), 10 mg |
33 |
12 |
$0.00 |
| 90677 |
|
19 |
12 |
$0.00 |
| 0081A |
|
59 |
45 |
$0.00 |
| 99386 |
|
14 |
14 |
$0.00 |
| 96139 |
|
18 |
12 |
$0.00 |