| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
60,963 |
45,419 |
$7.45M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,414 |
33,432 |
$1.28M |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,065 |
4,559 |
$426K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,364 |
4,586 |
$327K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,141 |
7,762 |
$299K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,147 |
5,523 |
$241K |
| D0999 |
Unspecified diagnostic procedure, by report |
1,542 |
1,346 |
$162K |
| 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 |
3,832 |
3,395 |
$98K |
| 59430 |
|
995 |
900 |
$82K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,474 |
3,305 |
$74K |
| 90791 |
Psychiatric diagnostic evaluation |
706 |
681 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
847 |
794 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,109 |
1,049 |
$45K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,337 |
3,052 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
806 |
707 |
$38K |
| 90837 |
Psychotherapy, 53 minutes with patient |
641 |
372 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,427 |
3,265 |
$23K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
742 |
708 |
$19K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
309 |
286 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
212 |
207 |
$14K |
| 76801 |
|
274 |
252 |
$11K |
| 81003 |
|
14,527 |
9,787 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
148 |
137 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,424 |
2,236 |
$8K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
118 |
102 |
$8K |
| 99381 |
|
98 |
94 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
118 |
$8K |
| 99406 |
|
2,500 |
2,289 |
$6K |
| 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 |
453 |
448 |
$6K |
| 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 |
218 |
122 |
$4K |
| 87807 |
|
506 |
490 |
$3K |
| 81025 |
|
1,374 |
1,308 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,026 |
953 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,185 |
2,062 |
$3K |
| 97803 |
|
1,461 |
1,316 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
56 |
54 |
$2K |
| 92250 |
|
66 |
60 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
18 |
18 |
$1K |
| 97802 |
|
851 |
758 |
$994.03 |
| 36416 |
|
905 |
879 |
$629.00 |
| 90715 |
|
121 |
115 |
$596.99 |
| 90756 |
|
57 |
57 |
$469.80 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
15 |
13 |
$258.57 |
| 90686 |
|
402 |
381 |
$247.36 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
703 |
660 |
$182.66 |
| 90670 |
|
442 |
430 |
$175.50 |
| 88720 |
|
86 |
70 |
$149.00 |
| 3044F |
|
276 |
260 |
$140.00 |
| 80305 |
|
57 |
57 |
$67.13 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,370 |
1,298 |
$63.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
288 |
279 |
$44.31 |
| D0120 |
Periodic oral evaluation - established patient |
46 |
43 |
$25.97 |
| 92552 |
|
65 |
63 |
$25.26 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
366 |
352 |
$8.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
25 |
24 |
$2.40 |
| 90461 |
|
671 |
583 |
$1.11 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
998 |
867 |
$0.58 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
274 |
263 |
$0.03 |
| 96160 |
|
64 |
62 |
$0.02 |
| 90474 |
|
95 |
95 |
$0.01 |
| 90734 |
|
46 |
45 |
$0.01 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
630 |
572 |
$0.01 |
| 1034F |
|
1,124 |
981 |
$0.00 |
| 2000F |
|
5,402 |
4,530 |
$0.00 |
| 3079F |
|
2,407 |
2,217 |
$0.00 |
| 0503F |
|
813 |
746 |
$0.00 |
| 0500F |
|
430 |
388 |
$0.00 |
| 3008F |
|
6,390 |
5,304 |
$0.00 |
| 3074F |
|
3,613 |
3,239 |
$0.00 |
| 3080F |
|
1,400 |
1,300 |
$0.00 |
| D0603 |
|
313 |
291 |
$0.00 |
| 3075F |
|
977 |
932 |
$0.00 |
| 2010F |
|
6,057 |
5,056 |
$0.00 |
| 3351F |
|
117 |
112 |
$0.00 |
| 3353F |
|
406 |
386 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,783 |
1,609 |
$0.00 |
| D0601 |
|
53 |
53 |
$0.00 |
| 90723 |
|
181 |
179 |
$0.00 |
| 1036F |
|
334 |
316 |
$0.00 |
| 3292F |
|
814 |
757 |
$0.00 |
| 2001F |
|
1,531 |
1,234 |
$0.00 |
| 3048F |
|
85 |
82 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
12 |
$0.00 |
| 4037F |
|
14 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
43 |
38 |
$0.00 |
| 3294F |
|
379 |
355 |
$0.00 |
| 90698 |
|
47 |
47 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
118 |
106 |
$0.00 |
| 96127 |
|
855 |
795 |
$0.00 |
| 1000F |
|
179 |
175 |
$0.00 |
| 3011F |
|
59 |
55 |
$0.00 |
| 1125F |
|
133 |
115 |
$0.00 |
| 3352F |
|
126 |
118 |
$0.00 |
| 4130F |
|
13 |
12 |
$0.00 |
| 3354F |
|
55 |
53 |
$0.00 |
| 90651 |
|
27 |
27 |
$0.00 |
| 90696 |
|
26 |
25 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
13 |
12 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
27 |
27 |
$0.00 |
| 3049F |
|
30 |
27 |
$0.00 |
| 90732 |
|
15 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
10,288 |
8,963 |
$0.00 |
| 3028F |
|
5,689 |
4,759 |
$0.00 |
| 4120F |
|
1,959 |
1,890 |
$0.00 |
| 3293F |
|
363 |
326 |
$0.00 |
| 0502F |
|
8,315 |
5,365 |
$0.00 |
| 90681 |
|
137 |
137 |
$0.00 |
| 3078F |
|
2,770 |
2,500 |
$0.00 |
| 3077F |
|
2,076 |
1,882 |
$0.00 |
| 4064F |
|
54 |
51 |
$0.00 |
| 2028F |
|
189 |
168 |
$0.00 |
| 90633 |
|
151 |
149 |
$0.00 |
| 4124F |
|
388 |
378 |
$0.00 |
| 3050F |
|
14 |
12 |
$0.00 |
| 90648 |
|
185 |
184 |
$0.00 |
| 3016F |
|
73 |
61 |
$0.00 |
| 90710 |
|
137 |
134 |
$0.00 |
| 1159F |
|
93 |
93 |
$0.00 |
| 4145F |
|
114 |
110 |
$0.00 |
| 99173 |
|
132 |
128 |
$0.00 |
| 3089F |
|
13 |
12 |
$0.00 |
| 3046F |
|
59 |
56 |
$0.00 |
| D1120 |
Prophylaxis - child |
14 |
13 |
$0.00 |
| 90700 |
|
20 |
20 |
$0.00 |
| 4025F |
|
17 |
16 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
12 |
12 |
$0.00 |