| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
173,338 |
99,188 |
$25.92M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
346,489 |
321,709 |
$10.67M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48,543 |
46,518 |
$1.26M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42,215 |
41,541 |
$1.01M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
29,531 |
28,647 |
$869K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
113,420 |
109,234 |
$839K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,918 |
14,794 |
$656K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15,390 |
15,086 |
$540K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,929 |
9,892 |
$460K |
| 87428 |
|
9,259 |
9,012 |
$459K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,553 |
9,439 |
$448K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43,089 |
22,364 |
$426K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,871 |
23,160 |
$401K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
9,146 |
9,066 |
$352K |
| D0120 |
Periodic oral evaluation - established patient |
22,612 |
22,019 |
$240K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,854 |
3,821 |
$181K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,915 |
3,875 |
$160K |
| 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 |
2,789 |
1,139 |
$130K |
| 87081 |
|
33,546 |
32,856 |
$96K |
| 90670 |
|
3,775 |
3,666 |
$78K |
| 90686 |
|
11,473 |
11,262 |
$78K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,175 |
6,058 |
$74K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
13,269 |
10,700 |
$67K |
| 0012A |
|
1,887 |
1,880 |
$66K |
| 97803 |
|
2,859 |
1,670 |
$63K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
1,109 |
1,084 |
$62K |
| 0011A |
|
2,034 |
2,028 |
$59K |
| 90461 |
|
3,468 |
3,440 |
$55K |
| 0001A |
|
1,577 |
1,575 |
$52K |
| 0002A |
|
1,452 |
1,449 |
$49K |
| 71046 |
Radiologic examination, chest; 2 views |
2,756 |
2,685 |
$47K |
| 99201 |
|
1,279 |
1,279 |
$41K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
868 |
862 |
$36K |
| 11721 |
|
3,126 |
3,065 |
$33K |
| D1110 |
Prophylaxis - adult |
12,459 |
12,395 |
$32K |
| 11056 |
|
3,728 |
3,651 |
$31K |
| D1120 |
Prophylaxis - child |
7,245 |
7,215 |
$27K |
| 90707 |
|
894 |
888 |
$25K |
| 97802 |
|
605 |
602 |
$24K |
| 99381 |
|
2,017 |
2,002 |
$24K |
| 11057 |
|
1,968 |
1,938 |
$23K |
| 99177 |
|
6,767 |
6,657 |
$23K |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
1,291 |
1,261 |
$22K |
| 90677 |
|
1,713 |
1,680 |
$20K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
4,760 |
4,117 |
$19K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
74 |
72 |
$17K |
| 11730 |
|
640 |
609 |
$17K |
| 0071A |
|
415 |
415 |
$17K |
| 90698 |
|
1,469 |
1,457 |
$16K |
| 73630 |
|
1,093 |
1,054 |
$15K |
| 90680 |
|
3,180 |
3,087 |
$15K |
| 0072A |
|
369 |
367 |
$15K |
| D1208 |
Topical application of fluoride, excluding varnish |
5,379 |
5,351 |
$15K |
| 0064A |
|
378 |
371 |
$14K |
| 11720 |
|
2,406 |
2,331 |
$14K |
| D0230 |
Intraoral - periapical each additional radiographic image |
15,780 |
13,571 |
$14K |
| D0220 |
Intraoral - periapical first radiographic image |
18,894 |
18,694 |
$14K |
| D0274 |
Bitewings - four radiographic images |
10,276 |
10,210 |
$14K |
| 90633 |
|
2,538 |
2,503 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,710 |
1,687 |
$13K |
| 90716 |
|
666 |
657 |
$12K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
303 |
280 |
$11K |
| D0140 |
Limited oral evaluation - problem focused |
4,908 |
4,844 |
$11K |
| 90697 |
|
1,645 |
1,599 |
$10K |
| 0031A |
|
251 |
248 |
$9K |
| 0004A |
|
210 |
209 |
$8K |
| 11055 |
|
1,290 |
1,251 |
$8K |
| 90715 |
|
317 |
283 |
$8K |
| 83655 |
|
1,286 |
1,203 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,000 |
997 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
765 |
732 |
$7K |
| 90619 |
|
354 |
328 |
$7K |
| 76830 |
Ultrasound, transvaginal |
109 |
101 |
$7K |
| D1206 |
Topical application of fluoride varnish |
576 |
575 |
$6K |
| 90656 |
|
1,186 |
1,159 |
$6K |
| 11719 |
|
2,908 |
2,780 |
$6K |
| 90651 |
|
202 |
199 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
304 |
302 |
$5K |
| 90710 |
|
89 |
86 |
$5K |
| 73110 |
|
433 |
421 |
$5K |
| 73610 |
|
397 |
392 |
$4K |
| 87807 |
|
695 |
682 |
$4K |
| 90734 |
|
155 |
154 |
$4K |
| 3074F |
|
32,141 |
30,211 |
$3K |
| D0272 |
Bitewings - two radiographic images |
1,873 |
1,860 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
42 |
$3K |
| 81002 |
|
4,074 |
2,983 |
$3K |
| D0190 |
|
705 |
704 |
$3K |
| 3078F |
|
28,864 |
27,214 |
$3K |
| 90685 |
|
246 |
244 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
37 |
14 |
$3K |
| 73140 |
|
394 |
376 |
$2K |
| 99173 |
|
1,572 |
1,556 |
$2K |
| 99215 |
Prolong outpt/office vis |
158 |
158 |
$2K |
| 0124A |
|
58 |
56 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
95 |
92 |
$2K |
| 69210 |
|
103 |
97 |
$2K |
| 73130 |
|
194 |
186 |
$2K |
| 99385 |
|
42 |
42 |
$2K |
| 85018 |
|
1,352 |
1,266 |
$1K |
| 81025 |
|
916 |
883 |
$1K |
| 17110 |
|
50 |
36 |
$1K |
| 0054A |
|
34 |
34 |
$1K |
| 0134A |
|
40 |
36 |
$1K |
| 81003 |
|
2,090 |
1,971 |
$1K |
| 90744 |
|
478 |
470 |
$1K |
| 76818 |
|
15 |
12 |
$1K |
| 90696 |
|
84 |
82 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$1K |
| 90700 |
|
228 |
224 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
36,624 |
16,634 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
38 |
38 |
$988.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
202 |
188 |
$919.00 |
| D0270 |
|
2,295 |
2,253 |
$861.00 |
| 0003A |
|
19 |
19 |
$760.00 |
| D1351 |
Sealant - per tooth |
139 |
64 |
$740.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
84 |
84 |
$709.24 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
70 |
69 |
$637.50 |
| 3079F |
|
6,674 |
6,352 |
$502.50 |
| 73080 |
|
40 |
39 |
$481.36 |
| 90648 |
|
174 |
173 |
$479.33 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
26 |
$452.04 |
| 73562 |
|
47 |
46 |
$440.19 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
14 |
13 |
$406.53 |
| 90621 |
|
16 |
16 |
$350.00 |
| D0330 |
Panoramic radiographic image |
76 |
76 |
$299.25 |
| 90834 |
Psychotherapy, 45 minutes with patient |
64,052 |
25,215 |
$280.34 |
| 94010 |
|
12 |
12 |
$247.48 |
| 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 |
3,444 |
2,681 |
$221.54 |
| 86580 |
|
59 |
53 |
$213.71 |
| D7140 |
Extraction, erupted tooth or exposed root |
34 |
27 |
$210.00 |
| 96127 |
|
106 |
104 |
$200.67 |
| 73620 |
|
12 |
12 |
$190.05 |
| 93000 |
|
12 |
12 |
$170.28 |
| 90682 |
|
14 |
14 |
$157.24 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
53 |
52 |
$135.17 |
| 99406 |
|
28 |
27 |
$130.02 |
| 73660 |
|
30 |
28 |
$116.05 |
| 73090 |
|
12 |
12 |
$87.55 |
| D2331 |
|
40 |
36 |
$85.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
661 |
416 |
$73.99 |
| 90791 |
Psychiatric diagnostic evaluation |
5,562 |
5,524 |
$68.54 |
| 36416 |
|
1,271 |
1,165 |
$37.50 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,891 |
1,880 |
$30.00 |
| 91306 |
|
223 |
217 |
$23.00 |
| Q0244 |
Injection, casirivimab and imdevimab, 1200 mg |
28 |
28 |
$20.00 |
| 91301 |
|
152 |
150 |
$15.00 |
| D2940 |
|
26 |
25 |
$10.00 |
| 94760 |
|
114 |
113 |
$6.00 |
| 91313 |
|
37 |
34 |
$3.00 |
| 91305 |
|
107 |
102 |
$2.00 |
| 91307 |
|
657 |
577 |
$1.00 |
| 91312 |
|
56 |
54 |
$1.00 |
| 3075F |
|
2,065 |
1,987 |
$0.00 |
| 76801 |
|
29 |
29 |
$0.00 |
| 96380 |
|
40 |
40 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 3080F |
|
291 |
270 |
$0.00 |
| 91303 |
|
14 |
14 |
$0.00 |
| 99443 |
|
28 |
27 |
$0.00 |
| D9310 |
|
13 |
13 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,746 |
711 |
$0.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
348 |
284 |
$0.00 |
| 3077F |
|
1,269 |
1,188 |
$0.00 |
| 91300 |
|
721 |
696 |
$0.00 |
| D1999 |
|
163 |
133 |
$0.00 |
| 0502F |
|
174 |
116 |
$0.00 |
| 90473 |
|
18 |
14 |
$0.00 |
| 99051 |
|
85 |
84 |
$0.00 |
| 59425 |
|
18 |
13 |
$0.00 |
| 99442 |
|
14 |
14 |
$0.00 |