| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,692 |
12,158 |
$3.42M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,497 |
3,545 |
$242K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,383 |
1,487 |
$143K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,335 |
2,675 |
$139K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
376 |
295 |
$50K |
| H0022 |
Alcohol and/or drug intervention service (planned facilitation) |
2,621 |
1,087 |
$39K |
| 98940 |
|
2,016 |
806 |
$26K |
| 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 |
849 |
750 |
$23K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
86 |
47 |
$18K |
| D0140 |
Limited oral evaluation - problem focused |
2,553 |
2,293 |
$13K |
| 90837 |
Psychotherapy, 53 minutes with patient |
134 |
67 |
$10K |
| 80047 |
|
1,462 |
1,154 |
$7K |
| 91322 |
|
86 |
72 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
258 |
96 |
$7K |
| 90686 |
|
279 |
234 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,003 |
774 |
$3K |
| 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 |
76 |
32 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
24 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,194 |
1,002 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
201 |
126 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
2,465 |
2,329 |
$1K |
| 90480 |
|
110 |
92 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
360 |
269 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
12 |
$969.87 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,099 |
1,016 |
$760.22 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
34 |
27 |
$497.50 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
613 |
472 |
$388.99 |
| 0124A |
|
12 |
12 |
$232.64 |
| 36415 |
Collection of venous blood by venipuncture |
2,093 |
1,633 |
$185.06 |
| 90756 |
|
18 |
15 |
$118.58 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
14 |
$115.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
285 |
223 |
$58.66 |
| D0220 |
Intraoral - periapical first radiographic image |
2,109 |
1,915 |
$0.00 |
| D0330 |
Panoramic radiographic image |
2,188 |
2,006 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
2,680 |
2,504 |
$0.00 |
| D1110 |
Prophylaxis - adult |
2,526 |
2,375 |
$0.00 |
| D1120 |
Prophylaxis - child |
587 |
554 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
63 |
55 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
1,908 |
1,827 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
683 |
434 |
$0.00 |
| D5899 |
|
255 |
163 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
107 |
101 |
$0.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
68 |
66 |
$0.00 |
| 97014 |
|
26 |
16 |
$0.00 |