| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
69,495 |
49,626 |
$5.12M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,938 |
32,455 |
$1.22M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,687 |
15,346 |
$792K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,368 |
8,823 |
$314K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,701 |
3,604 |
$215K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,310 |
2,662 |
$171K |
| D1110 |
Prophylaxis - adult |
5,713 |
4,099 |
$142K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,875 |
2,418 |
$126K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,820 |
5,309 |
$126K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,113 |
1,938 |
$120K |
| D1120 |
Prophylaxis - child |
8,530 |
5,645 |
$120K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,595 |
936 |
$96K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
5,739 |
4,043 |
$94K |
| D1208 |
Topical application of fluoride, excluding varnish |
10,088 |
6,851 |
$92K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,340 |
1,427 |
$90K |
| D0120 |
Periodic oral evaluation - established patient |
7,150 |
4,899 |
$68K |
| D0210 |
Intraoral - complete series of radiographic images |
2,010 |
1,443 |
$66K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,563 |
4,743 |
$56K |
| D0274 |
Bitewings - four radiographic images |
3,865 |
2,751 |
$54K |
| 99215 |
Prolong outpt/office vis |
1,196 |
703 |
$49K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,281 |
770 |
$47K |
| D7140 |
Extraction, erupted tooth or exposed root |
755 |
355 |
$39K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
758 |
487 |
$39K |
| D0140 |
Limited oral evaluation - problem focused |
2,612 |
1,804 |
$36K |
| D1351 |
Sealant - per tooth |
1,563 |
359 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
657 |
427 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,123 |
2,414 |
$30K |
| 92551 |
|
5,595 |
3,579 |
$28K |
| 90791 |
Psychiatric diagnostic evaluation |
863 |
455 |
$27K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,266 |
813 |
$26K |
| D0230 |
Intraoral - periapical each additional radiographic image |
7,106 |
1,833 |
$25K |
| D0220 |
Intraoral - periapical first radiographic image |
6,425 |
4,256 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,498 |
1,362 |
$18K |
| D0272 |
Bitewings - two radiographic images |
3,388 |
2,241 |
$18K |
| 90834 |
Psychotherapy, 45 minutes with patient |
758 |
315 |
$13K |
| 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 |
3,617 |
3,000 |
$12K |
| 99174 |
|
8,144 |
5,239 |
$11K |
| 80306 |
|
1,837 |
1,019 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,393 |
1,513 |
$8K |
| 90677 |
|
363 |
233 |
$8K |
| 90686 |
|
3,780 |
2,641 |
$7K |
| 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 |
801 |
623 |
$5K |
| D0330 |
Panoramic radiographic image |
257 |
199 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
485 |
310 |
$4K |
| 99381 |
|
103 |
58 |
$4K |
| D2332 |
|
47 |
17 |
$3K |
| 87807 |
|
439 |
277 |
$3K |
| D1354 |
|
289 |
69 |
$3K |
| D2335 |
|
22 |
13 |
$3K |
| 0071A |
|
79 |
44 |
$2K |
| 0031A |
|
105 |
57 |
$2K |
| 90651 |
|
386 |
279 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
76 |
50 |
$2K |
| 80305 |
|
393 |
222 |
$2K |
| 90670 |
|
3,420 |
2,204 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
31 |
13 |
$2K |
| D2331 |
|
58 |
39 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
54 |
$1K |
| 90734 |
|
473 |
355 |
$1K |
| S9470 |
Nutritional counseling, dietitian visit |
35,546 |
20,965 |
$1K |
| 90461 |
|
219 |
125 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
50 |
27 |
$1K |
| 36416 |
|
675 |
437 |
$1K |
| 0072A |
|
38 |
23 |
$1K |
| 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 |
52 |
36 |
$1K |
| 99383 |
|
15 |
14 |
$1K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
434 |
212 |
$985.49 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
12 |
$980.64 |
| 90633 |
|
2,030 |
1,305 |
$888.50 |
| 0001A |
|
19 |
14 |
$817.26 |
| 90723 |
|
2,827 |
1,806 |
$763.65 |
| 85018 |
|
523 |
322 |
$671.92 |
| 90648 |
|
3,897 |
2,501 |
$669.05 |
| 99173 |
|
510 |
280 |
$627.12 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
312 |
238 |
$493.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
32 |
27 |
$478.66 |
| 83655 |
|
61 |
37 |
$331.47 |
| 1000F |
|
1,069 |
983 |
$317.10 |
| 90715 |
|
185 |
134 |
$306.83 |
| 90656 |
|
128 |
122 |
$293.57 |
| 90681 |
|
1,193 |
730 |
$245.87 |
| 90710 |
|
283 |
183 |
$220.74 |
| 90688 |
|
41 |
29 |
$197.09 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
34,125 |
19,669 |
$188.32 |
| 90716 |
|
173 |
106 |
$161.18 |
| 3074F |
|
7,572 |
4,226 |
$152.71 |
| 81025 |
|
31 |
13 |
$148.58 |
| 3079F |
|
4,122 |
2,362 |
$112.08 |
| 81003 |
|
177 |
116 |
$110.19 |
| Q3014 |
Telehealth originating site facility fee |
40 |
36 |
$101.88 |
| 90662 |
|
45 |
34 |
$100.00 |
| 90707 |
|
156 |
95 |
$91.41 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
140 |
67 |
$89.68 |
| 90672 |
|
211 |
146 |
$53.31 |
| 90696 |
|
240 |
156 |
$48.35 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,703 |
2,207 |
$45.30 |
| 3078F |
|
5,447 |
3,095 |
$41.76 |
| 99406 |
|
2,037 |
1,058 |
$36.59 |
| 90660 |
|
12 |
12 |
$29.15 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
10,931 |
6,373 |
$1.50 |
| 91307 |
|
197 |
117 |
$1.01 |
| 99408 |
|
4,373 |
2,385 |
$0.76 |
| 91303 |
|
103 |
57 |
$0.50 |
| 3075F |
|
1,086 |
589 |
$0.48 |
| 90700 |
|
191 |
114 |
$0.41 |
| 3077F |
|
502 |
242 |
$0.36 |
| 91300 |
|
49 |
31 |
$0.28 |
| 96161 |
|
50 |
38 |
$0.18 |
| 1126F |
|
404 |
237 |
$0.11 |
| 3080F |
|
51 |
27 |
$0.04 |
| 1125F |
|
107 |
62 |
$0.01 |
| 1160F |
|
2,539 |
2,182 |
$0.00 |
| 1159F |
|
2,620 |
2,284 |
$0.00 |
| 1003F |
|
600 |
555 |
$0.00 |
| 4004F |
|
181 |
147 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
63 |
62 |
$0.00 |
| 87400 |
|
16 |
14 |
$0.00 |
| D0603 |
|
1,878 |
1,329 |
$0.00 |
| D0601 |
|
358 |
234 |
$0.00 |
| 1036F |
|
406 |
367 |
$0.00 |
| 87430 |
|
14 |
14 |
$0.00 |
| D0602 |
|
412 |
280 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
90 |
69 |
$0.00 |