| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
262,565 |
165,807 |
$41.25M |
| 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 |
22,670 |
18,435 |
$3.60M |
| Q9992 |
Injection, buprenorphine extended-release (sublocade), greater than 100 mg |
1,331 |
1,272 |
$2.21M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
13,960 |
6,839 |
$1.71M |
| D9450 |
|
45,350 |
20,667 |
$1.10M |
| 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 |
17,850 |
12,703 |
$747K |
| D7140 |
Extraction, erupted tooth or exposed root |
12,368 |
3,513 |
$550K |
| H2016 |
Comprehensive community support services, per diem |
809 |
683 |
$353K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,260 |
2,901 |
$308K |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,897 |
5,313 |
$265K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
11,854 |
9,623 |
$253K |
| D1110 |
Prophylaxis - adult |
7,095 |
4,891 |
$195K |
| D0210 |
Intraoral - complete series of radiographic images |
3,389 |
2,473 |
$143K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,774 |
1,058 |
$139K |
| D5110 |
|
368 |
237 |
$138K |
| T1001 |
Nursing assessment / evaluation |
1,388 |
1,298 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,683 |
16,628 |
$116K |
| D0140 |
Limited oral evaluation - problem focused |
4,306 |
2,721 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,587 |
36,072 |
$103K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
4,510 |
2,982 |
$87K |
| D0120 |
Periodic oral evaluation - established patient |
7,328 |
5,081 |
$86K |
| D0220 |
Intraoral - periapical first radiographic image |
10,040 |
5,932 |
$84K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
87,305 |
56,748 |
$65K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,304 |
6,957 |
$65K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
2,253 |
1,090 |
$60K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,683 |
966 |
$58K |
| 90791 |
Psychiatric diagnostic evaluation |
451 |
448 |
$51K |
| D0230 |
Intraoral - periapical each additional radiographic image |
7,561 |
2,447 |
$49K |
| D0330 |
Panoramic radiographic image |
1,581 |
819 |
$44K |
| 90686 |
|
2,835 |
2,716 |
$43K |
| 91322 |
|
402 |
382 |
$42K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,526 |
889 |
$41K |
| D0274 |
Bitewings - four radiographic images |
2,819 |
1,797 |
$41K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,250 |
1,604 |
$34K |
| D2331 |
|
783 |
373 |
$33K |
| D0180 |
|
1,321 |
1,046 |
$29K |
| 82962 |
|
23,297 |
15,557 |
$28K |
| D4341 |
|
357 |
144 |
$27K |
| 90677 |
|
152 |
151 |
$27K |
| Q9991 |
Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg |
16 |
13 |
$26K |
| 0012A |
|
496 |
496 |
$25K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
313 |
148 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,867 |
3,281 |
$25K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,135 |
4,072 |
$22K |
| 0011A |
|
643 |
643 |
$21K |
| D0270 |
|
3,128 |
1,923 |
$21K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
5,327 |
4,438 |
$19K |
| D9110 |
|
1,022 |
527 |
$18K |
| D2330 |
|
563 |
265 |
$18K |
| 90688 |
|
1,322 |
1,310 |
$15K |
| 86580 |
|
2,964 |
2,834 |
$13K |
| D5120 |
|
19 |
17 |
$11K |
| 90632 |
|
259 |
258 |
$10K |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
154 |
52 |
$9K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
76 |
76 |
$7K |
| 0134A |
|
413 |
383 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
145 |
133 |
$7K |
| 90480 |
|
327 |
314 |
$7K |
| 90715 |
|
222 |
218 |
$6K |
| 90750 |
|
341 |
303 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,306 |
1,892 |
$5K |
| D4342 |
|
90 |
39 |
$5K |
| 90636 |
|
130 |
128 |
$5K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
57 |
45 |
$5K |
| 90734 |
|
319 |
315 |
$5K |
| D1330 |
|
12,325 |
6,470 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
243 |
206 |
$4K |
| 90746 |
|
68 |
66 |
$3K |
| D2332 |
|
58 |
26 |
$3K |
| 90739 |
|
24 |
24 |
$3K |
| 99050 |
|
46 |
40 |
$2K |
| D2335 |
|
51 |
19 |
$2K |
| 90732 |
|
24 |
24 |
$2K |
| 0031A |
|
100 |
99 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
729 |
708 |
$2K |
| 80305 |
|
210 |
167 |
$2K |
| 99215 |
Prolong outpt/office vis |
1,685 |
1,563 |
$2K |
| 0064A |
|
136 |
128 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
24 |
24 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,808 |
1,891 |
$1K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
16 |
12 |
$1K |
| 81003 |
|
624 |
540 |
$852.73 |
| 90658 |
|
84 |
84 |
$795.90 |
| 81025 |
|
81 |
78 |
$488.56 |
| 81002 |
|
203 |
176 |
$379.51 |
| 90882 |
|
14 |
12 |
$368.20 |
| 90662 |
|
18 |
18 |
$350.00 |
| 36416 |
|
9,192 |
5,537 |
$322.40 |
| 16020 |
|
48 |
34 |
$221.92 |
| G0008 |
Administration of influenza virus vaccine |
714 |
695 |
$204.17 |
| D0272 |
Bitewings - two radiographic images |
25 |
13 |
$198.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
89 |
65 |
$138.43 |
| 94760 |
|
274 |
240 |
$32.41 |
| 91301 |
|
1,091 |
1,084 |
$0.00 |
| D9995 |
|
302 |
147 |
$0.00 |
| D1320 |
|
805 |
376 |
$0.00 |
| D1310 |
|
435 |
215 |
$0.00 |
| 91306 |
|
503 |
498 |
$0.00 |
| 91303 |
|
77 |
77 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
67 |
49 |
$0.00 |
| 4306F |
|
1,895 |
1,252 |
$0.00 |
| D9430 |
|
1,005 |
516 |
$0.00 |
| 91313 |
|
456 |
428 |
$0.00 |
| D0190 |
|
147 |
74 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |