| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,123 |
8,041 |
$1.34M |
| D0999 |
Unspecified diagnostic procedure, by report |
1,185 |
908 |
$212K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,687 |
2,176 |
$157K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,574 |
3,096 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,089 |
1,911 |
$59K |
| 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 |
852 |
687 |
$26K |
| 90834 |
Psychotherapy, 45 minutes with patient |
355 |
289 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
879 |
828 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,686 |
804 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
116 |
82 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
177 |
176 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
171 |
170 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
809 |
757 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
396 |
379 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,500 |
1,498 |
$845.88 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
47 |
$794.70 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
30 |
$648.39 |
| 85027 |
|
188 |
184 |
$254.56 |
| D1110 |
Prophylaxis - adult |
84 |
82 |
$161.39 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$146.60 |
| D0120 |
Periodic oral evaluation - established patient |
333 |
330 |
$135.61 |
| D0230 |
Intraoral - periapical each additional radiographic image |
845 |
342 |
$134.68 |
| D0274 |
Bitewings - four radiographic images |
207 |
206 |
$124.60 |
| D0220 |
Intraoral - periapical first radiographic image |
401 |
394 |
$70.50 |
| 81003 |
|
198 |
191 |
$68.04 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
43 |
26 |
$31.14 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
961 |
950 |
$26.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
45 |
$13.75 |
| 92551 |
|
21 |
21 |
$0.06 |
| 2001F |
|
2,611 |
2,162 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
272 |
270 |
$0.00 |
| 1036F |
|
1,865 |
1,532 |
$0.00 |
| 1126F |
|
1,708 |
1,503 |
$0.00 |
| 1125F |
|
345 |
306 |
$0.00 |
| 3008F |
|
2,340 |
1,950 |
$0.00 |
| 3079F |
|
646 |
561 |
$0.00 |
| 3074F |
|
1,558 |
1,358 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
16 |
13 |
$0.00 |
| 3075F |
|
205 |
183 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
27 |
26 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
308 |
288 |
$0.00 |
| D0602 |
|
242 |
242 |
$0.00 |
| 3080F |
|
31 |
27 |
$0.00 |
| 1160F |
|
2,272 |
1,877 |
$0.00 |
| 1159F |
|
2,255 |
1,860 |
$0.00 |
| 3077F |
|
147 |
134 |
$0.00 |
| 3078F |
|
1,453 |
1,288 |
$0.00 |
| 82947 |
|
66 |
66 |
$0.00 |
| 4013F |
|
40 |
38 |
$0.00 |
| 82948 |
|
39 |
39 |
$0.00 |
| 99173 |
|
21 |
21 |
$0.00 |
| D1120 |
Prophylaxis - child |
26 |
26 |
$0.00 |
| D0330 |
Panoramic radiographic image |
25 |
25 |
$0.00 |