| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,336 |
18,663 |
$4.52M |
| D0999 |
Unspecified diagnostic procedure, by report |
8,861 |
8,011 |
$1.74M |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,698 |
1,157 |
$309K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,643 |
993 |
$273K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,549 |
1,209 |
$215K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,575 |
12,402 |
$101K |
| 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 |
2,904 |
2,440 |
$82K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
862 |
590 |
$32K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
223 |
128 |
$29K |
| Q3014 |
Telehealth originating site facility fee |
3,775 |
2,503 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,049 |
1,935 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,314 |
1,227 |
$12K |
| 99442 |
|
1,748 |
1,470 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
14 |
$3K |
| 0012A |
|
303 |
302 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
452 |
452 |
$1K |
| 0001A |
|
269 |
269 |
$1K |
| 99443 |
|
159 |
137 |
$991.10 |
| D0274 |
Bitewings - four radiographic images |
49 |
49 |
$927.40 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
54 |
53 |
$862.42 |
| D1120 |
Prophylaxis - child |
142 |
142 |
$831.11 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
81 |
76 |
$785.65 |
| 0031A |
|
127 |
127 |
$774.16 |
| 36415 |
Collection of venous blood by venipuncture |
2,965 |
2,902 |
$723.10 |
| D0120 |
Periodic oral evaluation - established patient |
49 |
48 |
$632.97 |
| 99441 |
|
504 |
429 |
$614.69 |
| 0002A |
|
242 |
242 |
$580.62 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
107 |
107 |
$409.13 |
| 0011A |
|
270 |
270 |
$387.08 |
| 80305 |
|
3,542 |
2,744 |
$288.60 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
96 |
96 |
$238.68 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
687 |
639 |
$236.76 |
| 0064A |
|
185 |
185 |
$196.25 |
| D1208 |
Topical application of fluoride, excluding varnish |
109 |
109 |
$185.48 |
| 86403 |
|
988 |
946 |
$130.26 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
62 |
$113.62 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
133 |
133 |
$47.52 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
373 |
371 |
$42.37 |
| G0008 |
Administration of influenza virus vaccine |
52 |
52 |
$32.09 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
19 |
19 |
$25.89 |
| 81002 |
|
1,085 |
1,068 |
$25.36 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
29 |
29 |
$24.76 |
| 99080 |
|
581 |
581 |
$20.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
440 |
435 |
$11.01 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
91 |
87 |
$6.92 |
| 36416 |
|
528 |
517 |
$3.97 |
| 90632 |
|
16 |
16 |
$0.00 |
| 85018 |
|
483 |
482 |
$0.00 |
| 90686 |
|
492 |
490 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
19 |
19 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| 0072A |
|
32 |
32 |
$0.00 |
| 0134A |
|
21 |
21 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
216 |
216 |
$0.00 |
| 0071A |
|
46 |
46 |
$0.00 |
| 0004A |
|
39 |
39 |
$0.00 |
| 82948 |
|
13 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$0.00 |
| 99201 |
|
28 |
28 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 80306 |
|
50 |
45 |
$0.00 |