| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57,276 |
42,232 |
$2.73M |
| T1015 |
Clinic visit/encounter, all-inclusive |
67,591 |
44,289 |
$1.32M |
| 90832 |
Psychotherapy, 30 minutes with patient |
19,104 |
10,435 |
$621K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,047 |
3,918 |
$300K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,099 |
4,187 |
$292K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,796 |
1,837 |
$199K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
6,201 |
2,072 |
$167K |
| 90791 |
Psychiatric diagnostic evaluation |
1,856 |
1,515 |
$143K |
| D1110 |
Prophylaxis - adult |
2,643 |
2,335 |
$124K |
| D0330 |
Panoramic radiographic image |
1,626 |
1,448 |
$97K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,664 |
1,469 |
$56K |
| 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 |
2,800 |
1,884 |
$51K |
| D0120 |
Periodic oral evaluation - established patient |
2,264 |
2,004 |
$49K |
| D1206 |
Topical application of fluoride varnish |
2,353 |
2,022 |
$42K |
| D1120 |
Prophylaxis - child |
1,315 |
1,116 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
852 |
668 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,799 |
1,307 |
$20K |
| D7140 |
Extraction, erupted tooth or exposed root |
340 |
99 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
285 |
226 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,596 |
1,103 |
$17K |
| 98940 |
|
746 |
376 |
$13K |
| 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 |
553 |
329 |
$12K |
| 87428 |
|
501 |
415 |
$12K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
879 |
215 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
873 |
716 |
$11K |
| D0140 |
Limited oral evaluation - problem focused |
327 |
276 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
67 |
$10K |
| 99382 |
|
138 |
114 |
$9K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
173 |
93 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135 |
93 |
$8K |
| 80305 |
|
777 |
465 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
107 |
66 |
$8K |
| D0272 |
Bitewings - two radiographic images |
343 |
287 |
$8K |
| 97012 |
|
503 |
248 |
$6K |
| D0274 |
Bitewings - four radiographic images |
176 |
153 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
314 |
197 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
270 |
242 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
761 |
298 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
102 |
88 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
192 |
115 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
20 |
13 |
$2K |
| 90785 |
|
274 |
123 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
325 |
100 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
131 |
92 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$1K |
| 90686 |
|
306 |
212 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
50 |
$579.81 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
56 |
54 |
$376.34 |
| 83037 |
|
49 |
47 |
$297.09 |
| 81002 |
|
229 |
198 |
$217.95 |
| 90688 |
|
86 |
86 |
$162.59 |
| D9999 |
Unspecified adjunctive procedure, by report |
4,346 |
3,581 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
33 |
28 |
$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) |
14 |
13 |
$0.00 |
| 81025 |
|
15 |
14 |
$0.00 |