| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
114,913 |
70,868 |
$9.07M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38,947 |
22,256 |
$1.18M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,076 |
28,301 |
$1.12M |
| 90832 |
Psychotherapy, 30 minutes with patient |
35,630 |
12,352 |
$780K |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
156 |
148 |
$181K |
| D1110 |
Prophylaxis - adult |
12,542 |
8,322 |
$170K |
| 80305 |
|
26,222 |
13,470 |
$141K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
9,527 |
6,112 |
$104K |
| D7140 |
Extraction, erupted tooth or exposed root |
3,769 |
1,902 |
$102K |
| D0120 |
Periodic oral evaluation - established patient |
13,769 |
9,322 |
$96K |
| 90677 |
|
339 |
296 |
$84K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,518 |
1,510 |
$68K |
| 90791 |
Psychiatric diagnostic evaluation |
1,570 |
882 |
$67K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,779 |
872 |
$61K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
2,008 |
1,146 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,029 |
2,042 |
$52K |
| D0274 |
Bitewings - four radiographic images |
4,048 |
2,499 |
$51K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,000 |
974 |
$49K |
| D0330 |
Panoramic radiographic image |
3,864 |
2,681 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,271 |
3,587 |
$44K |
| D0230 |
Intraoral - periapical each additional radiographic image |
16,780 |
6,268 |
$40K |
| D1120 |
Prophylaxis - child |
4,386 |
2,801 |
$38K |
| 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 |
4,012 |
3,299 |
$37K |
| D0220 |
Intraoral - periapical first radiographic image |
14,727 |
9,426 |
$34K |
| D0272 |
Bitewings - two radiographic images |
9,708 |
6,751 |
$31K |
| 90686 |
|
3,079 |
2,033 |
$29K |
| D1206 |
Topical application of fluoride varnish |
3,454 |
1,994 |
$28K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
850 |
459 |
$28K |
| 81025 |
|
6,239 |
3,149 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
654 |
351 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
676 |
491 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,994 |
3,948 |
$17K |
| 90750 |
|
134 |
117 |
$15K |
| 36416 |
|
8,675 |
5,118 |
$13K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,923 |
2,059 |
$12K |
| 0011A |
|
451 |
335 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
333 |
198 |
$12K |
| 0012A |
|
381 |
317 |
$11K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
442 |
290 |
$11K |
| 82962 |
|
9,821 |
5,903 |
$10K |
| 97803 |
|
877 |
602 |
$10K |
| 90682 |
|
245 |
179 |
$10K |
| 99401 |
|
603 |
375 |
$9K |
| 93000 |
|
1,343 |
846 |
$9K |
| 90715 |
|
547 |
387 |
$9K |
| D0140 |
Limited oral evaluation - problem focused |
896 |
582 |
$8K |
| D0210 |
Intraoral - complete series of radiographic images |
942 |
388 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
520 |
414 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
726 |
523 |
$5K |
| 0064A |
|
107 |
105 |
$5K |
| 97802 |
|
228 |
156 |
$4K |
| 99402 |
|
214 |
98 |
$4K |
| 81000 |
|
1,191 |
662 |
$1K |
| 90746 |
|
16 |
13 |
$985.32 |
| 90673 |
|
17 |
17 |
$954.46 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
178 |
103 |
$864.89 |
| D2332 |
|
18 |
12 |
$689.58 |
| 90732 |
|
15 |
13 |
$667.35 |
| 90656 |
|
42 |
42 |
$637.92 |
| 90662 |
|
35 |
30 |
$526.76 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
155 |
93 |
$486.75 |
| D2330 |
|
24 |
15 |
$460.89 |
| G0008 |
Administration of influenza virus vaccine |
145 |
120 |
$410.02 |
| 99385 |
|
22 |
17 |
$368.40 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$352.32 |
| 82043 |
|
163 |
117 |
$262.76 |
| 81002 |
|
190 |
153 |
$101.21 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
16 |
13 |
$73.64 |
| 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 |
19 |
12 |
$33.45 |
| 3044F |
|
219 |
204 |
$20.00 |
| 3074F |
|
24,628 |
20,407 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
29,243 |
23,636 |
$0.00 |
| 2001F |
|
44,230 |
35,603 |
$0.00 |
| 1111F |
|
14,679 |
12,247 |
$0.00 |
| 3048F |
|
11,784 |
8,900 |
$0.00 |
| 3075F |
|
7,522 |
6,696 |
$0.00 |
| 1034F |
|
13,705 |
11,194 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
4,034 |
3,452 |
$0.00 |
| 3049F |
|
5,771 |
4,481 |
$0.00 |
| 3079F |
|
15,102 |
13,073 |
$0.00 |
| 3080F |
|
3,159 |
2,743 |
$0.00 |
| 1036F |
|
16,070 |
13,621 |
$0.00 |
| 3008F |
|
44,214 |
35,597 |
$0.00 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
110 |
75 |
$0.00 |
| 1126F |
|
829 |
747 |
$0.00 |
| 1125F |
|
398 |
366 |
$0.00 |
| 91301 |
|
322 |
311 |
$0.00 |
| 1101F |
|
49 |
40 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
100 |
93 |
$0.00 |
| 82044 |
|
12 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
27,536 |
22,284 |
$0.00 |
| 3078F |
|
20,235 |
16,871 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
5,640 |
4,794 |
$0.00 |
| 3077F |
|
6,257 |
5,353 |
$0.00 |
| 4004F |
|
15,384 |
12,876 |
$0.00 |
| 3050F |
|
1,111 |
873 |
$0.00 |
| 1159F |
|
1,431 |
1,269 |
$0.00 |
| 3288F |
|
49 |
40 |
$0.00 |
| 3046F |
|
149 |
118 |
$0.00 |