| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
289,630 |
178,536 |
$20.93M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
176,826 |
95,892 |
$3.32M |
| 90837 |
Psychotherapy, 53 minutes with patient |
79,904 |
22,558 |
$2.80M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44,710 |
25,173 |
$1.30M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
46,080 |
26,584 |
$801K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16,082 |
9,256 |
$429K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18,216 |
10,376 |
$394K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31,387 |
15,738 |
$361K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
31,948 |
12,115 |
$308K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,652 |
6,112 |
$276K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,299 |
3,078 |
$149K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,479 |
1,887 |
$121K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
978 |
301 |
$90K |
| 90791 |
Psychiatric diagnostic evaluation |
2,278 |
1,151 |
$85K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,114 |
1,231 |
$81K |
| 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 |
5,299 |
4,382 |
$65K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,010 |
6,893 |
$63K |
| D1120 |
Prophylaxis - child |
7,443 |
3,325 |
$61K |
| D1206 |
Topical application of fluoride varnish |
8,709 |
3,972 |
$55K |
| 99215 |
Prolong outpt/office vis |
1,396 |
705 |
$55K |
| D0120 |
Periodic oral evaluation - established patient |
5,966 |
2,669 |
$48K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
4,541 |
2,091 |
$41K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,408 |
569 |
$33K |
| D1110 |
Prophylaxis - adult |
1,740 |
795 |
$29K |
| D7140 |
Extraction, erupted tooth or exposed root |
668 |
246 |
$27K |
| 99381 |
|
1,238 |
808 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,176 |
744 |
$23K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
401 |
215 |
$22K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
423 |
243 |
$18K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,753 |
973 |
$17K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
490 |
203 |
$16K |
| D1351 |
Sealant - per tooth |
1,110 |
228 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,832 |
1,050 |
$15K |
| D0274 |
Bitewings - four radiographic images |
1,267 |
599 |
$14K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,047 |
1,365 |
$11K |
| D0272 |
Bitewings - two radiographic images |
2,517 |
1,112 |
$11K |
| 87400 |
|
2,324 |
1,384 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,767 |
2,126 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,896 |
1,149 |
$10K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
373 |
180 |
$9K |
| 90686 |
|
11,076 |
6,454 |
$9K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,344 |
393 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
6,149 |
3,712 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
3,109 |
1,498 |
$7K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
283 |
130 |
$7K |
| 90674 |
|
2,258 |
1,235 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,290 |
815 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,169 |
288 |
$6K |
| 98940 |
|
506 |
207 |
$4K |
| 59430 |
|
188 |
86 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,506 |
1,150 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
107 |
61 |
$3K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
270 |
147 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
217 |
170 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
101 |
40 |
$3K |
| 31720 |
|
346 |
250 |
$3K |
| 90633 |
|
4,162 |
2,572 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
573 |
322 |
$3K |
| D0330 |
Panoramic radiographic image |
548 |
301 |
$3K |
| 90670 |
|
11,720 |
6,664 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
44 |
$2K |
| 76801 |
|
61 |
37 |
$2K |
| 90661 |
|
614 |
590 |
$2K |
| 90480 |
|
60 |
29 |
$1K |
| 99385 |
|
49 |
26 |
$1K |
| 90688 |
|
581 |
358 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
96 |
51 |
$1K |
| 90651 |
|
1,691 |
1,087 |
$1K |
| 99383 |
|
24 |
14 |
$863.28 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
5,563 |
3,519 |
$855.66 |
| 90716 |
|
3,687 |
2,209 |
$842.94 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
173 |
137 |
$821.12 |
| 90707 |
|
3,694 |
2,196 |
$747.92 |
| 99188 |
|
155 |
110 |
$706.50 |
| 81003 |
|
1,024 |
691 |
$560.77 |
| 90647 |
|
9,849 |
5,730 |
$420.03 |
| 90734 |
|
1,250 |
848 |
$347.72 |
| 69210 |
|
69 |
59 |
$333.21 |
| 80305 |
|
190 |
136 |
$316.76 |
| 90723 |
|
11,075 |
6,461 |
$147.03 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
107 |
90 |
$130.68 |
| 90715 |
|
364 |
278 |
$78.18 |
| 90681 |
|
3,925 |
2,287 |
$20.99 |
| 90696 |
|
264 |
198 |
$10.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
12 |
$3.84 |
| 90677 |
|
532 |
517 |
$1.09 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
81 |
63 |
$0.29 |
| 90700 |
|
206 |
140 |
$0.09 |
| 90381 |
|
25 |
25 |
$0.04 |
| 90620 |
|
62 |
55 |
$0.02 |
| 3079F |
|
34,987 |
18,821 |
$0.00 |
| 3074F |
|
103,735 |
56,411 |
$0.00 |
| 3008F |
|
64,207 |
33,412 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
1,514 |
716 |
$0.00 |
| 3075F |
|
11,005 |
5,984 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
60,527 |
31,621 |
$0.00 |
| 2001F |
|
29,831 |
14,247 |
$0.00 |
| 1111F |
|
26,238 |
12,439 |
$0.00 |
| 1036F |
|
27,744 |
14,546 |
$0.00 |
| 3080F |
|
2,943 |
1,549 |
$0.00 |
| 97014 |
|
3,806 |
2,359 |
$0.00 |
| 1034F |
|
3,375 |
1,474 |
$0.00 |
| 99000 |
|
28 |
15 |
$0.00 |
| D1310 |
|
191 |
176 |
$0.00 |
| D1330 |
|
202 |
181 |
$0.00 |
| D9215 |
|
66 |
31 |
$0.00 |
| D0603 |
|
166 |
159 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
45 |
25 |
$0.00 |
| 97010 |
|
135 |
102 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
19 |
17 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
12 |
$0.00 |
| 82962 |
|
15 |
15 |
$0.00 |
| 3044F |
|
65 |
39 |
$0.00 |
| 93000 |
|
101 |
90 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
59,317 |
30,961 |
$0.00 |
| 3078F |
|
120,343 |
64,452 |
$0.00 |
| 3077F |
|
8,320 |
4,363 |
$0.00 |
| 4004F |
|
3,188 |
1,784 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
2,542 |
1,274 |
$0.00 |
| 59899 |
|
275 |
142 |
$0.00 |
| 90685 |
|
589 |
400 |
$0.00 |
| 81025 |
|
158 |
143 |
$0.00 |
| 90621 |
|
24 |
24 |
$0.00 |